HomeMy WebLinkAbout37421-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
8/27/2012
CERTIFICATE OF OCCUPANCY
No: 35916 Date: 8/27/2012
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 1850 Bridge Ln, Cutchoguc,
SCTM #: 473889 Sec/Block/Lot: 85.-2-28
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this ofliced dated
8/6/2012 pursuam to which Building Permit No. 37421 dated 8/6/2012
was issued, and conforms to all of the requirements of the applicable provisions of thc law. The occupancy for
which this certificate is issued is:
Electric Service Upgrade
The certificate is issued to
Cartselos, Charles & Cartselos, Elpiniki
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
37421 07/27/2012
~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 #: 37421
Date: 8/6/2012
Permission is hereby granted to:
Cartselos, Charles & Cartselos, Elpiniki
1850 Bridge Ln
Cutchogue, NY 11935
To:
Electric Service Upgrade
At premises located at:
1850 Bridge Ln, Cutchogue
SCTM # 473889
Sec/Block/Lot # 85.-2-28
Pursuant to application dated
To expire on 2/5/2014.
Fees:
816/2012
and approved by the Building Inspector.
ELECTRIC $85.00
Total: $85.00
Building Inspector
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Telephone (631 ) 765-1802
Fax (631 ) 765-9502
m,qer, richert~.town.southo d ny us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: N Cartselos
Address: 1850 Bddge La 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: C-Cat Co LicenseNo: 953-me
SITE DETAILS
office Use Only
Residential ~ Ind°°r ~ Basement R Service Only~
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
Service 1 ph
Service 3 ph
Main Panel
Sub Panel
Transformer
Disconnect
Other Equipment:
Heat ~
Hot Water
NC Condenser
NC Blower
Appliances
1200~ Switches
200a overhead service
INVENTORY
Duplec Recpt
GFCl Recpt
Single Recpt
Range Recpt
Dryer Recpt
Twist Lock
Ceiling Fixtures ~ HID Fixtures
Wall Fixtures J J Smoke Detectors
Recessed FixturesR CO Detectors
Fluorescent Fixture [~ Pumps
Emergency Fixtures~ Time Clocks
Exit Fixtures [~ TVSS
Notes:
Inspector Signature:
Date: Aug 27 2012
81-Cert Electrical Compliance Form.xls
Tram f-hll Ampex
b4375 M~/n Ro~d
P.O. Box 117~
Soudlokl, NY 11971-09~
Tdepho~ (~31) 765-1 lmm2
BUILDING DEPARTMENT
· TOWN OF ~oLrrHOI,D
APPLICATION FOR ELECTRICAL INSPECTION
Name:
JOBSITE INFORMATION: (*Indicates required information)
*Name:
*Address:
*Cross Street:
*Phone No.:
Permit No.:
1000 Section: Bloclc Lot:
*BRIEF DESCRIPTION OF WORK (Please Pflnt Clearly)
(Please Circle ~JI That Apply)
*Is job rea~l, y for inspection:
*Do you .rT',.cd a Temp C_,ertilk~:
T, emp Infonnnlion~}
· *New Service: Re-connect
Additional Informa~on:
100
(~ NO Rough In ~
YES
150 (~ 300 350 400 Other
PAYMENT DUE WITH APPLICATION