HomeMy WebLinkAbout37243-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
10/4/2012
CERTIFICATE OF OCCUPANCY
No: 35987
Date: 10/4/2012
Location of Property:
SCTM #: 473889
Subdivision:
THIS CERTIFIES that the building EI.ECTRICAL
2120 S Harbor Rd, Southold,
Sec/Block/Lot: 75.-7-2
Filed Map No.
conforms substantially to the Application for Building Permit heretofore
5/23/2012 pursuant to which Building Permit No.
Lot No.
filed in this officed dated
37242 dated 5/23/2012
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:
underground electric service to barn,
The certificate is issued to
Anderson, Bradley & Anderson, Francesca
iowNEm
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
37342 10/2/12
Authorized Signature
Town of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
10/4/2012
CERTIFICATE OF OCCUPANCY
No: 35988 Date: 10/4/2012
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 2120 S Harbor Rd, Southold,
SCTM #: 473889 Sec/Block/Lot: 75.-7-2
Subdivision: Filed Map No.
conforms substantially to the Application for Building Permit heretofore
5/23/2012 pursuant to which Building Permit No.
Lot No.
filed in this officed dated
37243 dated 5/23/2012
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:
underground electric service to dwelling
The certificate is issued to
Anderson, Bradley & Anderson, Francesca
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
37373 10/4/12
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 #: 37242
Date: 5/23/2012
Permission is hereby granted to:
Anderson, Bradley & Anderson, Francesca
51 Cranberry St
Brooklyn, NY 11201
To:
underground electric service to barn
At premises located at:
2120 S Harbor Rd, Southold
SCTM # 473889
Sec/Block/Lot # 75.-7-2
Pursuant to application dated
To expire on 11/22/2013.
Fees:
5/23/2012
and approved by the Building Inspector.
ELECTRIC
Total:
$85.00
$85.00
Building Inspector
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 #: 37243
Permission is hereby granted to:
Anderson, Bradley & Anderson, Francesca
51 Cranberry St
Brooklyn, NY 11201
To:
underground electric service to dwelling
Date: 5/23/2012
At premises located at:
2120 S Harbor Rd, Southold
SCTM # 473889
Sec/Block/Lot # 75.-7-2
Pursuant to application dated
To expire on 11/22/2013.
Fees:
5/23/2012
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, dchert~town.southold.nv.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Bradley Anderson
Address: 2120 South Harbor Rd City: Southold St: NY Zip: 11971
~uilding Permit #: Section: Block: Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Paul Burns Electrical Cont License No: 3897-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
INVENTORY
Wall Fixtures Smoke Detectors
Service 3 ph Hot Water GFCl Recpt
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixtur Pumps
Transformer Appliances Dryer Recpt Emergency Fixture~ Time Clocks
Disconnect Switches Twist Lock Exit Fixtures M TVSS
Other Equipment: 400a underground service (barn)
Notes:
Inspector Signature:
Date: Oct 2 2012
81 Cert Electrical Compliance Form.xls
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: Bradley Anderson
t~ddress: 2120 South Harbor 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
,3°ntract°r: DBA: Paul Burns Electrical Cont License No: 3897-6
SITE DETAILS
Office Use Only
Commerical Outdoor 1st Floor Pool
New Renovation 2ed Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Servicelph ~ Heat ~ DuplecRecpt ~Ceiling Fixtures E~ HID Fixturess~
Service 3 ph Hot Water GFCl Recpt Wall Fixtures ~ Smoke Detectors
Main Panel NC Condenser Single Recpt Recessed Fixtures ~.~ CO Detectors
Sub Panel NC Blower Range Recpt Fluorescent Fixtuml I Pumps
Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks
Disconnect Switches Twist Lock Exit Fixtures Ed TVSS
Other Equipment: new 200a underground service
Notes:
Inspector Signature:
Date: Oct 2 2012
81-Cert Electrical Compliance Form.xls
Town I'~l tmne~
54875 M~n Road
P.O. Box 1179
So~-t~old, NY 11971-0959
Telepb~ ((~1) 765-180~
(6~! ~
BUn ~ING DI~ARTMF2qT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
No.:
3 ~7 ~
*Name:
*Address:
*Cross Street:
*Phone No.:
Permit No.:
Tax,Map District:
JOBSITE INFORMATION: (*Indicates required infonmation)
1000 Section:-7~ Block: '~ Lot:.
*BRIEF DESCRIPTION OF WORK (Please Pdnt Clearly)
(Please Circle All That Apply)
*Is job ready for inspection: ~_..I NO ~ Final
*Do. you need a Temp Certificate: ~ NO
Temp In_.~atio. ~d}
*senSes=e: ~ aPh~~e ~00 ~50 ~ 30o 3~0 400 o~
Additienalln~rmafion:'N~ Service: Re-~onnect ~lergmU~ Number of Meters ~ Overhead
To'.'~ ~ I~n~
54,9?5 MrZm ~
P.O. Box 1179
So~'thold, i%vkr 11~1~59
Tetepho~ (6~1) 765-1802
BUILDING DEPAffFMENT
TOWN OF $OWI'HOL~
,.A, PPLICATION FOR ELFCTRICAL INSPECTION
REQUESTED BY:
' Name:
Name:
No.:
*Name:
*Address:
*Cross Street:
*Phone No.:
Permit No.:
Tax. Map District:
JOBSITE INFORMATION: (*Indicates required information)
1000 Section: ~ ,~. Block:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Lot:
B2~lues~'for Inspection Form
(Please Circle All That Apply)
*Do.you need a Temp Certificate: ~ NO
Temp Information (If neededl
*Sen/ice Size: 1 Phase ~0 150 200 300 350 (~'0'0~ Other
Addifiona~ In[orma~on "~
: AYMENT DUE WITH APPL~L-TCA'i=~ON