HomeMy WebLinkAbout36693-ZTown of Southold Annex
54375 Main Road
Southold, New York 11971
11/22/2011
CERTIFICATE OF OCCUPANCY
No: 35300
Date: 11/22/2011
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
ELECTRICAL
1625 W Creek Ave, Cutchogue,
Sec/Block/Lot: 110.-2-2
Filed Map No.
conforms substantially to the Application for Building Permit heretofore
9/16/2011 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:
Lot No.
filed in this officed dated
36693 dated 9/16/2011
electric service re-connect
The certificate is issued to
Blanchard, Patricia
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Authorized Signature
Town Hail Annex
54375 Main Road
P.O. Box 1179
Southo}d, N Y I 1971-0959
Telephone (631) 765-1802
Fax (63 I) 765-9502
ro.qer, richert~,town.southold, ny. us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
ssued To: Pat Blanchard
Address: 1625 West Creek Ave City: Cutchogue St: NY Zip: 11935
~uilding Permit #: Section: Block: Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
.~ontractor: DBA: C-Cat Electric License No: 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
Service 3 ph Hot Water GFCI Recpt
Main Panel NC Condenser Single Recpt
Sub Panel NC Blower Range Recpt
Transformer Appliances Dryer Recpt
Disconnect Switches Twist Lock
Other Equipment: re-connect existing 200a overhead service
Ceiling FixturesI~l[~[~ HID Fixtures
Wall Fixtures I I Smoke Detectors
Recessed Fixtures CO Detectors
Fluorescent Fixtur~,~ Pumps
Emergency Fixture Time Clocks
Exit Fixtures I I TVSS
Notes:
Inspector Signature:
Date: Nov 21 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 #: 36693
Date: 9/1612011
Permission is hereby granted to:
Blanchard, Patricia
1625 W Creek Ave
Cutchogue, NY 11935
To:
electric service m-connect
At premises located at:
1625 W Creek Ave, Cutchogue
SCTM # 473889
Sec/Block/Lot # 110.-2-2
Pursuant to application dated
To expire on 3117/2013.
Fees:
9/16/2011 and approved by the Building Inspector.
ELECTRIC
Total:
$90.00
$90.00
Building Inspector
l~own Itall Anntx
54375 Main Road
ILO. Box [179
Soud~old, NY 1197 / -0959
Tclcphon* (631) 765 1802
. J"a× (631} 7
ro,qer, nchertC~town.soutnol-d.nv.us
BUILDING DEPARTMENT
TOWN OF $OUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY:
Company Name:
Name:
License No.:
Address:
Phone No.:
Date: ~ //~')/ //
JOBSITE INFORMATION: (*Indicates required information)
*Name: ?CLX' "~/(~ f,~C ~C~/'Ct
*Cross Street:
*Phone No.: '~c~- -7521
Permit No.:
Tax Map District: 1000 Section: 1 ~ ~ Block:
Lot:
"BRIEF DESCRIPTION OF WORK (Please Print Clearly)
(Please Circle All That Apply)
*Is job ready for inspection:
*Do you need a Temp Certificate:
'Femp Information (If needed]
*Service Size: 1 Phase
*New Service: Re-connect
Additional Information:
82-Request for Inspection Form
~NO
(~/NO
Rough In
Final
3Phase~ 100 150 ~ 300 350 400 ~
Underground Number of Meters ,~--").g~of~e~c~
PAYMENT DUE WITIi~PLIdATION Ill Il