HomeMy WebLinkAbout38583-Z
f Town of Southold Annex 1/2/2014
Zd P.O. Box 1179
54375 Main Road
Southold, New York 11971
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CERTIFICATE OF OCCUPANCY
No: 36681 Date: 1/2/2014
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 37205 CR 48, Peconic,
SCTM 473889 Sec/Block/Lot: 69.-1-7.3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
12/19/2013 pursuant to which Building Permit No. 38583 dated 12/19/2013
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 meter pan and uprun.
The certificate is issued to Hors'n'around Realty Inc
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 38583 12/26/13
PLUMBERS CERTIFICATION DATED
A
Authorized Signature
TOWN OF SOUTHOLD
R BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
$fi SOUTHOLD, NY
n 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 38583 Date: 12/19/2013
Permission is hereby granted to:
Hors'n'around Realty Inc
Attn: J Bittner
PO BOX 269
Peconic, NY 119580269
To: replace electric meter pan and uprun
At premises located at:
37205 CR 48, Peconic
SCTM # 473889
Sec/Block/Lot # 69.-1-7.3
Pursuant to application dated 12/19/2013 and approved by the Building Inspector.
To expire on 6/20/2015.
Fees:
ELECTRIC $90.00
Total: $90.00
Building Inspector
pF SO~ryolo
Town Hall Annex yy Telephone (631) 765-1802
54375 Main Road T Fax (631) 765-9502
P.O. Box 1179 G Q roger. riche rt(a.town.southoId.ny.us
Southold, NY 11971-0959
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: J Bittner DBA Hidden Lake Farm
Address: 37205 CR 48 City: Peconic St: NY Zip: 11958
Building Permit#: 38583 Section: 69 Block: 1 Lot: 7.3
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Lademann Electric Inc License No: 4141-e
SITE DETAILS
Office Use Only
Residential Indoor Basement Service Only X
Commerical X Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 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 Switches Twist Lock Exit Fixtures TVSS
Other Equipment: install new meter pan and conductors to weather head
Notes:
Inspector Signature: Date: Dec 26 2013
81-Cert Electrical Compliance Form.xls
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Town Hall Annex Telephone (6311))x.7765--11802
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Southold, NY 11971-0959~~//yy,~'~~
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BUIIDING DEPARTMENT UK *t~
TOWN OF SOUTHOLD j
APPLICATION FOR ELECTRICAL INSPECTION
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REQUESTED BY: Date:
C i.
Company Name: 4 06M B LTC tin, C A)
Name:
License No.: / 411
Address:
Phone No.: ba 7 S_ 7206,
JOBSITE INFORMATION: (*Indicates required information)
*Name: I
L7~ d;ftnf3'r I0 8 *Address: _ Z= yp AecQAi't
*Cross Street: I
*Phone No.: Z/q - 7n o c f
Permit No.:~ -~3
Tax Map District: 1000 Section: Block: Lot:
*BRIEF DESCRIPTION OF WORK (Please Print Cleady)
Sr4QJAC &7 m in i- oi2a A s loa rk
(Please Circle All That Apply)
*Is job ready for inspection: YES NO Rough In Final
*Do you need a Temp Certificate: YES / NO
Temp Information (If needed)
*Service Size: 1 Phase Whase 100 150 doters 300 350 400 Other
*New Service: Re-connect Underground Number of Change of Service Overhe d
Additional Information: PAYMENT DUE WITH APPLICATION /
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i
82-Request for Inspection Form
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