HomeMy WebLinkAbout38142-Z !~~jjl~~ Town of Southold Annex 7/19/2013
P.O. Box 1179
54375 Main Road
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S• Southold, New York 11971
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CERTIFICATE OF OCCUPANCY
No: 36408 Date: 7/19/2013
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 1050 Park Way, Southold,
SCTM 473889 Sec/Block/Lot: 70.-10-43
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
6/26/2013 pursuant to which Building Permit No. 38142 dated 6/28/2013
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:
200a overhead electric service.
The certificate is issued to Schwartz, Paul & Schwartz, Pennie
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 38142 7/9/13
PLUMBERS CERTIFICATION DATED
Autho t•e _
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
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 38142 Date: 6/28/2013
Permission is hereby granted to:
Schwartz, Paul & Schwartz, Pennie
1050 Park Wad _
Southold, NY 11971
To: Replace 200 Amp Overhead Service
At premises located at:
1050 Park Way, Southold
SCTM # 473889
Sec/Block/Lot # 70: 10-43
Pursuant to application dated 6/26/2013 and approved by the Building Inspector.
To expire on 12/28/2014.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
yJFFOL,~
Town Hall Annex ~~0~ c~Gy Telephone (631) 765-1802
54375 Main Road ~ ? Fax (631) 765-9502
P.O. Box 1179 0 •
Southold, NY 11971-0959 y~ * ~a~~~ roger.richert(a2town.southold.ny.us
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Paul Schwarz
Address: 1050 Park Way City: Southold St: NY Zip: 11971
Building Permit#: 38142 Section: 7t) Black: 10 Lot: 43
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
contractor: DBA: pumf110 Electric License No: 2300-me
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only X
Commerical Outdoor X 1st Floor Pod
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph 200a Heal Duplec Recpt Ceiling Fixures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixures Smoke Detectors
Main Pand 200a A/C Condenser Single Recpl 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: 200a Overhead SerVICe
Niles:
Inspector Signature: ~,eit Date: July 9 2013
ElecMcal Certificate.xls
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TOWN OF SOUTFIOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]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:
1 ~kd?(- t~ t..fa,-% ~ 6 h
DATE ! 3 INSPECTOR
~o~~Of Slifjl~<o
Tocw Hall Annex l~ ~ Telephone (631) 765-1804 .
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1179 . roaer.richertCaatov~m~Oi~d.nY.US
- Southold, NY 11971-0959 ~//yyyy~~,,,,,,~~
"1Na11,
13UIIDING I)FPARTMEN'I'
TOWN OI+ SOUTHOLD
APP11f_ICATION FOR ELECTR(( ICAL INSPECTION
REQUESTED BY: J ~ D ~ l/1 tM ~ I ~ Date: ~ -ate ) 3
Company Name: w.1 ~c ~ ~ 1 L
Name: o ~ ~ Vf Yt-.1
License No.: `j ~ ~ ~
Address: ~ - in~~ /V~
Phone No.: _ `j
I O O
JOBSlTE INFORMATI ("indicates required informatio~n)p ~jQ~~G-
"Address: I Ci'~u'~ ~i)0~ O Q W ~ CJ
*Cross Street: (~~.1 S (~~(v ~ (~Gt/*'ly
*Phone No.: ~ (o
Permit No.: Z~
Tax Map Distrlct: 1000 Section: Block: Lot:
"BRIF~ DES iPTlO OF WORK (Please Print Clearly)
2 0l7 c.ts
~/7'j' r
(Please Circle All That Apply)
*Is job ready for inspection: NO Rough In Final
*Do you need a Temp Certificate: / NO ~
~ `6`~ .
Temp lr>formation (If neede(I) Pd ~.a~-~3
"Service Size: 1 P 3Phase 100 150 200 300 350 ,400 Ot -r
`New Service: nn Underground Number eters ~ Change of Service.
Additional Infonna~ PA E T DUE WITM APPLICATION
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$2-Request for fnspecfion Form ~u J ~ i/~~