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HomeMy WebLinkAbout38514-Z Town of Southold Annex 1/8/2014 ,,l P.O. Box 1179 54375 Main Road ffi Southold, New York 11971 f CERTIFICATE OF OCCUPANCY No: 36693 Date: 1/8/2014 THIS CERTIFIES that the building ELECTRICAL Location of Property: 1040 Leslie Rd, Cutchogue, SCTM 473889 Sec/Block/Lot: 97.-9-2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 11/19/2013 pursuant to which Building Permit No. 38514 dated 11/19/2013 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 service upgrade. The certificate is issued to Goodwin, John (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 38514 1/2/14 PLUMBERS CERTIFICATION DATED Authorized Signature r TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE I? * 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 38514 Date: 11/19/2013 Permission is hereby granted to: Goodwin, John 1040 Leslie Rd PO BOX 750 Cutchogue, NY 11935 To: upgrade electric service At premises located at: 1040 Leslie Rd, Cutchogue SCTM # 473889 Sec/Block/Lot # 97.-9-2 Pursuant to application dated 11/19/2013 and approved by the Building Inspector. To expire on 5/21/2015. Fees: ELECTRIC $85.00 Total: $85.00 i Building Inspector pF SO!/jyOlo Town Hall Annex y Telephone (631) 765-1802 54375 Main Road T Fax (631) 765-9502 P.O. Box 1179 c, a roper.riche rt(a)townsouthold.ny.us Southold, NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: John Goodwin Address: 1040 Leslie Rd City: Cutchogue St: NY Zip: 11935 Building Permit#: 38514 Section: 97 Block: 9 Lot: 2 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Pumillo Electric License No: 2300-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 Recpl Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks Disconnect Switches Tvrist Lock Exit Fixtures TVSS Other Equipment: 200a overhead service Notes: Inspector Signature: ay~~ Date: Jan 2 2014 81-Cert Electrical Compliance Form.xls Town Hall Annex 54375 Main Road . Telephone (6311))~765-1902 99558R P.Q Sox 1119 t roger.dchertKUtON(R~1 SOurholtl nY us Southold. NY 11911.0959 j t NOY 14 2013 BUII D NG DEPAW1Wff r L-- _ Town of SOUTH 013) PPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY Date: Company Name: Name: ©U t Nt r- //c) License No.: Address: Z-A-(.1O~ ~ 67- k Phone No.: S/ crl8v - O JOBeITE INFORMAT~ FORMATION: (*Indicates information) 11JJ,/ fir// IIJJ VV c w / `ice *Address: /Ogo Lr SL/ 2(7 *Cross Street: *Phone No.: 3 y S $'3 pre Permit No.: 6 906 / Tax Map District: 1000 Section: Block: Lot: ` *BRIEF DESCRIPTION OF WORK (Please Print Cleary) 130 o a {Please Glrcle All That Apply) *Is job ready for inspection: NO Rough In Final *Do you need a Temp Certificate: YE / NO ) Temp Information (Ee-connect . *Service Size: 3Phase 100 150 200 300 agn 400 Other *New Service: Underground Number of Meters Change of Service Overhead Additional Information: / A PAYMENT DUE WITH APPLICATION 82-Request for Inspection Form I~~1~/1V~ ~t11 ~~i