HomeMy WebLinkAbout38846-Z jFppt,� Town of Southold Annex 9/19/2014
a P.O.Box 1179
54375 Main Road
4 ` ►� r, 7a Southold,New York 11971
raA
CERTIFICATE OF OCCUPANCY
No: 37163 Date: 9/19/2014
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 605 Longview Ln, Southold,
SCTM#: 473889 Sec/Block/Lot: 88.-5-7
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
5/5/2014 pursuant to which Building Permit No. 38846 dated 5/5/2014
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 SERVICE 200 AMP UPGRADE
The certificate is issued to Pando,Joseph&Pando,Theresa
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 38846 09-02-2014
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
' TOWN CLERK'S OFFICE
SOUTHOLD, NY
1 pe
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#: 38846 Date: 5/5/2014
Permission is hereby granted to:
Pando, Joseph & Pando, Theresa
109 Meadbrook Rd
Garden City, NY 11530
To: Electrical Service 200 amp Upgrade
At premises located at:
605 Longview Ln
SCTM # 473889
Sec/Block/Lot# 88.-5-7
Pursuant to application dated 5/5/2014 and approved by the Building Inspector.
To expire on 11/4/2015.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
*pF SO�jyQl,
of
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 , �Q roper.riche rt(aD-town.Southold.ny.us
Southold,NY 11971-0959 Q
�yOOUNTY,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Joseph Pando
Address: 605 Longview Ln City: Southold St: NY Zip: 11971
Building Permit#: 38846 Section: 88 Block: 5 Lot: 7
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: G&S Electric License No: 578-e
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 over head service upgrade
Notes:
Inspector Signature: Date: Sept 2 2014
81-Cert Electrical Compliance Form.xls
�oF soojy
ho3► o�
M TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION IST [ ] 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 INSPECTORS-r
I
��p�SO�lyo
• ,moo !o . i.
Town Hall Annex Telephone(631)765-1802 F.
54375 Main Road N (631)76 95
P.O.Box 1179 G Q roger.richert ex,
h0 5.ny.us
Southold,NY 11971-0959
i`
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY. Date:
- 01 9 dam/
Company Name: f '� .•
Name:
License No.:
Address: D, )e_ o) ! Z 01 o /� ./C 4P 7/ '
Phone No.:
JOBSITE INFORMATION: (*Indicates required information)
*Name: �D �� C>�o
*Address: 1p D�' o ry V l' l �,�►► �i
`C ross Street:
*Phone No.. ZPT -z,6
Permit No.:
Tax-Map District: 1000 Section: Block: Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
(Please Circle All That Apply)
Is job ready for inspection: �% NO Rough In final
*Doou need a Tem Certificate:
Y p �/ NO
Temp Information(If n ed)
*Service Size: Cifhas 3Phase 100 15020 300 350 400 Other
*New Service: Re-connect Underground Number of Meters/Change of ServiceOverhead
Additional Information: PAYMENT DUE WITH APPLICATION
J Vi 111\4
.82=Request for! ecUon Form f(
I .