HomeMy WebLinkAbout38867-Z Town of Southold Annex 7/8/2014
P.O.Box 1179
54375 Main Road
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 37011 Date: 7/8/2014
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 915 Private Rd#31, Southold,
SCTM#: 473889 Sec/Block/Lot: 77.-3-16
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. 38867 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:
200 AMP UNDERGROUND ELECTRIC SERVICE
The certificate is issued to Amir, Sarit
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 38867 04-03-2014
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
1
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#: 38867 Date: 5/8/2014
Permission is hereby granted to:
Amir, Sarit
PO BOX 790
Southold, NY 11971
To: Upgrade Electric Service
At premises located at:
915 Private Rd #31, Southold
SCTM # 473889
Sec/Block/Lot# 77.-3-16
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
o�*oF So�ryol
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Town Hall Annex Telephone(631)765-1802
54375 Main Road N Fax(631)765-9502
P.O.Box 1179 iQ roger.riche rticcD_town.southoId.ny.us
Southold,NY 11971-0959 Q
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Amir, Sarit
Address: 915 Goose Creek Ln---(915 Private Rd#31) City: Southold St: NY Zip: 11971
Building Permit#: 38867 Section: ]] Block: 3 Lot: 16
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Above All Electric Inc License No: 4852-me
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 200 Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 200 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 R200 Switches Twist Lock Exit Fixtures TVSS
Other Equipment: up grade service to 200a underground
Notes:
Inspector Signature: Date: July 3 2014
81-Cert Electrical Compliance Form.xls
Of S.
Town Hall Annex
54375 Main Road ,- - 410ne7Q
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P.O.Box 1176 'CIS�rtou 01
Southold,NY 11971-0959lu
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MAY -7 2014 3
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSP
REQUESTED BY.,
� ( Date:
Company Name: OS/2.
Name:
License No.: s Z is
Address: 2-5 j
11-77
Phone No.:
JOBSITE INFORMATION: (*Indicates required information)
*Name: i
*Address: I
*Cross Street:
*Phone No.: ( _
i
Permit No.:
Tax-Map District: 9000 Section: Block:
_.._�� Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
(Please Circle Ali That Apply)
*Is job ready for inspection: YES/ NO Rough in Final
*Do-you need a Temp Certificate: YES NO
Temp lnfonmation �Lpd)
*Service Size:
�Phw3Phase 00 150 200 300 350 400 Other
*New Service: R �UndergrounNumber of Meters Change of Servi Overhead
Additional Information: PAYMENT DUE WITH AP TION
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