HomeMy WebLinkAbout37473-Z
Town of Southold Annex
~fgFF91,t~ 11/21/2013
,Q P.O. Box 1179
54375 Main Road
'8b Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 36616 Date: 11/21/2013
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 805 West Rd, Cutchogue,
SCTM 473889 See/Block/Lot: 110.-7-4
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
8/27/2012 pursuant to which Building Permit No. 37473 dated 8/27/2012
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 wiring for beach house.
The certificate is issued to Ridini Jr, Leonard & Ridini, Jill
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 37473 11/19/13
PLUMBERS CERTIFICATION DATED
Authorized Signature
r'`yiFFOi~`,t TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD,NY
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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 37473 Date: 8/27/2012
Permission is hereby granted to:
Ridini Jr, Leonard & Ridini, Jill
18 Harriet Dr
Syosset, NY 11791
To: Wiring of bath house
At premises located at:
805 West Rd, Cutchogue
SCTM # 473889
Sec/Block/Lot # 110.-7-4
Pursuant to application dated 8/27/2012 and approved by the Building Inspector.
To expire on 2/26/2014.
Fees:
ELECTRIC $90.00
Total: $90.00
,tom. ~Building
ng Inspector
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Town Hall Annex yy Telephone (631) 765-1802
54375 Main Road T T Fax (631) 765-9502
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P.O. Box 1179 roger. richert(a)town.southold.nv.us
Southold, NY 11971-0959
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Leonard Ridini Jr
Address: 805 West Rd City: Cutchogue St: NY Zip: 11935
Building Permit 37473 Section: 110 Block: 7 Lot: 4
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
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures 1 HID Fixtures
Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures 2 Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel 1-60A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks
Disconnect Switches 2 Twist Lock Exit Fixtures TVSS
Other Equipment: BEACH HOUSE
Notes:
Inspector Signature: Date: Nov 19 2013
81-Cert Electrical Compliance Form.xls
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BUILDING DFPARTh[Mr
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY. r I R T! L Date:
Company Name: I STI ~ C-le--LTale'- 60
Name: R I S
License No.: q313 F
dness: O ~vo 37-7 G?G T e"-r a^/ / i
Phone No.:. 6-16 5 1 1969/ KR 15G GLGd I COQ I'
JOBSITE INFORMATION: (*Indicates required infon-nation)
*Name: ~nji4R l~ 1 7 /,,%j /
*Address: to-s' rye-sT D Gu-r-p4 a9 ue, y
*Cmss Street } 1 C'~~OI~}Sh
*Phone No.: S!G `l 3 S3
Permit No.: 7 ~o
Tax Map District: 1000 Section: //40 Block: Lot
I
"BRIEF DESCRIPTION OF WORK (Please Print Clesq)
4n)fat~ y r n ?t7'in LYCJ04S, e- .
(Please CIrd a AN That Apply)
*Is job ready for inspedtorc YES / NO Rough In Final
*Do you need a Temp Certificate: YES NO
Temp Information (H needed)
*Servloe Size: 1 Phase Whose 100 150 200 300 350 400 Oliver
*New Service: Re•oonnect Underground Number of Meters Change of SeMoe Ovefieed
Additional Information: PAYMENT DUE WITH APPLICATION
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Town Hall Ampex ? 4 Telephone (681) 765.1802
54375 Main Road
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P.O. Box 11179 79
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Soutlwld, NY 11971A959
Bu nDiNG DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date:
Company Name:
Name:
License No.:
Address:
Phone No.:
JOBSITE INFORMATION: (*Indicates required information)
*Name: Q ~/L
*Address: p v
*Cross Street: pgC,~~,,
*Phone No.: 3,S-3
Permit No.:
Tax Map District: 1000 Section: Block: -7 Lot:_
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
W l I'l 9 Gz ~ o
(Please Circle All That Apply)
*Is job ready for inspection: YE NO Rough In Final
*Do you need a Temp Certificate: YES / NO
Temp Information (If needed)
*Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other
*New Service: Re-connect Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
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62-Request for Inspection Form
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