HomeMy WebLinkAbout38884-Z p Town of Southold Annex 5/29/2014
P.O.Box 1179
54375 Main Road
V Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 36943 Date: 5/29/2014
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 64725 Route 25, Greenport,
SCTM#: 473889 Sec/Block/Lot: 56.4-23
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
5/14/2014 pursuant to which Building Permit No. 38884 dated 5/14/2014
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:
UPGRADE TO 200 AMP OVERHEAD ELECTRIC SERVICE
The certificate is issued to Mitrani,Joseph
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 38884 05-19-2014
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#: 38884 Date: 5/14/2014
Permission is hereby granted to:
Mitrani, Joseph
64725 Route 25
Southold, NY 11971
To: Change Electric Service
At premises located at:
64725 Route 25, Greenport
SCTM # 473889
Sec/Block/Lot# 56.4-23
Pursuant to application dated 5/14/2014 and approved by the Building Inspector.
To expire on 11/13/2015.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
pF SOUryOlo
Town Hall Annex Telephone(631)765-1802
54375 Main Road N Fax(631)765-9502
P.O.Box 1179 G �Q roger.riche rt(a7town.southold.ny.us
Southold,NY 11971-0959
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Joseph Mitrani
Address: 64725 Main Rd (rt 25) City: Greenport St: NY Zip: 11944
Building Permit* 38884 Section: 56 Block: 4 Lot: 23
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: DLT Electric License No: 4966-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 200a 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 2-10 Switches 11 Twist Lock Exit Fixtures TVSS
Other Equipment: 200a overhead service, 2-meters with 100a disconnect each
Notes:
Inspector Signature: Date: May 19 2014
81-Cert Electrical Compliance Form.xls
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Town Hall Annex ] Tel o (( i) 182
54375 Main Road u
P.O.Box 1179 G • O ro enrichert sou o .n .uS
Southold,W 11971-0959 MAY i
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BUILDING DEPARTMENTBto� o_F�T.
TOWN OF SOUTHOLD TOV"%N Oyou i H01D
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY- Date: S
Company Name:
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Name: n �<
License No.:
Address: a" /1?0P5-
Phone No.
JOBSITE INFORMATION: (*Indicates required information)
*Name:
*Address:
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*Cross Street:
*Phone No.: �✓�/�' Z-22 /�f
Permit No.: i-
Tax-Map District: 1000 Section: Block:�4 Lot: :97T _
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
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(Please Circle All That Apply)
*Is job ready for inspection: YE NO Rough In Final
*Do you need a Temp Certificate: YE NO
Temp Information(lf.needed)
*Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other
*New Service: Re-connect Underground Number of Meters Change of Service Overhead
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Additional Information: PAYMENT DUE WITH APPLICATION
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82=Request forEnspecUon Form