HomeMy WebLinkAbout37257-Z S F tj t Town of Southold Annex 7/7/2014
P.O.Box 1179
4, 54375 Main Road
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 37010 Date: 7/7/2014
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 285 Emory Rd, Cutchogue,
SCTM#: 473889 Sec/Block/Lot: 103.4-38
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
5/29/2012 pursuant to which Building Permit No. 37257 dated 5/29/2012
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:
200 AMP OVERHEAD ELECTRIC SERVICE
The certificate is issued to Schenkel,Thomas&Schenkel,Regina
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 37257 06-30-2014
PLUMBERS CERTIFICATION DATED
1 —
Authorized Signature
ra � 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#: 37257 Date: 5/29/2012
Permission is hereby granted to:
Schenkel, Thomas & Schenkel, Regina
6 Prescott St
Garden City, NY 11530
To: Service Change
At premises located at:
285 Emory Rd, Cutchogue
SCTM # 473889
Sec/Block/Lot# 103.-4-38
Pursuant to application dated 5/29/2012 and approved by the Building Inspector.
To expire on 11/28/2013.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
*oF so�ryol
Town Hall Annex O Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 A Q roger.riche rt(C�town-Southold.ny.us
Southold,NY 11971-0959
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Tom Schenkel
Address: 285 Emory Rd City: Cutchogue St: NY Zip: 11935
Building Permit#: 37257 Section: 103 Block: 4 Lot: 38
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Jim Sage Electric License No: 3635-e
SITE DETAILS
Office Use Only
Residential X Indoor X 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 Fixtures Time Clocks
Disconnect 200a Switches F] Twist Lock Exit Fixtures TVSS
Other Equipment: 200a over head service with 6 position generator panel
Notes:
Inspector Signature: ,w Date: June 30 2014
81-Cert Electrical Compliance Form.xls
Town Hall Annex J l�( Telephone(631)765-1802
54375 Main Road �azz
P.O.Box 1179 . roaer.nchert Lown SO�U R50QQ22 nV us
Southold,NY 11971-0959 �s �
� M
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date:
Company Name:
Name:
License No.:
Address:
Phone No.:
JOBSITE INFORMATION: (*'Indicates required information)
*Name: JD C- Z 1k{1 _
*Address: ae6;
*Cross Street:
*Phone No.:
Permit No..
Tax Map District: 1000 Section: _ Block: Lot: 3�
*BRIEF DESCRIPTION OF WORK (Please Print Clearly) S�S CJIC F
OA
jPlease Circle All That Apply)
Is job ready for inspection: NO Rough In Final
*Do-you need a Temp Certificate: E NO
Temp Information(if needed)
*Service Size: 1 Phase 3Phase 100 150 20 300 350 400 er
*New Service: Re-connect Underground Number of Meters Change of Servic
Additional Information: PAYMENT DUE WITH APPLICATION
:82-Request for Inspection Form