HomeMy WebLinkAbout38281-Z Town of Southold Annex 8/30/2013
A~ P.O. Box 1179
= 54375 Main Road
Southold, New York 11971
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CERTIFICATE OF OCCUPANCY
No: 36478 Date: 8/30/2013
THIS CERTIFIES that the building ELECTRICAL
Locafion of Property: 11280 Great Peconic Bay Blvd, Mattituck,
SCTM 473889 Sec/Block/Lot: 126.-6-18
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
8/27/2013 pursuant to which Building Permit No. 38281 dated 8/27/2013
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 underground electric for baseball shed. (meter at shed by home ]n ate•1
The certificate is issued to Mattituck Park Dist
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 38281 8/28/13
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
'ffi~! # 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 38281 Date: 8/27/2013
Permission is hereby granted to:
Mattituck Park Dist
PO BOX 1413
Mattituck, NY 11952
To: UPGRADE BASEBALL SHED TO 200 AMP ELECTRICAL SERVICE
At premises located at:
11280 Great Peconic Bay Blvd, Mattituck
SCTM # 473889
Sec/Block/Lot # 126.-6-18
Pursuant to application dated 8/27/2013 and approved by the Building Inspector.
To expire on 2/2612015.
Fees:
ELECTRIC $85.00
Total: $85.00
~
Building Inspector
~o~~OF SO!/lyolo
Town Hall Annex yy Telephone (631) 765-1802
54375 Main Road ~ T Fax (63]) 765-9502
P.o. Box 119 ~ i~ roger.richert(a)townsouthold.ny.us
Southold, NY 11971-0959
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Mattiuck Park District
Address: 11280 Great Peconic Bay Blvd City: Laurel St: NY Zip: 11948
Building Permit#: 38281 Section: 126 Block: 6 Lot: 18
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
contractor: oBA: Pumillo Electric License No: 2300-me
SITE DETAILS
Offce Use Only
Residential Indoor Basement Service Only X
Commedcal X Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph 200a Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 200a A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent FiMure Pumps
Transformer Appliances Dryer Recpl Emergency Fixture Time Clocks
Disconnect 200a Switches Twist Lock Exit Fixtures TVSS
otner Equipment: up grade 200a underground service (meter at shed by home plate)
Notes:
Inspector Signature: Date: Aug 28 2013
81-Cerl Electrical Compliance Form.xls
4~,y~Of SO(jr~
T°~ I~au ~ Jxr Tokphone (681) 765-1802
54875 Main Road ~g ~ Far ~~g~ 7 -
P.O. Hox 1179 Esc ~ rO~er.rlCflBltf~b~Wn 80{! 5 nY US
Southdd,ldP 11971-0999
BTJIIAING D10'ARI14ffiV'T
TOWN OF $OUTHOLD
ARPLICATION FOR ELECTRICAL INSPECTION
QUESTED BY: ~ ~ td M 1 U pate: !t' a~ - (3 .
Company Name: vh ~ LL.~ ~ ~L l
Name: ~~b M i ~ b
License No.: p`13~a M
Ptlone No.: _ 1 o (01
JOBSITE INFORINArTtI~ON: (*Indicates required information) //L~0 L•~~
'Name: ~~/A77 / 7lit ~ ~ ~R~ ~ Yie}Y
*Adda+ess: ~ ~ X r l 3 M ~T-T a N_ j I
CAN ~Cr+essStreet: c_ S=ON l ~ LV l M G C, G[s(q'
'Phone No.: f ~f o o S~ `~4~1~~ ,
Pemtlt No.:
Tax•Mappistrict: 1000 section:_ _ Block: Lot:
'BRI DESCRIPTION OF WORK (Please print Y) ~'~S?'F~C_-~~ ,~,/~ZtJ
{P±esse au That Apply] •
*Is job ready for Inapec~ibn: ~ NO R~ in a!
"Do you need a Temp Comte: / NO
Temp Ntiormatlon~(l~eOi}
*ServlCe Sine: ~1 3t 100 150 ® 300 350 400 Ogler
*NeW Service: Re-connect lhtdergty Number of McBels gtat>ge of SeMce O+rerhead
Additional informatbn: PAYMENT DUE VYITH APPLICATION
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