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HomeMy WebLinkAbout36150-Z s~~~~ Town of Southold Aunex 9/5/2013 ~ P.O. Box 1179 54375 Main Road 't3 ~q• Southold, New York 11971 } CERTIFICATE OF OCCUPANCY No: 36485 Date: 9/5/2013 THIS CERTIFIES that the building ELECTRICAL Location of Property: 430 BAILIE BEACH RD, MATTITUCK, SCTM 473889 Sec/Block/Lot: 99.-3-4.14 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 1/25/2011 pursuant to which Building Permit No. 36150 dated 1/25/2011 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: 200 AMP UNDERGROUND ELECTRICAL SERVICE 9/5/13 Corrected to say electrical at top of Certificate of Occupancv instead of historical. The certificate is issued to LOZIPONE, DAVID & JENNIFER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 36150 08-29-2013 PLUMBERS CERTIFICATION DATED ~ fj~ Author Signature Town of Southold Annex 9/4/2013 ~q~;'a P.O. Box 1179 a ~ 54375 Main Road ~ Southold, New York 11971 G~ * ~,.,~,x~.~, CERTIFICATE OF OCCUPANCY No: 36485 Date: 9/4/2013 THIS CERTIFIES that the building HISTnRICAL Location of Property: 430 BAILIE BEACH RD, MATTITUCK, SCTM 473889 Sec/Block/Lot: 99.-3-4.14 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 1 /25/2011 pursuant to which Building Permit No. 36150 dated 1/25/2011 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: 200 AMP UNDERGROUND ELECTRICAL SERVICE The certificate is issued to LOZIPONE, DAVID & JENNIFER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 36150 08-29-2013 PLUMBERS CERTIFICATION DATED Authorized Signature ~o~~pF SO~jyolo Town Hall Annex Telephone (631) 765-1802 54375 Main Road ~ ~ Fax (631) 765-9502 P.O. Box 1179 G ~ Southold, NY 11971-0959 ~ • ~O roger.richert(a~town.southold.nv.us ~ly~0UNT1,Nc~ BOILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Jennifer Lozipone Address: 430 Bailie Beach Rd City: Mattituck St: NY Zip: 11952 Building Permit#: 36150 Section: Block: Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: as built DBA: License No: SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only X Commerical 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 Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks Disconnect 200a Switches Twist Lock Exit Fixtures TVSS other Eguipment: 200a underground service Notes: Inspector Signature: C~--°~~'~-~-~5t Date: Aug 29 2013 81-Cert Electrical Compliance Form.xls FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 36150 Z Date JANUARY 25, 2011 Permission is hereby granted to: DAVID R & JENNIFER A LOZIPONE 430 BAILIE BEACH ROAD MATTITUCK,NY 11952 for ELECTRIC SERVICE AS APPLIED FOR. at premises located at 430 BAILIE BEACH RD MATTITUCK County Tax Map No. 473889 Section 099 Block 0003 Lot No. 004.014 pursuant to application dated JANUARY 25, 2011 and approved by the Building Inspector to expire on JULY 25, 2012. Fee $ 85.00 Authorized Signature ORIGINAL Rev. 5/8/02 a i1 avv~~vL v~l c~Tcl PL ~ ~e ~l a cp,2,cc~. i~ ~~e ~~a of ~ ~5 ~j-ca~ Ella-f-I, ~-U~-K. wL- ~ ~ Z~ ~ ~ 3. Sv~~7~c~', ~ ~ ~ wit ~ ~ 311 L~z,~~ .S~~~g93- ~i 631-298-8443 P 1 Jan 25 11 08:43a ccat co ~~pE SOUTy ,`o ~~o l c~cpLuur ((i;iU 769-184y 1 l l~ l'' ~ ro er.richert~townsout~lo d.nv.us 51:S7;i M.un Rnad ~O~ • r ls~. 1 i?~i )nudu~l~l, ~T Y1471-U9:i9 ~C~U~ l3l~lf..ll]NG llGl';1RTMli1` C ')~OWP1 OF SOC7'1cHOLD APPLICATION FOR ELECTRICAL INSPECTION ~ 61 ~d"r~ r/z.~ Date: / /I RECJUESTED BY: %~fI"V~~ Company Name: ~ ~ C''¢~ ~ Name: ,(7 i,a C~~7/~C License No.: 4 S`3 M~' Address: OX °Z ~ PhoneNo.: Z9B~ 9~~3 JUBSITE INFORMATION: ("Indicates required information) ~j,~ .cat . Po-? ~ ~ ~ "Address: ~ ~3 a id ~ - - - - ~ T "Cross Street: E ~'Q Permit No.: ~ ~ Block: ~ Lot: -~-r+-' Tax Map District: 1000 Section: '`BRIEF DE5CRIPTIO FON WORK (Please Print Clearly) ~E/°~! ~9~~ /1 ,¢ovvo CAA .n i°o~£ ~o dIETr F (Please Circle All That Apply) Rough In Fins YE *Is job ready for inspection: *Do you need a Temp Certificate: ES ! O~ Temp Information (If needed] 100 150 ~ 300 350 400 otn "Service Size: 1 Phase 3Phase * -connect ndergrou Number of Meters Change of Service Overhe_ New Service: PAYMENT DUE WITH APPLICATION 1 ~ Additionallnformation: v v : .