HomeMy WebLinkAbout37609-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
11/27/2012
CERTIFICATE OF OCCUPANCY
No: 36059
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 300 Sutton P1, Greenport,
Date: 11/27/2012
SCTM #: 473889 Sec'Block/Lot: 33.-4-47
Subdivision: Filed Map No.
conforms substantially to the Application for Building Permit heretofore
11/2/2012 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 change
Lot No.
filed in this officed dated
37609 dated 11/2/2012
The certificate is issued to
Foertsch, Karen & Levine, Marianne
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
37609 11/26/2012
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 #: 37609
Date: 11/2/2012
Permission is hereby granted to:
Foertsch, Karen & Levine, Marianne
6 Craig Ct
Lake Grove, NY 11755
To:
electric service change
At premises located at:
300 Sutton PI, Greenport
SCTM # 473889
Sec/Block/Lot # 33.-4-47
Pursuant to application dated
To expire on 5/4/2014.
Fees:
111212012
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.qe r. richert~,,town.southold.ny, us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
ssued To: Clark
~,ddress: 31 Sunset La City: Greenport St: NY Zip: 11
3uilding Permit #: Section: 33 Block: 4 Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
3ontractor: DBA: C-Cat Co LicenseNo: 953-me
SITE DETAILS
Office Use Only
Residential ~ Indoor ~ Basement ~ Service Only ~
Commedcal Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Servicelph ~ Heat ~ DuplecRecpt ~
Service 3 ph Hot Water GFCI Recpt
Main Panel A/C Condenser Single Recpt
Sub Panel NC Blower Range Recpt
Transformer Appliances D~er Recpt
Disconnect Switches Twist Lock
Other Equipment: 200a overhead service
Ceiling Fixtures [~ 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
Town Hall Ann,~
54375 Main Road
P.O. Box 1179
So~hold, NY 1
Tclepimae (631) 76~-180~
reG.' ' ...F~x (~1) 76,.%.,~0~.
.~.soumo~.ny. us
BUn ~ING DF_,P~
- TOWN OF SOErE~oir.ll
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: ~
Company Name: C-~ ~,~\0 oJ~: r._.
Name: ...... '-~%jCL~.,~'~ ~--- C~ ~,'~', ~
JOBSITE INFORMATION: (*Indicates required information)
*Name:
*Address:
*Cross Stm(c
Permit No.:
Tax Map Distric~
1000 Section: ~
*BRIEF DESCRI ~PTION OF WORK (Please Print Clearly)
C2 ~r' ,,.)5 (o ~
(Please Circle All That Apply)
*IS job rea~l, y for inspection:
*Do you nccd a Temp Certificate:
Temp Inforrmdion (If needed]
*Service Size: 1 Phase
*New Seflace: Re-connect
Additional Information:
NO
Block: q Lot:
Rough In Final
3Phase 100 150 ~ 300 350 400 Other
Underground Number of Metem ~Se~-~ Overhead
PAYMENT DUE WITH APPLICATION