HomeMy WebLinkAbout36150-Z s~~~~ Town of Southold Aunex 9/5/2013
~ P.O. Box 1179
54375 Main Road
't3 ~q• Southold, New York 11971
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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
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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
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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
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')~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)
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"Address: ~ ~3 a id ~ - - - -
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"Cross Street: E ~'Q
Permit No.: ~ ~ Block: ~ Lot: -~-r+-'
Tax Map District: 1000 Section:
'`BRIEF DE5CRIPTIO FON WORK (Please Print Clearly) ~E/°~!
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/1 ,¢ovvo CAA .n i°o~£ ~o dIETr
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(Please Circle All That Apply) Rough In Fins
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*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
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~ Additionallnformation:
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