HomeMy WebLinkAbout37564-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
10/16/2012
CERTIFICATE OF OCCUPANCY
No: 36003 Date: 10/16/2012
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 3405 Grand Ave, Mattituck,
SCTM #: 473889 Sec/Block/Lot: 107.-1-8.1
Subdivision: Filed Map No.
conforms substantially to thc Application for Building Permit heretofore
10/9/2012 pursuant to which Building Permit No.
was issued, and conforms to all of the requirements of thc applicable provisions of the law. The occupancy for
which this certificate is issued is:
Lot No.
filed in this officed dated
37564 dated 10/9/2012
200 Amp Electrical Service
The certificate is issued to
Galdri, Alberta & Walsh, Brendan
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
37564 t 0/15/2012
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 #: 37564
Permission is hereby granted to:
Galdri, Alberta & Walsh, Brendan
3405 Grand Ave
Mattituck, NY 11952
Date: 101912012
To:
200 Amp Electrical Service
At premises located at:
3405 Grand Ave, Mattituck
SCTM # 473889
Sec/Block/Lot # 107..1.8.1
Pursuant to application dated
To expire on 4/10/2014.
Fees:
10/9/2012 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
roflor, dchert~,town.southold.n¥.us
ssued To: Brendon Walsh
BUILDING DEPARTMENT
TOVfN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
~ddress: 3405 Grand Ava
City: Mattituck St: NY Zip: 11952
~uilding Permit #: ~) '"") ~'- ~, ~.~ Section: Block: Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
.gontractor: DBA: C-Cat Co License No: 953-me
SITE DETAILS
Office Use Only
Residential ~ Ind°°r I~ Basement ~ Service Only~
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 3 ph Hot Water GFCI Recpt
Main Panel NC Condenser Single Recpt
Sub Panel NC Blower Range Recpt
Transformer Appliances Dryer Recpt
Disconnect Switches Twist Lock
Other Equipment: 200a overhead service
Ceiling Fixturese~~[~ HID Fixtures
Wall Fixtures I I Smoke Detectors
Recessed Fixtures CO Detectors
Fluorescent Fixtur Pumps
Emergency Fixtureu Time Clocks
Exit Fixtures I I TVSS
Notes:
Inspector Signature:
Date: Oct 15 2012
81-Cert Electrical Compliance Form.xls
Tovm I-la]l Annex
P.O. Box 1179
Somhokl, NY 11971-09/9
BLDG DEPL
TOW~, OF SOUTHO[D
Bu~.nING DEPAR'HVIENT
TOWN OF 8OUTHOLD
APPUCAT~ON FOR ELECTRICAL ~NSPECT~ON
Company Name: ~r~ ........., ~
F'.C. B~ -n7
Name: ......... ~,,~ -- MattituCk, NY 11952
License No.: ~, ~ ~
JOBSITE INFORMATION: (*Indicates required information)
1000 Section:
*BRIEF DESCRIFCrlON OF WORK (Please Pdnt Clearly)
*Name:
*Address.'
*Phone No..'
Permit No.:
Tax Map Distric~
Block: Lot:
(P~ase C~rc~ N~ That
*Is job re~.y for inspection:
*Do you ncc_,d a Temp Cerlfficate:
· Temp Information (If needed}
Rough In ~
*New Sense: ~ ~umber of Meters ~
Additional Inform, ~ OCT - 9 2012 .J ~YMENT DUE WITH APPLICATION
BI DC, DEPT,
82-Requeat f~r Ina~ec~on Fom~