HomeMy WebLinkAbout36876-ZTown of Southold Annex
54375 Main Road
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
1/3/2012
No: 35373 Date: 1/3/2012
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 30175 Cabots Wood Rd, Peconic,
SCTM #: 473889 Sec/Block/Lot: 73.-4-2.3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
12/20/2011 pursuant to which Building Permit No. 36876 dated 12/20/2011
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:
New Electric Service
The certificate is issued to
Stanzoni, Gary & Stanzoni, Doreen
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
36876 12/28/2011
[Authorized Signature
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY I 1971-0959
Telephone (631) 765 1802
Fax (631) 765-9502
ro.qer, richert~town southo d ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Gary Stanzoni
Address: 30166 Cabots Woods Rd City: Peconic St: NY Zip: 11958
Building Permit #: Section: Block: Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: G&S Electric License No: 578-e
SITE DETAILS
Office Use Only
Residential ~ Indoor ~ Basement ~ Service Only ~
Corn merical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Servicelph ~ Heat ~ DuplecRecpt ~ Ceiling Fixtures ~ HID Fixtures ~s~
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixturel I Pumps
Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks
Disconnect Switches Twist Lock Exit Fixtures [~ TVSS
Other Equipment: New 2008 underground service
Notes:
Inspector Signature:
Date: Dec 28 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 #: 36876
Permission is hereby granted to:
Stanzoni, Gary & Stanzoni, Doreen
30175 Cabots Wood Rd
Date: 12/20/2011
To:
PO BOX 51
Peconic, NY 11958
New Electric Service
At premises located at:
30175 Cabots Wood Rd, Peconic
SCTM # 473889
Sec/Block/Lot # 73.-4-2.3
Pursuant to application dated
To expire on 6/20/2013.
Fees:
12/20/2011 and approved by the Building Inspector.
Total:
$0.00
Building Inspector
Town Hall Annex
54375 Main Road
P,O, Box 1179
Southold, NY 11971-0959
Telephone (631) 765-1802
. . ....F..ax (631) 765-~95Q.2.
ro~er, ncner~.w, town.soutno~a.ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
BY:
Company Name:
Date:
Name:
License No.:
Address:
Phone No.:
f'.o. ¢,o ,
t tq T/
JOBSITE INFORMATION: (*Indicates required information)
Address: (~01~5}
*Cross StrUt:
*Phone No.: ~/G ~ ~/~
Pe~ff No.:
Tax Map District: 1000 Section:
*BRIEF DESCRIPTION OF WORK (Please Print Cleariy)
Block: Lot:
(Please Circle All That Apply)
*Is job ready for inspection:
*Do you need a Temp Certificate:
Y~ES NO Rough In ~
NO
Temp Information (If needed)
*service Size: l~a~e~ 3Phase 100 150 (~ 300 350 400
*.._N_ew Service: Re-connect ~ Number of Meters J Change of Service
Additional Information: PAYMENT DUE WITH APPLICATION
Other
Overhead
82-Request for Inspection Form