HomeMy WebLinkAbout36350-ZTown of Southold Annex
54375Main Road
Southold, New York l1971
CERTIFICATE OF OCCUPANCY
6/29/2011
No: 35035
Date: 6/29/2011
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
ELECTRICAL
290 Wabasso St, Southold, NY 11971,
Sec/Block/Lot: 78.-3-44
Filed Map No.
conforms substantially to the Application for Building Permit heretofore
5/1/2011 pursuant to which Building Permit No. 36350
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 scxvice.
Lot No.
filed in this officed dated
dated 5/1/2011
The certificate is issued to
Connolly, Michael & Connolly, Rosemarie
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
36350 6/8/11
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631 ) 765-1802
Fax (631) 765-9502
rofler, dchert~,town.southold.n¥ us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Michael Connolly
Address: 290 Wabasso Street City: Southold St: NY Zip: 11971
Building Permit#: '"'~:~'0 Section: 78 Block: 3 Lot: 44
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: EECO Electric LicenseNo: 2816-me
SITE DETAILS
Office Use Only
Residential ~ Indoor ~ Basement [~ Service Only ~
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Servicalph ~ Heat ~ DuplecRecpt ~
Service 3 ph Hot Water GFCI Recpt
Main Panel NC Condenser Single Recpt
Sub Panel NC Blower Range Recpt
Transformer Appliances Dryer Recpt
Disconnect Switches Twist Lock
Other Equipment: up grade service to 200a over head
Ceiling Fixtures I~ HID Fixtures
Wall Fixtures I I Smoke Detectors
Recessed Fixtures[[~ CO Detectors
Fluorescent Fixture ~l Pumps
Emergency Fixtures1.~ Time Clocks
Exit Fixtures LI TVSS
Notes:
Inspector Signature:
Date: June 8 2011
81-Cert Electrical Compliance Form
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
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 #: 36350
Date: 5/1/2011
Permission is hereby granted to:
Connolly, Michael & Connolly, Rosemarie
290 Wabasso St
Southold, NY 11971
To:
electric service change.
At premises located at:
290 Wabasso St, Southold, NY 11971
SCTM # 473889
Sec/Block/Lot # 78.-3-44
Pursuant to application dated
To expire on 10/30/2012.
Fees:
5/1/2011
and approved by the Building Inspector.
ELECTRIC
Total:
$85.00
$85.00
Building Inspector
543?5 Ma~ ~
P.O. Bo~ 117~
So,hold. NY 11971-0~.93
Telephone (~1) 765-180~
m~er. richert~.ls) oT~.nyJ m
Bur[ .nlNG DEPAKFMENT
TOWN OF 8OUTHOLD
..APPLICATION FOR ELECTRICAL INSPECTION
' Name:
Name:
Ucense No.:
Date:
JOBSITE INFORMATION: (*Indicates required information)
*Name:
*Address.-
*Cross Street:
*Phone No.:
Permit No.:
Tax.Map District: 1000 . Section: -~ ~ Block: $ Lot: ~.
*BRIEF DESCRIPTION OF WORK (Please Print Clearly) ~ ¢,, ~ (~~
(Please Circle All That Al~ly)
*Is job ready for inspection:
*Do. you need a Temp Certificate:
Temp Informatio~ (If. needed)
*Service Size: ~ 3Phass
*New Service: Re-connect
Additienat Information:
100 150 ~ 300 350 .400 Other
Underground Number of Meters ~~,,~e~d~
pAYMENT DUE WITH APPLICATION
82q~'equest for Inspe(~Jon Form