HomeMy WebLinkAbout37199-ZTown ofSoutholdAnnex
P.O. Box 1179
54375MainRoad
Southold, New Yorkl1971
5/10/2012
CERTIFICATE OF OCCUPANCY
No: 35591
Date: 5/10/2012
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 7980 N Bayview Rd, Southold,
SCTM #: 473889 Sec/Block/Lot: 79.-7-52
Subdivision: Filed Map No.
conforms substantially to the Application for Building Permit heretofore
5/8/2012 pursuant to which Building Permit No.
Lot No.
filed hi this ofliced dated
37199 dated 5/8/2012
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.
The certificate is issued to
John Galligan
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
37199 5/9/12
Authorized Signature
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 #: 37199
Permission is hereby granted to:
Tetrault, Klm & Tetrault, Heather
7980 N Bayview Rd
Southold, NY 11971
Date: 5/8/2012
To:
upgrade electric service.
At premises located at:
7980 N Bayview Rd, Southold
SCTM # 473889
Sec/Block/Lot # 79.-7-52
Pursuant to application dated
To expire on 11/7/2013.
Fees:
518/2012
and approved by the Building Inspector.
ELECTRIC
Total:
$85.00
$85.00
Building Inspector
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southol& NY 11971-0959
Telephone (631) 765-1802
Fax (631) 765-9502
roger, richert~town.southold.ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: John Galligan
Address: 7980 N Bayview Ave City: Southold St: NY Zip: 11971
Building Permit #: ~3'~ : -~ '~) Section: 79 Block: 7 Lot: 52
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Safeway Electrical Cont In(License No: 5160-me
SITE DETAILS
Office Use Only
Commerical Outdoor 1 st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel NC Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel NC Blower Range Recpt Fluorescent Fixture U Pumps
Transformer Appliances Dryer Recpt Emergency Fixture~ Time Clocks
Disconnect Switches Twist Lock Exit Fixtures L.~ TVSS
Other Equipment: 200a overhead service
Notes:
Inspector Signature:
Date: May 9 2012
81-Ced Electrical Compliance Form.xls
Town Hsll Aa.~
54375 Maia Roai
P.O. Box 1179
~ NY 119'/14)95g
Tdepho~e (6~1) 765-180~
BUn ]',lNG DI~PAR'I'I~.NT
TOWN OF 8OUTItOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY:
Company Name:
Name:
License No.:
Address.
Phone No.:
JOBSITE INFORMATION: (*Indicates required information)
*Name:
*Address:
*Cross Street:
*Phone No.:
Permit No.:
Tax. Map District:
1000 . Section: ~7 c~ .
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Block: '-/ Lot:
(Please Circle Ail That Appi~)
*Is job ready for inspection:
*Do. you r--cd a Temp Certificate:
Temp Information (If needed)
*Service Size: ~ 3Phase
1 NO
' NO
Rough In Final
*New Service: Re-a~ne~t Underground Number of Meters Change of Service ~_~
Addltienal Information: PAYMENT DUE WITH APPUCATION 5 ~'~'. o~
B24~'e~ fi3r In speclk~ Form