HomeMy WebLinkAbout37500-ZNo: 35966
Town of Southold Annex
P.O. Box 1179
54375MainRoad
Southold, New York l1971
CERTIFICATE OF OCCUPANCY
9/25/2012
Date: 9/25/2012
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
ELECTRICAL
200 Westwood Ln, Greenport,
Sec/Block/Lot: 33.-2-12
Filed Map No.
conforms substantially to the Application for BuikYmg Permit heretofore
9/7/2012 pursuant to which Building Permit No. 37500
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 electric service.
Lot No.
filed in this ofliced dated
dated 9/7/2012
The certificate is issued to
Learned, Gary & Mckennell, Danielle
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
37500 9/20/12
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 #: 37500
Permission is hereby granted to:
Learned, Gary & Mckennell, Danielle
29 Polo Ln
Date: 917/2012
Westbury, NY 11590
To:
200 amp Service change
At premises located at:
200 Westwood Ln, Greenport
SCTM # 473889
Sec/Block/Lot # 33.-2-12
Pursuant to application dated
To expire on 3/9/2014.
Fees:
9/7/2012
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 (63 I) 765-9502
ro.qer, richert~,town.southold.ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Gary Learned
~,ddress: 200 Westwood Lane City: Greenport St: NY Zip: 11944
3uilding Permit #: Section: 33 Block: 2 Lot: 12
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
3ontractor: DBA: Bobs Electric License No: 694-e
SITE DETAILS
Office Use Only
Residential ~ Indoor ~ Basement
Commerical Outdoor 1st Floor
New Renovation 2nd Floor
Addition Survey Attic
INVENTORY
Se~'icelph ~ Heat ~ DuplecRecpt ~
Sewice 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: service up grade, 200a overhead service
Service Only ~
Pool
Hot Tub
Garage
Ceiling Fixtures [~ HID Fixtures
Wall Fixtures [~ Smoke Detectors
Recessed Fixtures ~.~ CO Detectors
Fluorescent Fixture [~ Pumps
Emergency Fixtures~ Time Clocks
Exit Fixtures L~ TVSS
Notes:
Inspector Signature:
Date: Sept 20 2012
81-Cert Electrical Compliance Form.xls
FqEQU~61 ~ BY:
company I re, m:
JOBSITE
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AP .~CATIOH FOR EI.,ECT~C~ INSPECTIOI
Mo All That Apply)
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PAYMENT DUE WITH APPLICATION