HomeMy WebLinkAbout36690-ZTown of Southold Annex
54375 Main Road
Southold, New York 11971
11/4/2011
CERTIFICATE OF OCCUPANCY
No: 35275 Date:
11/4/2011
THIS CERTIFIES that the building ELECTRICAL
640 Love Ln, Mattituck,
Location of Property:
SCTM #: 473889
Subdivision:
Sec/Block/Lot: 140.-2-16
Filed Map No.
conforms substantially to the Application for Building Permit heretofore
9/15/2011 pursuant to which Building Permit No.
Lot No.
filed in this officed dated
36690 dated 9/15/2011
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:
repair of electric service
The certificate is issued to
Jkk Enterprises LLC
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
36690
1l/3/11
Authorized Signature
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971 0959
Telephone (631 ) 765-1802
Fax (631 ) 765-9502
ro.qe r. richertC, town. so uthold, ny. us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
issued To: Joseph Schirripa DBA Northeastern Equipment
Address: 640 Love Lane City: Mattituck St: NY Zip: 11952
Building Permit #: '~ (~- f~'- ~:~ O Section: I '-¢ O Block: ,~ Lot: / ~,
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
3ontractor: DBA: License No:
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 ~ Duplec Recpt ~ Ceiling Fixtures ~ HID Fixtures~~
Service 3 ph Hot Water GFCl Recpt Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture U Pumps
Transformer Appliances Dryer Recpt Emergency Fixturesbd Time Clocks
Disconnect Switches Twist Lock Exit Fixtures ~ TVSS
Other Equipment: Repair of outside storm damage to existing 3 phase 200a overhead service
meter pan to weather head
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 #: 36690
Permission is hereby granted to:
mo~
Date: 9/15/2011
Jkk Enterprises LLC
640 Love Ln
PO BOX 1620
Mattituck, NY 11952
repair of electric service
At premises located at:
640 Love Ln, Mattituck
SCTM # 473889
Sec/Block/Lot # 140.-2-16
Pursuant to application dated 9/15/2011
To expire on 3/16/2013.
Fees:
and approved by the Building Inspector.
ELECTRIC
Total:
$90.00
$90.00
Building Inspector
l'o'an ILdl Anm'x
54,375 M;dn Road
P/,). P, ox 1179
Southold, NY 11971-0959
BUILI)ING DEPARTMENT
TOWN OF $OUTHOLD
APPLICATION FOP, ELECTRICAL INSPFGTION
REQUESTED BY:
Company Name:
License No.:
,ddr s,:
Phone No.:
Date:
JOBSITE INFORMATION: (*Indicates required information)
*Name:
*Address:
*Cross Street:
*Phone No.: ~;3./- 7~',.¢'-,Y~,C,f'
Permit No.: --- ~/. ~]O -
tax Map District: 1000 Sectio-n: ~ ~q U) Block: oq. Lot:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
(Please Circle All That Apply)
*Is job ready for inspection:
*Do you need a Temp Certificate:
NO
NO
,T~mp Information (If needed}/-~
,~ervice Size: 1 Phase ~ 100 150 (~00~
*New Service: ~Underground Number of~fVI~fer
?d d itior~l ~ fo rm atio n:"~'~~' PAYMENT BUE'
~-Request for Inspection Form
Rough In
300 350 400 __Other
h g ~- I '
BLDG DEPT.
TOWN OF SOUTHOLD