HomeMy WebLinkAbout38870-Z {{�,1 Town of Southold Annex 6/2/2014
P.O.Box 1179
54375 Main Road
i3 Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 36946 Date: 6/2/2014
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 1600 Bay Shore Rd, Greenport,
SCTM#: 473889 Sec/Block/Lot: 53.-4-31
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. 38870 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:
Electrical Service Upgrade
The certificate is issued to Hoban,Bernadette&Kristoff,Marianne
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 38870 05-29-2014
PLUMBERS CERTIFICATION DATED
Authorized Signature
slit TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
1 # 4
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 #: 38870 Date: 5/8/2014
Permission is hereby granted to:
Hoban, Bernadette & Kristoff, Marianne
61 Bliss Ter
Brooklyn, NY 11220
To: Upgrade Electrical Service
At premises located at:
1600 Bay Shore Rd, Greenport
SCTM # 473889
Sec/Block/Lot# 53.4-31
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 SOUryol
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Town Hall Annex Telephone(631)765-1802
54375 Main Road N Fax(631)765-9502
P.O.Box 1179 �O roger.richert(a)-town.southold.ny.us
Southold,NY 11971-0959
NV,�c�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Bernadette Hoban
Address: 1600 Bay Shore Rd City: Greenport St: NY Zip: 11944
Building Permit* 38870 Section: 53 Block: 4 Lot: 31
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
contractor: DBA: Tiger Electrical Service Inc License No: 51499-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 200a A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency FixturesTime Clocks
Disconnect 200a Switches Twist Lock Exit Fixtures TVSS
Other Equipment: 200a overhead service
Notes:
.a
Inspector Signature: Date: May 29 2014
81-Cert Electrical Compliance Form.xls
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Town Hall Annex Telephone(631)7651802
54375 Main Road xw7goQtlP.O.Box 1179 roSer.richeIU(ilsO
ny us
Southold,NY 11971-0959
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BUILDING DEPARTi4ff.A1'I`
TOWN OF SOUTHOLD
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APPLICATION FOR ELECTRICAL INSPECTION '
REQUESTED BY. Date:
Company Name: ►G0 L CJ c \ Seg"A c-, �n�
Name:
License No.:
Address:
Phone No.:
JOBSITE INFORMATION: (*Indicates required information)
*Name:
*Address:
*Cross Street:
*Phone No.. q I l _CR i _ —\
Permit No.:
Tax-Map District: 1000 Section: Block: Lot:
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*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
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CIO a S ,Pel
(Please Circle All That Apply)
*Is job ready for inspection: <ZER1 NO Rough in Final
*Do you need a Temp Certificate: YES
Temp Information(if needed)
*Service Size: 3Phase 100 150 300 350 400 Other
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*New Service: Re-connect Underground Number of Meters-,", Change of Service Overhead
Additional Information: PAYMENT DUE WCTH APPLICATION 10 .
MAY - 8 ?n14
82-Request for Inspection Form
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