HomeMy WebLinkAbout38370-Z u~~ Town of Southold Annex 10/7/2013
P.O. Box 1179
~r 54375 Maio Road
i?q Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 36553 Date: 10/7/2013
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 9900 Soundview Ave, Southold,
SCTM 473889 Sec/Block/Lot: 59.-2-7
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this ofliced dated
9/30/2013 pursuant to which Building Permit No. 38370 dated 9/30/2013
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 Sub Panel in Garaee with 1 Switch, 1 GFCI receptacle and 1 Light.
The certificate is issued to Barry, John & Barry, Carol
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 38370 10/1/13
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
j ~ TOWN CLERK'S OFFICE
'a ~q SOUTHOLD, NY
f
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 38370 Date: 9/30/2013
Permission is hereby granted to:
Barry, John 8~ Barr
rte,
Carol
PO BOX 965
Southold, NY 11971
To: Install Electric Sub Panel in Garage
At premises located at:
9900 Soundview Ave, Southold
SCTM # 473889
Sec/Block/Lot # 59.-2-7
Pursuant to application dated 9/30/2013 and approved by the Building Inspector.
To expire on 4/1/2015.
Fees:
ELECTRIC $90.00
Total: $90.00
Building. _ _
~O~~pf SO~Tyolo
Town Hall Annex yy Telephone (631) 765-1802
54375 Main Road ~ T Fax (631) 765-9502
PO. Box 1179 G Q
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: John Barry
Address: 9900 Soundview Ave City: Southold St: NY Zip: 11971
Building Permit 38370 Section: rj9 Block: 2 Lot: 7
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
contractor: DBA: New York Electric Co License No:
SITE DETAILS
Offce Use Only
Residential X Indoor Basement Service Only
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage X
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures 1 Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixures CO Detectors
Sub Panel t00a A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks
Disconnect Switches Twist Lock Exit Fixtures TVSS
other Eguipment: 100a sub panel installed in garage with 1 switch, 1 GFCI recpticle & 1 li ht
Notes:
Inspector Signature: ~ Date: Oct 1 2013
81-Cert Electrical Compliance Form.zls
o~,~,OF SO//T~
TOWN OF SOUTMOLD 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) ELECTRICAL (FINAL)
REMARKS:
~ ~ g u ~ C~'i ~ -d- <<
DATE l a ~ l ~i INSPECTOR~C r
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Town Hall Annex T ~ Tckph 63}}7§5.1302
54375 Main Road p~
P.O. Hoz 1179 • ~ ro er.richert~ Ito 70 ~ I ~
Southdd, NY 11971-0959 ~ ~ ~ ~ I I
~ SEP 3 0 2(113
BUII.DING D1RAR'fMENT ~
TOWN OF $OUTHOLD i~,.
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date:
Company Name:
Name: ' ~ U ~ I
License No.:
Address: a~~' ~ ;1
Phone No.: ~ . ~
JOBSITE INFORMATION: {*Indicates required information)
*Name: ~ ~ ~ ~ ~u
*Address: ~ ~ ,r'1 ~
*Cross Street: ~ v ~ ~ U
*Phone No.: (L; 3 1 ~ - ~t
Permit No.: '
Tax Map District: 1000 Section: Bbck: Lot:
*BnRIEF DESCRIPTION OF WORK (Please Print Clearly) ~Ns~~j~~,~ Sci'~
(Please Circle All That Apply)
'Is job ready for inspection: NO Rough In Final
*Do you need a Temp Cert~cate: ~
YES /L~ ~
Temp Information (If needed) ~p~o~~
*Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other
*New Service: Re-connect Underground Number of Meters Change of Service Overhead a
Additional Information: PAYMENT DUE WITH APPLICATION '
~ ,
82<Request fw Inspection Form