HomeMy WebLinkAbout38409-Z Town of Southold Annex 12/2/2013
P.O.Box 1179
N 54375 Main Road
o Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 36625 Date: 12/2/2013
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 780 Holden Ave, Cutchogue,
SCTM#: 473889 Sec/Block/Lot: 110.-5-19
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
10/11/2013 pursuant to which Building Permit No. 38409 dated 10/11/2013
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:
200 AMP ELECTRIC SERVICE
The certificate is issued to Nolan,Gary&Davis,Rebecca
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 38409 11-21-2013
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
�g�FFO(,�COG
Sao y BUILDING DEPARTMENT
y TOWN CLERK'S OFFICE
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#: 38409 Date: 10/11/2013
Permission is hereby granted to:
Nolan, Gary & Davis, Rebecca
780 Holden Ave
Cutchogue, NY 11935
To: electric upgrade
At premises located at:
780 Holden Ave, Cutchogue
SCTM #473889
Sec/Block/Lot# 110.-5-19
Pursuant to application dated 10/11/2013 and approved by the Building Inspector.
To expire on 4/12/2015.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
*pF SO�jyolo
Town Hall Annex Telephone(631)765-1802
54375 Main'Road Fax(631)765-9502
P.O.Box 1179 io roger.riche rt(aD-town.southoId.ny.us
Southold,NY 11971-0959
o�ycOU ,� ,
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Nolan
Address: 780 Holden Ave City: Cutchogue St: NY Zip: 11935
Building Permit#: 38409 Section: 110 Block: 5 Lot: 19
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Kaufman Electric Inc License No: 2270-e
SITE DETAILS
Office Use Only
Residential X Indoor 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 Fixtures Time Clocks
Disconnect 200a Switches Twist Lock Exit Fixtures TVSS
Other Equipment: 200a Overhead service
Notes:
Inspector Signature: Date: Nov 21 2013
81-Cert Electrical Compliance Form.xls
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Town Hall Am= 4 Telephone(till)765-1842
54375 Maes Road � F�Y �gg�
P.O.Box 1179 • mger riChef'&_w(%n 80UCri0ltlp�,
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Southold,NY 119714959
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BUH DING DEPARTMENT
TOWN OF SOLrMOLD
APPLICATION FOR ELECTRICAL. INSPECTION
REQUESTED BY: K R u�11� a
Date:
Company Name: 914 Ail rg;r, C.
Name:
License No..
2,Z 70
46
Address: _ ,3o SamCh2 s"ET' �11e- V��/AAl
hone No.:
JOBSITE INFORMATION: (*Indicates required information)
*Name:
*Address: O of r E� �RUe. care a
ti
*Cross Street: O �o'�rr� z2 ��ss 114�•
*Phone No.: 503'
Permit No.:
Tax-Map District: '(000 Section: Block: ' Lot: ,
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
(Please Circle AN That Apply)
*1$job ready for inspection: N515< NO Rough In Final
*Do-you need a Temp Cert�cate: S
Temp Information.(If need-ed)
*Service Size: 1 Phaseamea 44* -W200 M 4W 4A� Qjh
New Service: Re-connect Underground umber Meters hinge of Service Overhead
Ad nal Information: PA UE WITH APPLICATION
/R3) G foo-41 UAW k4V,410_
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1 11 `
B24164uest for inspection Farm
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