HomeMy WebLinkAbout36985-Z
Town of Southold Annex 2/25/2014
P.O. Box 1179
54375 Main Road
6Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 36782 Date: 2/25/2014
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 430 Terry Ln, Southold,
SCTM 473889 Sec/Block/Lot: 65.4-7
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
2/9/2012 pursuant to which Building Permit No. 36985 dated 2/9/2012
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:
ELECTRICAL SERVICE UPGRADE
The certificate is issued to 51020 Main Road Corp
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 36985. 02-21-2014
PLUMBERS CERTIFICATION DATED r
Authorized Signature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
m 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 36985 Date: 2/9/2012
Permission is hereby granted to:
51020 Main Road Corp
51020 Main Rd _
Southold, NY 11971
To: electric service upgrade
At premises located at:
430 Terry Ln, Southold
SCTM # 473889
Sec/Block/Lot # 65.-1-7
Pursuant to application dated 2/9/2012 and approved by the Building Inspector.
To expire on 8/10/2013.
Fees:
ELECTRIC $85.00
Total: $85.00
G ~
Building Inspector
pF SO~jyolo
Town Hall Annex y yy Telephone (631) 765-1802
54375 Main Road T T Fax (631) 765-9502
P.O. Box 1179 45k- ro
Southold, NY 11 971-0959 per.richert(a)townsouthold.nv.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: 51020 Main Road Corp
Address: 430 Terry Ln City: Southold St: NY Zip: 11971
Building Permit* 36985 Section: 65 Block: 1 Lot: 7
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: as built DBA: License No:
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only X
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Atfic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpl 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 100a overhead service-code compliant-meter pan has surface rust and
will need attention in near future
Notes:
Inspector Signature: - Date: Feb 21 2014
81-Cert Electrical Compliance Form.xls
df SQ
Town Hall Annex 41 4 Telephone (631) 765.1802
54375 Main Road 66~~.yy pp~~
P.O. Box 1179 N roger.dchert oC town 1SoH5oltl nV us
Southold, NY 11971-0959~.f • ``~O
BUILDING DEPARTMENT'
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: -~7w) e- c (gyp C Y!)~R~ Date:
Company Name:
Name: S-P6 -Z
License No.:
Address: 3 N Q yy
Phone No.: t
JOBSITE INFORMATION: (*Indicates required information)
*Name: IJ lcRd L(4,
*Address:
*Cross Street: p~tl,~~~~y}j ~1 f
*Phone No.:
Permit No.:
Tax Map District: 1000 Section: Block: Lot: `
*BRIEF DESCRIPTION OF WORK (Please Print Clearly) ~C 4 F
(Please Circle Ail That Apply)
*is job ready for inspection: YES / NO Rough In F na
*Do you need a Temp Certificate: < F / NO
Temp Information (If needed) `J
*Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other
"New Service: Re-tonne Unde ro Number of Meters( =eG Overhead Additional Information: PAYMENT DUE WI n~\V
XP AA1
B Request for Inspection Farm ] 1