HomeMy WebLinkAbout39072-Z r''Fppt _4 Town of Southold Annex 10/4/2014
P.O.Box 1179
_ 54375 Main Road
Southold,New York 11971
'%:lY«TT•illi.
CERTIFICATE OF OCCUPANCY
No: 37194 Date: 10/4/2014
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 555 Sound Ave, Mattituck,
SCTM#: 473889 Sec/Block/Lot: 120.4-3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
7/31/2014 pursuant to which Building Permit No. 39072 dated 7/31/2014
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:
200a underground electric service to 2 mobile homes.
The certificate is issued to Harbes May D Trust#1 &Harbes III,Edward
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 39072 9/25/2014
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
clA BUILDING DEPARTMENT
' TOWN CLERK'S OFFICE
SOUTHOLD, NY
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#: 39072 Date: 7/31/2014
Permission is hereby granted to:
Harbes May D Trust#1 & Harbes III, Edward
PO BOX 1524
Mattituck, NY 11952
To: Electric Service for Two Mobile Homes
At premises located at:
555 Sound Ave, Mattituck
SCTM # 473889
Sec/Block/Lot# 120.-1-3
Pursuant to application dated 7/31/2014 and approved by the Building Inspector.
To expire on 1/30/2016.
Fees:
ELECTRIC $90.00
Total: $90.00
C I -
Building In pector
*pG SOUlyolo
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 �Q _roger.riche rt(p7town.Southold.ny.us
Southold,NY 11971-0959 IrpUNTY,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Edward Harbes
Address: 555 Sound Ave City: Mattithuck St: NY Zip: 11952
Building Permit#: 39072 Section: 120 Block: 1 Lot: 3
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Castel Property Maint License No: 5120-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 2-10 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 2-10 Switches Twist Lock Exit Fixtures �] TVSS ri
Other Equipment: 200a underground service to h frame with 2 meter pans and 2-100a disconnects
feeding 2 mobile homes
Notes:
Inspector Signature: Date: Sept 25 2014
Gr
81-Cert Electrical Compliance Form.xls
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Town Hall Annex
54375 Main Road Telephone(631)765-1802
P.O.Box 1179 G• (631)765-g502
Southold,NY 11971-0959 • �Q roger.rlCilertfoxWn s7OU
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY:
Company Name: Date:
Name:
e�+
License No.:
Address: CJ 4L V
Phone No.:
JOBSITE INFORMATION: (*Indicates required information)
*Name: j
*Address: �25
SSS C,�u V� � � <
*Cross Street:
*Phone No.:
Permit No.:
Tax Map District: 1000 Section:
Block: Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
D 1AA n ` C
ft'Wc Gut
(Please Circle All That Apply) Z - l�jg A(fi7r jgot
*Is job ready for inspection:
*Do you need a Temp Certificate: YES/ NO Rough In
Final
YES / NO
Temp Information (If needed)
*Service Size: 1 Phase 3P 00 150
200 300 350 400 Other
'New Service: Re-tonne Undergroun Number of Meters Change of Service
4dditiona 4nformati Overhead
,7k
/ PAYMENT DUE WITH APPLICATION
ti
a
82-Request for in pection Form