HomeMy WebLinkAbout37805-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
3/22/2013
CERTIFICATE OF OCCUPANCY
No: 36142 Date: 3/22/2013
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 1345 E Gillette Dr, East Marion,
SCTM #: 473889 Sec/Block/Lot: 38.-4-21
Subdivision: Filed Map No.
conforms substantially to the Application for Building Permit heretofore
2/12/2013 pursuant to which Building Permit No. 37805
was issued, and conforms to all of the rcquircmcnts of the applicable provisions of the law. The occupancy for
which this certificate is issued is:
REPAIR OF ELECTRICAL SERVICE
Lot No.
filed in this officed dated
dated 2/12/2013
The certificate is issued to
Sgarlato, Santa
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
37805 03/11/2013
v 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 #: 37805
Permission is hereby granted to:
Sgarlato, Santa
1 Irving PI
New York, NY 10003
Date: 2/12/2013
To:
re-attach electric service
At premises located at:
1345 E Gillette Dr, East Marion
SCTM # 473889
Sec/Block/Lot # 38.-4-21
Pursuant to application dated
To expire on 8/1412014.
Fees:
2112~2013
and approved by the Building Inspector.
ELECTRIC
Tohal:
$85.00
$85.00
Building Inspector
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
BUILDING DEPARTMENT
TOWN OF $OUTHOLD
Telephone (631) 765-1802
Fax (631) 765-9502
rorer, richertC~,town, sou thold ny. u s
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Santa Sgadato
Address: 1345 E Gillette Dr City: East Madon St: NY Zip: 11939
Building Permit #: 37805 Section: 38 Block: 4 Lol: 21
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: C-Cat Co License No: 953-e
SITE DETAILS
Office Use Only
Reside~tiei ~ Indcer [~ Basement ~ Service Only ~
Commedcal Outdoor 1 st Floor Pool
New Renovation 2nd Floor Hol Tub
Addition Survey Attic Garage
INVENTORY
Service 3 ph Hot Water GFCI Recpt
Main Pane[ NC Condenser Single Recpt
Sub Panel NC Blower Range Recpt
Transformer Appliances Dryer Recpt
Disconnect Switches Twist Look
Ceiling Fixtures ~j~j~J~J HID Fixtures
Wall Fixtures M Sm~,ke Detectors
Recessed Fixtures I ~ CO Datect~rs
Fluorescent Fixture Pumps
Emergency Fixtures Time Clceks
E~t Fixtures I I TVSS
Other Equipment: repair storm damage to overhead service, out side only, replace meter pan and
dser, interior remained as is. 200a overhead serwce
Inspector Signature:
Date: March 11 2013
Electdcal_Certificate.xts
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BUILDING DEPARTMENT
- TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
Date:
Phone No.:
JOBSITE INFORMATION: (*Indicates required info~,~afion)
*Name:
*Address:
*Cmss Street:
*Phone No.:
Permit No.:
Tax Map ~
1000 Section: ~ Block:
*BRIEF DESCRIPTION OF WORK (Please Pdnt Clearly)
(Please. Circle All That Apply)
*IS job re~y for inepec~on:
*Do you nccd a Temp Certificate:
--- ri
Rough In
Tomp Information (If needed]
*Service Size: ~ 3Phase 100 150 ~ 300 350 400 Other
*New Sen/ice:~ Underground Number of Meters Change of Sen'ice ~
Additional Information: PAYMENT DUE WITH APPMCATION