HomeMy WebLinkAbout36031-ZTown of Southold Annex
54375 Main Road
Southold, New York 11971
12/29/2011
CERTIFICATE OF OCCUPANCY
No: 35371
Date: 12/29/2011
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
ELECTRICAL
1000 ALBO DR LAUREL,
Sec/Block/Lot: 126.-3-20
Filed Map No.
conforms substantially to the Application for Building Permit heretofore
11/17/2010 pursuant to which Building Permit No. 36031
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:
UNDERGROUND ELECTRIC SERVICE AS APPLIED FOR.
Lot No.
filed in this officed dated
dated 11/17/2010
The certificate is issued to
Kowalski, Daniel & Kowalski, Susan
(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 (63 l) 765-1802
Fax (631 ) 765-9502
ro,qor, richort~town.southold.ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
ssued To: Daniel Kowalski
~,ddress: 1000 Albo Dr City: Laurel St: NY Zip: 11948
~uilding Permit#: 36031 Section: Black: Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
3ontractor: DBA: Cell Electrical Lighting Inc License No: 1022-e
SITE DETAILS
office Use Only
Commefical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Servicelph ~ Heat ~ Duplec Recpt ~ Ceiling Fixtures ~...~ HID Fixtures ~s~~
Service 3 ph Hot Water GFCI Recpt Wall Fixtures M Smoke Detectors
Main Panel NC Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel NC Blower Range Recpt Fluorescent Fixtur ~ M Pumps
Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks
Disconnect Switches Twist Lock Exit Fixtures [~ TVSS
Other Equipment: 200a underground service
Notes:
Inspector Signature:
Date: Dec 28 2011
81-Ced Electrical Compliance Form
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUIIJ~ING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 36031 Z Date NOVEMBER 17, 2010
Permission is hereby granted to:
DANIEL & SUSAN KOWALSKI
1000 ALBO DRIVE
LAUREL,NY 11948
for :
UNDERGROUND ELECTRIC SERVICE AS APPLIED FOR.
at premises located at
Couulty Tax Map No. 473889 Section 126
pursuant to application dated NOVEMBER
Building Inspector to expire on MAY
1000 ALBO DR LAUREL
Block 0003 Lot No. 020
17, 2010 and approved by the
17, 2012.
Fee $ 85.00
Authorized Signature
ORIGINAL
Rev. 5/8/02
· ..~oulhold, ~ I 1~1-095'9
maer. rlohe~..~.~.ny.,,< '
TOTAr~ OF 80~OTL~
APP.LICATION FOR ~!?_CTRICAL INSPECTION
BY:: ,~Vl~ Ce/../' D~fe:
JOBSITE INFORMATION: (*fndlcates. required information)
*Nam fr.
*Cross Street:
*Phone No.:
Plarmit No.:
Tax Map DiStdot:
· ~go~I
.. ~ooo s~'~o.:~
*BRIEF DEscRIPTION OF WORK (Please Pdnt Olea'dy)
~C-,~v ~ Ce.
,(p!ease.Cimle Alt That .ApplY)
~Do.*l.~J°brandy f°r inepe°tlOn:' YEsi~
you need a T.emp Cerflfl°ate: ~ NO
Tamp'Information (If needed).
*Service 81ze: 1 Phase. 3Phase t00
*New Se~oe: Re-.oonneot ~mu~
Additional' Information:
· Block:
~ /L #
Rough In.'
,'PAYMENT DUE WITH'APPLIOATIOI~I /~,,~/,/~ '
. , .
'150.. 20~? .30(~ 350. 400 Other
Number of Me, om Change Of Sen/Joe Overhead