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Home My WebLink About36203-ZTown of Southold Annex 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY 8/23/2011 No: 35166 Date: 8/22/2011 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: ELECTRICAL 4170 Indian Neck Ln, Southold, Sec/Block/Lot: 98.-1-27.1 Filed Map No. conforms substantially to the Application for Building Permit heretofore 1/1/1900 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 officed dated 36203 dated 3/15/2011 Electric service for ~rain silos. The certificate is issued to 4170 Indian Neck Ln Hldgs (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 36203 8/8/11 ~ 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 #: 36203 Date: 3/15/2011 Permission is hereby granted to: 4170 Indian Neck Ln Hldgs cio O'Shea Marcincuk & Bruyn 250 North Sea Rd Southampton, NY 11968 To: Electric service for grain silos and barn lighting as applied for. At premises located at: 4170 Indian Neck Ln, Southold SCTM # 473889 Sec/Block/Lot # 98.-1-27.1 Pursuant to application dated To expire on 9/13/2012. Fees: 1/1/1900 and approved by the Building Inspector. Total: '~0~0.00 Building Inspector Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 Fax (631 ) 765-9502 ro.qer.richert~town.southold.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION ssued To: 4170 Indian Neck La Holdings Address: 4170 Indian Neck La. City: Peconic St: NY Zip: 11958 3uilding Permit #: 36203 Section: 98 Block: 1 Lot: 27.1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: G Craig Electric LicenseNo: 4432-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 PJC Condenser Single Recpt Sub Panel NC Blower Range Recpt Transformer Appliances Dryer Recpt Disconnect Switches Twist Lock Other Equipment: Ceiling Fixtures [~ HID Fixtures Wall Fixtures ~_~ Smoke Detectors Recessed Fixtures ~.~ CO Detectors Fluorescent Fixture [~ Pumps Emergency Fixturesl~ Time Clocks Exit Fixtures ~ TVSS power to grain silos, to include bonding, 2-1 hp motors, 2-20a GFCl circuit breaker Notes: inspector Signature: Date: Aug 8 2011 81-Cert Electrical Compliance Form /TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ]INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [~ELECTRICAL (FINAL) REMARKS: DATE INSPECTOR~ Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631) 765-1802 · _ .._.F. ax (631} 76,~-,.95q2, rorer r cner~w, town.soutno~a.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Company Name: Name: License No.: Address: Phone No.: JOBSITE INFORMATION: (*Indicates required information) *Name: ~/I7o /,~f~>/,~d l/'e~b. Lxt, f'~l-~ld~ *Address: *Cross Street: Phone No.. Permit No.: Tax Map District: 1000 Section: *BRIEF DESCRIPTION OF WORK (Please Print Cleady) Block: / Lot: ~ZT, ( (Please Circle All That Apply) *Is job ready for inspection: *Do you need a Temp Certificate: Temp Information (If needed] *Service Size: 1 Phase *New Service: Re-connect Additional Information: 3Phase 100 Underground YES / NO Rough In Final YES / NO 150 200 300 350 400 Other Number of Meters Change of Service Overhead PAYMENT DUE WITH APPLICATION 82-Request for Inspec6on Form ELECTRIClAL INSPECTION FORM SITE LOCATION · - __, To be completed I~y Licensed Electrician or F[omeowner ~ ~ ,~t OwnersName ~'?'"'~-~'~d~_C~.l~/~ I~(,,~__~::~ ~ ~ ~ L~ , Address' BuildingPermi,;:''-, v , ' -'Se:tionr~ ~ --'B;;ck:~ _' ~ Lot-. CONTACT DETAILS SITE DETAILS Office Use Only Residential ~ Ind°°r ~ Basement t~ Service Only l~ Commerical Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Servicelph ~ Heat ~ DuplecRecpt ~ Service 3 ph Hot Water GFCl Recpt Main Panel A/C Condenser Single Recpt Sub Panel NC Blower Range Recpt Transformer Appliances Dryer Recpt Disconnect Switches Twist Lock Other Equipment: Wall Fixtures Smoke Detectors Recessed Fixtures CO Detectors Fluorescent Fixture Pumps Emergency Fixture Time Clocks Exit Fixtures TVSS 80-Electrical Inspection Form