HomeMy WebLinkAbout36712-ZTown of Southold Annex
54375 Main Road
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
1/3/2012
No: 35376
Date: 1/3/2012
Location of Property:
SCTM#: 473889
Subdivision:
THIS CERTIFIES that the building ELECTRICAL
1255 Bay Shore Rd, Greenport,
Sec/Block/Lot: 53.-4-2
Filed Map No.
conforms substantially to the Application for Building Permit heretofore
9/26/2011 pursuant to which Building Permit No.
Lot No.
filed in this officed dated
36712 dated 9/26/2011
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:
overhead electric service upgrade.
The certificate is issued to
Oliver, Helen & Oliver, Katherine
(OWNER)
of the aforesaid builffmg.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
36712
12/30/11
Authorized Signature
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Telephone (631 ) 765-1802
Fax (631) 765-9502
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Oliver
Address: 1255 Bayshore Rd City: Greenport St: NY Zip: 11944
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: License No:
SITE DETAILS
Office Use Only
Residential ~ Ind°°r [~ Basement I~ Service Only I~
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Servicelph ~ Heat ~ DuplecRecpt ~
Service 3 ph Hot Water GFCI Recpt
Main Panel NC Condenser Single Recpt
Sub Panel A/C Blower Range Recpt
Transformer Appliances Dryer Recpt
Disconnect Switches Twist Lock
Other Equipment: service upgrade to 200a overhead
Ceiling Fixtures L_.._._IR~ 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: Dec 30 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 #: 36712
Permission is hereby granted to:
To:
Date: 9/26/2011
Oliver, Helen & Oliver, Katherine
8044 Narrows Ave
Brooklyn, NY 11209
electric service upgrade.
At premises located at:
1255 Bay Shore Rd, Greenport
SCTM # 473889
Sec/Block/Lot # 53.-4-2
Pursuant to application dated
To expire on 3127/2013.
Fees:
9/26/2011 and approved by the Building Inspector.
ELECTRIC
Total:
$85.00
$85.00
Building Inspector
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, N'Y 11971.-0959
Telephone (631) 763-1802
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BUILDING DEPARTMENT
TOWN OF SO UTHOL[~
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY:
Company Name:
Name:
License No.:
Address:
Phone No.:
JOBSITE INFORMATION:
*Name:
*Address:
*Cross Street:
*Phone No.:
Permit No.:
Tax Map District:
(*Indicates required information)
1000 Section: ~'~
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Block:
Lot: "-- oh.
(Please Circle AJI That Apply)
*Is job ready for inspection:
*Do you need a Temp Certificate:
Temp Information (If needed]
*Service Size: ~ 3Phase
OO Rough In Final
100 150C(Y0~-~00 350 400 Other
*New Service: Re-connect
Additional Information:
82-Request for Inspection Form
Underground Number of Mete~ .-~-h
BLDG. DEPT.
TOWN OF SOUTHOLD