HomeMy WebLinkAbout36929-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
10/19/2012
CERTIFICATE OF OCCUPANCY
No: 36017 Date: 10/19/2012
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 510 The Cross Way, East Marion,
SCTM #: 473889 Sec/Block/Lot: 30.-2-105
Subdivision: Filed Map No.
conforms substantially to the Application for Building Permit heretofore
1/19/2012 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:
upgrade underground electric service.
Lot No.
filed in this officed dated
36929 dated 1 /19/2012
The certificate is issued to
Trowbridge, Richard
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
36929
01/09/2012
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 #: 36929
Date: 1/19/2012
Permission is hereby granted to:
Trowbridge, Richard
510 The Cross Way
East Marion, NY 11939
To:
upgrade underground electric service.
At premises located at:
510 The Cross Way, East Marion
SCTM # 473889
Sec/Block/Lot # 30.-2-105
Pursuant to application dated
To expire on 712012013.
Fees:
111912012
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
rofler, richert~town.southold.n¥.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Richard Trowbridge
Address: 510 The Cross Way City: East Marion St: NY Zip: 11939
Building Permit #: ~L~ d~ ~,~ Section: Block: Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: All Pro Electric LicenseNo: 38703-me
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
Servicelph ~ Heat ~ DuplecRecpt ~ Ceiling Fixtures ~ HID Fixtures ~
Service 3 ph Hot Water GFCI Recpt Wall Fixtures ~ Smoke Detectors
Main Panel NC Condenser Single Recpt Recessed Fixtures ~ CO Detectors
Sub Panel NC Blower Range Recpt Fluorescent Fixture ~ Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures~ Time Clocks
Disconnect Switches Twist Lock Exit Fixtures b___J TVSS
Other Equipment: 200a underground service up grade
Notes:
Inspector Signature:
Date: Jan 9 2012
81-Cert Electrical Compliance Form.xls
54375 Main Road
P.O. Box 1179
,~thold, NY 11971.0959
Telephone (631) 765.1802
BU/I ~ING DKP~
TOWN OF 8OUTHOT.n
APPLICATION FOR ELECTRICAL INSPECTI01"
BY:
Company Name:
Name:
No.:
No.:
Date:
[3,--,
JOBSITE INFORMATION:
*Name:
*Address:
*Cross Street:
*Phone No.:
(*Indicates required information)
~0 ~ke~ c~,,'),,.~ i6a~
Permit No.:
Tax. Map District: · 1000 Section: ,.-~ Block:
· BRIEF DESCRIPTION OF WORK (Please Pdnt Clearly)
Lot:
please Circle NI That Apply)
*Is job ready for inspectiOn:
*Do. you need a Temp Certificate:
Temp Information (If needed)
YES I NO.
Re-connect Number of bYeters
Addit~al liformaflon:
'.'~/1 ,~, \'.A/
.~-- ~\',,
Rough In
30O 350 .400
Change of Service
..PAYME ,NT DUE WITH APPLICATION
Final