HomeMy WebLinkAbout37942-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
6/11/2013
CERTIFICATE OF OCCUPANCY
No: 36293
Date: 6/11/2013
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 240 Champlio PI, Greenport,
SCTM #: 473889 Sec/Block/Lot: 34.-3-43
Subdivision: Filed Map No.
conforms substantially to thc Application for Building Permit heretofore
4/16/2013 pursuant to which Building Permit No.
Lot No.
filed in this officed dated
37942 dated 4/16/2013
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:
ELECTRIC SERVICE IN LIV1NG ROOM OF EXISTING DWELLING
The certificate is issued to
Grattan Jr, Daniel & Grattan, Sally
(OWNER)
of thc aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
37942 06-10-2013
~u~horized 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 #: 37942
Permission is hereby granted to:
Grattan Jr, Daniel & Grattan, Sally
323 Champlin PI
Greenport, NY 11944
Date: 4/16/2013
To:
electric in living room of existing dwelling.
At premises located at:
240 Champlin PI, Greenport
SCTM # 473889
Sec/Block/Lot # 34.-3-43
Pursuant to application dated
To expire on 10/16/2014.
Fees:
4/16/2013
and approved by the Building Inspector.
ELECTRIC
Total:
$85.00
$85.0O
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
rorer r chert~.town.southold.ny.us
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issue~ To: Daniel Grattan
Address: 323 (240) Champlin Place City: Gresnport St: NY Zip: 11944
]uilding Permit #: 37942 Section: 34 Block: 3 Lot: 43
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
'--1
Sontractor: DBA: Grattan Electric License No: 43643-me
SITE DETAILS
Office Use Only
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Ho{ Tub
Addition Survey Attic Garage
INVENTORY
Servicelph ~ Heet ~ DuplecRecpt ~
Service 3 ph Hot Water GFCI Recpt
Main Panel NC Condenser Single Recpt
Sub Panel NC Blower Range R~pt
Transformer Appliances D~,er Recpt
Disconn6ct Switches Twist Lock
Other Equipment: living room, electricle work only, 1-paddle fan
Ceiling Fixtures ]~~[~ HID Fixtures
Wall Fixtures M Smoke Detectors
Recessed Fixtures CO Detectors
Fluorescent Fixture L~ Pumps
Emergency Fixtures Time Clocks
Exit Fixtures ~ I TVSS
Inspector Signature:
Date: June 10 2013
Electrical Certificate.xls
INSPECTION
[ ] FOUNDATION 1ST [
[ ] FOUNDATION 2ND [
[ ] FRAMING/STRAPPING [
[ ] FIREPLACE & CHIMNEY [
[ ] FIRE RESISTANT CONSTRUCTION [
] ROUGH PLBG.
] INSULATION
] FINAL
] FIRE SAFETY INSPECTION
] FIRE RESISTANT PENETRATION
[~--]-ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
DATE
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
/J~]-ELECTRICAL (FINAL)
DATE ~'~//~////~
INSPECTO~
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Telephone (631) 765-1802
ro er ri" _...~ax (631) 765;~)502
.q . cnert(w, town.soumord.ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
BY:
Company Name:
Name:
License No.:
Address: ~ ~?~-'5-' ,/7,~,, r",~ ~. ~ r;_..,~np,~/-~,~ w~./~. ~l~./z.~
Phone No.: ~
JOBSITE INFORMATION: (*Indicates required information)
*Name: U~,q; ~./ U_,-,"c,[ 7~,~/q
*Address:
*Cross Street: ,~c~ ;,~
Phone No..
Permit No.: '
Tax Map District:
1000 Section:
*BRIEF DESCRIPTION OF WORK (Please Print Cleady)
Block: _~ Lot:
(Please Circle All That Apply)
*Is job ready for inspection:
*Do you need a Temp Certificate:
Temp Information (If needed}
*Service Size: 1 Phase
*New Service: Re-connect
3Phase 100
Underground
YES / NO Rough In-/\t~"'~ (%
150 200 300 350 400
Number of Meters Change of Service
PAYMENT DUE WITH APPLICATION
Additional Information:
Final
Other
Overhead
82-Request for Inspection Form