HomeMy WebLinkAbout37807-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Somhold, New York 11971
3/11/2013
CERTIFICATE OF OCCUPANCY
No: 36161
Date:
3/11/2013
THIS CERTIFIES that the building
Location of Property:
SCTM#: 473889
Subdivis~n:
ELECTRICAL
2100 Park Ave, Mattituck,
Sec/Block/Lot: 123.-8-8.3
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
2/13/2013 pursuant to which Building Permit No. 37807 dated 2/13/2013
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:
UNDERGROUND ELECTRIC SERVICE AND RE-LOCATION OF ELECTRIC METER
The certificate is issued to
Swahn, Peter & Swahn, Barbara
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
37807 03-05-2013
~u~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 #: 37807
Permission is hereby granted to:
Swahn, Peter & Swahn, Barbara
PO BOX 729
Mattituck, NY 11952
To:
underground electdc service.
Date: 2/1312013
At premises located at:
2100 Park Ave, Mattituck
SCTM # 473889
Sec/Block/Lot # 123.-8-8.3
Pursuant to application dated
To expire on 8/1512014.
Fees:
2/13/2013
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
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Telephone (631) 765-1802
Fax (631) 765-9502
roRer.richert~.town.southold.ny.us
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Pater Swahn
Address: 2100 ParkAve City: Mattituck St: NY Zip: 11952
Building Permit #: 37807 Section: 123 Blcck: 8 Lc{: 8.3
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
,;ontractor: DBA: Dirrect Connection Const License No: 44943-me
SITE DETAILS
Office Use Only
Residential ~ Indonr ~ Basement ~ Service Only ~
Commedcal Outdoo~ I st Floor Pool
New Renovation 2nd Fi(or Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 3 ph Hc{ 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 R~[~ HID Fixtures
Wall Fixtures I I Smoke Detectors
Recessed Fixtures CO Dotectors
Fluorescent Fixture ~ Pumps
Emergency Fixtures Time Clocks
E~dt Fixtures I I TVSS
200a underground service-re-locate electric meter only, (interior remains as is)
Inspector Signature:
Date: March 5 2013
Electdcal_Certificate.xls
Tdq~hone (631) 765-1802
REQUESTED BY:
Company Name:
4ame:
_icense No.:
\ddress:
Phone No.:
BI~FI!,DI~I~ DI~
TOWN OF SOtrrHOLD
APPLICATION FOR ELECTRICAL INSPECTION
_ lqqq3-'t
JOI3SITE INFORMATION: (*indicates required information)
*Address:
*Cross Street:
*Phone No.:
Permit No.:
Tax-Map District:
1000 . Section: ~'~o,.~ Block: ~ Lot: ~',~
*BRIEF DESCRIPTION OF WORK (Please Print Cleady)
' (Please Circle All That Apply)
*Is Job ready for inspection:
*Do-yo[I riced a Temp Cediflcate:
Temp Information (If. needed)
*Service Size: 1 Phase
;'New Service: Re-eonneot
Additienal Information:
NO.
NO
3Phase 100 150 200
Underground Number of Metem
Rough In Final
300 350 400 Other
Change of Service Ovenhead
PAYMENT DUE WITH APPLICATION