HomeMy WebLinkAbout37754-ZTown of Sonthold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
2/25/2013
CERTIFICATE OF OCCUPANCY
No: 36123 Date: 1/25/2013
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 1110 Gillette Dr, East Marion,
SCTM #: 473889 Sec/Block/Lot: 38.-2-12
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
1/15/2013 pursuant to which Building Permit No. 37754 dated 1/15/2013
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 Upgrade to 200 Amp Service
The certificate is issued to
Christopher & Elisabetta Coschignano
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
37754 01-17-2013
~~A~I'¢
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 #: 37754
Permission is hereby granted to:
Cook, Walter & Cook, Barbara
Date: 1/15/2013
CIO Judith C Palmer, Exec
8448 Woodlane Dr
Germantown, TN 38138
To:
Electrical Upgrade to 200 Amp Service
At premises located at:
1110 Gillette Dr, East Marion
SCTM # 473889
Sec/Block/Lot # 38.-2-12
Pursuant to application dated
To expire on 7/17/2014.
Fees:
1/15/2013
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.qer, richert~,town southold.ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
ssued To: C & E Coschignano
~,ddress: 1110 Gillette Drive City: East Madon St: NY Zip: 1193c~
3uilding Permit*: '~ 7 '~ ~/'~ Section: 38 Block: 2 Lot: 1';
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
,~ontractor: DBA: High Security Electric License No: 2401-me
SITE DETAILS
Office Use Only
Residential ~ Ind°°r R Basement ~ Service Only~
Commedcal Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 3 ph Hot Water GFCl Recpt
Main Panel A/C Condenser Single Recpt
Sub Panel NC Blower Range Recpt
Transformer Appliances Dryer Recpt
Disconnect Switches Twist Lock
Other Equipment: 2008 overhead service
Ceiling Fixtures ~
Wall Fixtures ~
Recessed Fixtures ~.~
;[mU ~rr;~l;r; F;ixtxt~;ree4~
Exit Fixtures ~
HID Fixtures
Smoke Detectors
CO Detectors
Pumps
Time Clocks
TVSS
Notes:
Inspector Signature:
Date: Jan 17 2013
81-Cert Electrical Compliance Form
54375 Lra~n Road
P.O. Box 1179
S~thold, NY 119'/1-0959
BOII~ING DEPARTMENT
TOWN OF $OUTHOLr~
A~:~L[CAT[ON FOR ELECTRICAL INSPECTION
BY: Date:
Name: "]" h~ r']'~ $ ~(~
License No.: ~ ~ 0 1 ~ ..
JOB~ITE iNFO~MATION: (:Indi~t~ required initiation)
*Cross Street: ~ / ~ . ~
Pete Ne.:
T~.MapDis~ct: 1000 .. Se~ion:o3~, oo BIo~: O~, OO Lo~ Ol~,
~.q~uest for Inspel~3n F(
r~ ~ r~ n ~q
'JAN 1 5 2013
BLDG DEPT.
TOWN OF SOUTHOLO
Telephone (631) 765-1802
·
REQUESTED BY:
Company Name:
Name:
License No.:
N:ldmss:
Ohone No.:
BI.re' r~ I~G DEPARTMENT
TOWN OF $OUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
Date:
JOBSITE INFORMATION: (*lndi~t~ mqui~ info~ation)
*~ss Street: '
T~.Map Di~: 1000 Se~ion: 03~. oO BI~: 0 a, O0 Lot:
*BRIE- F DESCRIPTION OF WORK (Please Print
m I bO
' {Please Circle/ill That ApPly)
*Is job ready for inspection:
*~ I ~U need a Temp Certificate:
Temp Information (If. needed}
*Semlce Size: ~ 3Phase
100
iNew Service: Re-eonne~t Underground
Addltienal Information:
YES/N~O) Rough In Final
YES/~L~
150 ~ 300 350 ,400 Olher
Number of Meters ~______~_~' of Servi~ ~
PAYMENT DUE WITH APPUCATION