HomeMy WebLinkAbout38131-Z f
Town of Southold Annex 7/1/2013
~~K
fiy4~ P.O. Box 1179
_ ~ 54375 Main Road
~~i~ Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 36325 Date: 7/1/2013
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 20845 Soundview Ave, Southold,
SCTM 473889 SecBlock/Lot: 51.-4-14
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
6/25/2013 pursuant to which Building Permit No. 38131 dated 6/25/2013
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:
ELECTRICAL SURVEY -MOVED MAIN ELECTRIC PANEL
The certificate is issued to Soundview Ave LLC
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 38131 06-24-13
PLUMBERS CERTIFICATION DATED
- - -
Authorized Signatu6re
4~ TOWN OF SOUTHOLD
BUILDING DEPARTMENT
~ ~ TOWN CLERK'S OFFICE
~a' SOUTHOLD, NY
~ ,r
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 38131 Date: 6/25/2013
Permission is hereby granted to:
Soundview Ave LLC
PO BOX 20
Lynbrrok, NY 11563
To: Electrical Service
At premises located at:
20845 Soundview Ave, Southold
SCTM # 473889
SeclBlock/Lot # 51.-4-14
Pursuant to application dated 6/25/2013 and approved by the Building Inspector.
To expire on 12/25/2014.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
z~v?
~?FFO(
Town Hall Annex ~~p~ C4~ Telephone (631) 765-1802
54375 Main Road ~ ? Fax (631) 765-9502
P.O. Box 1179 G •
Southold, NY 11971-0959 # ~,DO~ roger.richert(a~town.southold.nv.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Soundview Ave LLC
Address: 20845 Soundview Ave City: Southold St: NY Zip: 11971
Building Permit#: 38131 Section: 5~ Block: 4LOt: 14
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: as built DBA: License No:
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only X
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph 200a Heat Duplec Recpt Ceiling Fixures HID Fixures
Service 3 ph Hot W ater GFCI Recpt Wall Fixures Smoke Detectors
Main Panel 200a A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect 200a Switches Twist Lock Exit Fixtures TVSS
Other Equipment: e12Ctl'IC~@ SUf'VeY Of 208 S@f'VIC@ (rT10V@d fT181n e~eCtrlC p8n61)
Notes:
Inspector Signature: Date: June 24 2013
Electrical Certificate.xls
ho~,~,OF SO//tyo6
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
1 NSPECTION
[ ]FOUNDATION 1ST [ ]ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING /STRAPPING [ ]FINAL
[ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION
[ ]FIRE RESISTANT CONSTRUCTION ]FIRE RESISTANT PENETRATION
[ ]ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
REMARKS: \
DATE Z ~ 13 INSPECTO ~
~o~~tf S(jUTyo6
Toren HaIE Ann~ac 1~ /~T~~]eRRp~~hrro((~~~gg (G3U 765.1802
54875 Main Road flCherr(CDLOYVn.~.
- P.O. Boz 1179 ~ ~ ro~er• ~ nv us
- Southold, NY 11971-0959
BUIIDIIVG DFd'AR'I'MI:Nt
TOWN OF SOVFHOI!.D
APPt_iCATION FOR ELECTRICAL INSPECTION
REQUESTED BY: ~Ui?~1~lEuf py/~ ~ Date: Z t~
Company Name:
Name:
License No.:
Address:
- Phone No.:
JOBSITE INFORMATION: (*lndicates r~e~q~u~i/red' i/nf~orma/tion}~/ / /
*Name: ~ 1~'~ v ~cL~T/ y~ ~ L
"`Address: ~ ~ ? ~
*CrossStreet: ~d_~~~~~~__ ~ ~ T
A Cr ~ i
*Phone No.:
Permit No.: 13-i
Tax Map District: 1000 Section: Block: Lot:
*BRIEP DESCRIPTION OF WORK (Please Print Clearly)
(Please Circle AN That Apply)
*Is job ready for inspection: YES / NO Rough I Final
*Do you need a Temp Certificate: YES / NO
Temp Information. {If needed)
*Service Size: 9 Phase 3Phase 100 150 200 300 350 400 Other
*Nevv Setvlce: Re-connect Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION n
S1
82-Request far inspection FoRn