HomeMy WebLinkAbout38879-Z Town of Southold Annex 6/16/2014
�d130 goy P.O. Box 1179
>' 54375 Main Road
y • ,: Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 36972 Date: 6/16/2014
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 14825 Route 25, Mattituck,
SCTM #: 473889 Sec/Block/Lot: 114.-8-4
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
5/12/2014 pursuant to which Building Permit No. 38879 dated 5/13/2014
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:
NEW ADDITIONAL 100 AMP OVERHEAD ELECTRICAL SERVICE FOR 2nd FLOOR
The certificate is issued to Hinsch, James
(OWNER) -
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 38879 06-09-2014
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#: 38879 Date: 5/13/2014
Permission is hereby granted to:
Hinsch, James
7290 Peconic Bay Blvd
Laurel, NY 11948
To: Electric Service
At premises located at:
14825 Route 25, Mattituck
SCTM # 473889
Sec/Block/Lot# 114.-8-4
Pursuant to application dated 5/12/2014 and approved by the Building Inspector.
To expire on 11/12/2015.
Fees:
ELECTRIC $85.00
Total: $85.00
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Building Inspector
c 1�F SO
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax (631)765-9502
P.O. Box 1179 �, roger.richert(�Dtown.southold.ny.us
Southold,NY 1 1971-0959 'Q
COUNTY
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: James Hinsch
Address: 14825 Main Rd (Rt 25) City: Mattituck St: NY Zip: 11952
Building Permit#: 38879 Section: 114 Block: 8 Lot: 4
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: G&S Electric License No: 578-e
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service Only
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph 100a Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 100a 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 100a Switches Twist Lock Exit Fixtures TVSS
Other Equipment: new additional 100a overhead service for 2nd floor
Notes:
Inspector Signature: Date: June 9 2014
81-Cert Electrical Compliance Form.xls
i
Town Hall Annex
54375 Main Road Telephone(631)765-1802
6655.99 UU22
P.O.Box 1179 G� Q roaer.richert cf�i io-, southOltl nY us
Southold,NY 11971.4959
i
BU11DING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date: o '
Com ars Name.
Name: � �- ..
License No.:
Address:
tij /
phone
No.: V,P (..
r
JOBSITE (NFORMATION: (*Indicates required information '
1 �
*Name: A f`V 14f )^L 3
*Address: � �{�'� g"" / A �
Gross Street: S T r �Q�/.7„
*Phone No.: 9 3
--------------
Permit No.:
. s.
Tax-Map District: 1000 Section: Block: Lot: I
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
(Please Circle All That apply)
*Is job ready for inspection: YES NO.
Rough In
*Do-you need a Temp Certificate: S NO
Temp Information(If needed) .-
*Service Size: 1 Phas 3Phase 100 150 200 300 350
400 Other I .
* Service: Re-connect Underground Number of Meters Change of Service Q=ead �
Additional Information: PAYMENT DUE WiTFf APPLICATION
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