HomeMy WebLinkAbout38508-Z
Town of Southold Annex 1/27/2014
P.O. Box 1179
54375 Main Road
g Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 36767 Date: 1/27/2014
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 10020 Nassau Point Rd, Cutchogue,
SCTM 473889 Sec/Block/Lot: 119.4-18
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
11/13/2013 pursuant to which Building Permit No. 38508 dated 11/13/2013
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:
NEW UNDERGROUND ELECTRIC SERVICE
The certificate is issued to Niebling, Laurence & Niebling, Diane
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 38508 01-21-2014
PLUMBERS CERTIFICATION DATED
i
Authorized Signature
II TOWN OF SOUTHOLD
BUILDING DEPARTMENT
® TOWN CLERK'S OFFICE
S SOUTHOLD, NY
NOW,
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 38508 Date: 11/13/2013
Permission is hereby granted to:
Niebling, Laurence & Nieblin , Dian
24 Margaretta Rd
Boonton, NJ 07005
To: new underground electric service.
At premises located at:
10020 Nassau Point Rd, Cutchogue
SCTM # 473889
Sec/Block/Lot # 119.4-18
Pursuant to application dated 11/13/2013 and approved by the Building Inspector.
To expire on 5/15/2015.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
hO~~pF SOpjyolo
Town Hall Annex yy Telephone (631) 765-1802
54375 Main Road T Fax (631) 765-9502
P.D. Box 1179
Southold, NY 11971-0959 roger. riche rt(aDtown.southoId.nv.us
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: L & D Niebling
Address: 10020 Nassau Point Rd City: Cutchogue St: NY Zip: 11935
Building Penn it#: 38508 Section: 119 Block: 1 Lot: 18
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Twin Fork Electric Inc License No: 3488-e
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only X
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph 300a Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks
Disconnect Switches Twist Lock Exit Fixtures TVSS
Other Equipment: change existing 300a overhead service to 1 meter 300a underground service
Notes:
Inspector Signature: > >LA f Date: Jan 21 2014
c
81-Cert Electrical Compliance Form.xls
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Town Ball Annex l~[ ! [ Telephone ()6311)) 7y65.11802
54875 Main Road roger.richertCd'~towtn!$Ou 5olA.nV.us
ld. Sox 1179
Southold. TVl' 11971-0959
BUILDING DEPARIVENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
QUESTED BY: A-1hrij 21r-h,# c, (.C t Date:
npany Name: ,J Fo k i
ne:
anse No.: f~ E3
tress: d vl ct5 u f6/7
one No.: LZ _ ~o / o
6SITE INFORMATION: (*Indicates required information)
3me: 2-h04krkjc sn`b/i.AC~
idress: 1009 O AJO5Spoy I n
Cof cl=G-~
ross Street:
ione No.: -73
- !o ?0 3
rmit No.:
x Map District: 1000 Section: Block: Lot:
RIEF DESCRIPTION OF WORK (Please Print Clearly) u a~ ewe
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/ m AJI'd 740 /Y,7e1~ ~04/ -T
lease Circle All That Apply)
;job ready for inspection: YES / NO Rough In Final
,o you need a Temp Certificate: ~O
tmp Information (If needed)
ervice Size: 1 Phase 3Phase 100 150 200 f'~,,,~ 350 400 Other
lew Service: Re-connect Underground Number of Meters Change of Service Overhead
iditional Inforvat' PAYMENT DUE WITH APPLICATION Me- -13%
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