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Home My WebLink About38750-Z Town of Southold Annex 3/31/2014 P.O. Box 1179 og&* 54375 Main Road $t Southold, New York 11971 f CERTIFICATE OF OCCUPANCY No: 36831 Date: 3/31/2014 THIS CERTIFIES that the building ELECTRICAL Location of Property: 530 Stillwater Ave, Cutchogue, SCTM 473889 Sec/Block/Lot: 103.-7-32.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 3/31/2014 pursuant to which Building Permit No. 38750 dated 3/31/2014 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 The certificate is issued to Decker, Stephen (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 38750 03-27-2014 PLUMBERS CERTIFICATION DATED Authorized Signature TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE e 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 38750 Date: 3/31/2014 Permission is hereby granted to: Decker, Stephen 245 First St Cutchogue, NY 11935 To: Electrical Service At premises located at: 530 Stillwater Ave, Cutchogue SCTM # 473889 Sec/Block/Lot # 103.-7-32.1 Pursuant to application dated 3/31/2014 and approved by the Building Inspector. To expire on 9/30/2015. Fees: ELECTRIC $85.00 Total: $85.00 f Building Inspector ho~~OF SO Town Hall Annex Telephone (631) 765-1802 54375 Main Road Fax (631) 765-9502 P.O. Box 1179 COD • i~ roger Southold, NY NY 11971 1-0959 . richert(a_town.southold.ny.us ~y0oum,N BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Decker Address: 530 Stillwater Ave City: Cutchogue St: NY Zip: 11935 Building Permit#: Section: 103 Block: 7 Lot: 32.1 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 tat 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 Diner Equipment: AS BUILT 150a overhead service, OK to reconnect, "NO VISUAL DEFECTS" Notes: Inspector Signature:Date: March 27 2014 81-Cert Electrical Compliance Form.xls oftof SOUTy~ Ards C TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/ STRAPPING [ ] FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ~14-#LECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: DATE Z INSPECTOR so Town Hall Annex 41 Telephone (631) 765-1802 54375 Main Road -9 P.O. Box 1179 roger. richertAox w(3n.)s7ou5t ooFd.nv.us Southold, NY 11971-0959 BUILI)ING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: b - IAN 0VU z Date:-- -7/zy/// Company Name: Name: IAJ OPPr-X 6-r- 6 AV (1) J_U 4 2- _1M_4t,#vU2;2~ License No.: Address: 672- k&r(,74&A- ,Phone No.: F ?(%P 5- JOBSITE INFORMATION: (*IndiGates required information) *Name: *Address: T 7-11, L AA f 2-1t AVE, eA AC~L *Cross Street: S-r- *Phone No.: 6931 691~6 //S-7 Permit No.: Tax Map District: 1000 Section: _40 -5 Block: -7 Lot: 37- 1 *BRIEF DESCRIPTION OF WORK (Please Print Clearly) (Please Circle All That Apply) J~ *Is job ready for inspection: <5!P/ NO Rough I MAR 3 1 Fft *Do you need a Temp Certificate: YES / NO Temp Information (if needed] 10V4, _,O~ T~ffll D *Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other *New Service: Re-connect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION Ap SAIJA //q/ A~ V114 If\ 4 4 0 ~ I &W 821Request for Inspection Form