HomeMy WebLinkAbout38677-Z FFoe. Town of Southold Annex 7/24/2014
P.O.Box 1179
54375 Main Road
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 37042 Date: 7/24/2014
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 4050 Soundview Ave, Mattituck,
SCTM#: 473889 Sec/Block/Lot: 94.-3-1.11
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
2/20/2014 pursuant to which Building Permit No. 38677 dated 2/20/2014
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 OVERHEAD ELECTRIC SERVICE
The certificate is issued to Browder,Christopher&Browder,Holly
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 38677 07-16-2014
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
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SOUTHOLD, NY
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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#: 38677 Date: 2/20/2014
Permission is hereby granted to:
Browder, Christopher & Browder, Holly
4050 Soundview Ave
Mattituck, NY 11952
To: 200a overhead electric service
At premises located at:
4050 Soundview Ave, Mattituck
SCTM # 473889
Sec/Block/Lot# 94.-3-1.11
Pursuant to application dated 2/20/2014 and approved by the Building Inspector.
To expire on 8/22/2015.
Fees:
ELECTRIC $90.00
Total: $90.00
Building Inspector
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Town Hall Annex Telephone(631)765-1802
54375 Main Road N Fax(631)765-9502
P.O.Box 1179 roger.riche rt(cD-town.southoId.ny.us
Southold,NY 11971-0959 Q
COUNTY,
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Browder
Address: 4050 Soundview Ave City: Mattituck St: NY Zip: 11952
Building Permit#: 38677 Section: 94 Block: 3 Lot: 1.11
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Alternative Power& Light License No: 4063-me
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 Fixture Time Clocks
Disconnect 200a Switches Twist Lock Exit Fixtures TVSS
Other Equipment: 200a overhead service
Notes:
Inspector Signature: Date: July 16 2014
81-Cert Electrical Compliance Form.xls
pF SOUI�o�o
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TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLUMBING
[ ] FOUNDATION 2ND [ ] INSULATION
[ ]
FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
DATE f INSPECTOR
i
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` Town Hall Annex J� � Telephone(631)765-1802
54375 Main Road rogerrichertawoioP.O.Box 1179 s �� nv us
Southold,NC 11971-0959
I'
,
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: _ � e A0 it Date:
Company Name: .
Name: wlon
License No.:
P,
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Address: , RN Zzv D7`� �"eIEF� �GTz6
Phone No.: 3c- 3 31- 76 f 3
JOBSITE INFORMATION: (*Indicates required information)
*Name:
*Address: c f o o Vi
*Cross Street: _��` J6 6 I
*Phone No.. -
Permit No.: i
Tax-Map District: 4000 Section:— - Block: _ Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
(Please Circle All That Apply)
Is job ready for inspection: YES/ NO Rough in Final
*Do-you need a Temp Certificate: YES NO
Temp Information(if needed)
i
*Service Size: jfPhase 3Phase 100 150 � 300 350 400 her
New Service: Re-connect Underground Number of Meters Change of Service Overhea
Additional In€or7nation: PAYMENT DUE WITH APPLICATION
I
82=Request fori pection orrn Q C/�