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HomeMy WebLinkAbout36590-ZTown of Southold Annex 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY 7/29/2011 No: 35094 Date: 7/29/2011 THIS CERTIFIES that the building ELECTRICAL Location of Property: 4200 Depot Ln, Cutchogue, SCTM #: 473889 Sec/Block/Lot: 96.-5-10 Subdivision: Filed Map No. conforms substantially to the Application for Building Permit heretofore 7/29/2011 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 Lot No. filed in this officed dated 36590 dated 7/29/2011 which this certificate is issued is: overhead electric service upgrade. The certificate is issued to Sawicki, Joan & Glowacki, Patricia (OWNERi of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 36590 07/22/2011 Authorized Signature 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 #: 36590 Permission is hereby granted to: Sawicki, Joan & Glowacki, Patricia 1645 Delmar Dr Laurel, NY 11948 To: Service up-grade Date: 7/29/2011 At premises located at: 4200 Depot Ln SCTM # 473889 Sec/Block/Lot # 96.-5-10 Pursuant to application dated To expire on 1/27/2013. Fees: 7/29/2011 and approved by the Building Inspector. ELECTRIC Total: $85.00 $85.00 Building Inspector Town Hall Annex 54375 Main Road P.O. Box 1179 Southold. New York 11971-0959 Telephone (631 ) 765- 1802 Fax (631 ) 765-95(12 ro.qer, richert~town southold.ny.us BUILDING DEPARTMENT TOWN OF SOUTI-IOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Guy Valerioti Address: 4200 Depot Lane City: Cutchogue St: NY Zip: 11935 Building Permit #: Section: 96 Block: 5 Lot: 10 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: T Metz Electric Corp LicenseNo: 4525-me SITE DETAILS Office Use Only Commerical Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 3 ph Hot Water GFCl Recpt Main Panel NC Condenser Single Recpt Sub Panel A/C Blower Range Recpt Transformer Appliances Dryer Recpt Disconnect Switches Twist Lock Other Equipment: 200a overhead service, sub panel in 1st floor and garage Ceiling Fixtures [~ HID Fixtures Wall Fixtures [ I Smoke Detectors Recessed Fixtures[~ CO Detectors Fluorescent Fixture ~ Pumps Emergency Fixtures~I Time Clocks Exit Fixtures ~ TVSS Notes; Inspector Signature: Date: July 22 2011 81-Cert Electrical Compliance Form ,765-180~ Company Name: Name: Licen~ No.: ~ddresS: ~hone No.: / *Cross Street: *Phone No.: Permit No.: Tax.Map District: JOBSITE INFORMATION: (*Indicates required information) *Name: ~/ *Address: ~.~ ~,,o ¢,,Z /~,~ ~_,~.. 1000 Section: <~. I_~ Block: Lot: *BRIEF DESCRIPTION OF WORK (Please Print Clearly) ~o (Please Circle All That Apply) *Is job ready for inspectiOn: *Do you need a Temp Certificate: Temp, Information (If needed) *Service Size: ~ 3PhaSe *New Service: Re-connect' Additienal Information: 82~Request fo~lnspe~fit~n Fon~ 100 Underground .¥ _~ NO Rough Ir~ d __ In~al~ 150 (~ 300 350 400 Other Number of Meters C~nge ~ .PAYMENT DUE WITH APPLICATION (631) 765-1802 t. US Company Name: ./.'-~ -~7~ ¢~__(%. (~c~ (/.~ Name: ./--~.>.q ~ License No.: _ ~.~-~ ~ Address: ~/ ~¢~ ~ JOBSITE INFORMATION: (*Indicates required information) *c~ Street: ~f¢ ~ *Pho~ No.: ~/. ?¢~_ C~¢~ ~ Pe~it No.: TaxMap District: 1000 Section: ~t ¢ ~ Block: ~ Lot: *BRIEF DESCRIPTION OF WORK (Please Pdnt Cleady) c¢©o _O,¢~,p (Please Circle All That Apply} *Is job ready for inspection: *Do you need a Temp Certificate: 150 ~ 300 350 400 Other Number of Meters ~ ~ Temp. Information (If. needled] ,Service Size: ~ 3Phase *New Service: Re-connect Additional Information: 82;Request foe Inspe~'~n Form 100 Underground PAYMENT DUE WITH APPLICATION