HomeMy WebLinkAbout38674-Z Town of Southold Annex 4/23/2014
P.O. Box 1179
14 CS
;e 54375 Main Road
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 36873 Date: 4/23/2014
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 11100 Route 25, Mattituck,
SCTM#: 473889 Sec/Block/Lot: 122.-3-10
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
2/19/2014 pursuant to which Building Permit No. 38674 dated 2/19/2014
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:
200a and transfer switch with tap box only.
The certificate is issued to Amerada Hess Corporation
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 38674 4/16/14
PLUMBERS CERTIFICATION DATED
Authorized Signature
iFiot TOWN OF SOUTHOLD
off ° BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
s • 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 #: 38674 Date: 2/1912014
Permission is hereby granted to:
Amerada Hess Corporation
Attn: Property Tax
PO BOX 696419
San Antonio, TX 78269
To: 200a and transfer switch with tap box only
At premises located at:
11100 Route 25, Mattituck
SCTM # 473889
Sec/Block/Lot# 122.-3-10
Pursuant to application dated 2/19/2014 and approved by the Building Inspector.
To expire on 8/21/2015.
Fees:
ELECTRIC $125.00
Total: $125.00
Building Inspector
�pFso
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax (631) 765-9502
P.O. Box 1179 G� • �� roger.riche rt(a�town.southo Id.ny.us
Southold, NY 11971-0959
•�`
�I��UUNTY,�c�
zzrt«
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Hess Station#32481
Address: 11100 Rt 25 City: Mattituck St: NY Zip: 11952
Building Permit#: 38674 Section: 122 Block: 3 Lot: 10
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Corkrey Electrical Services License No: 31857-me
SITE DETAILS
Office Use Only
Residential Indoor Basement Service Only
Commerical X Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey 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 Fixtures Time Clocks
Disconnect Switches Twist Lock Exit Fixtures TVSS
Other Equipment: install 200a single phase transfer switch with tap box for generator
Notes:
Inspector Signature:
� Date: April 16 2014
81-Cert Electrical Compliance Form.xls
coum,
,,�,/TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
I FOUNDATION IST ROUGH PLUMBING
FOUNDATION 2ND INSULATION
FRAMING / STRAPPING FINAL
FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION
FIRE RESISTANT CONSTRUCTION A FIRE RESISTANT PENETRATION
ELECTRICAL (ROUGH) XELECTRICAL (FINAL)
CODE VIOLATION CAULKING
REMARKS:
DATE - 4lzl, lq- INSPECT&R
i
Of SO(/r�,o �
ti
TOMI HO Annex
Telephone(631)765-1802
P-x 54375 Main Road 631)76 - 5
P.O.Box t179 `�i • roaer.ri chertwn.sounv us
Southold,NY 11971-0959 �O j
A
BUILDING DEPARTMEi NT
TOWN OF SOUTHOLD i
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED 8Y: Date-
Company N 1
Name: r'_� i'.r�'P'�A C P�
License No.: S-2 m 6_
Address: J
Phone No.:
JOBSITE INFORMATION: ('"Indicates required information) +
*Name: V!<_`_
Address: O i�_ z_. ^ S r l >
*Cross Street: �
'Phone No.. L/ci
Permit No.. — _ i
Tax,Map District: 1000 Section: j Block:
-- - Lot: �-
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
A 1-C-/a )
v x ry L
(Please Circle All That Apply)
*Is job ready for inspection: YES
*Do you need a Temp Certificate: �` Rough In Final
YES NO
Temp Information (If needed)
*Service Size: 1 Phase 3Phase 100 950 200 300 350 400 Other
*New Service: Re-connect Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
82LRequest for inspocuon Form
f
i� #