HomeMy WebLinkAbout36621-ZTown of Southold Annex
54375 Main Road
Southold, New York 11971
8/12/2011
CERTIFICATE OF OCCUPANCY
No: 35134
Date: 8/12/2011
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
ELECTRICAL
2085 Bayvicw Ave, Grcenport,
Sec/Block/Lot: 52.-5-3
Filed Map No.
conforms substantially to the Application for Building Permit heretofore
8/12/2011 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
36621 dated 8/12/2011
underground electric service
The certificate is issued to
Lyons Living Trust
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
36621 8/3/11
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 #: 36621
Date: 8/12/2011
Permission is hereby granted to:
Lyons Living Trust
86 Birch Rd
Malverne, NY 11565
To:
underground electric service
At premises located at:
2085 Bayview Ave, Greenport
SCTM # 473889
Sec/Block/Lot # 52.-5-3
Pursuant to application dated 8/12/2011
To expire on 2/10/2013.
Fees:
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 ) 765-9502
ro.qer, richert~town.southold.ny us
BUILDING DEPARTMENT
TOWN O1* SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
ssued To: Kevin Lyons
&ddress: 2085 Bayview Ave City: Southold St: NY Zip: 11971
~uilding Permit #: Section: _.~. Block: 5 Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
3ontractor: DBA: G&S Electric LicenseNo: 578-e
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
Servicelph ~ Heat ~ DuplecRecpt ~
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 underground service
Ceiling Fixturese[~~~ HID Fixtures
Wall Fixtures I I Smoke Detectors
Recessed Fixtures CO Detectors
Fluorescent Fixtur Pumps
Emergency Fixture~ Time Clocks
Exit Fixtures I I TVSS
Notes:
Inspector Signature:
Date: Aug 3 2011
81-Cert Electrical Compliance Form
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 1 I971-0959
Telephone (631) 765-1802
· _~.ax (631) 765,95Q2,
ro.qer, rlcner~(.m, mwn.soumo~a ny us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY:
Company Name: ~ 4f --~
Date:
Name:
License No.:
Address:
Phone No.:
*Name:
*Address:
*Cross Street:
*Phone No.:
Permit No.:
Tax Map District:
JOBSITE INFORMATION: (*Indicates required information)
1000 Section: .'~ ~ Block:
Lot:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
(Please Circle All That Apply)
*Is job ready for inspection:
*Do you need a Temp Certificate:
(~ NO
(~/NO
Rough In Final
Temp Information~ed)
*Service
Size: ~ Phas~~3Phase 100 150 ~ 300 350 400 Other
*New
Service:
Re-connect~..~nderground~ Number of Meters ~-'~ange of Se~ic~'~ Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
82-Requestforlnspec[on Form