HomeMy WebLinkAbout37985-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
5/3/2013
No: 36225
Date: 5/3/2013
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
ELECTRICAL
2350 Clearview Ave, Southold,
Sec/Block/Lot: 70.-10-28.3
Filed Map No.
conforms substantially to the Application for Building Permit heretofore
4/29/2013 pursuant to which Building Permit No.
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 officed dated
37985 dated 4/29/2013
underground electric service.
The certificate is issued to
Southold LLC
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
37985 4/18/13
· 'q"- -Autho~/~ed 1Sig~atur~
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 #: 37985
Permission is hereby granted to:
Southold LLC
Date: 4/29/2013
15439 Milan Way
Naples, FL 34110
mo~
underground electric service.
At premises located at:
2350 Clearview Ave, Southold
SCTM # 473889
Sec/Block/Lot # 70.-10-28.3
Pursuant to application dated
To expireon 10/29/2014.
Fees:
412912013
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: Michael Lloyd
Address: 2350 Clearview Ave City: Southold St: NY Zip: 11971
3uilding Permit #: 37985 Section: 70 Block: 10 Lot: 28.3
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
3ontractor: DBA: G&S Electric License No: 578-e
SITE DETAILS
office Use Only
Commedcal Outdoor I st Floor
New Renovation 2nd Floor
Addition Survey Attic
INVENTORY
Se~icelph ~ Hesf ~ Duplec Recpt ~ Ceiling Fixtures ~I-'-r---
Service 3 ph Hot Water GFCI Recpt
Wall Fixtures
Main Panel NC Condenser Single Recpt Recessed Fixtures
Sub Panel NC Blower Range Recpt Fluorescent Fixture !
Transformer Appliances Dr/er Recpt Emergency Fixtures !
Disconnect Switches Twist Lesk Exit Fixtures ·
Other Equipment: 200a underground service
PesiService Only
Hat Tub
Garage
HID Fixtures
Smoke Dsfecters
CO Detectors
Pumps
Time Cl~cks
TVSS
Inspector Signature:
Date: April 18 2013
Electdcal_Certificate.xls
Town Hall Annex
54375 Ma.in Read
P.O. Box 1179
Sourhoid, NY 11971-0959
Tdcphone (631) 765-180`)
, . _.F, ax (631) 765.9502.
ro.qer, ricnerqo~town.soutnolo.nv-us
REQUESTED BY:
Company Name:
Name:
License No.:
Address:
BLrlLDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECT ON
Date:
t lq 7/
*Name:
*Address:
*Cross Street:
*Phone No.:
Permit No.:
Tm( Map District:
JOBSITE INFORMATION: (*Indicates required information)
1000 Section: r70 Block: ] 0 Lot:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
(Please Circle NI That Apply)
*Is job ready for inspection:
*Do you need a Temp Certificate:
/NO
NO
Rough In Final
Temp Information (If neededl
*Service Size: ~ 3Phase 100 150 (~ 300 350 400 Other
*New Service: Re-connect ~ Number of Meters ~ge of Se~, i-~ Overhead
Additional Information: PAYMENT DUE WITH APplICATION
82-Request for Inspection Form