HomeMy WebLinkAbout37578-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
10/19/2012
CERTIFICATE OF OCCUPANCY
No: 36016 Date: 10/19/2012
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 2432 Pine Tree Rd, Cutchogue,
SCTM ti: 473889 Sec/Block/Lot: 104.-2-11
Subdivision: Filed Map No.
conforms substantially to the Application for Building Permit heretofore
10/15/2012 pursuant to which Building Permit No.
was issued, and conforms to all of the requirements of the applicable provisions of thc law. The occupancy for
which this certificate is issued is:
upgrade electric service
Lot No.
filed in this officed dated
37578 dated 10/15/2012
The certificate is issued to
Gisondi, James & Gisondi, Caroline
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
37578
10/11/2012
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 #: 37578
Date: 10/15/2012
Permission is hereby granted to:
Gisondi, James & Gisondi, Caroline
480 Carol PI
Pelham Manor, NY 10803
To:
upgrade electric service
At premises located at:
2432 Pine Tree Rd, Cutchogue
SCTM # 473889
Sec/Block/Lot # 104.-2-11
Pursuant to application dated
To expire on 411612014.
Fees:
1011512012
and approved by the Building Inspector.
ELECTRIC
Total:
$85.00
$85.00
Building Inspector
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Telephone (631 ) 765-1802
Fax (631) 765-9502
ro.qer, richert~,town.so uthold, ny. us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: James Gisondi
Address: 2432 Pine Tree Rd City: Cutchogue St: NY Zip: 11935
Building Permit #: "~-'~ ~ '") ~ Section: Block: Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Brothers Electric License No: 45646-me
SITE DETAILS
Office Use Only
Residential ~ Indoor ~ Basement ~ Service Only ~
Commerical Outdoor 1 st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Servicelph ~ Heat ~ DuplecRecpt ~ CeilingFixtures ~ HIDFixtures ~
Service 3 ph Hot Water GFCI Recpt Wall Fixtures ~ Smoke Detectors
Main Panel NC Condenser Single Recpt Recessed Fixtures ~_~ CO Detectors
Sub Panel NC Blower Range Recpt Fluorescent Fixture ~ Pumps
Transformer Appliances Dryer Recpt Emergency Fixturesl~ Time Clocks
Disconnect Switches Twist Lock Exit Fixtures I I TVSS
Other Equipment: 200a overhead service
Notes:
Inspector Signature:
Date: Oct 11 2012
81-Cert Electrical Compliance Form.xls
~0-01-12;05:57,' t5167~712o=.., ~ 1/ ~
APPUCATION FOR ELECTRICAL INSPECTION
BY:
CiO 5,--0 C e II ' .b'--~(o -
[2_
JOBSITE INFORMATION: (*lndioatea required Information)
'8RIEF I::)ESCl~ON OF WORK (Please Print Clearly)
~.'P ~r~ ~& ,,[o0 ,~... .,~....o ..,$ e.,".v,.:~.e,.
'~oo ~ %0 .........
*Do yeu need a Temp Cerlfficate:
Temp InformaMmt (If ~
Rough In Final
YF_~I NO
PAYMENT DUE WITH APPLICATION
........