HomeMy WebLinkAbout36758-ZTown of Southold Annex
54375 Main Road
Southold, New York 11971
10/19/2011
CERTIFICATE OF OCCUPANCY
No: 35246
Date: 10/19/2011
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 175 Soundview Ave, Mattituck,
SCTM #: 473889 Sec/Block/Lot: 99.-3-1
Subdivision: Filed Map No.
conforms substantially to the Application for Building Permit heretofore
10/17/2011 pursuant to which Building Permit No.
Lot No.
filed in this officed dated
36758 dated 10/17/2011
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:
under~ound electric service.
The certificate is issued to
Meyran, Virginia
(OWNER)
of the aforesaid build'rog.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
36758
10/14/11
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.qor, richer~(&,,town southo d ny us
BUILDING DEPARTMENT
TOWN OF SOUTI-IOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
ssued To: Virginia Meyran
Address: 175 Sound View Dr City: Mattituck St: NY Zip: 11952
3uilding Permit #: "~L~ ~ "~ ~:) Section: Block: Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
3ontractor: DBA: C-Cat Co LicenseNo: 953-me
SITE DETAILS
Office Use Only
Residential ~ Indoor ~ Basement ~ Service Only
Corn medcal 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 GFCI Recpt Wall Fixtures ~ Smoke Detectors
Main Panel NC Condenser Single Recpt Recessed Fixtures ~.~ CO Detectors
Sub Panel NC Blower Range Recpt Fluorescent Fixture ~.~ Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures~ Time Clocks
Disconnect Switches Twist Lock Exit Fixtures ~ TVSS
Other Equ~pme,t: change service to underground, only outside equipment changed, (200a)
Notes:
Inspector Signature:
Date: Oct 14 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 #: 36758
Permission is hereby granted to:
Meyran, Virginia
175 Soundview Ave
Mattituck, NY 11952
Date: 10/17/2011
To:
underground electric service.
At premises located at:
175 Soundview Ave, Mattituck
SCTM # 473889
Sec/Block/Lot # 99.-3-1
Pursuant to application dated
To expire on 4/17/2013.
Fees:
10/17/2011 and approved bythe Building Inspector.
ELECTRIC
Total:
$85.00
$85.00
Building Inspector
Town Hall/Umex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Telephone (631) 765-1802
rorer, richert4¥(~ (w~~. )sg~{~Zd, ny. u S
REQUESTED BY:
Company Name:
Name:
License No.:
Address:
BUILDING DEPARTMENT
TOWN OF SOUTHOLI3
APPLICATION FOR ELECTRICAL INSPECTION
Date:
PhoneNo.: (09[- Q~ ?- ~7~ ~ ~3l-/¥7l
JOBSITE INFORMATION: (*Indicates required information)
*Name:
*Address:
*Cross Street:
*Phone No.:
Permit No.:
Tax Map District:
1000 Section:,
*BRIEF DESCRIPTION OF WORK (Please Pdnt Clearly)
Block:
Lot: 1
(Please Circle All That Apply)
s Job ready for ~nspection:
*Do you need a Temp Certificate:
Temp Information (If neededl
*Service Size: 1 Phase
*New Service: Re-connect
Additional Information:
3Phase
_ 100 150 (~ 300 350 400 Other
<~'~-rg-roun~) Number of Meters?~ar~e
PAYMENT DUE