HomeMy WebLinkAbout38302-Z
Town of Southold Annex 1/8/2014
P.O. Box 1179
54375 Main Road
$ W Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 37792 Date: 1/8/2014
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 350 Lakeside Dr, Southold,
SCTM 473889 Sec/Block/Lot: 90.-3-16
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore fled in this officed dated
9/3/2013 pursuant to which Building Permit No. 38302 dated 9/4/2013
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:
200a underground electric service.
The certificate is issued to Sokol, Marc & Sokol, Deirdre
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 38302 1/6/14
PLUMBERS CERTIFICATION DATED
-
r Authorized Signature -
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
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 38302 Date: 9/4/2013
Permission is hereby granted to:
Sokol, Marc & Sokol, Deirdre
965 E Cedar Point Dr
Southold, NY 11971
To: Change 200 AMP Overhead Service to Underground Service
At premises located at:
350 Lakeside Dr, Southold
SCTM # 473889
Sec/Block/Lot # 90.-3-16
Pursuant to application dated 9/3/2013 and approved by the Building Inspector.
To expire on 3/6/2015.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
ho~~pF SOUTyolo
Town Hall Annex yy Telephone (631) 765-1802
54375 Main Road T Fax (631) 765-9502
P.O. Box 1179 roper. riche rt(cDtown.southoId.nY.us
Southold, NY 11971-0959
Comm
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Marc Sokol
Address: 965 Cedar Point Dr E. (350 Lakeside Dr) City: Southold St: NY Zip: 11971
Building Permit#: 38302 Section: g0 Block: 3 Lot: 16
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: GJS Electric License No: 4839-me
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only X
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X 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 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: existing 200a overhead service changed to underground
Notes:
Inspector Signature: c t ti Date: Jan 6 2014
81-Cert Electrical Compliance Form.xls
05-26-10;12:46 2982174 # 1/ 2
ho~aOF 50~Tyo~
Town Hall Annex - # Telephone (631) 765-1802
5 Main Road @ OO (6n3.&OUO U 7639502 nyus
P.O. Box 1179 f002LfiCheftOW
.O yG ~
Southold, NY 11971.0959
BUILDING DEPAXIMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: SaQ~ ce_ Date: Lag -13
Company Name: L LL L t L
Name, o
License No.:
Address: uu 5 ah G W uL V L ( LO)
Phone No.: 3 - $ _ '5`46'
JOBSITE INFORMATION: (*Indicates required information)
*Name: m a f-C Soko ( C_
'Address: ll D 1 ? tl/w 1 fI - ; , -L_
*Cross Street: Cedar Po i D r _
*Phone No.: 31 a 9 $a - 773 -
Permit No.:
Tax Map District: 1000 Section: D Block: Lot:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Chan ;r` -_o`Z00 Gn.p ale/~.¢~d SP~1'U cQ 7 ~0.~ amp Un~(or ro~~ndl s?c,
(Please Circle All That Apply)
*Is job ready for inspection: S NO Rough In Final
*Do you need a Temp Certificate: NO
Temp Information (If needed)
*Service Size: 1 Phase 313hase 100 150 00 300 350 400 Other
*New Service: Re-connect Undergroun Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
- - - -
82-Request for Inspection Forth I / C)