HomeMy WebLinkAbout38904-Z Yrr�
Town of Southold Annex 6/19/2014
P.O. Box 1179
54375 Main Road
W p Southold, New York 11971
SKI
CERTIFICATE OF OCCUPANCY
No: 36982 Date: 6/19/2014
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 845 Locust Ave, Mattituck,
SCTM#: 473889 See/Block/Lot: 115.-7-13.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
5/27/2014 pursuant to which Building Permit No. 38904 dated 5/27/2014
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:
Electric Service for Irrigation Pump
The certificate is issued to Sidor,Robert&Regeness,Diane
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 38904 06-12-2014
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
u� 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#: 38904 Date: 5/27/2014
Permission is hereby granted to:
Sidor, Robert & Regeness, Diane
645 Mill Creek Dr
Southold, NY 11971
To: Electric Service for Irrigation Pump
At premises located at:
845 Locust Ave, Mattituck
SCTM # 473889
Sec/Block/Lot# 115.-7-13.1
Pursuant to application dated 5/27/2014 and approved by the Building Inspector.
To expire on 11/26/2015.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
pF SO(/r�ol
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
Southoldd,, Y 11971-0959
P.O.Box 1179 , Q roger.riche rt(a�town.southold.ny.us
0 �
UUNT,
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Martin Sidor
Address: 845 Locust Ave City: Mattituck St: NY Zip: 11952
Building Permit#: 38904 Section: 115 Block: 7 Lot: 13.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: ROslak Electric License No: 3677-me
SITE DETAILS
Office Use Only
Residential Indoor Basement Service Only X
Commerical X Outdoor X 1st Floor 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 200a 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 EmerRgency Fixture Time Clocks
Disconnect Switches Twist Lock Exit Fixtures TVSS
HOther Equipment: re-connect existing 200a overhead service for irrigation pump
Notes:
Inspector Signature: Date: June 12 2014
81-Cert Electrical Compliance Form.xls
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