HomeMy WebLinkAbout37608-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Somhold, New York 11971
11/29/2012
CERTIFICATE OF OCCUPANCY
No: 36027 Date: 11/2/2012
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 2225 Calves Neck Rd, Southold,
SCTM #: 473889 Sec/Block/Lot: 70.-4-45.3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
11/2/2012 pursuant to which Building Permit No. 37608 dated 11/2/2012
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:
electrical survey
The certificate is issued to
Kramer, John & Kramer, Valerie
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
37608 10/23/12
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 #: 37608
Permission is hereby granted to:
Kramer, John & Kramer, Valerie
Date: 11/2/2012
PO BOX 1369
Southold, NY 11971
To:
electrical survey
At premises located at:
2225 Calves Neck Rd, Southold
SCTM # 473889
Sec/Block/Lot # 70.-~45.3
Pursuant to application dated
To expire on 5/4/2014.
Fees:
111212012
and approved by the Building Inspector.
ELECTRIC
Total:
$125.00
$125.00
Building Inspector
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Telephone (631) 765-1802
Fax (631 ) 765-9502
toiler, richert~town.so uthold, ny. us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: John Kramer
Address: 2225 Calves Neck Rd City: Southold St: NY Zip: 11971
Building Permit #: ~ "'/ /,~ C> ~' Section: ~'~C> Block: ~ Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: electrical survey DBA: License No:
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 NC Blower Range Recpt
Transformer Appliances Dryer Recpt
Disconnect Switches Twist Lock
Other Equipment: whole 1 st floor, 3-exhaust fans, 6ft of lighting track
Ceiling Fixtures~~ ~ HID Fixtures
Wall Fixtures I 21 Smoke Detectors
Recessed Fixtures CO Detectors
Fluorescent Fixtur~ Pumps
Emergency Fixture Time Clocks
Exit Fixtures I I TVSS
Notes:
Inspector Signature:
Date: Oct 23 2012
81-Cert Electrical Compliance Form.xls
INSPECTION
[ ] FOUNDATION 1ST
] FOUNDATION 2ND
[ ] FRAMING/STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ~.~. ELECTRICAL (FINAL)
REMARKS:
INSPECTO~
Town Hall Ann~ Tc{¢phon¢ (631)
54,T/5 ~ Road ~
Southold, NY 11971-0959 ~'~
. TOWN or sou'l~o~.n ~ ~,,~
APPLICATION FoR ELECTRICAL INSPECTION ~'
ComPany Name:
Date:
Name:-
License No.:
Address:
Phone No.:
JOBSITE INFORMATION:
*Name: - - -'~-~'~ .-.
(*Indicates required information)
*Address:
*Cross Street:
*Phone No.: "~/~3'~ / z e.~--- ~/ .~?j~-~
Permit No.: ~'~ In D ~
TaxMap District: 1000 Section: ,~) Block:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Lot:
(Please Circle All That Apply)
*Is job ready for inspect On:
*Do-you need a Temp Certificate:
YES / NO Rough In
'YES / NO
F~al
Temp Information (If-needed}
*Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other
;'New Service: Re-connect Underground Number of Metem Change of Service
Addifienal Information: PAYMENT DUE WITH APPLICATION
Overhead
,82-Request for InspeciJon Form