HomeMy WebLinkAbout37167-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southoid, New York 11971
8/16/2012
CERTIFICATE OF OCCUPANCY
No: 35834 Date: 8/16/2012
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 13175 Route 25 Mattituck,
SCTM #: 473889 Sec/Block/Lot: 140.-3-38.4
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
4/25/2012 pursuant to which Building Permit No. 37167 dated 4/25/2012
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:
UPGRADE ELECTRIC SERVICE
The certificate is issued to
Orioli & Son Rental E LLC
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
37167 07/09/2012
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 #: 37167
Permission is hereby granted to:
Orioli & Son Rental E LLC
24 Orchard Dr
Woodburyl NY 1179~
To:
UPGRADE ELECTRIC SERVICE
Date: 4/2512012
At premises located at:
13175 Route 25 Mattituck
SCTM # 473889
Sec/Block/Lot # 140.-3-38.4
Pursuant to application dated
To expire on 10125/2013.
Fees:
1/1/1900
and approved by the Building Inspector.
ELECTRIC $125.00
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold. NY 11971-0959
Telephone (631) 765-1802
Fax (631) 765-9502
ro.qer, dchert~town southo d ny us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
ssued To: Orioli and son Rental East
Address: 13175 Main Rd City: Mattituck St: NY Zip: 11952
3uilding Permit #: Section: 140 Block: 3 Lot: 38.4
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
3ontractor: DBA: ATN Electric License No: 1212-e
SITE DETAILS
Office Use Only
Residential f~~ 'nd°°r [~ Basement [~ Service Only t~
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Servicelph ~ Heat L~ DuplecRecpt ~ceiling Fixtures [~ HID Fixturess~
Service 3 ph Hot Water GFCI Recpt Wall Fixtures I~ Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures I-----I CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture L I Pumps
Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks
Disconnect Switches Twist Lock Exit Fixtures L.~ TVSS
Other Equipment: 400a 3 phase overhead service, 6-30a recpticles for yogurt machines
Notes:
Inspector Signature:
Date: July9 2012
81-Cert Electrical Compliance Form.xls
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING/STRAPPING [ ] FINAL
[ ]FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ]FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ]ELECTRICAL (ROUGH) ~:~ELECll~ICAL (FINAL)
REMARKS:
DATE
INSPECTO~
Town Hall Anncx
54375 ~ Road
P.O. Box 11~9
Southold, NY 119714)959
Telephone (631) 765-180'7
BUll .DING DEPARTMENT
TOWN OF 80UTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY:
Company Name:
Name:
License No.:
~,ddress:
Phone No.:
Date: ~/~'~/z~
JOBSITE INFORMATION: (*Indicates required information)
*Name:
*Address:
*Cross Street:
*Phone No.:
Permit No.:
Tax.Map District: 1000 Section:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Lot: ~.~ ~. ~-
(Please Circle N! That Apply)
*Is job ready for inspection:
*Do you need a Temp Certificate:
Temp Information (If needed}
*Service Size: 1 Phase ~ 100
*New Service: Re.connect Underground
YES/~ Rough In Final
_ NO
150 200 300 350 .~ Other
Number of Me,ersChange of Service ~
Additional Information:
.PAYMENT DUE WITH APPLICATION
82q~ for Inspection Form