HomeMy WebLinkAbout38369-Z
yt r Town of Southold Annex 10/10/2013
P.O. Box 1179
54375 Main Road
$ Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 36562 Date: 10/10/2013
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 845 Sunset Ln, Greenport,
SCTM 473889 Sec/Block/Lot: 33.4-57
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
9/30/2013 pursuant to which Building Permit No. 38369 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:
overhead electric service.
The certificate is issued to Demarest, Jeffrey & Demarest, Kara
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 38369 10/3/13
PLUMBERS CERTIFICATION DATED4 -
Authorized Signature
(Nis [*TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
Owl 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 38369 Date: 9/30/2013
Permission is hereby granted to:
Demarest, Jeffrey & Demarest, Kara
29335 Main Rd
Orient, NY 11957
To: Electric Service Upgrade
At premises located at:
845 Sunset Ln, Greenport
SCTM # 473889
Sec/Block/Lot # 33.-4-57
Pursuant to application dated 9/30/2013 and approved by the Building Inspector.
To expire on 4/1/2015.
Fees:
ELECTRIC $85.00
Total $85.00
Building Inspector
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QF soUlyOl.
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Town Hall Annex Telephone (631) 765-1802
54375 Main Road Fax (631) 765-9502
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P.O. Box 1179 rogec richert(a~town.southold.ny.us
Southold, NY 11971-0959 • ~o
coutm,
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Jeff Demarest
Address: 55 Sunset Ln AKA 845 City: Greenport St: NY Zip: 11944
Building Permit* 38369 Section: 33 Block: 4 Lot: 57
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Stephen M Albertson License No: 3494-e
SITE DETAILS
Office Use Only
Residential X Indoor Basement X Service Only X
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph 100a Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 100a 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 100a Switches Twist Lack Exit Fixtures TVSS
Other Equipment: 100a overhead service
Notes:
Inspector Signature: y!~qu~ Q Date: Oct 3 2013
81-Cert Electrical Compliance Form.xls
Tm Hall Annex J~ Tekp6one (631) 965-1804
54395 Main Road g5pQ
Br ICi6P.O. B" 1179
ft~B80W101G nV u8
Somhold, NY 11971-0959
BUDDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: l4Cc~l(1P,(1 M~ Date: 6
Company Name: j.
Name: 1 b
License No.:
Address: "P g t M-11
4`11 1
Phone No.: - 21 - G
JOBSITE INFORMATION: ("indicates required information)
*Name: Je~Sc ~ m c e
'Address: v55 S~ . c ndl- n.l„ Q Q r r0
'Cross Street: +i(o(,, ~ L ,
*Phone No.: 3 22-- (o - 3
Permit No.:
Tax Map District: 1000 Section: Block: Lot:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
EAC~:,a TM If t ~iPt , ) nc~A 111~(rE)tgro
e
(Please Cirde AN That Apply)"
*Is job ready for inspection: NO Rough In Final
*Do you need a Temp Certificate: S 1 NO
Temp Information (If needed)
*Service Size: Phase $Phase 100 150 200 300 350 400 Other
*New Service: Re-connect Underground Number of Meters
Additional Information: PAYMENT DUE WITH APPLICATION
82 Requestforlnspection Form