HomeMy WebLinkAbout36512-ZTown of Southold Annex
54375 Main Road
Southold, New York 11971
7/5/2011
CERTIFICATE OF OCCUPANCY
No: 35041
Date: 7/5/2011
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
ELECTRICAL
56305 CR 48, Southold,
Sec/Block/Lot: 44.-1-23
Filed Map No.
conforms substantially to the Application for Building Permit heretofore
6/23/2011 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:
Lot No.
filed in this ofliced dated
36512 dated 6/23/2011
underground electric service and 4 air conffltioning units.
The certificate is issued to
Stockholm, Melissa & Udall, Jeffrey
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
36512 6/20/11
~uthorized Signature
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Telephone (63 I) 765-1802
Fax (631) 765-9502
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BUILDING DEPARTMENT
TOWN OF SOUTItOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Jeff Udall
Address: 56305 Rt 48 City: Southold St: NY Zip: 11971
Building Permit #: ~)(,~-~ j '~ Section: Block: Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: QC Electric License No: 3823-e
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
Service 1 ph ~
Service 3 ph
Main Panel ~
Sub Panel
Transformer
Disconnect [100,
Other Equipment:
INVENTORY
Hot Water GFCl Recpt
A/C Condenser Single Recpt
A/C Blower Range Recpt
Appliances Dryer Recpt
Switches Twist Lock
Ceiling Fixtures [~ HID Fixtures
Wall Fixtures [.~ Smoke Detectors
Recessed Fixtures ~ CO Detectors
Fluorescent Fixture ~ Pumps
Emergency Fixtures[~ Time Clocks
Exit Fixtures [~ TVSS
replace meter pan 100a underground service, add 4 air conditioner circuts, 1-GFC
Notes:
Inspector Signature:
Date: June 20 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 #: 36512
Date: 6/23/2011
Permission is hereby granted to:
Stockholm, Melissa & Udall, Jeffrey
3653 Spruce Run
To:
Cortland, NY 13045
Upgrade electrical service
At premises located at:
56305 CR 48, Southold
SCTM # 473889
Sec/Block/Lot # 44.-1-23
Pursuant to application dated
To expireon 12/22/2012.
Fees:
6/23/2011
and approved by the Building Inspector.
ELECTRIC
Total:
$90.00
$90.00
Building Inspector
Town Ha.il Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971.-0959
Telephone (631) 765-1802
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BUILDING DEPARTMENT
TOWN OF SOUTHOLr~
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY:
Company Name:
Name:
License No.:
~,ddress:
Phone No.:
JOBSITE INFORMATION: (*Indicates required information)
*Name: ~ ~b~ C~
*Address:
Date:
*Cross Street:
*Phone No.: I~)./.'. ~'. ~/~"_ ,~"~' / ~
Permit No.:
Tax Map District: 1000 Section: ~ ~
*BRIEF DESCRIPTION OF WORK (Please Pdnt Cleady)
Block: I Lot:
(Please Circle All That Apply)
*Is job ready for inspection:
*Do you need a Temp Certificate:
Temp Information (If needed)
*New Service: Re-connect~ Underground~ Number of Meters
Additional Information:
Rough In Final
300 350 400 Other
Change of Service Overhead
PAYMENT DUE WITH APPLICATION
82--Request for Inspection Form