HomeMy WebLinkAbout37611-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
2/25/2013
CERTIFICATE OF OCCUPANCY
No: 36149
Date: 2/25/2013
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 505 W Cedar Point Dr, Southold,
SCTM #: 473889 Sec/Block/Lot: 90.-1-7
Subdivision: Filed Map No.
conforms substantially to the Application for Building Permit heretofore
11/5/2012 pursuant to which Building Permit No.
Lot No.
filed in this officed dated
37611 dated 11/5/2012
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 fire repair in kitchen.
The certificate is issued to
Case, Gerard & Case, Constance
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
37611
2/6/13
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 #: 37611
Permission is hereby granted to:
Case, Gerard & Case, Constance
Date:
11/5/2012
505 W Cedar Point Dr
Southold, NY 11971
To;
Electric Fire Repair in Kitchen
At premises located at:
505 W Cedar Point Dr, Southold
SCTM # 473889
Sec/Block/Lot # 90.-1-7
Pursuant to application dated
To expire on 5/7/2014.
Fees:
1115/2012
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
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Telephone (631) 765-1802
Fax (631) 765-9502
roqer.richert(~,town.southold.ny.us
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Gerard Case
Address: 505 Cedar Point Ddve West City: Southold St: NY Zip: 11971
3uildingPerrnit#: 3"7L~/ I Section: 90 Block: 1 Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Paul Burns Electrical Cont License No: 3897-e
SITE DETAILS
Office Use Only
Residential ~ 'ndc°r F~ Beserneat ~ Service Only~
Commedcal Outdoor I st Floor Poat
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 3 ph Hot 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:
Ceiling Fixtures [~ HID Fixtures
Wall Fixtures [~ Smoke Detectors
Recessed Fixtures ~ CO Detectors
Fluorescent Fixture U Pumps
Emergency Fixtures~ Time Clonks
Exit Fixtures ~ TVSS
kitchen fire repair and service re-connect, 200a overhead service, 1-paddle fan
Notes:
Inspector Signature:
Date: Feb 6 2013
Electrical_Certificate.xls
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING / STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONSTRUCTION [
[ ] ELECTRICAL (ROUGH) [
ROUGH PLBG.
INSULATION
FINAL
FIRE SAFETY INSPECTION
FIRE RESISTANT PENETRATION
ELECTRICAL (FINAL)
REMARKS:
DATE
Town ~ Annex
c~,375 Main Road
]~.O. Box 1179
Sombold, NY 11971.09~9
Telephone (631) 765-1802
m er. richer tl~o (wn~.~)s~f~. ny. us
REQUESTED BY:
Company Name:
Name:
License No.:
Address:
BTLff~ ~Ii~/G DEPARTMENT
TOWN OF 8OUTHO~.r~
APPLICATION FOR ELECTRICAL INSPECTION
JOBSITE INFORMATION: (*Indicates required information)
*Name:
*Address:
*Cross Street:
*Phone No.:
Peri'nit No.:
Tax,Map District:
1000 . Section: Block:
Lot:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
(Please Circle All That Apply)
*Is job ready for inspection:
*Do-you need a Temp Certificate:
NO
NO
Rough In Final
Temp I ~nf~n. ation (~j_n_n_n_n_n_n_n_n_n~_ded}
*Service S~ze: /~"- ~_ 3Phass 100 150 <~ 300 350 .400 Other
*New Service:~ Underground Number of Meters Change of Service Overhead
Additienal Information: PAYMENT DUE WITH APPLICATION
B2~Request for I~eclJ~n Fora1