HomeMy WebLinkAbout37659-ZSouthold, New York 11971
12/14/2012
CERTIFICATE OF OCCUPANCY
No: 36085
Date: 12/14/2012
Location of Property:
SCTM #: 473889
Subdivision:
THIS CERTIFIES that the building ELECTRICAL
9780 Route 25, East Marion,
Sec/Block/Lot: 31.-10-5
Filed Map No.
conforms substantially to the Application for Building Permit heretofore
11/29/2012 pursuant to which Building Permit No.
Lot No.
filed in this officed dated
37659 dated 11/29/2012
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:
overhead electric service to garaee.
The certificate is issued to
Brischler, Thomas & Brischler, Janine
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
37659
12/11/12
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 #: 37659
Permission is hereby granted to:
Brischler, Thomas & Brischler, Janine
9 Cedar Hill Rd
Miller Place, NY 11764
To:
electric service
Date: 11/29/2012
At premises located at:
9780 Route 25, East Marion
SCTM # 473889
Sec/Block/Lot # 31 .-10-5
Pursuant to application dated
To expire on 5/31/2014.
Fees:
11/29/2012
and approved by the Building Inspector.
ELECTRIC
Total:
$85.00
$85.00
uilding Inspector
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY I 1971-0959
Telephone (631 ) 765-1802
Fax (631 ) 765-9502
rofler.richertC, town.southo d ny us
BUILDING DEPARTMENT
TOWN OI* SOUTItOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
ssued To: Brischler
Address: 9780 Main Rd City: East Marion St: NY Zip: 11939
Building Permit#: ,~ (~.~-~ Section: 31 Block: tO
Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Bill Ruis Elec Cent Co License No: 38263-me
SITE DETAILS
Office Use Only
Residential ~ Indoor [~ Basement ~ Service Only ~
Corn m erical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 3 ph Hol Water GFCI Recpt
Main Panel NC Condenser Single Recpt
Sub Panel NC Blower Range Recpt
Transformer Appliances Dryer Recpt
Disconnect Switches Twist Lock
Other Equipment: 200a overhead service to garage
Ceiling Fixtures [~ HID Fixtures
Wall Fixtures ~.~ Smoke Detectors
Recessed Fixtures ~ CO Detectors
Fluorescent Fixtur(~ Pumps
Emergency Fixture Time Clocks
Exit Fixtures ~ TVSS
Inspector Signature:
Date: Dec 11 2012
81-Cert Electrical Compliance Form.xls
INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [.~].FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ,~.~LECTRICAL (FINAL)
REMARKS:
DATE
5~375 Main Road
J. ovu ~oM, NY 1 ~97
BU]t .DING DEPA.P.'Hvfi~'q'
TOWN OF $OD'THOTJ3
_APPLICATION FOR ELECTRICAL INSPEC_TION
REQUESTED BY: ._[/V~ ~__L_/&....~,'~_ /~ '~. 1 5
Compar~yNarra: B/~/-- /~(Z/J /~C(_~T~C~qL,
Name:
License No.:
Address:
Phone No.:
*Address:
'Cross Street:
*Phone No.:
Permit No.:
Tax Map District:
.j O.j'"' ,,L:_ L. rh v,/ o o o
~ f - 7~ a - 70 qo
¢~:c~ '~,.7/- 7~7 - 7/¢o
JOBSITE INFORMATION: (*Indicates required information)
_ ? Z~_~/~ ~ _~T ~/~_~
_~_~.~.~ - q:~ ~ ...............
__ !_o_o_o___. Section:/ ~' ~~ Lo-~ _5-'
*BRIEF DESCRIPTION OF WORK (Please Print Clea..dy) ...,--~-/V--':f 7% cc ~ ,,4/G._ ~
............... .........
(Please Cir,~!e ~il That Apr)ly)
*is job ready for inspection:
*Do you need a Temp Certificate:
Temp Information'(If needed]
*Service Size; l~P~ase~.~ 3Phase
*New Service:
100
Re-connect Underground
(~_~NO Rough In ~
150 (~ ;500 350 400 Other
Number of Msters0_~hange of Servic~
Additional Information: PAYMENT DUE WITH A..PPLICATION
82-Request for Inspection Form