HomeMy WebLinkAbout37128-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
5/7/2012
CERTIFICATE OF OCCUPANCY
No: 35581
Date: 5/7/2012
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
ELECTRICAL
23195 Route 25, Cutchogue,
Sec/Block/Lot: 109.-1-10.1
Filed Map No.
conforms substantially to the Application for Building Permit heretofore
4/10/2012 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:
Upgrade electric service in rear barn.
Lot No.
filed in this officed dated
37128 dated 4/10/2012
The certificate is issued to
Carnation Properties Inc
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
37128 5/2/12
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold~ NY 11971-0959
Telephone (631) 765-1802
Fax (631) 765-9502
rofler, richert~.town.southold.n¥ us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
ssued To: Carnation Properties Inc
~,ddress: 23195 Main Rd City: Cutchogue St: NY Zip: 11935
3uilding Permit #: 37128 Section: '~ ~ ~-~ Block: 1 Lot: 10.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Sontractor: DBA: John Ludemann LicenseNo: 4643-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 Wall Fixtures U Smoke Detectors
Main Panel NC Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixtur Pumps
Transformer Appliances Dryer Recpt Emergency Fixture~ Time Clocks
Disconnect Switches Twist Lock Exit Fixtures [~l TVSS
Other Equipment: 200a overhead service to barn
Notes:
Inspector Signature:
Date: May 2 2012
81-Ce~t 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 #: 37128
Permission is hereby granted to:
Carnation Properties Inc
PO BOX 419
Garden City, NY 11530
Date: 4/10/2012
To:
Upgrade service in rear barn
At premises located at:
23195 Route 25, Cutchogue
SCTM # 473889
Sec/Block/Lot # 109.-1-10.1
Pursuant to application dated
To expire on 10/10/2013.
Fees:
4/10/2012
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
ro.cle r. richer t dt~ow(6n3.ts) 07 u~l~. ny. u s
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY:
Company Name:
Name:
License No.:
Address:
Phone No.:
Date:
& $1 [;Lq/? ~ ' x '
JOBSITE INFORMATION: (*Indicates required information)
*Name:
*Address:
*Cross Street:
*Phone No.:
Permit No.:
Tax Map District: 1000 Section:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Block: j Lot: lO ,I
(Please Circle All That Apply)
*Is job ready for inspection:
*Do you need a Temp Certificate:
~'.~/NO
~c~/NO
Rough In Final
Temp Information (If needed] · '
·Service Size: l~hase~ 3Phase 100 150 ~ 300 3~~
NewServlce: Re-connect Underground NumberofMeters Change~',r.,~: ~/~
82-Request for Inspection Form