HomeMy WebLinkAbout36352-ZTown of Southold Annex
54375 Main Road
Southold, New York 11971
6/29/2011
CERTIFICATE OF OCCUPANCY
No: 35036
Date: 6/29/2011
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
ELECTRICAL
715 Liberty Ln, Southold, NY 11971,
Sec/Block/Lot: 79.-6-6
Filed Map No.
conforms substantially to the Application for Builffmg Permit heretofore
5/1/2011 pursuant to which Building Permit No.
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.
Lot No.
filed in this officed dated
36352 dated 5/1/2011
The certificate is issued to
Connolly, Michael & Connolly, Nicole
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
36352 6/8/11
~Au~ature
Town Hall Annex
54375 Main Road
P.O. Box I 179
Southold, New York 11971-0959
Telephone (63 I) 765-1802
Fax (631 ) 765-9502
ro.qor, dchert~town southold.n¥.us
BUILDING DEPARTMENT
TOWN OF SOUTItOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
ssued To: Michael Connolly
~.ddress: 715 Liberty Lane City: Southold St: NY Zip: 11971
3uilding Permit#: ~¢"~_. Section: 79 Block: 6 Lot:
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 ~
Commedcal Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 3 ph Hot Water GFCI Recpt
Main Panel AJC Condenser Single Recpt
Sub Panel NC Blower Range Recpt
Transformer Appliances Dryer Recpt
Disconnect Switches Twist Lock
Other Equipment: Up grade service to 2008 over head
Ceiling Fixtures ~] HID Fixtures
Wall Fixtures ~_J Smoke Detectors
Recessed Fixtures ~ CO Detectors
Fluorescent Fixtun~ Pumps
Emergency Fixture Time Clocks
Exit Fixtures ~ 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 #: 36352
Permission is hereby granted to:
Connolly, Michael & Connolly, Nicole
715 Liberty Ln
Date: 5/1/2011
Southold, NY 11971
To:
electric service change.
At premises located at:
715 Liberty Ln, Sou_thold, NY 11971
SCTM # 473889
Sec/Block/Lot # 79.-6-6
Pursuant to application dated
To expire on 10/3012012.
Fees:
5/1/2011
and approved by the Building Inspector.
ELECTRIC
Total:
$85.00
$85.00
Building Inspector
543?5 M~n D, nad
P.O. Box 1179
Telephone (~1) 7~1809
BUllY~ING DEPARTMXNT
TOWN OF 8OUTHOLD
,,.APPLICATION FOR FLECTRICAL INSPECTION
' Name:
Ucense No.:
No.:
Date:
*Name:
*Address:
*Cross Street:
*Phone No.:
Permit No.:
JOBSITE INFORMATION: (*Indicates required information)
Tax-Map District: 1000 Section:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Block:
Lot:
(Please Circle NI That Apply)
*Is job ready for inspection:
*Do.you need a Temp Certificate:
Temp. In~_.rmation
*Semce S,ze: (.fP~.s~ 3Phase
Addltienal Information:
82;~Request for Ii~oecfJon Form
Final
100 150 (.~ 300 350 400 Other
Number of Mete~-----~'~ of Se~rh~.~
PAYMENT DUE WIT~ APPLICATION -.-~