HomeMy WebLinkAbout37416-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
6/18/2013
No: 36302 Date: 6/18/2013
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 1110 Holden Ave, Cutchogue,
SCTM #: 473889 Sec/Block/Lot: 110.-5-16
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
8/2/2012 pursuant to which Building Permit No. 37416 dated 8/2/2012
was issued, and conforms to all of the requirements of the applicable provisions of thc law. The occupancy for
which this certificate is issued is:
overhead electric service.
The certificate is issued to
Brengel, Richard
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
37416
9/27/12
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 #: 37416
Permission is hereby granted to:
Brengel, Richard
1525 Eton Way
Crofton, MD 21114
Date: 8/2/2012
To:
Electric Service Upgrade
At premises located at:
1110 Holden Ave, Cutchogue
SCTM # 473889
Sec/Block/Lot # 110.-5-16
Pursuant to application dated
To expire on 2/1/2014.
Fees:
8/2/2012
and approved by the Building Inspector.
ELECTRIC
Total:
$85.00
$85.00
Building Inspector
Town Hall Annex
54375 Main Road
P.O. Box 1179
Soulhold~ NY 11971-0959
Telephone (631) 765-1802
Fax (631) 765-9502
ro.qer, richertC, town.southold.ny.us
BUILDING DEPARTMENT
TOWN OF 8OUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
ssued To: Stephen Pinzino
~,ddress: 1100 Holden Ave City: Cutchogue St: NY Zip: 11935
3uilding Permit #: Section: 110 Block: 5 Lot: 16
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Sontractor: DBA: Custom Lighting of Suffolk License No: 38893-me
SITE DETAILS
Office Use Only
Residential R Ind°°r ~ Basement ~ Service Only~
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
Service 1 ph ~ Heat
Ser¥ice 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
Dryer Recpt
Twist Lock
replace 200a overhead service
Ceiling Fixtures ~~J~] HID Fixtures
Wall Fixtures I I Smoke Detectors
Recessed Fixtures CO Detectors
Fluorescent Fixture Pumps
Emergency Fixture Time Clocks
Exit Fixtures I I TVSS
Notes:
Inspector Signature:
Date: Sept 27 2012
81-Cert Electrical Compliance Form.xls
Towa Hall Annex
54375 ~ Road
P.O. Box 1179
SouthoJd, NY 11971-0959
Telephone (631) 765-1802
r~er.richertCa~o (wn~.~ue~'~(~.n¥.us
BUILDING DEPMi'I1VIENT
TOWN OF SOUTHOLB
APPLICATION FOR ELECTRICAL INSPECTION
Phone No.:
JOBSITE INFORMATION:
*Name:
*Address:
*Cross Street:
*Phone No.:
Permit No.:
Tax Map District:
(*Indicates required information)
-/
1000 Section: \\O Block:
Lot:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
(Please Circle All That Apply)
*Is. job ready for inspection:
*Do you need a Temp Certificate:
(~)/NO Rough In
YES / ~
Temp'lnformation (l~,.ed) ·
· Service SiZe: ~ Ph~,,) 3Phase 100
· New Service: ~nnect Underground
Additional InfOrmation:
150 ~ 300 350
Number of Meters :f Change of Service
PAYMENT DUE WITH APPLICATION
400 Other
82-Request for Inspection Form