HomeMy WebLinkAbout37379-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southoid, New York 11971
7/20/2012
CERTIFICATE OF OCCUPANCY
No: 35832
Date: 7/20/2012
Location of Property:
SCTM #: 473889
Subdivision:
THIS CERTIFIES that the building ELECTRICAL
Shipyard Ln, East Marion,
Sec/Block/Lot: 38.-7-12
Filed Map No.
conforms substantially to the Application for Building Permit heretofore
7/20/2012 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
Lot No.
filed in this officed dated
37379 dated 7/20/2012
which this certificate is issued is:
lights and recepticles on dock.
The certificate is issued to
Summit Ests Hme Assc Inc
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
37379 6/27/12
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 #: 37379
Date: 7/20/2012
Permission is hereby granted to:
Summit Ests Hme Assc Inc
PO BOX 779
East Marion, NY 11939
To:
lights and recepticles on dock
At premises located at:
Shipyard Ln, East Marion
SCTM # 473889
Sec/Block/Lot # 38.-7-12
Pursuant to application dated
To expire on 1/19/2014.
Fees:
7/20/2012
and approved by the Building Inspector.
ELECTRIC
Total:
$85.00
$85.00
Building Inspector
Town Hall Annex
54375 Main Road
P.O. Box 1179
Somhold, 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: Summit Estates Home owners Association
~ddress: Shipyard La City: East Marion St: NY Zip: 1193c~
]uilding Permit#: ~ 7 ,'~"~ ~ Section: 38 Block: 7 Lot: 1';
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: F&M Electrical LicenseNo: 31893-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 ~
Service 3 ph Hot Water GFCI Recpt
Main Panel NC Condenser Single Recpt
Sub Panel A/C Blower Range Recpt
Transformer Appliances Dryer Recpt
Disconnect Switches Twist Lock
Other Equipment:
Ceiling Fixtures ~s~L~l[~ HID Fixtures
Wall Fixtures I I Smoke Detectors
Recessed Fixtures CO Detectors
Fluorescent Fixture Pumps
Emergency Fixture Time Clocks
Exit Fixtures I I TVSS
install lights and recpticles on dock--5-1ights, 1-20a recpticle, 2-GFCl circuit break
Notes:
Inspector Signature:
Date: June 27 2012
81-Cert Electrical Compliance Form.xls
765-1802
INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
ROUGH PLBG.
INSULATION
FINAL
FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
FIRE RESISTANT CONSTRUCTION/~ ]~FIRE RESISTANT PENETRATION
ELECTRICAL (ROUGH) ~ELECTRICAL (FINAL)
REMARKS:
DATE
I NSPECTO~~~:::::~
TOWN
REQUESTED BY: '.
-- Date:
~8:' ~ 9~/~,~,, . · ,
L~ No.: '
JO~lTE INFORMATION: (*lndl~tes mqui~ lnfo~on)
T~.~ ~:. ~ . .
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