HomeMy WebLinkAbout36752-ZTown of Southold Annex
54375 Main Road
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
10/18/2011
No: 35244 Date: 10/18/2011
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 875 Pike St, Mattituck,
SCTM #: 473889 Sec/Block/Lot: 140.-2-24
Subdivision: Filed Map No.
conforms substantially to the Application for Building Permit heretofore
10/13/20 l 1 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:
Electric Service upgrade
Lot No.
~ed in this officed dated
36752 dated 10/13/2011
The certificate is issued to
Keogh, Frances Margaret
(OWNER)
of the aforesaid build'rog.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
36752 10/14/2011
Authorized Signature
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold~ NY 119714)959
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
ssued To: Frances Keogh
~ddress: 875 Pike St City: Mattituck St: NY Zip: 11952
3uilding Permit #: Section: Block: Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
.~ontractor: DBA: C-Cat Co LicenseNo: 953-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 GFCl Recpt
Main Panel NC Condenser Single Recpt
Sub Panel NC Blower Range Recpt
Transformer Appliances Dryer Recpt
Disconnect Switches Twist Lock
Other Equipment: service up grade to 200a overhead
Ceiling Fixtures [~ HID Fixtures [~]
Wall Fixtures [_~ Smoke Detectors
Recessed Fixtures ~.~ CO Detectors
FJuorescent Fixture ~,~ Pumps
Emergency Fixtures[~] Time Clocks
Exit Fixtures [~ TVSS
Notes:
Inspector Signature:
Date: Oct 14 2011
81-Ced 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 #: 36752
Permission is hereby granted to:
To:
Date: 10/13/2011
Keogh, Frances Margaret
875 Pike St
PO BOX 646
Mattituck, NY 11952
Service upgrade
At premises located at:
875 Pike St, Mattituck
SCTM # 473889
Sec/Block/Lot # 140..2-24
Pursuant to application dated
To expire on 4/13/2013.
Fees:
10/13/2011
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, NY 11971-0959
Telephone (631) 765-1802
· (631) 765- 50
ro(~er.nchert~,~wn.soui~o~d.n¥.us
REQUESTED BY:
Company Name:
BUILDING DEPARTMENT
TOWN OF SOUTHO!.13
APPLICATION FOR ELECTRICAL INSPECTION
Date: /O
Phone No.:
*Name:
*Address:
*Cross Street:
*Phone No.:
Permit No.:
Tax Map District:
JOBSITE INFORMATION: (*Indicates required information)
1000 Section: I ~b Block:
*BRIEF DESCRII3TION OF WORK (Please Pdnt 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:
Lot:
)NO
NO
Rough In ~
1 Phase 3Phase 100
Re-connect
Additional Information:
150 /' 200~ 300 350
4O0
Other
Underground Number of Meters
PAYMENT DUE WITH APPLICATION
82-Request for Inspection Fon'n