HomeMy WebLinkAbout38912-Z Town of Southold Annex 5/29/2014
P.O.Box 1179
54375 Main Road
q Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 36942 Date: 5/29/2014
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 645 Rosenburg Rd,
SCTM#: 473889 Sec/Block/Lot: 21.4-26.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
5/28/2014 pursuant to which Building Permit No. 38912 dated 5/29/2014
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:
Electrical Survey
The certificate is issued to Les Rochers LLC
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 38912 05-28-2014
PLUMBERS CERTIFICATION DATED
Authorized Signature
SOUryolo
Town Hall Annex Telephone(631)765-1802
54375 Main Road cn Fax(631)765-9502
P.O.Box 1179iQ roger.riche rt(a-town.southold.ny.us
Southold,NY 11971-0959 COUNTi'�,�a
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Nina Viscardi
Address: 645 Rosenburg Rd City: East Marion St: NY Zip: 11939
Building Permit#: Section: 21 Block: 1 Lot: 26.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: East County Electric License No: 1005-e
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service Only
Commerical Outdoor 1st Floor X 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 Fixtures Time Clocks
Disconnect Switches Twist Lock Exit Fixtures TVSS
HOther Equipment: FLOOD DAMAGE----electrical inspection of basement and 1 st floor of house after
repairs were made to damage caused by flood caused by broken equipment----NO ELECTRICAL DEFECTS FOUND---
Notes: condition of electrical systems are code compliant
Inspector Signature: Date: May 28 2014
81-Cert Electrical Compliance Form.xls
Tdwa Gait Annex Telepkoue(631)7$5-1802:
54875 Main Raad CA
P.O.Jam 1I79 _'Otter:r[ eF1 i 6 17V US
Sou&oK NY 11971-M59
BUMDMDEPARTMENT
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APPLICATION FOR. ELECTRICAL INSPECTION
REQUESTED BY: ""
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company`
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ame: t
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iddress:
Phone-Nor.: t -7 ;.
JOBSITE INFORMATIO[d: (*fndicafe%required inforff ation)
*Address: v C� yrs T r�o .
�.
- *Cross Street: � _ (2e�eK�' �O(n-r . .
*Phone No.:
Fterirnii No.:
Tax Map Qis€act: .1000 Section: :Z i3[oete _
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*BRIEF DESCMPTION OF WORK(Please Print C(gatiy� .
Co 63 t or7 (D _ (R3 q.
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.(Pkmse.Cftv1e Ali That Applyy -
Is job mady for inspection: YES f NO Rough [n- .-�E- p Fi
nal-
*bb you need-a Temp Certificate:
YRS/ NO
Temp-information(If deeded} -
*Service Size' - 1 Phase- 3Phase 100 -150- 20U 30Q_ 350- 400 Ofher .
*New Service: Re-connect Underground- Number of M titers Change of Service Overfie Q
Additional-Information: PAYMENT DUEVlFiTH-APPL[C A [T O
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