HomeMy WebLinkAbout38866-Z „ ,,,
Town of Southold Annex 5/13/2014
;,';`�► P.O.Box 1179
54375 Main Road
To 47 Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 36917 Date: 5/13/2014
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 21075 Soundview Ave, Southold,
SCTM#: 473889 Sec/Block/Lot: 51.-4-17
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
5/8/2014 pursuant to which Building Permit No. 38866 dated 5/8/2014
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:
new meter pan on replacement pole-200a overhead service.
The certificate is issued to Moore D J 2009 Res Tr&Moore D J 2011 Re
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 38866 5/12/14
PLUMBERS CERTIFICATION DATED
—2T/ft”-
Si ature
2�
TOWN OF SOUTHOLD
, ; BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
1 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#: 38866 Date: 5/8/2014
Permission is hereby granted to:
Moore D J 2009 Res Tr & Moore D J 2011 Res Trt
24 Central Park South
New York, NY 10019
To: Electric Service
At premises located at:
21075 Soundview Ave, Southold
SCTM # 473889
Sec/Block/Lot# 51.-4-17
Pursuant to application dated 5/8/2014 and approved by the Building Inspector.
To expire on 11/7/2015.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
�,�%pF SOi ,,
Town Hall Annex ��� ~� 0 : Telephone(631)765-1802
54375 Main Road ■ 4 * t Fax(631)765-9502
P.O. Box 1179 G Q � roper.richertCa�town.southold.ny.us
Southold,NY 11971-0959 : „,, �� ��
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: David Moore
Address: 21075 Soundview Dr City: Southold St: NY Zip: 11971
Building Permit#: 38866 Section: 51 Block: 4 Lot: 17
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: C-Cat CO License No: 953-me
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only X
Commerical 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 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 Switches Twist Lock Exit Fixtures TVSS
Other Equipment: install new meter pan on replacement pole--200a overhead service
Notes:
Inspector Signature: Date: May 12 2014
81-Cert Electrical Compliance Form.xls
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54375 Main Road �; �, t
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Southold,NY 11971-0959 e Ago'
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-t ;,,►,'' �I MAY - 7 2014 ''
BUILDING DEP ' I DI r.
TOWN OF SOUTHO I T � [o
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: , % di . , _ --- Date: ✓2 1 )ze'
Company Name: f C_AT - -
---Name: - - -- D►i4,c)k n -Cer tNVKc' - - -
License No.: C c53
Address: PO 02? '41 c7 i /0 /t s^-
Phone No.: C;f _22 6p, u ifko CEAC Pg i 7 / 7 f
JOBSITE INFORMATION: (*Indicates required information)
*Name: '" ,,,.►C4- )J■ t
*Address: ?_ % C 6" 5 ck,."..0.eA.,�D : mss-` 1 cjo,_r Z' 11
*Cross Street
*Phone No.: (p'\— 1- - o t-1NA3
Permit No.:
Tax Map District 1000 Section: t Blodc t' Lot: `l
• *BRIEF DESCRIPTION OF WORK(Please Print Clearly)
(Please Circle All That Apply)
*Is job ready for inspection: dare 0 Rough In Cr
*Do you need a Temp Certificate: NO
NO
Temp Information(If needed)
*Service Size: 1 Phase 3Phase 100 150 + + 300 350 400 Other
*New Service: (Re-connec)Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
� t riL C, -----' APo A iu p G�-l', --,,, ,
0w roLE tl o -- ;
4,it)
L; ,... MAY - 7 2014
82-Request for Inspection Form j