HomeMy WebLinkAbout37289-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
7/3/2012
CERTIFICATE OF OCCUPANCY
No: 35794
Date: 7/3/2012
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
ELECTRICAL
860 Old North Rd, Southold,
Sec/Block/Lot: 55.-1-7
Filed Map No.
conforms substantially to the Application for Building Permit heretofore
6/11/2012 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
37289 dated 6/11/2012
overhead electric service.
The certificate is issued to
New Surf Land Co II LLC
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
37289 6/29/12
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 #: 37289
Permission is hereby granted to:
New Surf Land Co II LLC
25 G St
Salt Lake City, UT 841032949
Date: 6/11/2012
To:
overhead electric service.
At premises located at:
860 Old North Rd, Southold
SCTM # 473889
Sec/Block/Lot # 55.-1-7
Pursuant to application dated
To expire on 12/11/2013.
Fees:
6/11/2012 and approved bythe 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, richert~town.southold.n¥ us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: R & C Meador
Address: 860 Old North Rd City: Southold St: NY Zip: 11971
Building Permit#: ~'~-'-) ~,~ Section: 55 Block: 1 Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: SJ O'Connor Electrical Col'License No: 5085-me
SITE DETAILS
Office Use Only
Commefical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 3 ph Hot Water GFCl Recpt Wall Fixtures
Main Panel NC Condenser Single Recpt Recessed Fixtures
Sub Panel NC Blower Range Recpt Fluorescent Fixture
Transformer Appliances Dryer Recpt Emergency Fixtures
Disconnect Switches Twist Lock Exit Fixtures
Other Equipment: 200a overhead service
HID Fixtures
Smoke Detectors
CO Detectors
Pumps
Time Clocks
TVSS
Date: June 29 2012
81-Cer[ Electrical Compliance Form.xls
Town H~ Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
BIJII.DING DEPARTMENT
TOWN OF SOWI~IOLD
Telephone (631) 763-1802
REQUESTED BY:
Company Name:
Name:
LiCense No.:
Address:
Phone No.:
APPLICATION FOR ELECTRICAL INSPECTION
Date:
*l ' '
JOBSITE INFORMATION: ( nd~cates required information)
*Name:
*Address:
*Cross Street:
*Phone No.:
Permit No.:
Tax. Map District:
- Lot: 7
1000 Section: ~g~' ~ Block:
*BRIEF DESCRIPTION OF WORK (Please Print Cleady)
(Please Circle All That Apply)
*Is job ready for inspection:
*Do-you need a Temp Certificate:
Temp Information (If needed]
*Service Size: 1 Phase 3PhaSe 100
~New Service: Re-connect Underground
Additienal Information:
/ NO
NO
Rough In Final
150 ~) 300 350 400 Olher
.um o,
Change of Se
PAYMENT DUE WITH APPLICATION
82~Request for Inspection Form