HomeMy WebLinkAbout37415-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
8/18/2012
CERTIFICATE OF OCCUPANCY
No: 35898
Date: 8/18/2012
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
ELECTRICAL
9980 Nassau Point Rd,
Sec/Block/Lot: 119.-1-19
Filed Map No.
conforms substantially to the Application for Building Permit heretofore
8/2/2012 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:
Electric Service for Generator
Lot No.
filed in this officed dated
37415 dated 8/2/2012
The certificate is issued to
Garmise, Alan & Garmise, Rochelle
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
37415 8/13/12
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 #: 37415
Permission is hereby granted to:
Garmise, Alan & Garmise, Rochelle
9980 Nassau Point Rd
Cutchogue, NY 11935
Date: 8/2/2012
To:
Electric Service for Generator
At premises located at:
9980 Nassau Point Rd
SCTM # 473889
Sec/Block/Lot # 119.-1-19
Pursuant to application dated
To expire on 2/112014.
Fees:
8/2/2012 and approved by the Building Inspector.
ELECTRIC
Total:
$90.00
$90.00
Building Inspector
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold~ NY 11971 0959
Telephone (631) 765-1802
Fax (631) 765-9502
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Alan Garmise
Address: 9980 Nassau Point Rd City: Cutchogue St: NY Zip: 1193~
3uilding Permit #: ~ ~ H I~' Section: Block: Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Ocean Electric LicenseNo: 4015-e
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
Service 3 ph Hot Water GFCI Recpt
Main Panel NC Condenser Single Recpt
Sub Panel NC Blower Range Recpt
Transformer Appliances Dryer Recpt
Disconnect Switches Twist Lock
Other Equipment:
Ceiling Fixtures ~ HID Fixtures
Wall Fixtures ~.~ Smoke Detectors
Recessed Fixtures ~ CO Detectors
Fluorescent Fixture [~ Pumps
Emergency Fixturesp.~ Time Clocks
Exit Fixtures ~ TVSS
install 20kw emergency generator, 100a auto transfer switch, 24 circuit panel
Notes:
Inspector Signature:
Date: Aug 13 2012
81-Cert Electrical Compliance Form.xls
Town Hall Annex
543?5 Main
P.O. Box 1179
Southol~, NY 11971-09.59
Telephone (631) 765-1502
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TOWN O~ SO[rTt~OLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED
Company Name:
Name:
NO.:
Date: -~-
*Name:
*Address:
*Cross Street:
*Phone No.:
Permit No.:
Tax.Map District:
JOBSITE INFORMATION: (*Indicates required information)
1000 . Section: ~ Block:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly) '
' (Please Circle ~l Th~ply)
*Is ~b ~dy for ins~on: Ro~h In Final
*~-~u ne~ a Tamp ~fi~te:
Temp Information (If. needed)
*Service Size: 1 Phase
~New Service: Re-connect
Additional Information:
YES I NO
YES N~
3PhaSe 100 150 200
Underground Number of Meters
300 350 400
Change of Service
PAYMENT DUE WITH APPLICATION
Other
Overhead
82-Request for InspccUon Form