HomeMy WebLinkAbout38892-Z Town of Southold Annex 5/23/2014
40 P.O.Box 1179
e 54375 Main Road
t� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 36939 Date: 5/23/2014
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 4715 Great Peconic Bay Blvd, Laurel,
SCTM#: 473889 Sec/Block/Lot: 125.4-24.23
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
5/19/2014 pursuant to which Building Permit No. 38892 dated 5/19/2014
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:
COMMERCIAL SWIMMING POOL PUMP AND HEATER ELECTRICAL UPGRADE
The certificate is issued to Laurel Links Cntry Club
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 38892 05-22-2014
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#: 38892 Date: 5/19/2014
Permission is hereby granted to:
Laurel Links Cntry Club
PO BOX 307
Laurel, NY 11948
To: Commercial Swimming Pool and Heater Electrical Upgrade
At premises located at:
4715 Great Peconic Bay Blvd, Laurel
SCTM # 473889
Sec/Block/Lot# 125.-4-24.23
Pursuant to application dated 5/19/2014 and approved by the Building Inspector.
To expire on 11/18/2015.
Fees:
ELECTRIC $150.00
Total: $150.00
Building Inspector
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Town Hall Annex Telephone(631)765-1802
54375 Main RoadFax(631)765-9502
CA P.O.Box 1179 • �Q roger.riche rt(CD-town.southoId.ny.us
Southold,NY 11971-0959 Q
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Laurel Links Country Club
Address: 6400 Main Rd (4715 Peconic Bay Blvd) City: Laurel St: NY Zip: 11948
Building Permit#: 38892 Section: 125 Block: 4 Lot: 24.23
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Tucker Electric Inc License No: 4926-me
SITE DETAILS
Office Use Only
Residential Indoor Basement Service Only
Commerical X Outdoor X 1st Floor Pool X
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 11 Twist Lock Exit Fixtures TVSS
Other Equipment: Wire new variable speed pool circulation pump and new gas pool heater, to includ
all required bonding and grounding of pool equipment
Notes:
Inspector Signature: Date: May 22 2014
81-Cert Electrical Compliance Form.xls
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TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLUMBING
[ ] FOUNDATION 2ND [ ] INSULATION
[ ]
FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE A CHIMNEY [ J FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ) FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ''ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
DATE INSPECTOR
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Town Hall Annex (
54375 Main Road 41 1D ,
P.O.Box 1179 ` roer. 1 .n .
So�old,NY 11971-0959
��(1If1Y, MAY 19 2014
BUa DING DEPAN MENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: �-aA
Date:
Company Name:
I
Name:
License No.: 9.24
Address:
Phone No.: (31- W78- 2a0 i -
JOBSITE INFORMATION: (*Indicates required information)
*Name: L Av REt_ L.I tAw-S
*Address:
ti a
*Cross Street: Slug AYE, U
*Phone No.: ;Vis- y3oo
Permit No.: q
Tax-Map District: 1000 Section: 12.5- Block: Lot: 1123
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
CQLh--MEQ'l A I 5U/ "M INot
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(Please Circle Ail That Apply)
*Is job ready for inspection:
Q/ NO Rough In Fina
*Do.you need a Temp Certificate: YES/ O
Temp Information(if•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
Additional Information: PAYMENT DUE WITH APPLICATION
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