HomeMy WebLinkAbout37952-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
4/19/2013
CERTIFICATE OF OCCUPANCY
No: 36202
Date: 4/19/2013
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
ELECTRICAL
240 Sunset Path, Southold,
Sec/Block/Lot: 54.-1-19
Filed Map No.
conforms substantially to the Application for Building Permit heretofore
4/18/2013 pursuant to which Building Permit No. 37952
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:
Lot No.
filed in this ofliced dated
dated 4/18/2013
50 amp car charging outlet on front lawn.
The certificate is issued to
Manfredi, Richard & Manfi~edi, Mary
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
37952
4/19/13
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 #: 37952
Permission is hereby granted to:
Manfredi, Richard & Manfredi, Mary
391 Muttontown Rd
Syosset, NY 11791
Date: 4/18/2913
To:
50 amp car charging outlet on front lawn.
At premises located at:
240 Sunset Path, Southold
SCTM # 473889
Sec/Block/Lot # 54.-1-19
Pursuant to application dated
To expire on 10/18/2914.
Fees:
4118/2013 and approved bythe Building Inspector.
ELECTRIC $85.00
Total: $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
ro¢ler.richert(~.town.southold,ny.us
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
ssued To: Richard Manfredi
Address: 240 Sun Set Path City: Southold St: NY Zip: 11971
,.ilding Perm, #: ~ '~ ~ _~- ~ Section: 54 S,ock: t LO[: ,.'
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
3ontractor: DBA: G&S Electric License No: 578-e
SITE DETNLS
Office Use Only
Commedcal Outdoor I st Floor
New Renovation 2nd Floor
Addition Survey Attic
INVENTORY
Service 3 ph Ho[ Water GFCl Recpt
Main Panel NC Co~denser Single Recpt
Sub Panel NC Blower Range Recpt
Transformer Appliances Dr~er Recpt
Disconnect Switches Twist Look
Other Equipment: 1-50a receptacle (outside) for car charger
Service Only ~
Poc~
HO[ Tub
Garage
Ceiling Fixtures ~t~l[~ HiD Fixtures
Wall Fixtures M Smoke Detectors
Recessed Fixtures CO Detectors
Fluorescent Fixture Pumps
Emergency Fixtures Time Clocks
Exit Fixtures I I TVSS
Inspector Signature:
Date: April 19 2013
Electrical Cettificate.xls
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Telephone (631) 76.5-180'2
· . ~.ax (~B
ro.qer, ricnert(~town.soumola.ny.us
BUILDING DEPARTMENT
TOWN OF $OUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY:
Company Name:
Name:
License No.:
Address:
Phone No.:
Date:
JOBSITE INFORMATION: (*Indicates required information)
*Name:
*Address:
*Cross Street:
*Phone No.:
Permit No.:
Tax Map District:
1000 Section: ~--~ Block:
*BRIEF DESCRIPTION OF WORK (Please Pdnt Cleady)
(Please Circle All That Apply)
*is job ready for inspection:
*Do you need a Temp Certificate:
YES ~
Temp Information (If needed)
*Service Size: 1 Phase
*New Service: Re-connect
Additional Information:
3Phase 100 150 200 300 350 400 Other
Underground Number of Meters Change of Service Overhead
PAYMENT DUE WITH APPLICATION
82-Request for Inspection Form