HomeMy WebLinkAbout37456-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southoid, New York 11971
CERTIFICATE OF OCCUPANCY
8/31/2012
No: 35927 Date: 8/31/2012
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
ELECTRICAL
3360 Minnehaha Blvd, Southold,
Sec/Block/Lot: 87.-3-66.4
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
8/20/2012 pursuant to which Building Permit No. 37456 dated 8/20/2012
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:
200 amp Overhead Service
The certificate is issued to
Stiber, Carolyn & Stiber, Alexander
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
37456 08/29/2012
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 #: 37456
Date: 8/20/2012
Permission is hereby granted to:
Stiber, Carolyn & Stiber, Alexander
PO BOX 1624
To:
Southold, NY 11971
200 amp Overhead Service
At premises located at:
3360 Minnehaha Blvd, Southold
SCTM # 473889
Sec/Block/Lot # 87.-3-66.4
Pursuant to application dated
To expire on 2/19/2014.
Fees:
8/20/2012
and approved by the Building Inspector.
ELECTRIC
Total:
$85.00
$85.00
Building I nspect"~o~'
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.southolcl.n¥.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Sean McCoyd
Address: 3360 Minnehaha Blvd City: Southold St: NY Zip: 11971
Building Permit#: ~' ~ --* Section: 87 Block: 3 Lot; 66.4
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Cof~tractor: DBA: Safeway Electrical Cont. License No: 5160-me
SITE DETAILS
Office Use Only
Residential R Ind°°r R Basement [~ ServioeOnly~
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Servicelph ~ Heat ~ DuplecRecpt ~
Service 3 ph Hot Water GFCI Recpt
Main Panel NC Condenser Single Recpt
Sub Panel A/C Blower Range Recpt
Transformer Appliances Dryer Recpt
Disconnect Switches Twist Lock
Other Equipment: 200a overhead service
Ceiling FixtureseRf~[~ HID Fixtures
Wall Fixtures U Smoke Detectors
Recessed Fixture,I I CO Detectors
Fluorescent Fixtur Pumps
Emergency Fixture~ Time Clocks
Exit Fixtures [__~ TVSS
Notes:
Inspector Signature:
Date: Aug 29 2012
81-Cert Electrical Compliance Form.xls
(631)
BUn ~INO DEPARTMENT
TOWN OF SOWI~OLD
....APPLICATION FOR F! ECTRICAL INSPECTIOH
Company Name:
Name:
License No.:
Address:
Phone No.:
*Address:
*Cross Street:
*Phone No.:
Permit No.:
JOBSITE INFORMATION: (*Indicates required information)
*Name: . ~L~pi)O ~X."~c_(, i.~'-\~"~
Tax. Map DistriCt:
4ooo . se o.:
*BRIEF DESCRIPTION OF WORK (Please Plint Cleady)
Block:
· (Please Cimle All That Apply)
*Is job ready for Inspection:
*Do-you r'~l a Temp Certificate:
Temp I~a'aatlat (If
~'~NO
~:~/NO
Rough In
Final
*Service Size: ~ 3Phase 100 150 ~ 300., ~ Other
*NewservJce: Re-connect Underground NumberofMelem~ngeofSen~e~Overhead
Additlenal Infoffnatlon:
. ..PA ~YMEN.T DUE WiTH APPLiCATiO.,,',