HomeMy WebLinkAbout37007-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
3/28/2012
CERTIFICATE OF OCCUPANCY
No: 35557
Date: 3/28/2012
THIS CERTIFIES that thebuilding
Location of Property:
SCTM#: 473889
SubdivisBn:
ELECTRICAL
845 Maple Ln, Southold,
Sec/Block/Lot: 64.-1-29
Filed Map No.
conforms substantially to the Application for Building Permit heretofore
2/24/2012 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
37007 dated 2/24/2012
electric service to barn.
The certificate is issued to
Philip & Jennifer Stanton
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
37007 3/26/12
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 #: 37007
Permission is hereby granted to:
Stanton, Philip & Stanton, Jennifer
Date: 2124/2012
18 Orchard St
New York, NY 10002
mo~
electric service to barn.
At premises located at:
845 Maple Ln, Southold
SCTM # 473889
Sec/Block/Lot # 64.-1-29
Pursuant to application dated
To expire on 8/25/2013.
Fees:
2/24/2012
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
Telephone (631 ) 765-1802
Fax (631) 765-9502
ro.qer, dchert~town.southold.n¥.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Stanton
Address: 845 Maple Lane City: Southold St: NT Zip: 11971
Building Permit #: ~'~ (~) ~)'~ Section: ~Dq Block: I Lot: {~C~
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Daniel Wilcenski Elec 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 GFCI Recpt
Main Panel NC Condenser Single Recpt
Sub Panel NC Blower Range Recpt
Transformer Appliances Dryer Recpt
Disconnect Switches Twist Lock
Other Equipment: 200a overhead service to barn
Ceiling Fixtures L__._J[E~ HID Fixtures
Wall Fixtures I I Smoke Detectors
Recessed Fixtures CO Detectors
Fluorescent Fixtun ~ Pumps
Emergency Fixture Time Clocks
Exit Fixtures I I TVSS
Notes:
Inspector Signature:
Date: March 26 2012
81-Cert Electrical Compliance Form.xls
Town Hall Annex
54375 Main Road
P.O. Box 1179
Souihold, NY 11971-0959
Telephone (631) 765-1802
BUILDING DF_,PAR~
TOWN OF SOUI'HOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED
Name:Company Name:
License No.:
Address:
Phone No.:
~? z 7-I~ ~
JOBSITE INFORMATION: (*IndiCates required information)
*Name: ~---;f-,~h~ ~/'-0 ~
*Address: <~' ~ ~ ~ ~ ~ [ ~ ~ ~ ~
*Cross Street: ,r~ ~, ~ ' ~ O
*Phone No.:
Permit No.:
Tax Map District: 1000 Section: . ~ ~' Block: I
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Lot:
(Please Circle NI That Apply)
*lSljOb ready for inspection:
~'Do you need a Temp Certificate:
/ NO Rough In
NO
Temp Inf_o. rmation (l~.~ed} - ,
· ~c~,ze: ~m~ 3~_ ~oo ~o ~ ~oo 350 ~oo
, AddEional Info~ation: ,PAYMENT DUE WITH APPLICATION
82-Request for Inspection Form