HomeMy WebLinkAbout37089-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 35517
4/7/2012
Date: 4/7/2012
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
ELECTRICAL
1295 Pine Neck Rd. Southold,
Sec/Block/Lot: 70.-5-38
Filed Map No.
conforms substantially to the Application for Building Permit heretofore
3/26/2012 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
37089 dated 3/26/2012
upgrade overhead electric service.
The certificate is issued to
Sideris, Laurence
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
37089 3/29/12
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.southold.ny, us
BUILDING DEPARTMENT
TOWN O1' SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
issued To: Laurence Sideris
Address: 1295 Pine Neck Rd City: Southold St: NY Zip: 11971
Building Permit #: ?j'?C ~,~'~ Section: 70 Block: 5 Lot: 38
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Custom Lighting of Suffolk License No: 38893-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 ~ Ceiling Fixtures [~ HID Fixtures ~~~~~
Service 3 ph Hot Water GFCI Recpt Wall Fixtures LJ Smoke Detectors
Main Panel NC Condenser Single Recpt Recessed Fixtures U CO Detectors
Sub Panel NC Blower Range Recpt Fluorescent Fixture LJ Pumps
Transformer Appliances Dryer Recpt Emergency Fixture~ Time Clocks
Disconnect Switches Twist Lock Exit Fixtures ~ TVSS
Other Equipment: 200a overhead service
Notes:
Inspector Signature:
Date: March 29 2012
81-Cert Electrical Compliance Form.xls
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 #: 37089
Permission is hereby granted to:
Sideris, Laurence
3 W Franklin Ct
GardenCity, NY 11530
To:
upgrade overhead electric service.
Date: 3/2612012
At premises located at:
1295 Pine Neck Rd. Southold
SCTM # 473889
Sec/Block/Lot # 70.-5-38
Pursuant to application dated
To expire on 9/25/2013.
Fees:
3/26/2012
and approved by the Building Inspector.
ELECTRIC
Total:
$85.00
$85.00
Building Inspector
Town Ha~ Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Telephone (631) 76~180~
r ' (631) 7 5
o~er. nchertC~n.so~l~.n¥ ,,.~
BUllI~ING DEPARTMENT
TOWN OF $OIJTI-IOIJD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY:'
Company Name:
Name:
License No.:
Address:
Phone No.:
*Name:
*Address:
*Cross Street:
*Phone No.:
Permit No.:
JOBSITE INFORMATION: (*Indicates required information)
~+ ~.
Date:~
TaxMap District: 1000 Section:.. 70 Block: ~ Lot: .~'
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
(Please Circle All That Apply)
*Is job ready for inspectiOn:
*Do you need a Temp Certificate:
NO Rough In ~
NO
Temp Information ~d]
*Service Size: ~ 3Phase 100 150 ~ 300 350 400 Other
*New Service: ~ Underground Number of Metem]~~~"~'e'e'e~
Additional Information: PAYMENT DUE WITH APPLICATION