HomeMy WebLinkAbout37219-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
6/23/2012
No: 35769
Date: 6/23/2012
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 770 Knapp Place, Greenport,
SCTM #: 473889 Sec/Block/Lot: 34.-3-13
Subdivision: Filed Map No.
conforms substantially to the Application for Building Permit heretofore
1/1/1900 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
37219 dated 5/16/2012
electrical inspection for rewiring.
The certificate is issued to Erik Daly
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
37219 6/8/12
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 #: 37219
Permission is hereby granted to:
ERIK DALY
205 KNAPP PLACE
Date: 5/16/2012
GREENPORT, NY 11944
To:
RE-WIRING DONE REQUESTING CERTIFICATE BY NEW HOMEOWNER
( HOUSE IS IN CONTRACT)
At premises located at:
770 KNAPP PLACE GREENPORT
SCTM # 473889
Sec/Block/Lot # 34.-3-13
Pursuant to application dated
To expire on 11/1512013.
Fees:
1/1/1900
and approved by the Building Inspector.
ELECTRIC
Total:
$125.00
$125.00
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, richert~town.southold.ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
ssued To: Erik Daly
~,ddress: 205 Knapp Place City: Greenport St: NY Zip: 11944
3uilding Permit #: 37219 Section: 34 Block: 3 Lot: 13
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
3ontractor: as built DBA: Custom Lighting of Suffolk License No: 38893-me
SITE DETAILS
Office Use Only
Residential [~ Ind°°r ~ Basement ~ Service Only I~
Cornmerical 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 I 31 Smoke Detectors
Main Panel NC Condenser Single Recpt Recessed Fixtures ~ CO Detectors
Sub Panel NC Blower Range Recpt Fluorescent Fixture ~ Pumps
Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks
Disconnect Switches Twist Lock Exit Fixtures LI TVSS
Other Equipment: 4-paddle fans
Notes:
Inspector Signature:
Date: June 8 2012
81-Cert Electrical Compliance Form.xls
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, l*qY 11971-0959
Telephone (631) 765-1802
ro.qer, dchertC~t~ (wn~s) o~ uru~g~.n¥.us
BU~ .r~ING DgPART~_lqT
TOWN OF $OU'I~OLD
APPLICATION FOR ELECTRI~L INSPECTION
Name: ~
*Name:
*Address:
*Cross Street:
*Phone No.:
Permit No.:
Tax-Map District:
JOBSITE INFORMATION: (*lndioates required information)
'~tr~ ~ "
1000 Section:
*BRIEF DESCRIPTION OF WORK (Please Print Cleady)
e~ ,~ 9o0
.. ~Oro~ sv
(P!e~e Circle All ~hat APpI~
*Is ~b ready for inspe~iOn: ~/NO
*~-~u ne~ a T~p Ce~B~te: YES / I~
Block: Lot:
Rough In ~
Temp Information (If needed)
*Service Size: 1 Phase 3Phase 100
~'New Service: Re-connect Underground
Additienal Information:
150 200
Number of Meters
300 350 400 Olher
Change of Service Overhead
PAYMENT DUE WITH APPLICATION
82~Request for Inspection Form