HomeMy WebLinkAbout39168-Z Town of Southold Annex 9/10/2014
P.O.Box 1179
54375 Main Road
' + Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 37138 Date: 9/10/2014
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 990 Grand Ave, Mattituck,
SCTM#: 473889 Sec/Block/Lot: 107.-8-44.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
9/8/2014 pursuant to which Building Permit No. 39168 dated 9/10/2014
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:
ELECTRICAL SURVEY
The certificate is issued to Mueller,Adele&Mueller,Robert
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 39168 09-08-2014
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
�► 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#: 39168 Date: 9/10/2014
Permission is hereby granted to:
Mueller, Adele & Mueller, Robert
PO BOX 995
Mattituck, NY 11952
To: Electrical Survey
At premises located at:
990 Grand Ave, Mattituck
SCTM # 473889
Sec/Block/Lot# 107.-8-44.1
Pursuant to application dated 9/8/2014 and approved by the Building Inspector.
To expire on 3/11/2016.
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 iQ roper.richerttown.Southold.ny.us
Southold,NY 11971-0959 Q
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Mueller
Address: 990 Grand Ave City: Mattituck St: NY Zip: 11952
Building Permit* Section: 107 Block: 8 Lot: 44.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: AS BUILT DBA: License No:
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only
Commerical Outdoor 1st Floor X Pool
New Renovation X 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 13 Ceiling Fixtures 1 HID Fixtures
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures 12 CO Detectors
Sub Panel A/C Blower Range Recpt 40a Fluorescent Fixture Pumps
Transformer AppliancesDryer Recpt Emergency Fixtures Time Clocks
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Disconnect Switches 7 Twist Lock Exit Fixtures 11 TVSS
Other Equipment: AS BUILT--------ELECTRICAL SURVEY-------NO VISUAL DEFECTS-----
kitchen and sitting room, 1-exhaust fan
Notes:
Inspector Signature: Date: Sept 8 2014
81-Cert Electrical Compliance Form.xls
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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 l INSPECTOR
SOUlyolo
Town Hall Annex Telephone(631)765-1802
54375 Main Road 765950
P.O.Box 1179 roger.richert(POWn southo d ny us
Southold,NY 11971-0959 OC Y
BUILDING DEPARTMENT
WN OF SOUTHOLD
APP ' ATI OR ELECTRICAL INSPECTION
REQUESTED BY: Date:
.Company Name:
Name:
License Nb.:
Address:
Phone No.:
JOBSITE INFORMATION: (*Indicates required information)
*Name: 0 d4'2 kt/6 r l 1 VA IP,
*Address: (�
*Cross Street:
*Phone No.:
Permit No.:
Tax Map District: . 1000 Section: _ Block: Lot:
c
*BRIEF DESCRIPTION OF WORK(Please Print Cieariy)
(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)
kService Size: 1 Phase 3Phase 100 150 200 300 350 400 Other
"New Service: Re-connect Underground Number of Meters Change of Service Overhead
additional Information: PAYMENT DUE WIT I I APPLICATION
82-Request for Inspection Form