HomeMy WebLinkAbout39020-Z 4 Town of Southold Annex 10/21/2014
P.O.Box 1179
54375 Main Road
'ffi Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 37223 Date: 10/21/2014
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 2570 Cedar Dr, Southold,
SCTM#: 473889 Sec/Block/Lot: 77.-2-13
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
7/14/2014 pursuant to which Building Permit No. 39020 dated 7/14/2014
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:
ELECTRIC ON KITCHEN RENOVATION
The certificate is issued to Mciver,John&Mciver,Constance
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 39020 10-07-2014
PLUMBERS CERTIFICATION DATED
Authorized ignature
I, TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
'Nq 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#: 39020 Date: 7/14/2014
Permission is hereby granted to:
McIver, John & Mciver, Constance
220-55 46th Ave Apt 162
Bayside, NY 11361
To: Electric for Kitchen Renovation
At premises located at:
2570 Cedar Dr
SCTM # 473889
Sec/Block/Lot# 77.-2-13
Pursuant to application dated 7/14/2014 and approved by the Building Inspector.
To expire on 1/13/2016.
Fees:
ELECTRIC $90.00
Total: $90.00
Building Inspector
SO�ryo�
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Town Hall Annex Telephone(631)765-1802
54375 Main Road N Fax(631)765-9502
P.O.Box 1179 �0 roger.riche rt(-)town.southoId.ny.us
Southold,NY 11971-0959
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Constance McIver
Address: 2570 Cedar Dr City: Southold St: NY Zip: 11971
Building Permit#: 39020 Section: 77 Block: 2 Lot: 13
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Hildebrandt Electric License No: 38496-me
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 Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 6 Ceiling Fixtures 1 HID Fixtures
Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency FixtureTime Clocks
Disconnect Switches F]2 Twist Lock Exit Fixtures TVSS
Other Equipment: kitchen renovation, 1-exhaust fan
Notes:
Inspector Signature: Date: Oct 7 2014
81-Cert Electrical Compliance Form.xls
r
Of SO(/ryo6
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 INSPECTOR
i
pF SO(/lyo6
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:
�(p c
lG � 14
DATE INSPECTOR
y��OF S�lyo
Town Hail Annex 41 4 Telephone(631)765-1802
54375 Main Road �r (631)7645
P.O.Box 1179 ` roger.richert(CUtoWrl.soU & .ny.us
Southold,W 11971-0959 a�
BUMNG DEPARTMENT
TOWN OF SOUTHOIJ) JR 14 209
APPLICATION FOR ELECTRICAL INSPECTION
BLDG. DEPT.
TnwN OF UTHOLD
REQUESTED BY. Date:
. t l
Company Name: N,p
Name:
License No.:
Address: a 1S 1414W&t v,Sw t Soot rr.y, ttq-11
Phone No.:
JOBSITE INFORMATION: (*Indicates required information) �
*Name: / onS
*Address: S`7 4 C eaQq�- 7j r.
*Cross Street:
*Phone No.. C:e h 3Y-7 - —74 7a I
Permit No.: ( f ;q Q 2-0
Tax-Map District: 1000 . Section:_"7 7 . Block:�_ Lot: _
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
(Please Circle All That Apply)
*Is job ready for inspection: YE NORou h Final
*Do-you need a Temp Certificate: YES
Temp 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 Information: PAYMENT DUE WITH APPLICATION
1'f-Ce',134 8 5 3 2-0
82=Request for Inspection Form