HomeMy WebLinkAbout38863-Z Town of Southold Annex 10/21/2014
P.O.Box 1179
54375 Main Road
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 37221 Date: 10/21/2014
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 795 Laurelwood Dr, Laurel,
SCTM#: 473889 See/Block/Lot: 127.-7-3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
5/7/2014 pursuant to which Building Permit No. 38863 dated 5/7/2014
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 ELECTRIC SERVICE UPGRADE
The certificate is issued to McKenzie IV,Alexander&McKenzie, Erica
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 38863 07-17-2014
PLUMBERS CERTIFICATION DATED
V Authorized Signature
'" =< TOWN OF SOUTHOLD
,.
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#: 38863 Date: 5/7/2014
Permission is hereby granted to:
McKenzie IV, Alexander& McKenzie, Erica
795 Laurelwood Dr
Laurel, NY 11948
To: 200 Amp Electrical Service Upgrade
At premises located at:
795 Laurelwood Dr, Laurel
SCTM # 473889
Sec/Block/Lot# 127.-7-3
Pursuant to application dated 5/7/2014 and approved by the Building Inspector.
To expire on 11/6/2015.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
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Town Hall Annex Telephone(631)765-1802
54375 Main RoadN Fax(631)765-9502
P.O.Box 1179 ��. �o roger.riche rt(a)town.southold.ny.us
Southold,NY 11971-0959 CDUNTI'�,�a
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Mckenzie
Address: 795 Laurelwood Dr City: Laurel St: NY Zip: 11948
Building Permit#: 38863 Section: 127 Block: 7 Lot: 3
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: CELI ELEC License No: 1022-e
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service Only X
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph 150a Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 150a 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 150a Switches F1 Twist Lock Exit Fixtures tj TVSS
Other Equipment: re-connect existing underground service
Notes:
Inspector Signature: Date: July 17 2014
81-Cert Electrical Compliance Form.xls
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Town Hall Annex Telephone(631)765-1802
54375 Main Road y
(631)76595
P.O.Box 1179N roQer.richert fown.soutno ny us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
" ,. APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: 6eC&lo,Q�j Ce' Date: .2-0141
Company Name: cax
Name:
Itpense No.: —
Address: ?,,�AIEMM 9
8
Phone No.: GS - a en - 4RA�.
JOBSITE INFORMATION: (*Indicates required information)
*!'4ame: G� Not•
*.A4dress: raj2
`Cross Street:
*°'hone No.:
061ifnit No.:
Tax-Map District: 9000 Section: Block: Lot:
*PRILF DESCRIPTION OF WORK (Please Print Clearly)
cZCQ AMP
(l71,'Aase Circle All That Apply)
*Is job ready for inspection: YES/ NO. Rough In Final
*P?O.you need a Temp Certificate: YES! NO
TAP Information(if needed)
*service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other
*New Service: Re-connect Underground Number of Meters Change of Service Overhead
Additional nform ion: PAYMENT DUE WITH APPLICATION
.82z-Request ar lnspe on Form