HomeMy WebLinkAbout36682-ZTown of Southold Annex
54375 Main Road
Southold, New York 11971
9/12/2011
CERTIFICATE OF OCCUPANCY
No: 35203
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 1205 Route 25, Grcenport,
Date: 9/12/2011
SCTM #: 473889 Sec/Block/Lot: 35.-1-25
Subdivision: Filed Map No.
conforms substantially to the Application for Building Permit heretofore
9/12/2011 pursuant to which Building Permit No.
was issued, and conforms to allofthe requirements ofthe applicable provisions ofthe law. The occupancy for
which this certificate is issued is:
200a load center, 3-5kw electric heaters with 3 30a switehcs (Brecknock Hall/SCWA)
Lot No.
filed in this officed dated
36682 dated 9/12/2011
The certificate is issued to
Peconic Lndng ~ Southold
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Authorized ~ignaturc
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 #: 36682
Date: 911212011
Permission is hereby granted to:
Peconic Lndng ~ Southold
1500 Bmcknock Rd
Greenport, NY 11944
To;
200a load center, 3-Skw electric heatem with 3 30a switches
At premises located at:
1205 Route 25, Gmenport
SCTM # 473889
Sec/Block/Lot # 35.-1-25
Pursuant to application dated
To expire on 3/1312013.
Fees:
9/12/2011
and approved by the Building Inspector.
ELECTRIC
To~I:
$125.00
$125,00
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.n¥.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: SCWA Brecknock Hall
Address: 1205 Rt 25 City: Gmenpod St: NY Zip: 11944
Building Permit#: Section: 35 Block: I Lot: 25
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: LEB Electric, Ltd License No: 1401-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
Ser~icelph ~ Heat ~ DuplecRecpt ~
Service 3 ph Hot Water GFCl Recpt
Main Panel AJC Condenser Single Recpt
Sub Panel AJC Blower Range Recpt
Transformer Appliances Dryer Recpt
Disconnect Switches Twist Lock
Other Equipment:
Ceiling Fixtures [~ HID Fixtures
Wall Fixtures [~ Smoke Detectom
Recessed Fixtures [~ CO Detectors
Fluorescent Fixtur~ Pumps
Emergency Fixture Time Clocks
Exit Fixtures ~ TVSS
200a load center, 3-5kw electdc heaters with 3 30a switches
1-100a fused switch, 1 hunidifier-115 volt
Notes:
Inspector Signature:
Date: July 7 2011
81-Cert Electrical Compliance Form
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[
FOUNDATION 1ST
FOUNDATION 2ND
FRAMING / STRAPPING
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
FIREPLACE & CHIMNEY [ ] FIRE SAr,' ~ 1~ INSPECTION
FIIERESlSTANTC(XlSTllUCTI~ [ ]FIREIIESISTAN1'PBIETRA110N
ELECTRICAL (ROUGH) ~ s:, ~TRICAL (FINAL)
REMARKS:
06/1~/2011 ~U~ 10~26 FRX 163~812053§
06-14-11;12:58 ;
R.O.B~tI79
8420535
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APPLICATION FOR ELECTRICAL INSPECTION
PatriGk Goeren
'Name: L.E.B. Electric, Ltd.
6/14/11
Phor~ No.:
Louis Black
1401-ME
.85 Ralph Avenue,
631.842.0500-
Copiague NY 11726
JOB$1TE INFORMATION: (*Indicates required information)
*N8me;
*Address:
*Cross Street:
*Phone No.:
Tax Map Distrlot:
SCWA- Brecknock Hall
1205 Route 25 G~eenport,
Southgld
631-842-0500
1000 Section:...3~ . Block:
Lot: ~\o~s
.See attach, ed colmts
*BPJEF DESCRIP-RON OF WORK (Please Print Clearly)
(Please Circle All That Appl~
*la Job ready for lnspe~l~n:
*Do you need a Temp Cer[tficate:
Temp lnfommtion (il',needed]
*8ervl0e Size: 1 Phase 3Phase
'New Servloe: Reconneot
Additional Infomla~on:
(~NO Rough In ~
YE8 / NO'
t00 150 .200 300 350 400 Other
Underground Nu, m~'of Meters Cl'mnge of 8ervtce Overhead
PAYMENT DUE WITH APPUCATION