HomeMy WebLinkAbout36820-Z11/30/2011
CERTIFICATE OF OCCUPANCY
No: 35312
Date: I 1/30/2011
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
ELECTRICAL
3805 Route 25, Laurel,
Sec/Block/Lot: 125.-1-6.2
Filed Map No.
conforms substantially to the Application for Building Permit heretofore
11/11/2011 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
36820 dated 11/18/2011
Whole house - electrical survey
The certificate is issued to
N & J Management Co LLC
(OWNER)
ofthe aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
36820
11/14/11
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.qer, richert~,town.southold, ny. us
BUILDING DEPARTMENT
TOWN OF SOUTItOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
ssued To: N&J Management
~,ddress: 3805 Main Rd City: Laurel St: NY Zip: 11948
Suilding Permit #: Section: Block: Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
.~ontractor: as built--elec survey DBA: License No:
SITE DETAILS
Office Use Only
Residential ~ Indoor ~ Basement ~ Service Only
Commerical Outdoor 1 st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Servicelph ~ Heat ~ DuplecRecpt ~ CeilingFixtures [~ HIDFixturess~
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 Fixturel I Pumps
Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks
Disconnect Switches Twist Lock Exit Fixtures [~1 TVSS
Other Equipment: whole house-ELECTRICAL SURVEY-no visual defects
Inspector Signature:
Date: Nov 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 #: 36820
Date: 11/18/2011
Permission is hereby granted to:
N & J Management Co LLC
38A Fifty Acre Rd
St James~ NY 11780
To:
Whole house - electrical survey
At premises located at:
3805 Route 25, Laurel
SCTM # 473889
Sec/Block/Lot # 125.-1-6.2
Pursuant to application dated
To expire on 5/1912013.
Fees:
11111/2011 and approved by the Building Inspector.
ELECTRIC
Total:
$185.00
$185.00
Building Inspector
/ ~,A~ /~V'
~" ~/-~' TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[]FOUNDATION 1ST
[]FOUNDATION 2ND
[]FRAMING / STRAPPING
[]FIREPLACE & CHIMNEY
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
[ ] FIRE SAFETY INSPECTION
FIRE RESlSTAIn CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
ELECTRICAL (ROUGH) ~...ELECTRICAL (FINAL)
REMARKS:
INSPECTOR~
10-28-11;17:55 ; 8628216 ; ~ 1/ 2
Towa Hall A~{x',e~
5437~ M,min Road
P.O. Box 1179
Sou~hold, NY 11971.09.59
T~:lephou¢ (6~1) 765.1802
REQUESTED BY:
Company Name:
Name:
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR, ~L,ECTRICAL INSPECTION
Date:
License Not:
Address:
Phone No.:
JOBSITE INFORMATION: (*Indicates required information)
*Address': 3fi.D.~ 'i/l/]~,,~ [~o~.~ L~.,,z~ / , IVy~ 11576
*Cross Street: ~r I~¢-,'C_.~ L~,n ¢_
*Phone No.: ( ~ ~/~ ~"/- ~.3~0
Permit No,:
Tax Map District: 1000 Section: Block: Lot:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
(Please Cimle All That Apply)
*Is job ready for inspection:
*Do you need a Temp Certificate:
Temp Information(If needed/
*Service Size: 1 Phase
*New Service: Re-connect
Additional Information:
Y~NO
YES / NO
Rough In Final
3Phase 100 150 200 300 350 400 Other
Underground Number of Meters Change of Service Overhead
PAYMENT DUE WITH APPLICATION
82-Request for Inspection Form