HomeMy WebLinkAbout36436-Z Town of Southold Annex 6/9/2011
J�> a 54375 Main Road
Southold, New York 11971
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CERTIFICATE OF OCCUPANCY
No: 34993 Date: 6/9/2011
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 52180 CR 48, Southold,
SCTM#: 473889 Sec/Block/Lot: 135.-3-20
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
6/1/2011 pursuant to which Building Permit No. 36436 dated 6/1/2011
was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for
which this certificate is issued is:
overhead electric service for cottage#3
The certificate is issued to Levin Family Ltd Prtnrshp
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 36436 6/6/11
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
p TOWN CLERK'S OFFICE
�, SOUTHOLD, NY
1
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit #: 36436 Date: 6/1/2011
Permission is hereby granted to:
Levin Family Ltd Prtnrshp
320 Mt Beulah Ave
Southold, NY 11971
To: electric overhead service for cottage #3
At premises located at:
52180 CR 48, Southold
SCTM # 473889
Sec/Block/Lot# 135.-3-20
Pursuant to application dated 6/1/2011 and approved by the Building Inspector.
To expire on 11/30/2012.
Fees:
ELECTRIC $90.00
Total: $90.00
7
Building Inspector
SOUlyo�o
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax (631) 765-9502
P.O. Box 1179 G Q
Southold,New York 1 1 97 1-0959 O roger.richert(aDtown.southold.nv.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Terrace Cottage Colony-cottage#3
Address: 52000 RT 48 (aka 52180) City: Southold St: NY Zip: 11971
Building Permit#: 3LA-: > Section: 135 Block: 3 Lot: 20
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Paul Burns Electric License No: 3897-e
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only X
Commerical Outdoor H
1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph 100a Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 100a A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect 100a Switches Twist Lock Exit Fixtures TVSS
Other Equipment: replace 100a overhead service
Notes:
Inspector Signature: Date: June 6 2011
81-Cert Electrical Compliance Form
Company Name:
Name:
License No.: 38 4 7—
Address: I(a 30� Jab s�,f�a
JlPhone No.:
JOBSITE INFORMATION: (*Indicates required information)
'Name: Co f(•
# 3 i
*Add z oo a AZT. Y 8
*Cross treat L 4.
*Phone No.:
Permit No.:
Tax Map District: 1000 Section: f1S gam: Lot 70
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
(Please Cirde All That Apply)
*is job ready for inspection: YES NO Rough In Final
*Do you need a Temp Certificate: YE 1 NO
Temp Information !f d) /� )�
*Service Size: 1 3Phase CHID IN 200 300 350 . 400 Other
*New Service: Re-connect Underground Number of Meters Change of Service
Additional Information: PAYMENT DUE WITH APPLICATION
82 Inspection Form
i
Town Hall Annex # Telephone(631)76Sd802 �.
5A375 Main Rood
P.O.Box 1179 roger. ny us
SoudioK NY 11971-0959
BUn DING DEPARTMENT
TOWN OF SOL THOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: I l3u r �s Date: 6 //
Company Name: ��� t i s rn C(Q�F� "camj � s
Name:
License No.: 3 8 9 7—
Address: l�o i3or �a6 6���a
Phone No.:
631-26,5-- 73 f
I
JOBSITE INFORMATION: (*Indicates required information)
*Name: i r 4 c.� Co f f� /o y # 3 i
*Address:
*Cross Street:
*Phone No.: Y?7 / 9 oo
I
Permit No.:
Tax Map District: 1000 Section: Block: Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
Re�l4c� ask �� �4c,.4 SerLli
(Please Circle AN That Apply)
*Is job ready for inspection: NO Rough In Final
*Do you need a Temp Certificate: YE ! NO
Temp Information C\ (If.needed)
*Service Size: 1 3Phase 150 200 300 350 400 Other
*New Service: Re-connect Underground Number of Meters (Mange of Service
Additional Information: PAYMENT DUE WITH APPLICATION
9241equest for Inspection Form
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