HomeMy WebLinkAbout37927-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
4/19/2013
CERTIFICATE OF OCCUPANCY
No: 36201
Date:
4/19/2013
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
ELECTRICAL
835 First St, New Suffolk,
Sec/Block/Lot: 117.-8-15
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
4/10/2013 pursuant to which Building Permit No. 37927 dated 4/10/2013
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:
storm damage electrical repairs.
The certificate is issued to
HarkoffCharles D & Diane Rvc Trt
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
37927 4/17/2013
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 #: 37927
Permission is hereby granted to:
Harkoff Charles D Rvc Trt & Harkoff Diane Rvc Trt
Date: 4/10/2013
To:
120 E Camp Mineola Rd Ext
PO BOX 1269
Mattituck, NY 11952
Electrical Repairs
At premises located at:
835 First St, New Suffolk
SCTM # 473889
Sec/Block/Lot # 117.-8-15
Pursuant to application dated
To expire on 1011012014.
Fees:
4/10/2013 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
roaer.richert~town.southold.ny.us
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
ssued To: Harkoff (Legends Harborside Ltd)
~,ddress: 835 First Street City: New Suffolk St: NY Zip: 11956
3uilding Permit #: 37927 S~ion: 117 Block: 8 Lot: 15
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
3ontractor: DBA: Tucker Electric Inc License No: 4926-me
SITE DETAILS
Office Use Only
Residential ~ Indocr ~ Basement ~ Service Only ~
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Sun/e¥ Attic Garage
INVENTORY
Sefvicelph ~ Heat ~ DuplocR~cpt ~ CeilingFixtures ~ HIDFixtures ~
Service 3 ph Hot Water GFCI Respt Wall Fixtures , Smoke Dotectors
Main Panel NC Condenser Single Respt Recessed Fixtures CO Detectors
Sub Panel NC Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dr,~ Recpt Emergency Fixtures Time Clocks
Disconnect Switches Twist Lock Exit Fixtures TVSS
Other Equ~pn~ent: storm damage, (Sandy) repairs, replaced 20 receptacles, transfer switch
5-step lights, exhaust hood wiring (3-fans)
Inspector Signature:
Date: April 17 2013
Elect rical_Cectiflcate.xt s
~.0. Bo~ ll~J
So.hold, NT 11~71-0959
Telephone (~1) 765-1802
BU~r~I~G DEPA~blF, NT
TOWN OP 8OUTIiOI,D
APPLICATION FOR ELECTRICAL INSPECTIOH
REQUESTED BY: ~e.~,,oV~ ~_. ~.¢,~_
Company Name:
Name:
Ucense No.:
AddreSS:
Phone No.:
*Name:
*Address:
*Cross Street:
*Phone No.:
Permit No.:
Tax Map District:
JOBSITE INFORMATION: (*Indicates required information)
1000 Section: ( I~/ B/ock: ~ Lot:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly) R¢0~r~ ~:r ~
*Is job marly for inspection:
*Do. you need a Temp Certificate:
Temp Information (If needed)
*Service Size: 1 Phase 3Phase
~New Service: Re-connect
Addlfiena! Information:
~)1 NO Rough In
YES I NO
100 150 200 3C0 350 .400
Underground Number of Meters Change of Service
PAYMENT DUE WITH APPUCATIOH
B2q~quest f~- Ii--on Form
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