HomeMy WebLinkAbout37155-Z Town of Southold Annex 5/14/2014
4 P.O.Box 1179
t 54375 Main Road
Southold,New York 11971
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CERTIFICATE OF OCCUPANCY
No: 36920 Date: 5/14/2014
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 29215 Route 25, Orient,
SCTM#: 473889 Sec/Block/Lot: 13.-2-9
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
4/24/2012 pursuant to which Building Permit No. 37155 dated 4/24/2012
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 CHANGED TO 200 AMP UNDERGROUND SERVICE
The certificate is issued to Kurman,Lee&Wood,G Elaine
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 37155 05-01-2014
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
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#: 37155 Date: 4/24/2012
Permission is hereby granted to:
Kurman, Lee & Wood, G Elaine
940 Park Ave
New York, NY 10028
To: Change Electrical Service from Overhead to Underground
At premises located at:
29215 Route 25, Orient
SCTM # 473889
Sec/Block/Lot# 13.-2-9
Pursuant to application dated 4/24/2012 and approved by the Building Inspector.
To expire on 10/24/2013.
Fees:
ELECTRIC $85.00
Total: $85.00
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Building Inspector
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Town Hall Annex �� . Telephone(631)765-1802
54375 Main Road ; * * Z Fax(631)765-9502
P.O.Box 1179 : v' ar
Southold,NY 11971-0959 `G'��x - '0�` roger.richert(c�town.southold.ny.us
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Elaine Wood
Address: 29215 Main Rd (Rt-25) City: Orient St: NY Zip: 11957
Building Permit#: 37155 Section: 13 Block: 2 Lot: 9
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Custom Lighting of Suffolk License No: 38893-me
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey 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 NC 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 200a Switches Twist Lock Exit Fixtures TVSS
Other Equipment: 200a underground service
Notes:
InsInspector Signature: ' ��
P 9 ghid .,.tiMi.• 1-1----- Date: My 1 2014
81-Cert Electrical Compliance Form.xls
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Town Hall Annex 54375 Main Road ; Telephone(631)765-1802
P.O.Box 1179 G ��� roaersichert(d to tit lSOUtrlola.ny.us
- Southold,NY 11971.0959l ���
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BUILDING DEPARTMENT
• TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
• REQUESTED BY: i Date: E-141/0,
Company Name: • A `,, L t
Name: AC)-e.H —Do Sk, V
License No.: 3T5'693
Address: ?O.box \ t'v 9 Nitrite ite r(/, �l ISM V
Phone No.: L
JOBSITE INFORMATION: (*Indicates required information)
*Name: t I rl r`ra 1/000c4
*Address: 090/ m A 12 I o`i et t
*Cross Street:
*Phone No.: gcs4-(6 /8-1
Permit No.:
Tax Map District: 1000 Section: Block: V Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly) NI A A &c vice ('rn ttl
(Please Circle All That Apply)
*Is job ready for inspection: V YES / 0 Rough In Final
*Do you need a Temp Certificate: NO
Temp-Information (If needed) •
*Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other
*New Service: Re-connect Undergroun Number of Meters/ Change of Service Overhead
Additional Information. PAYMENT DUE WITH APPLICATION
82-Request for Inspection Form