HomeMy WebLinkAbout38005-Z rII"y~Fpt~ Town of Southold Annex 8/19/2013
ti ~ P.O. Box 1179
' 54375 Main Road
F Southold, New York 11971
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CERTIFICATE OF OCCUPANCY
No: 36453 Date: 8/19/2013
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 2575 Oaklawn Ave, Southold,
SCTM 473889 Sec/Block/Lot: 70.-3-23
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this ofliced dated
pursuant to which Building Permit No. 38005 dated 5/7/2013
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 kitchen.
The certificate is issued to Coniglio Fam 2007 Irv Trt
- - (OWNER) -
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 38005 8/8/13
PLUMBERS CERTIFICATION DATED
Authorized Signature
a~9~~+..,,+ TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
~ h SOUTHOLD, NY
~;qy
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 38005 Date: 5/7/2013
Permission is hereby granted to:
Coniglio Fam 2007 Irv Trt
9 Carrie Dr
Manalapan, NJ 07726
To: Electric Service in Kitchen
At premises located at:
2575 Oaklawn Ave, Southold
SCTM # 473889
SeclBlock/Lot # 70.-3-23
Pursuant to application dated 5/7/201.3 and approved by the Building Inspector.
To expire on 11/6/2014.
Fees:
ELECTRIC $90.00
Total: $90.00
~J
Building Inspector
r~~' c ~
~uFFOiKC~,
Town Hall Annex ~~0~ GGy^~, Telephone (631) 765-1802
54375 Main Road ~ ~ " Fax (631) 765-9502
P.O. Box 1179 0 _ ^z+
Southold, NY 11971-0959 '~4y~ ~aO~i~> roger.richertna townsouthold.nv.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Coniglio
Address: 2575 Oaklawn Ave City: Southold St: NY Zip: 11971 ,
Building Permit 38005 Secticn: ]0 Block: 3 Lot: 23
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
contractor: DBA: Dave Kennedy Elec License No: 4032-n1e
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only
Commerical Outdoor 1st Floor X Pool
New Renovation X 2nd Floor Hot Tub
Addkion Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 5 Ceiling FiMUres 1 HID Fixures
Service 3 ph Hot Water GFCI Recpt 8 Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures 4 CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances dw Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 4 Twist Lack Exit Fixtures TVSS
otner Equipment: 1-exhaust fan
Notes:
Inspector Signature: ~G~C Date: Aug 8 2013
Electrical Certificate.xls '
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TOWN OF SOUTNOLD 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) [~J ELECTRICAL (FINAL)
REMARKS:
i~t~- ~ _ GCS
DATE 3 INSPECTOR '
' ~o~~OF SO!/Tyo~
Town flab AgnUC 1~1 Telephone (631) 765-1804
54875 Main Road AA==~~ (681 7~~gq5ppgg
- P.Q. Box 1179. V'G ~ der•itOtl3ft(Q210Wn.><O{IUl01tl.nV US
- SoaHiold NI 1197[-0959 _ _
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13UIIAING DQ'ART[vIF,N'I'
TOWI~I OF SOUTFTOLD
A1'PLiCATION FOR ELECTRICAL INSPECTION
REQUESTED BY: ° ~7-a~i~ .S[7/~3
E/VfO~j 2~ r~-~a/ls Date:
Company Name: ' I,t,-~ r e - (~~v ~ ~ ~C-lC
Name: ~
License No.: Q
Address: _ C(. ~ ~ ~
Phone No.: - _ a
JOBSITE INFORMATION: {"Indicates required information)
'Name: ~ 1.
"Address: ~ ~ 7_~Z Q~}'~L C~ca1 ~ ~ ~ i o I ~ (I c( 7,~
`Cross Street: ~
~1j,S
`Phone No.: S- ro0 ~9
Permit Na.:
Tax"Map District: 1000 Section: Block:=~_ Lot:_~_ '
"BRIEF DESCRIPTION OF WORK (Please Print Clearly) ~C I ,Ir~(~ _
(Please Circle All That Apply)
ris job ready for inspection: YES / NO Rough In 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
`NeW Service: Re-connecC Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
X13
82-Request fw Inspection fom~ ~ ~
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