HomeMy WebLinkAbout36532-ZTown of Southold Annex
54375 Main Road
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
8/9/2011
No: 35129 Date: 8/9/2011
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 500 Old Shipyard Rd, Southold,
SCTM #: 473889 Sec/Block/Lot: 64.-2-46
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
7/1/2011 pursuant to which Building Permit No. 36532 dated 7/1/2011
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:
under,found electric service
The certificate is issued to
Oliva, Anthony & Oliva, Suzanne
( OWN E R)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
horized Signature
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold. New York 11971 0959
Telephone (631) 765 1802
Fax (631) 765-9502
roger, richert~,town, so uthold, ny. us
BUILDING DEPARTMENT
TOWN OF' SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Oliva
Address: 500 Old Shipyard Lane City: Southold St: NY Zip: 11971
Building Permit #: ~_.~' -~, Section: 64 Block: 2 Lot: 46
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Ocean Electric Corp License Ne: 4015-6
SITE DETAILS
Office Use Only
Residential ~ Indoor ~ Basement ~ Service Only ~
Corn merical 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 NC Blower Range Recpt
Transformer Appliances Dryer Recpt
Disconnect Switches Twist Lock
Other Equipment: 200a underground service up grade
Ceiling Fixtures ~[~[~ HID Fixtures
Wall Fixtures I I Smoke Detectors
Recessed Fixtures CO Detectors
Fluorescent Fixtur(~J Pumps
Emergency Fixture Time Clocks
Exit Fixtures I I TVSS
Notes:
Inspector Signature:
Date: Aug 5 2011
81-Ced 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 #: 36532
Permission is hereby granted to:
To:
Date: 7/1/2011
Anthony & Suaznne Oliva
7 Rowena Road
Manalapan, NJ 07726
underground electric service
At premises located at:
500 Old Shipyard Rd, Southold
SCTM # 473889
Sec/Block/Lot # 64.-2-46
Pursuant to application dated
To expire on 12/30/2012.
Fees:
7/1/2011
and approved by the Building Inspector.
ELECTRIC
Total:
$85.00
$85.00
Building Inspector
Town Hail Annex
5~75 Maia Road
P.O. Box 1179
Soud~oW, N'Y 11971-0959
Telephone (631) 76~1802
ax (6c31) 76 5
BU~r~ING DEPARTMF2FF
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY:
Company Name:
Name:
License No.:
~ddress:
Phone No.:
*Name:
*Address:
*Cross Street:
*Phone No.:
Permit No.:
Tax. Map District:
JOBSITE INFORMATION: (*Indicates required information)
1000 Section: mock: ~ Lot:
*BRIEP DESCRIPTION OF WORK (Please Print Clearly)
(Please Circle All That Apply)
*Is job ready for inspection:
*Do. you need a Temp Certificate:
Temp Information (If. needed)
*Service Size: ~Phas~h~ 3Phase
~New Service: Re-connect
Addlt!onal Information:
/NO
NO
Rough In
Final
100 150 ~ 300 350 400 Other
Underground Number of Meters~C~nge of Sewt-'-~Overhead
PAYMENT DUE WIT'T'T'T'T'T'T'T'T'T~ ~pLicA ~lO~
82-Request for Inspection Form
TO
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