HomeMy WebLinkAbout36633-Z8/16/2011
Town of Southold Annex
54375 Main Road
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 35147
Date: 8/16/2011
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
ELECTRICAL
12040 Route 25, East Marion,
Sec/Block/Lot: 31.-14-5.1
Filed Map No.
conforms substantially to the Application for Building Permit heretofore
8/16/2011 pursuant to which Building Permit No. 36633
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 officed dated
dated 8/16/2011
underground electric service.
The certificate is issued to
Mosback Bramson, Ruth & Bramson, Robert
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
36633
7/19/11
~Aut horized -Signaiure
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 #: 36633
Permission is hereby granted to:
Mosback Bramson, Ruth & Bramson, Robert
Date: 8/16/2011
65 Anderson St
Boston, MA 02114
To:
underground electric service
At premises located at:
12040 Route 25, East Marion
SCTM # 473889
Sec/Block/Lot # 31.-14-5.1
Pursuant to application dated
To expire on 2/14/2013.
Fees:
8/16/2011
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 I 1971-0959
Telephone (631 ) 765-1802
Fax (631 ) 765-9502
ro.qer, dchert~,town.southo d ny us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Branson
Address: 12040 Main Rd City: East Marion St: NY Zip: 11939
Building Permit #: Section: ~;"~ i Block: i I.-{ Lot: 5- i
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Wildwood Electric License No: 4836-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
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: 200a under~lround service
Ceiling Fixtures [~ HID Fixtures
Wall Fixtures ~.~ Smoke Detectors
Recessed Fixtures ~ CO Detectors
Fluorescent Fixture[~ Pumps
Emergency Fixtures~ Time Clocks
Exit Fixtures LJ TVSS
Inspector Signature:
Date: July 19 2011
81-Cert Electrical Compliance Form
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
APPLICATION FOR ELECTRICAL INSPEC ~
Telephone (631) 765-1802
dUN 23 2011 ._~
BLDG gEPT.
T0'?,~ OF SOUTHOLD
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
IL)IN
REQUESTED BY:
Company Name:
Name:
License No.:
Address:
Phone No.:
"%k/I LD WOo D ELEC'r~ C-
Date: -~u~ t~,~
JOBSITE INFORMATION: (*Indicates required information)
*Name:
*Address: I Z~ OqO
*Cross Street:
*Phone No.:
Permit No.:
Tax Map District: 1000 Section:
Block: IH Lot:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
(Please Circle All That Apply)
*is job ready for inspection:
*Do you need a Temp Certificate:
Temp Information needed)
NO Rough In ~
NO
*Service Size: ~ 3Phase 100 150 ~
*New Service: Re-connect ~,~ndergr0und~ Number of Meters
Additional Information: PAYMENT DUE WITH APPLICATION
300 350 400 Other
~¢,,~ange of Se~ic~ Overhead
82-Request for Inspection Form