HomeMy WebLinkAbout36872-ZTown of Somhold Annex
54375 Main Road
Soutbold, New York 11971
1/6/2012
CERTIFICATE OF OCCUPANCY
No: 35383
Date: 1/6/2012
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
ELECTRICAL
802 Route 25, Laurel,
Sec/Block/Lot: 127.-2-6. l
Filed Map No.
conforms substantially to the Application for Building Permit heretofore
12/15/2011 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
Lot No.
filed in this ofllced dated
36872 dated 12/15/2011
which this certificate is issued is:
transfer electric to new pole.
The certificate is issued to
Ru~ano, Carmine
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
36872 1/4/12
Authorized Signature
Town Hall Annex
54375 Main Road
P.O. Box I 179
Southold, NY 11971-0959
Telephone (631 ) 765-1802
Fax (631 ) 765-9502
rofler, richert~,town.southo d ny us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Frederick Rufrano
Address: 802 Main Rd RT 25 City: Laurel St: NY Zip: 11948
Building Permit #: "~ ~ '7 o~_' Section: / ~)~, '"7 Block: '~ Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: QC Electric License No: 3823-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:
Ceiling Fixtures [~ HID Fixtures
Wall Fixtures ~ Smoke Detectors
Recessed Fixtures ~.~ CO Detectors
Fluorescent Fixture J.~ Pumps
Emergency Fixtures~ Time Clocks
Exit Fixtures L__J TVSS
new 150a pole mounted service (to replace storm damaged service)
Notes:
Inspector Signature:
Date: Jan 4 2012
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 #: 36872
Permission is hereby granted to:
To:
Date: 12/15/2011
Rufrano, Carmine
Attn: Anna Rufrano
86 Monitor St
Brooklyn, NY 11222
transfer electric to new pole.
At premises located at:
802 Route 25, Laurel
SCTM # 473889
Sec/Block/Lot # 127.-2-6.1
Pursuant to application dated
To expireon 6/15/2013.
Fees:
12/15/2011
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, NY 11971-0959
Td~phon~ (631) 76~-1802
roaer.ddnertC'~!~?~.n¥.us
BUH T~ING DEPARTMENT
TOWN OF $OUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY:
Company Name:
Name:
License No.:
Date:
Phone No.:
JOBSITE INFORMATION: (*Indicates required infoh~-~ation)
*Name:
*Address:
*Cross Street:
*Phone No.:
Permit No.:
Tax Map District:
1000 Section:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Block: ~ Lot:
(Please Circle All That Apply)
*Is job ready for inspection:
*Do you ccc. d a Temp Certificate:
~ NO
Rough In Final
Temp Inf_o. rmati~ed}
*Service Stze: ~3Phase 100
*New Service: ~nderground
Additional Information:
PAYMENT DUE WITH APPLICATION
(~ 200 300 350 400 Other
Number of Meters Change of Service Overhead