HomeMy WebLinkAbout38107-Z ~ !t'~~~ ~ Town of Southold Annex 7/15/2013
~ P.O. Box 1179
54375 Main Road
'i3 ~ ti' Southold, New York 11971
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CERTIFICATE OF OCCUPANCY
No: 36397 Date: 7/15/2013
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 7895 Skunk Ln, Cutchogue,
SCTM 473889 SecBlock/Lot: 104.-4-24
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this otficed dated
6/18/2013 pursuant to which Building Permit No. 38107 dated 6/18/2013
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:
REPAIR TO EXTERIOR PORTION OF OVERHEAD SERVICE
The certificate is issued to Salzman, Gabriel & Lombardo, Salvatore
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 38107 06-10-2013
PLUMBERS CERTIFICATION DATED
- - - -
A
Authorized Signature
~~Fa~
<<+ TOWN OF SOUTHOLD
BUILDING DEPARTMENT
~ TOWN CLERK'S OFFICE
~~Q~;. SOUTHOLD,NY
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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 38107 Date: 6/1812013
Permission is hereby granted to:
Salzman, Gabriel & Lombardo, Salvatore
153 Sixth Ave
Brooklyn, NY 11217
To: repair exterior electric service
At premises located at:
7895 Skunk Ln, Cutchogue
SCTM # 473889
Sec/Block/Lot # 104.-4-24
Pursuant to application dated 6/18/2013 and approved by the Building Inspector.
To expire on 12/18/2014.
Fees:_
ELECTRIC $85.00
Total: $85.00
Building Inspector
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Town Hall Annex ~~0~ CG~ Telephone (631) 765-1802
54375 Main Road ~ ? Fax (631) 765-9502
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P.O. Box 1179
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Southold, NY 11971-0959 y~YO! * ,*.Da roper.richertCo~town.southold.nv.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Sal Lombardo
Address: 7895 Skunk Ln City: Cutchogue St: NY Zip: 11935
Building Permit 38107 Section: 104 Block: 4 Lot: 24
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
contractor: oeA: Lademann Electric Inc License No: 4141-e
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only X
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Adddion Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent FiMUre Pumps
Transformer Appliances Dryer Recpt Emergency Fixures Time Clocks
Disconnect Switches Twist Lock Exit Fixures TVSS
other Equipment: repair to exterior portion of 150a overhead service only
Notes:
l-
Inspector Signature: Date: June 10 2013
ElecMcal Certificate.xls
~o~~OF SO[/ryo6
Town Hall Annex ~ * Tclephone (631) 765-1802
54375 Main Road (631) 7 3
P.O. Box (179 • ro~ler.richert(ia~fown.sou~fioQd nv US
Southold, NY l 1971-0959
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BUILDING DIRAR'TMENT
TOWN OF SOUTHOLD ~Q~
APPLICATION FOR ELECTRICAL INSPECTION i
REQUESTED BY: Date: /
Company Name: !
C N '
Name:
License No.:
Address: '
~
Phone No.: ~ 4
JOBSITE INFORMATION: (*Indicates required information)
*Name:
S'/J m h a~~D
"Address: 9 ~ P ,
* .L.9.~ ~ ~.-f-,=-~i
Cross Street: (A~^^ r t ~ .~ti,~9 ~ i
*Phone No.:
Permit No.:
Tax Map District: 1000 Section: D Block: Lot: "
*BRIEF DESCRIPTION OF WORK (Please Print Clearly) `
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I
(Please Circle All 'that Apply)
`Is job ready for inspection: ~ NO Rough In Final
`Do you need a Temp Certificate: ES NO !
Temp Information (If needed)
*ServIC@ Si2:e: 3Phase 100 15 200 300 350 .400 r
'New Service: Re-connect Underground Number of Meters Change of Servi Overhead
Additional Information: PAYMENT DUE WITH APPLICATIO
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82-Request forlnspection Form