HomeMy WebLinkAbout36835-ZNo: 35351
Town of Southold Annex
54375 Main Road
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
12/19/2011
Date: 12/I9/2011
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
ELECTRICAL
700 Hummel Ave, $outhold,
Sec/Block/Lot: 63.-2-30.1
Filed Map No.
conforms substantially to the Application for Building Permit heretofore
11/28/2011 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
36835 dated 11/28/2011
electric service, 1 phase, pole service only.
(Romeo-Dimon Marine Services)
The certificate is issued to
Suffolk County IDA
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
36835 12/12/11
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 O1' SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
ssued To: Romeo-Dimon Marine Services
Address: 700 HummelAve City: Southold St: NY Zip: 11971
3uilding Permit #: C~) ~,¢ <L~ i~ ~ Section: Block: Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
3ontractor: DBA: Daniel Wilcenski Electrical License No: 4723-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
Servicelph ~ Heat ~ DuplecRecpt ~
Service 3 ph Hot Water GFCl Recpt
Main Panel NC Condenser Single Recpt
Sub Panel A/C Blower Range Recpt
Transformer Appliances Dryer Recpt
Disconnect Switches Twist Lock
Other Equipment: 100a, 1 phase, pole service only
Ceiling Fixtures [~ HID Fixtures
Wall Fixtures I I Smoke Detectors
Recessed Fixtures[~ CO Detectors
Fluorescent Fixture ~ Pumps
Emergency Fixtures~ Time Clocks
Exit Fixtures [~ TVSS
Notes:
Inspector Signature:
Date: Dec 12 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 #: 36835
Permission is hereby granted to:
Suffolk County IDA
100 Veterans Memorial Hwy
Hauppauge, NY 11747
Date: 11/28/2011
To:
new electric service
At premises located at:
700 Hummel Ave, Southold
SCTM # 473889
Sec/Block/Lot # 63.-2-30.1
Pursuant to application dated
To expire on 512912013.
Fees:
11/28/2011
and approved by the Building Inspector.
ELECTRIC
Total:
$85.00
$85.00
Building Inspector
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
[ ] FIRE SAFETY INSPECTION
[ ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ,~.L.~CTRICAL (FINAL)
REMARKS:
DATE
Town H~ Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Telephone (631) 765-1802
ro,qer, richert(a~,~ (w(~.~o7 u~o~.n¥.us
BUILDING DEPARTMENT
TOWN OF $OUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY:
Company Name:
Name:
License No.:
Phone No.:
Date:
A.~ t/q'7t
JOBSITE INFORMATION: (*IndiCates required information)
*Name: /~o ~, ~_ o //'3,',.-.0,. ~q'Z4-,-, ~,l ~_
*Cross Street: ~ ,' s x~ . ~
*Phone No.: ~ lA .
Pe~it No.: ~/~ .
Tax Map District: 1000 Se~ion: ~ ~ Block:
*BRIEF DESCRIPTION OF WORK (Please PHnt CleaHy)
/o~-~ ~/~ ~J ~, ~ .
Lot:
(Please Circle All That Apply)
*Is.job ready for inspection:
,Do you need a Temp Certificate:
Temp. Information Irked) ·
· Service SiZe: ~ 3Phase
· New Service: Re-connect
Additional Information:
'~NO
Roughln Final
(~ 150 200 300 350 400 Other
Underground Number of Meters Change of Service ~rheaO
PAYMENT DUE WITH APPLICATION
82-Request for Inspection Form ~ ~:~ ~'~' O 0