HomeMy WebLinkAbout37449-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
8/20/2012
CERTIFICATE OF OCCUPANCY
No: 35900
Date: 8/20/2012
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
ELECTRICAL
14300 Route 25, Mattituck,
Sec/Block/Lot: 114.-11-1
Filed Map No.
conforms substantially to the Application for Building Permit heretofore
8/16/2012 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:
Lot No.
filed in this officed dated
37449 dated 8/16/2012
Parking Lot Lights
The certificate is issued to
Roman Catholic Church
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
37449 08/16/2012
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 #: 37449
Date: 8/16/2012
Permission is hereby granted to:
Roman Catholic Church
Attn: Michael V. Flanagan, Esq
50 N Park Ave
Rockville Centre, NY 115719023
To:
Parking Lot Lights
At premises located at:
14300 Route 25, Mattituck
SCTM # 473889
Sec/Block/Lot # 114.-11-1
Pursuant to application dated
To expire on 2/15/2014.
Fees:
8/16/2012 and approved bythe Building Inspector.
ELECTRIC
Total:
$125.00
$125.00
Building Inspector
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold. NY 11971-0959
Telephone (631) 765-1802
Fax (631 ) 765-9502
ro.qer, richert~,town.southo d ny us
BUILDING DEPARTMENT
TOWN' OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
ssued To: Our Lady Of Good Counsel
Address: Reeve Ave & Main Rd City: Mattituck St: NY Zip: 1195~
~uilding Permit #: Section: 1 1 4 Block: 11 Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
.~ontractor: DBA: Doroski Electric Inc License No: 2941-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
Service 1 ph ~ Heat
Service 3 ph ~ Hot Water
Main Panel A/C Condenser
Sub Panel A/C Blower
Transformer Appliances
Disconnect Switches
Other Equipment:
INVENTORY
GFCI Recpt
Single Recpt
Range Recpt
Dryer Recpt
Twist Lock
Install 3-15ft tall parking lot lights, 250w mh
Ceiling Fixtures ~ HID Fixtures []
Wall Fixtures I J Smoke Detectors
Recessed Fixtures[~ CO Detectors
Fluorescent Fixture ~ Pumps
Emergency Fixtures~ Time Clocks
Exit Fixtures ~ TVSS
Notes:
Inspector Signature:
Date: Aug 15 2012
81-Cert Electrical Compliance Form.xls
P.O. Bo~ ! 17~
,%u~old. NY 11971-0959
BUILDING DEPARTMI;;~'*;T
· TOWN OF 8OUTHOI2)
,.~PPL.I.CATION FOR ELECTRICAl. INSPECTION
REQUESTED BY: .__C;2.t~.,,-. ~.l-'"~,',,-~ 5,~; _
~ompanyName: ~,~.,~ . ~.~e.~_~'~c_ ~ ~,~C'.
Name: '. .......... - .....
Ll~nse No.: ~ (~ q ~ - E
~ ,:~i,l.,,, '~ ~,,'-f ~,s a 3 ........
JOBSITE INFOR~TION: ('Indicates required inf~,rmat'on) .
~rose'Street. .: -
~hona No,;
~rmit No.; . ' ....
rex Map District'. 1:..._~!~ Section: ~ ~i~ck:
~SRIEF DE~RIPTION OJ',: WORK (Please Print Clearly) ~>-
{Ple~a C!!~le NI That Apply)
,la job ready for inSpectk~i: " ": yES/~ ROUgh In Final
*DO YOu need- ~Temp Cer~cate: YES / NO
Tamp infom'latlon (If ne~:: ";: 400 Other
* Sel'~ '~,t~a: "1 Ptt~e 3Phase 100 150 2~: 300 350
~N~,~I"VlOe: R~.~3hh~gC, t,~ Undergmu.d . Number of Meters
· ......... - J_~.-~VITH ~pP~LICA3'ION~
~ ,.
.... ---- - .....
82-Request for mspeciio~ Form