HomeMy WebLinkAbout38916-Z Town of Southold Annex 6/13/2014
P.O.Box 1179
54375 Main Road
e"�►. Southold, New York 11971
1 �
CERTIFICATE OF OCCUPANCY
No: 36967 Date: 6/13/2014
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 2010 Haywaters Rd, Cutchogue,
SCTM#: 473889 Sec/Block/Lot: Ill.-6-16.2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
5/30/2014 pursuant to which Building Permit No. 38916 dated 5/30/2014
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
The certificate is issued to Miller Harry H 2014 Trust
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 38916 06-04-2013
PLUMBERS CERTIFICATION DATED
LT 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#: 38916 Date: 5/30/2014
Permission is hereby granted to:
Miller Harry H 2014 Trust
46 The Promenade
Glen Head, NY 11545
To: replace meter pan and disconnect at pole
At premises located at:
2010 Haywaters Rd, Cutchogue
SCTM #473889
Sec/Block/Lot# 111.-6-16.2
Pursuant to application dated 5/30/2014 and approved by the Building Inspector.
To expire on 11/29/2015.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
*oF so�ryol
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road CAV Fax(631)765-9502
P.O.Box 1179 • �Q roger.riche rt(a)-town.southold.ny.us
Southold,NY 11971-0959
�y�OUNTY,�c�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Harry Miller
Address: 2010 Haywaters Rd City: Cutchogue St: NY Zip: 11935
Building Permit#: 38916 Section: 1 1 1 Block: 6 Lot: 16.2
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: DoroSki Electric Inc License No: 2941-e
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only X
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph 200a Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 200a A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency FixtureTime Clocks
Disconnect 200a Switches Twist Lock Exit Fixtures 9 TVSS El
Other Equipment: replace deteriated meter pan and main disconnect panel, 200a overhead service
Notes:
Inspector Signature: Date: june 4 2013
81-Cert Electrical Compliance Form.xls
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JOBSiTE INFORMATIC'ON: (1ndicate$ required Information)
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*BRIEF DESCRIPTION Off' 10VORK(Please Print Ciesrly)
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*Is Job ready for inspection / No Ro In.
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`Do you need a Temp Cert ttimte: YE / NO
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Additional Information: PAYMENT QUE VNITH AMjQ6TIQRI
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