HomeMy WebLinkAbout38767-Z Tr Town of Southold Annex
5/15/2014
" P.O.Box 1179
54375 Main Road
' ► i�{� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 36925 Date: 5/15/2014
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 28975 Route 25, Cutchogue,
SCTM#: 473889 Sec/Block/Lot: 102.-5-26
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
4/4/2014 pursuant to which Building Permit No. 38767 dated 4/4/2014
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:
Commercial Generator Connection
The certificate is issued to 808 Realty Corp
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 38767 05-13-2014
PLUMBERS CERTIFICATION DATED
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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#: 38767 Date: 4/4/2014
Permission is hereby granted to:
808 Realty Corp
PO BOX 1006
Westhampton, NY 11978
To: Commercial Generator Connection
At premises located at:
28975 Route 25, Cutchogue
SCTM # 473889
Sec/Block/Lot# 102.-5-26
Pursuant to application dated 4/4/2014 and approved by the Building Inspector.
To expire on 10/4/2015.
Fees:
ELECTRIC $125.00
oa : $125.00
Building I pector
pF SO(/r�ol
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O. Box 1179 roger.richert(aD-town.southold.ny.us
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Southold,NY 11971-0959
CouNTY,�c�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Valero Gas Station
Address: 28975 Main Rd (rt 25) City: Cutchogue St: NY Zip: 11935
Building Permit#: 38767 Section: 102 Block: 5 Lot: 26
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: EECO Electric Corp License No: 2816-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 Fixture Time Clocks
Disconnect Switches Twist Lock Exit Fixtures TVSS
Other Equipment: generator connection, to include, 1-200a manual transfer switch and 1-100a manu
transfer switch
Notes:
Inspector Signature: Date: May 13 2014
81-Cert Electrical Compliance Form.xls
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54Tom 37 Halt Ro Telephone(631)7865,1802
54375 Main Road ri[�nt (631!7U�hQiq
P.O.Box 1179 ronerAche oven so nv us
Southold,NY 11971-0959
BUILDING DEPAKrM ENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date:
i
Company Name: C� �1 -tr,c_ or 0 . .
Name: C l F� d Cvr n e�c l
License No.:
Address: �-{� _
351:0- �•
3
Phone No.: co
JOBSITE INFORMATION: (*Indicates required information)
*Name: / g Re
*Address:
*Cross Street:
*Phone No.: &31- 32-!S-- 2-2�3
Permit No.:
Tax-Map District: 1000 Section: Block: Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
(Please Circle All That Apply)
*Is job ready for inspection: YES/ Rough In Final
*Do-you need a Temp Certificate:
YES NO
Temp Information(If.needed)12)4 S
*Service Size: 1 Pha 3Phase 100 150 200 300 350 400 Other
`'New Service: Re-connect U erground Number of Meters Change of Service Overhead
Additional Information: — DUE WITH APPLICATION
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