HomeMy WebLinkAbout37588-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
10/19/2012
CERTIFICATE OF OCCUPANCY
No: 36018 Date: 10/19/2012
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 1905 Bay Shore Rd, Greenport,
SCTM #: 473889 Sec/Block/Lot: 53.-4-9
Subdivision: Filed Map No.
conforms substantially to the Application for Building Permit heretofore
10/19/2012 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:
Electric Service Upgrade
Lot No.
filed in this officed dated
37588 dated 10/19/2012
The certificate is issued to
Zuar, Gary & Zuar, Kathleen
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
ut orized 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 #: 37588
Date: 10/19/2012
Permission is hereby granted to:
Zuar, Gary & Zuar, Kathleen
28 Willets Ln
Plandome, NY 11030
To:
Electric Service Upgrade
At premises located at:
1905 Bay Shore Rd, Greenport
SCTM # 473889
Sec/Block/Lot # 53.-4-9
Pursuant to application dated
To expire on 4/20/2014.
Fees:
10119/2012
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, richert~town.southold,ny, us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Cathy Zuar
Address: 1905 Bayshore Rd City: Greenpod St: NY Zip: 11944
Building Permit #: Section: Block: Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: QC Electric Inc License No: 3823-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
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 I I TVSS
Other Equipment: 2008 overhead service up grade
Notes:
Date: Sept 13 2012
81-Cert Electrical Compliance Form.xls
Town Hall Annex
54,375 Main Road
P.O. Box 1179
Soulhold, NY 11971-0959
Telephone (6,31) 765-1802
roflor, richertdt~ (wn~.l~5°l~l.n¥.us
BUII.~ING DEP~
TOWN OF so[rrHoT.n
APPLICATION FOR ELECTRICAL INSPECTION
~-d~ ~oS/,,Q Date:
REQUESTED BY:
Name:
Name:
License No.:
Address:
No.:
JOBSITE INFORMATION: (*Indicates required information)
*Name: C~Ti~q ~O~
*Address: Iqos' IL . ,u.
*Cross Street:
Permit No.:
Tax. Map District: 1000 Section: ~ '~, Block:
*BRIEF DESCRIPTION OF WORK (Please Pdnt Clearly)
Lot:
(Please Circle All That Apply)
*Is job ready for inspectiOn:
*Do you need a Temp Certificate:
Temp Information (ff needed]
*Service Size: ~
*New Service: Re-connect
Additional Information:
,y
.
NO Rough In ~
NO
3Phase 100 150 (~ 300 350 400 Other \~
Underground Number of Meters ~~' , ~%~
PAYMENT DUE WITH APPLICATION '.~ "\