HomeMy WebLinkAbout36642-ZTown of Southold Annex
54375 Main Road
Southold, New York 11971
8/23/2011
CERTIFICATE OF OCCUPANCY
No: 35169
Date: 8/23/2011
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
ELECTRICAL
600 Tepee Trail, Southold,
Sec/Block/Lot: 87.-2-24
Filed Map No.
conforms substantially to the Application for Building Permit heretofore
8/19/2011 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 officed dated
36642 dated 8/19/2011
electrical service.
The certificate is issued to
Luhrs Maryweld Rvc Trt
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
36642 8/22/11
Authorized Signature
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-(}959
Telephone(631)765-1802
Fax(631)765-9502
rofler, richertC, town southo d ny us
BUILDING DEPARTMENT
TOWN OFSOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
ssued To: Luhrs
~,ddrass: 600 Teepee Trail City: Southold St: NY Zip: 11971
Building Permit #: Section: Block: Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: All Ways Electric Corp License No:
SITE DETAILS
Office Use Only
Residential ~] Indoor ~ Basement ~ Service Only ~
Commedcal Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 3 ph Hot Water GFCI Recpt
Main Panel A/C 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 Fixtur{ ~J~ Pumps
Emergency Fixture Time Clocks
Exit Fixtures ~ TVSS
replace exterior portion of 200a overhead service and install a 50a sub panel
Notes:
Inspector Signature:
Date: Aug 22 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 #: 36642
Permission is hereby granted to:
To:
Date: 8/19/2011
Luhrs Maryweld Rvc Trt
99 Mayfair Ave
Floral Pk, NY 11001
electrical service.
At premises located at:
600 Tepee Trail, Southold
SCTM # 473889
Sec/Block/Lot # 87.-2-24
Pursuant to application dated
To expire on 2/17/2013.
Fees:
8119/2011
and approved by the Building Inspector.
ELECTRIC
Total:
$85.00
$85.0O
//?
Building Inspector
INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGI~)/ ~)/-~LECTRICAL
(FINAL)
DATE
07-30-!0; 12:27
50004
To'.~r~ H:41 Annex
54;375 Main Road
P.O. Box ! 179
Sou&old, IN~ 11971-0959
Tclcphor~¢ (631) 765.1802
rooer, ncne ~ w~.:_s0___u..~nola, ny. u~
BU1LDING DEPARTMENT
'FO'W~ OF 8OUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY:
Company Name:
Name:
License No.:
Date:
Address:
Phone No.:
JOBSITE iNFORMATION:
*Name:
*Address:
*Cross Street:
*Phone No.:
Permit No.:
Tax Map District:
(*Indicates required information)
1000 Section: ~'7 Block: c.~ 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 (If needed]
*Service Size:
*New Service:
Additional Information:
Re-connect
824~equest for Inspection Form
Rough In
Final
3Phase 100 150 ~ 300 350 400 Other
Underground Number of Meters Change of Service Overhead