HomeMy WebLinkAbout36252-ZTown of Southold Annex
54375 Main Road
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
11/4/2011
No: 35274 Date: 11/4/2011
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 50915 Route 25, Southold,
SCTM #: 473889 Sec/Block/Lot: 70.-1-5
Subdivision: Filed Map No.
conforms substantially to the Application for Building Permit heretofore
2/16/2011
pursuant to which Building Permit No.
Lot No.
filed in this ofliced dated
36252 dated 3/18/2011
was issued, and conforms to all of the requirements of the applicable provisions of the law. Thc occupancy for
which this certificate is issued is:
install new electric service as applied for.
The certificate is issued to
Maher, John
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971 0959
Telephone (631) 765-1802
Fax (63 I) 765-9502
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BUILDING DEPARTMENT
TOWN O1* ISOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
ssued To: John Maher
~,ddress: 50915 Main Rd City: Southold St: NY Zip: 11917
Building Permit #: Section: Block: Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
3ontractor: DBA: Custom Lighting of Suffolk License No: 38893-me
SITE DETAILS
Office Use Only
Residential l~ Ind°°r l~ Basement ~ Service Only I~
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 3 ph Hot Water GFCI Recpt
Main Panel A/C Condenser Single Recpt
Sub Panel A/C Blower Range Recpt
Transformer Appliances Dryer Recpt
Disconnect Switches Twist Lock
Other Equipment:
overhead service
Notes:
Ceiling Fixtures
RWe~:le:is~; r :i;t u r es L
Exit Fixtures
HID Fixtures
Smoke Detectors
CO Detectors
Pumps
Time Clocks
TVSS
repairs and up grades to electrical wireing through out house, including 200a
Inspector Signature:
Date: Nov 3 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 #: 36252
Permission is hereby granted to:
Maher, John
600 Front St, Greenport, NY 11944
Date: 3/18/2011
To:
install new electric service as applied for.
At premises located at:
50915 Route 25, Southold
SCTM # 473889
Sec/Block/Lot # 70.-1-5
Pursuant to application dated
To expire on 9/16/2012.
Fees:
1/1/1900 and approved by the Building Inspector.
ELECTRIC
Total:
$85.00
$85.00
Building Inspector
To, va Hall Annex
54~75 Maln Road
P.O. Bo.x 1179
. Sou~hold, NY i l~71-0~b'~
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TOWN OF SOUTHOU3
APP.UCATION FOR ELECTRICAL INsPECTiON
RE.QUESTED BY:
Company Name:
Name:
License No.:
Address:
Phone No.:
Date:
JOBSITE INFORMATION: (*Indicates. required information)
*Name: 3-O¼ h a r--
*CmssStreet: ~"~,,{{,4~ /-V~. (~, (~orn.~F) "'
*Phone No.: "-
Permit No.:
Tax Map District: 1000 Section: T~ ~)-
*BRIEFpESCRIPTION OF WORK(Please Print Clearly)
u (j
Block: J Lot:
(Please Circle Ni That Apply)
~lsjob ready for inspection:
.*Do you need a Temp Certifica{e:
Temp*ln~rmaflon (If needed}-
*Service size: ' ~ 3Phase
*New Service: Re-connect
Additional InfOrmation:
100 150 (~
Underground Number of Meters
Rough In
Other
300: 350 400
Change of Service
PAYMENT DUE WITH APPLICATION
82-Reques( for InspectiOn Form
Towa Hall Annex
54375 Main Road
P.O. Box 1179
Southokl, NY 11971-0959
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T~:lephonc (C~I) 76~-1~0~ ]
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TOWN OF SOUIHO[D
BUILDING DEPARTMENT
TOWN OF SOT, rJ~OI,~
APPL CATION FOR ELECTRICAL INSPECTION
Company Name:
No,:
Phone No.:
Date: ~/[f'
JOBSITE INFORMATION: (*Indicates required information)
*Name:
*Address:
*Cross Street:
*Phone No.:
Permit No,:
~'o¼n
Tax Map District: 1000 Section:
Block:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Lot:
(Please Circle All That Apply)
*Is.job ready for inspection:
~Do you need a Temp Certificate:
Temp 'Information (If needed} ·
· Service Size: ' ~ 3Phase
· New Service: Re-connect
Additional Information:
Rough In ~
100 150 (~) 300 350 400 Other
Underground Number of Meters Change of Service O~'~-~
PAYMENT DUE WITH APPLICATION
82-Request for Inspection Form C~- \ ~'" [[