HomeMy WebLinkAbout37613-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
11/27/2012
CERTIFICATE OF OCCUPANCY
No: 36060 Date: 11/27/2012
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 645 Knapp P1, Grecnport,
SCTM #: 473889 Sec/Block/Lot: 34.-2-10
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
11/7/2012 pursuant to which Building Permit No. 37613 dated 11/7/2012
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 Change
The certificate is issued to
Harris, Peter & Harris, June
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
37613 11/26/2012
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 #: 37613
Permission is hereby granted to:
Harris, Peter & Harris, June
Date: 11/712012
Knapp PI
Greenport, NY 11944
To:
Electric Service Change
At premises located at:
645 Knapp PI, Greenport
SCTM # 473889
Sec/Block/Lot # 34.-2-10
Pursuant to application dated
To expire on 5/912014.
Fees:
11/7/2012 and approved bythe Building Inspector.
ELECTRIC
Total:
$$5.00
$85.00
Building Inspector
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold. NY 11971-0959
Telephone (631) 765-1802
Fax (63 I) 765-9502
rofler, dchert~town.southold.n¥.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Hards
Address: 212 Knapp PL City: Greenport St: NY Zip: 11944
Building Permit #: 36713 Section: 34 Block: 2 Lot: 10
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: C-Cat Co License No: 953-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
Service 3 ph Hot Water GFCI Recpt
Main Panel A/C Condenser Single Recpt
Sub Panel A/C Blower Range Recpt
Transformer Appliances Dryer Recpt
Disconnect Switches Twist Lock
Other Equipment: 100a overhead service
Ceiling Fixtures [E~ HID Fixtures
Wall Fixtures ~.~ Smoke Detectors
Recessed Fixtures ~.~ CO Detectors
Fluorescent Fixture ~.~ Pumps
Emergency Fixtures~___~ Time Clocks
Exit Fixtures ~ TVSS
Notes:
Inspector Signature:
Date: Nov 26 2012
81-Cert Electrical Compliance Form.xls
Tck'idlo~ (631) 765.-1802
BUILDING DEPARTMENT
· TOWN OF SOUTHOLn
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED
BY:
I
Date: [~ [~-II ?-
Company Name:
P~ne No.:
JO~l~ INFOR~TION: (*lndi~t~ ~ui~ info~afion)
*Name:
*Phone No.:
Permit No.:
Tax Map ~
~000 Section:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Block:
Lot:
(Please-Circle All That Apply)
*Is job re~l, y for inspection:
*Do you nccd a Tamp Certificate:
Tamp Information (If needed]
*Service Size: I Phase
*New Service: Re-connect
Additional Information:
3Phase ~ 150 200
Underground Number of Meters
Rough In Final
300 350 400 Other