HomeMy WebLinkAbout38924-Z fi Town of Southold Annex 9/8/2014
P.O.Box 1179
54375 Main Road
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 37133 Date: 9/8/2014
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 390 Park Way, Southold,
SCTM#: 473889 Sec/Block/Lot: 70.40-39
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
6/2/2014 pursuant to which Building Permit No. 38924 dated 6/2/2014
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:
OVERHEAD 200 AMP ELECTRICAL SERVICE
The certificate is issued to Peters, Sophie&Peters,Denis
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 38924 08-28-2014
PLUMBERS CERTIFICATION DATED
Authorized Signature
t TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
10 hi'.06'4 SOUTHOLD, NY
1
; * V
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#: 38924 Date: 6/2/2014
Permission is hereby granted to:
Peters, Sophie & Peters, Denis
97-44 64th Ave
Rego Park, NY 113742231
To: Change to Overhead 200 Amp Electrical Service
At premises located at:
390 Park Way, Southold
SCTM # 473889
Sec/Block/Lot# 70.-10-39
Pursuant to application dated 6/2/2014 and approved by the Building Inspector.
To expire on 12/2/2015.
Fees:
ELECTRIC $85.00
Total: $85.00
ing Inspector
o��OF SOUjyol
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Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 roger.riche rt(a)-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: Ron Cappa
Address: 390 Park Way City: Southold St: NY Zip: 11971
Building Permit#: 38924 Section: 70 Block: 10 Lot: 39
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: BJ Electric License No: 2670-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 FixturesTime Clocks
Disconnect 200a Switches 11 Twist Lock Exit Fixtures TVSS
Other Equipment: 200a over head service
Notes:
Inspector Signature: Date: Aug 28 2014
81-Cert Electrical Compliance Form.xls
39Solma
Town Hall Annex
54375 Main Road T (6311765-1802
P.O.Box 1179G 50
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Southold,NY 11971-0959
TOU� OG. DEPT
N�OF.S"TTNOLD
BUIWING DEPARTNEW
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY.
Date: a�l
Company Name: L�C`l/ilk
Name:
License No.:
Address:
' Phone No.: -
JOBSITE INFORMATION: (*Indicates required information)
*Name:
*Address:
*Cross Street: `
*Phone No_: r �� 6 a
Permit No.:
Tax-Map District: 9000 Section: �. Block:
Lot: '2 `
*BRIEF DESCRIPTION OF WORK(please Print Clearly)
s t
A#7'
(Please Circle All That Apply)
*Is job ready for inspection:
Y S
*Do-you need a Temp Certificate: NO Rough In Final
YES O
Tetnp Information(lf.needed
*Service Size: 1 ase 313hase 100 150 C2;0 300 350
400 Other
"New Service: Re-connect Underground Number of Meters Change of Service Overhead
Additional Information:
PAYMENT DUE WITH APPLICATION
824Request for inspection Form