HomeMy WebLinkAbout36678-Z~_,~."~i:~2'.%..~ ~.~.~ Town of Sou,hold Annex
~~'~~~? Southold, New York 11971
CERTIFICATE OF OCCUPANCY
9/27/2011
No: 35235
Date: 9/27/20
Location of Property:
SCTM #: 473889
Subdivision:
THIS CERTIFIES that the building ELECTRICAL
39765 CR 48, Southold,
Sec/Block/Lot: 59.-9-30. !
Filed Map No.
conforms substantially to the Application for Building Permit heretofore
Lot No.
filed in this officed dated
9/9/2011 pursuant to which Building Permit No. 36678 dated 9/9/2011
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 Electrical Service
The certificate is issued to
Surozenski, David
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
36678 9/2/11
Authorized Signature
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971~0959
Telephone (631 ) 765-1802
Fax (63 I) 765~9502
ro,qe r. richert~town.southold, ny. us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: David Syrozenski
Address: 39765 North Rd, Rt 48 City: Southold St: NY Zip: 11971
Building Permit #: ~{~-?'-~ 2 Section: '~9 Block: ~ Lot: 59, ]
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Pumillo Electric License No: 2300-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
Servicelph ~ Heat ~ DuplecRecpt ~
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: 100a overhead service (out side only/
Ceiling Fixtures [~ HID Fixtures
Wall Fixtures J J Smoke Detectors
Recessed Fixtures[~ CO Detectors
Fluorescent Fixture ~ Pumps
Emergency Fixtures~ Time Clocks
Exit Fixtures [~ TVSS
Notes:
Inspector Signature:
Date: Sept 2 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 #: 36678
Date: 9/9/2011
Permission is hereby granted to:
Surozenski, David
39765 CR 48
Southold, NY 11971
To:
New Electrical Service
At premises located at:
39765 CR 48, Southold
SCTM # 473889
Sec/Block/Lot # 59.-9-30.1
Pursuant to application dated
To expire on 3110/2013,
Fees:
9/9/2011
and approved by the Building Inspector.
ELECTRIC
Total:
$85.00
$85.00
Building Inspector