HomeMy WebLinkAbout37897-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
4/1/2013
CERTIFICATE OF OCCUPANCY
No: 36183
Date:
3/29/2013
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
ELECTRICAL
3005 Wells Rd, Peconic,
Sec/Block/Lot: 86.-2-4
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
3/29/2013 pursuant to which Building Permit No. 37897 dated 3/29/2013
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:
replace outlets, switches and relocate 2 x 2 layinn fixtures in basement.
The certificate is issued to
Jonathan Zavin & Bewrnadette Hogan
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
37897
3/26/13
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 #: 37897
Permission is hereby granted to:
Miller, Karen
330 Majors Path
Southold, NY 11971
Date: 3/29/2013
To:
replace outlets, switches and relocate 2 x 2 layinn fixtures.
At premises located at:
3005 Wells Rd, Peconic
SCTM # 473889
Sec/Block/Lot # 86.-2-4
Pursuant to application dated
To expire on 9/28/2014.
Fees:
3/29/2013
and approved by the Building Inspector.
ELECTRIC
Total:
$90.00
$90.00
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,qe r. fiche rt ¢b,,town.southold .ny.us
BUILDING DEPARTMENT
TOWN OF' SOUTI-IOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
ssued To: Zavin / Hogan
Address: 3005Wells Rd City: Peconic St: NY Zip: 11958
3uilding Permit #: .~ '7 ~ ~i '"~ Section: 86 Block: 2 Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
~.ontractor: as built DBA: Zion Electric Inc License No: 38487-me
SITE DETAILS
Office Use Only
Residential ~ Indoor ~ Basement ~ Service Only ~
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
Service I ph U Heat
Service 3 ph ~ Hot Water
Main Panel NC Condenser
Sub Panel NC Blower
Transformer Appliances
Disconnect Switches
Other Equipment:
INVENTORY
GFCI Recpt
Single Recpt
Range Recpt
Dr?er Recpt
Twist Lock
as built survey of basement
Ceiling Fixtures [~ HID Fixtures
Wall Fixtures I I Smoke Detectors
Recessed Fixtures[~ CO Detectors
Fluorescent Fixture ~.~ Pumps
Emergency Fixtures[~ Time Clocks
Exit Fixtures ~ TVSS
Inspector Signature:
Date: March 26 2013
81-Cer[ Electrical Compliance Form.xls
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING / STRAPPING [
[ ] FIREPLACE & CHIMNEY [
[ ] FIRE RESISTANT CONSTRUCTION [
[ ] ELECTRICAL (ROUGH)
REMARKS:
[ ] ROUGH PLBG.
[ ]INSULATION
]FINAL
]FIRE SAFETY INSPECTION
]FIRE RESISTANT PENETRATION
~____ELECTRICAL (FINAL)
DATE ~/'~//~ ~ INSPECTOR~~~-
09:45 FAX 6317324414 ZION-ELECTRIC-INC44i4555 ~001/001
765-1802
BI)~ ~G DEPalm~r
TOWN OF SOUTHO~.n
APP~ ELECTRIC L I- SPECTION
REQUESTED BY: Date: ~
~pany Name: Z. Jox/ ~L_~.~-.Tt~.4~(.~ t ~C- . "
N~e: ~ ~ - .
~neNo.:.. ' ~-~~1
3OBSITE iNFO~TION:' (*ln~t~ ~ui~ info~on) .
*Cm~ S~ ' ~ · ,
~ne No.:
P~ ~o.:
~ I~M I ~ S '
(Please Circle All That Apply)
*la job ready for irlspect~
*Doyou need a Temp Certilfoate:
Temp InformatlM~ (If-needed}
*Service Size: 1 Phase 3Phase
~v Se~Jce: Re..o(x,~eot'
~i In~a~:
Rough In
100 150 ::ZOO 300 350 400 Other
Underground Number of Melers Change of Senace Overhead '
PAYMENT DUE WITH APPLICATION