HomeMy WebLinkAbout38282-Z ,p~~fg(,f Towu of Southold Annex 8/30/2013
P.O. Box 1179
54375 Main Road
~..//yy,, ~p Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 36479 Date: 8/30/2013
THIS CERTIFIES that the building ELECTRICAL
Location 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 otTiced dated
8/27/2013 pursuant to which Building Permit No. 38282 dated 8/27/2013
was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy far
which this certificate is issued is:
downgrade baseball field from 400a to 200a overehead electric service
The certiScate is issued to Mattituck Park Dist
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 38282 8/28/13
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
s
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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 38282 Date: 8/2712013
Permission is hereby granted to:
Mattituck Park Dist
PO BOX 1413
Mattituck, NY 11952
To: DOWNGRADE BASEBALL FIELD FROM 400 AMP TO 200 AMP OVERHEAD SERVICE
At premises located at:
11280 Great Peconic Bay Bivd, 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 2/26/2015.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
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Town Hall Annex yy Telephone (631) 765-1802
54376 Main Road ~ T Fax (631) 766-9502
P.O. Box 1179
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Mattituck Park District
Address: 11280 Great Peconic Bay Blvd City: Laurel St: NY Zip: 11948
Building Permit#: 38282 Section: 126 Block: 6 Lot: 18
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
contractor: DBA: Pumillo Electric License No: 2300-me
SITE DETAILS
Office Use Only
Residential Indoor Basement Service Only
Commerical 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 Futures
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 Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks
Disconnect 200a Switches Twist Lock Exit Fixtures TVSS
otner Equipment: remove old 400a service and install new 200a overhead service
located at out field fencecenter field
Notes:
Inspector Signature: ~ ~~~.~oJaL.~-~ Date: Aug 28 2013
81-Cert Electrical Compliance Form.zls
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Soutl~old, NY 11971-0999 ~,//yyy~~~
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BUIIDAVD DF~AR'IA~1~1'C
• TOWN OF $OUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: _Ol7 Wt t l Date: ~ a~~--~~3
Company Name: ~ yt„ ~ 1 ~e,~c;~~
Name: .J ~9~ ~-t a .
License No.: `3~J M • ~
Address: . ~j-ay 3 a~ - l-t . N_
- Phone No.: _ / o Ra
JOBSITE INFORMATION: (*Indicates rBquired information) 112 "`n w
*Name: ~ 7! ((/1 G ~ P7~"f2Lf ~ 1 ~ ~ulc.
(~~J "west: Street: cGD N t L U M t Tlit N )1
"Phone No.: Sl ~'id To.~
Permit No.:
Tax•MapDistrict: 1000 Sedion:~-r~_ Bbc~k:" ~y Lot:_~_ '
"BRIEF DE.SCRiPT10N OF WORK (Please Print Clearly) • !/o N ~n'~l ~1~ (j~ .
- (PI~e grde AN That Apply)
'Is lob ~Y for = NO- Rough In Tina!
"Do~you need a Temp Certificate:. NO -
Temp Ntfarmation (ff needed) '
•Servl08 Sias: ~ 3Phase 100 150 ~ 300 350 ,400 Other
* Se~c;e; Re-oonnaot Underground NurHber of Me ange ~ Ov~ertt~d
Additional Infomratbn: PAYMENT DUE Wtl}i CATION
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