HomeMy WebLinkAbout37290-ZTown of Southold Annex
8/7/2012
P.O. Box l179
54375 Main Road
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 35869 Date: 8/7/2012
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 615 Oak St, Cutchogue,
SCTM #: 473889 Sec/Block/Lot: 136.-1-31.4
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
6/12/2012 pursuant to which Building Permit No. 37290 dated 6/12/2012
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:
Install 100 AMP Electric Service
The certificate is issued to
Millin, Cecilia
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
37290 08/06/2012
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 #: 37290
Date: 6/12/2012
Permission is hereby granted to:
Millin, Cecilia
32-29 42nd St
Long !~land CitY, NY ~703 ~i~iiiiiiii~iiii iiiii
To:
Install 100 AMP Service
At premises located at:
615 Oak St, Cutchogue
SCTM # 473889
Sec/Block/Lot # 136.-1-31.4
Pursuant to application dated
To expire on 12/12/2013.
Fees:
6/12/2012
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 I 1971-0959
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: Carol Millin
&ddress: 615 Oak St City: Cutchogue St: NY Zip: 11935
Building Permit #: Section: Block: Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Goodale Electric LicenseNo: 783-e
SITE DETAILS
Office Use Only
Gem m eric. al Outdoor 1st Floor
New Renovation 2nd Floor
Addition Survey Attic
Service 3 ph Hot Water
Main Panel NC Condenser
Sub Panel NC Blower
Transformer Appliances
Disconnect Switches
Other Equipment: 100a overhead service
INVENTORY
Duplec Recpt ~
GFCI Recpt
Single Recpt
Range Recpt
Dryer Recpt
Twist Lock
Service Only ~
Pool
Hot Tub
Garage
Ceiling Fixtures ~[~[~ HID Fixtures
Wall Fixtures I I Smoke Detectors
Recessed Fixtures CO Detectors
Fluorescent Fixture U Pumps
Emergency Fixture~ Time Clocks
Exit Fixtures I I TVSS
Notes:
Inspector Signature:
Date: Aug 6 2012
81-Cert Electrical Compliance Form.xls
Town H~I Annex
54375 Main Road
P.O. Box 1179
Southold, NY 119714)959
Telephone (631) 765-1802
rog er. rich e r tdt~w(~.~s) o7 u(~'~(~(~, ny. u s
BUILDING DEPARTMENT
TOWN OF $OUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: gO ()~/-c/~'~ /~,~'~/-'"/'Pr rf, ~,,~/z-~t Date:
Company Name:
Name:
License No.: '~
Address:
Phone No.:
JOBSITE INFORMATION: (*Indicates required information)
*N me:
*Address:
*Cross Street:
*Phone No.:
Permit No.:
Tax Map District: 1000 Section: Block:
*BRIEF DESCRIPTION OF WORK (Please Pdnt Clearly)
Lot:
(Please Circle Ail That Apply)
*Is job ready for inspection:
*Do you need a Temp Certificate:
_/NO
~,~/NO
Rough In
Temp Information (tf~peeded)
*Service Size: ~l;Jhase 3Phase ~ 150 200 300 350
*New Service: Re-connect Underground Number of Meters Change of Service~Overhead,
Additional Information: PAYMENT DUE WITH APPLICATION
82-Request for Inspection Form