HomeMy WebLinkAbout37414-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
10/4/2012
No: 35989
Date: 10/4/2012
Location of Property:
SCTM #: 473889
Subdivision:
THIS CERTIFIES thai the building ELECTRICAL
850 Pequash Ave, Cutchogue,
Sec/Block/Lot: 103.-11-6
Filed Map No.
conforms substantially to the Application for Building Permit heretofore
Lot No.
filed in this officed dated
dated
8/2/2012 pursuant to which Building Permit No. 37414 8/2/20 ! 2
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:
new meter pan and mast on existing 100 a overhead service.
The certificate is issued to
Stemke. Paul
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
37414 9/27/12
¥ 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 #: 37414
Permission is hereby granted to:
Stemke, Paul
850 Pequash Ave
Cutchogue, NY 11935
To:
new meter pan and mast on existing 100 a overhead service.
Date: 8/2/2012
At premises located at:
850 Pequash Ave, Cutchogue
SCTM # 473889
Sec/Block/Lot # 103.-11-6
Pursuant to application dated
To expire on 21112014.
Fees:
8/2/2012
and approved by the Building Inspector.
ELECTRIC $85.00
Total: $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, richertC, town.southold.ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
ssued To: Paul Stemke
~ddress: 850 Pequash Ave City: Cutchogue St: NY Zip: 11935
3uilding Permit#: "~ '-~ t~ ~ 1~ Section: Block: Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
.~ontractor: DBA: MRK Electric LLC LicenseNo: 5089-e
SITE DETAILS
Office Use Only
Residential [~ Ind°°r [~ Basement [~ Service Only I~
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Servicelph ~ Heat ~ DuplecRecpt ~ Ceiling Fixtures ,,s~ HID Fixtures
Wall Fixtures Smoke Detectors
Service 3 ph Hot Water GFCI Recpt
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks
Disconnect Switches Twist Lock Exit Fixtures U TVSS
Other Equipment: install new meter pan and mast on existing 100a overhead service
Notes;
inspector Signature:
Date: Sept 27 2012
81-Cert Electrical Compliance Form.xls
Town H~ Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971~959
Telephone (631) 765-18o9_
m er d (631) 7 5
BUll.DING DEPARTMENT
TOWN OF $OIJTHO~
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: ,)~C,T\--~ (-q
Company Name: ~
Name: !<.
License No.: ~' b
No.:
JOBSI/E INFORMATION: (*lndimtes required information)
*Name: ~ ~
*Address: ~ ~
*Cross Street: ~ ~ ~
*Phone No.: ~
Tax.Map District: 1000 . Se~ion:
*BRIEF DESCRIPTION OF WORK (Please Print Cleady)
Date;
Block: /I Lot:
(Please Circle All That Apply)
*Is job ready for inspection:
*Do you need a Temp Certificate;
i NO Rough In Final
NO
T~p Informatio,n (If. needed] ,
'Service Size: -1P~s~3Phase (~ 150 200 300 .~350 400 Other
*New Service: Re-connec{ Underground Number of Meters ~hange of Sew~ii~ Overhead
Addit~t~lll~,or~a~n~] !,?-[~ J-~ .PAYMENT DUE Wi~PPL~ATiON~