HomeMy WebLinkAbout37668-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
1/16/2013
CERTIFICATE OF OCCUPANCY
No: 36093
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 300 Haywaters Dr, Cutchogue,
Date: 12/19/2012
SCTM #: 473889 Sec/Block/Lot: 104.-5-20.1
Subdivision: Filed Map No.
conforms substantially to the Application for Building Permit heretofore
12/5/2012 pursuant to which Building Permit No. 37668
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:
Lot No.
filed in this ofilced dated
dated 12/5/2012
Overhead Electric Service
The certificate is issued to
Murray, Donna
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
37668 12/19/2012
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 #: 37668
Permission is hereby granted to:
Murray, Donna
Date: 12/5/2012
6 Toll Gate Ct
Lynbrook, NY 11563
To:
Overhead Electric Service
At premises located at:
300 Haywaters Dr, Cutchogue
SCTM # 473889
Sec/Block/Lot # 104.-5-20.1
Pursuant to application dated
To expire on 71212014.
Fees:
12/5/2012
and approved by the Building Inspector.
ELECTRIC
Total:
$90,00
$90.00
Building Inspector
7
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Telephone (631 ) 765-1802
Fax (631) 765-9502
roger r chert~town.southold~ny, us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Tom Murray
~,ddress: 300 Haywaters Dr City: Cutchogue St: NY Zip: 11935
Building Permlt #: ~),~/~.~ ~ Section: I~)L~ Block: 5 Lot: O~),
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
3ontractor: DBA: Bdan Brooks Electrical Inc License No: 3613-me
SITE DETAILS
Office Use Only
Residential ~ Indoor ~ Basement ~ Service Only ~
Comrnedcal Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Servicelph ~ Heat ~ DuplecRecpt ~
Service 3 ph Hot Water GFCl 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
Ceiling Fixtures [~ HID Fixtures
Wall Fixtures ~l Smoke Detectors
Recessed Fixtures J.~ CO Detectors
Fluorescent Fixture ~ Pumps
Emergency Fixtures~ Time Clocks
Exit Fixtures L~l TVSS
Notes:
Inspector Signature:
Date: Dec 18 2012
81-Cert Electrical Compliance Form.xls