HomeMy WebLinkAbout36623-ZTown of Southold Annex
54375 Main Road
Southold, New York 11971
8/15/2011
CERTIFICATE OF OCCUPANCY
No: 35140
Date:
8/15/2011
THIS CERTIFIES that the building
Location of Property:
SCTM ti: 473889
Subdivision:
ELECTRICAL
2800 Vanston Rd, Cutchoguc,
Sec/Block/Lot: 111.-5-5
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
8/15/2011 pursuant to which Building Permit No. 36623 dated 8/15/2011
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:
New Overhead Electrical Service
The certificate is issued to
Gadol, Amy
(OWNER)
of thc aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
36623 6/20/2011
Authorized Signature
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
Issued To: Robert Deak
Address: 2845 Vanston Road City: Cutchogue St: NY Zip: 11935
3uilding Permit #: Section: Block: Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
3ontractor: DBA: Lademann Electric Inc LicenseNo: 4141-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
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: install new 200a overhead service
Ceiling Fixtures [~ HID Fixtures
Wall Fixtures ~.~ Smoke Detectors
Recessed Fixtures ~.~ CO Detectors
Fluorescent Fixture [~ Pumps
Emergency Fixtures~.~....~ Time Clocks
Exit Fixtures L~J TVSS
Notes:
Inspector Signature:
Date: June 20 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 #: 36623
Permission is hereby granted to:
Gadol, Amy
101 W 80th St
New York, NY 10024
Date: 8/15/2011
To:
New Overhead Electrical Service
At premises located at:
2800 Vanston Rd
SCTM # 473889
Sec/Block/Lot # 111.-5-5
Pursuant to application dated
To expire on 2/13/2013.
Fees:
8/15/2011
and approved by the Building Inspector.
ELECTRIC
Total:
$85.00
$85.00
Building Inspector