HomeMy WebLinkAbout37198-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
8/16/2012
CERTIFICATE OF OCCUPANCY
No: 35886
Date: 8/16/2012
THIS CERTIHES that the building
Location of Property:
SCTM #: 473889
Subdivision:
ELECTRICAL
4325 Stars Rd, East Marion,
Sec/Block/Lot: 22.-2-31
Filed Map No.
conforms substantially to the Application for Building Permit heretofore
5/8/2012 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:
upgrade overhead electric service.
Lot No.
filed in this officed dated
37198 dated 5/8/2012
The certificate is issued to
Vukas, Stanko & Vukas, Tonica
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
37198
08/15/2012
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 #: 37198
Permission is hereby granted to:
Vukas, Stanko & Vukas, Tonica
24-39 Murray St
Whitestone, NY 11357
Date: 5/812012
mo~
upgrade overhead electric service.
At premises located at:
4325 Stars Rd, East Marion
SCTM # 473889
Sec/Block/Lot # 22.-2-31
Pursuant to application dated
To expire on 11/7/2013.
Fees:
5/8/2012
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 11971-0959
Telephone (631) 765-1802
Fax (63 I) 765-9502
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
ssued To: Joseph Vukas
~,ddress: 4325 Stars Rd City: East Marion St: NY Zip: 1193~c
3uilding Permit #: Section: Block: Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
3ontractor: DBA: Pumillo Electric LicenseNo: 2300-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 GFCl Recpt
Main Panel AJC Condenser Single Recpt
Sub Panel NC Blower Range Recpt
Transformer Appliances Dryer Recpt
Disconnect Switches Twist Lock
Other Equipment: 150a overhead service
Ceiling Fixtures ~r~l~ HID Fixtures
Wail Fixtures I I Smoke Detectors
Recessed FixturesJ I CO Detectors
Fluorescent Fixture Pumps
Emergency Fixture Time Clocks
Exit Fixtures TVSS
Notes;
Inspector Signature:
Date: 15 2012Aug
81-Cer[ Electrical Compliance Form.xls
*Name:
*Address:
*Cross Street:
*Phone No.:
Permit No.:
Tax Map District:
JODYPUMILLO ~ I ~,'r~_ , 213
Name: '
_i~nse No.: / ~ _
JOBSITE INFORMATION: (*Indicates required information)
1000 Section: Block: Lot:
*BRIEF DESCRIPTION OF WORK (Please Pdnt Clearly)
(Please Circle All That Apply)
s Job ready for ~nspection:
*Do-you need a Temp Certificate:
Temp Information (If. neededJ
*ServicaSIze: ~ 3PhaSe 100 ~200
~New Service: Re-connect
Additional Information:
82~Reque~t for In~'pection Form
300 350 400 Other ~/~3;'~]
Underground Number of Meters ~d-~ ~/~,
PAYMENT DUE WITH APPLICATION
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Telephone (631) 765-1802
ax (6~1) 7 5
BU[!.~ING DEPARTMENT
TOWN OF SOUTHOLr)
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY:
Company Name:
Name:
License No.:
Address:
Phone No.:
JOBSITE INFORMATION: ( nd~cates requwed information)
*Name:
*Address:
*Cross Street:
*Phone No.:
Permit No.:
Tax Map District: 1000 Section: ,-~ ~, Block: ~
*BRIEF DESCRIPTION OF WORK (Please Pdnt Clearly)
(Please Circle All That Apply)
*Is job ready for inspection:
*Do you need a Temp Certificate:
Lot:
Temp Information (If. needed)
*Se ceS e: 3Ph,s, 400 dC 200
*New Service: Re-connect Underground Number of Meters
Additional Information:
Rough In
300 350 400 Other
~S~ead-~
_PAYMENT DUE WITH APPLICATION