HomeMy WebLinkAbout37211-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
5/11/2012
No: 35592
Date:
5/11/2012
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
ELECTRICAL
700 Glen Ct, Cutchogue,
Sec/Block/Lot: 83.- 1 - 18.1
Filed Map No.
conforms substantially to the Application for Building Permit heretofore
Lot No.
fried in this offlced dated
5/11/2012 pursuant to which Building Permit No. 37211 dated 5/11/2012
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 inspection
The certificate is issued to
Magill, Alfi'ed & Magill, Mary
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
37211 5/11/92
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#: 37211
Permission is hereby granted to:
Magill, Alfred & Magill, Mary
1145 Fleetwood Rd
Date: 5/11/2012
To:
Cutcho~e, ~N_Y.? 1_9_35
electrical inspection
At premises located at:
700 Glen Ct, Cutchogue
SCTM # 473889
Sec/Block/Lot # 83.-1-18.1
Pursuant to application dated
To expire on 11/10/2013.
Fees:
5/11/2012 and approved bythe 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 (63 I) 765-9502
ro.qer, richert~,town.southold, ny. us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Alfred A Magill
Address: 700 Glen Court City: Cutchogue St: NY Zip: 11935
Building Permit#: Section: <~:> Block: I Lot: I~), I
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: as built DBA: License No:
SITE DETAILS
Office Use Only
Commefical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel NC Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel NC Blower Range Recpt Fluorescent Fixture U Pumps
Transformer Appliances Dryer Recpt Emergency FixturesL~j Time Clocks
Disconnect Switches Twist Lock Exit Fixtures ~ TVSS
Other Equipment:
re inspection of electrical service, meter pan, and main distribution panel, found to
be code compliant and in a safe and matained condition.
Notes:
Inspector Signature:
Date: May 11 2012
81-Cent Electrical Compliance Form.xls
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Telephone (631) 76.%1802
BUn.~G DgPARTIVIEHT
TOWN OF SOUTItOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: ,,".)Z,~,~-~
Company Name:
Name:
License No.:
Address:
*Name:
*Address:
*Cross Street:
*Phone No.:
Permit No.:
Tax. Map District:
Phone No.: ~.3/-* 73'~,".~ ~'/'Z'~ /,~,,,w~r-., ~.~_
JOBSITE INFORMATION: (*Indicates required information)
1000 Section: ~ Block:
*BRIEF DESCRIPTION OF WORK (Please PHnt Cleady)
(Please Circle All That Apply)
*Is job ready for inspection:
*Do.you need a Ternp Certificate:
Temp Information (If needed)
*Service Size:
~New Service:l
Additienal Inform
82-Request for In.<
1 Phase 3Phase
u AY l l 2012
BLDG. DEPI.
~CUQiLi~_rmTOWN OF SOUIHOLD
Final
100. 150 200 300 350 400 Other
Number of Meters Change of Service Overhead
~,YMENT DUE WITH AP,PLICATION
YE..~ / NO Rough In
YES / NO