HomeMy WebLinkAbout37511-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
9/13/2012
CERTIFICATE OF OCCUPANCY
No: 35947
Date:
9/13/2012
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
ELECTRICAL
2170 Hyatt Rd, Southold,
Sec/Block/Lot: 54.-1-6
Filed Map No.
conforms substantially to the Application for Building Permit heretofore
9/13/2012 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
37511 dated 9/13/2012
replace electric service.
The certificate is issued to
Wockenfuss Janet Rvc Trt & Brown, Ruth
(OWNER)
of the aforesaid build'rog.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
37511 9/11/12
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 #: 37511
Permission is hereby granted to:
Wockenfuss Janet Rvc Trt & Brown, Ruth
Date: 9/13/2012
7240 Deer Point Ln
West Palm Beach, FL 334115716
To:
replace electric service.
At premises located at:
2170 Hyatt Rd, Southold
SCTM # 473889
Sec/Block/Lot # 54.-1-6
Pursuant toapplication dated
To expire on 3/15~014.
Fees:
9/13/2012
and approved by the Building Inspector.
ELECTRIC
Total:
$85.00
$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
ro.qer, richert~town.southold.n¥.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
ssued To: Janet Wockenfuss-Ruth Brown
~,ddress: 2170 Hyatt Rd City: Southold St: NY Zip: 11971
3uilding Permit #: Section: Block: Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: East County Electric LicenseNo: 1005-me
SITE DETAILS
Office Use Only
Commedcal Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 3 ph Hot Water GFCI Recpt
Main Panel A/C Condenser Single Recpt
Sub Panel NC Blower Range Recpt
Transformer Appliances Dryer Recpt
Disconnect Switches Twist Lock
Other Equipment:
Ceiling Fixtures ~[E~ HID Fixtures
Wall Fixtures II Smoke Detectors
Recessed Fixtures CO Detectors
Fluorescent Fixture Pumps
Emergency Fixture Time Clocks
Exit Fixtures TVSS
install new 200a overhead service to replace old deteriated service in unsafe
condition.
Notes:
Inspector Signature:
Date: Sept 11 2012
81~Cert Electrical Compliance Form.xls
/
Town H~ Annex
54~7cS Ma/n Road
Southold, NY 11971.09~
/,., BUll.~ING DEPARTMENT
t~ ~ p,~ ~ /~t-~ ,~ ~,~t/TOWN OF SOBTI-iOW.n
REQUESTED BY:
Telephone (631) 7fi5-180~
APPLICATION FOR ELECTRICAL INSPECTION
Date: ?--/- / ~.....
Company Name: ~
Name:
License No.: /{~]~,...%'"' /V%~?.
Phone No.: ~J' 7~-- ~
JOBSITE INFORMATION: (*Indicates required information)
*Cross Street: 5 e. ~ ~' 4~
*PhoneNo.: ~ ~/- ~7~-~?~/
Pe~it No.: ~J j
Tax.Map District: 1000 Section: ~ Block: J Lot: (~
*BRIEF DESCRIPTION OF WORK (Please PHnt CleaHy)
(Please Circle All That Apply)
*Is job ready for inspectiOn:
*Do-you need a Temp Certificate:
~0 Rough In (Flna~.~.
Tamp Information (If needed)
*Service Size: ~ 3Phase 100
~New Service: Re-connect Underground
Addltienal Information:
150 ~ 300 350 400 Olher
Number of Meters ~
PAYMENT DUE WITH APPLICATION
,82~Request for Inspection Fo~m