HomeMy WebLinkAbout39301-Z �„ ypFFpt,t Town of Southold Annex 11/3/2014
P.O.Box 1179
54375 Main Road
` 'CIS • Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 37254 Date: 11/3/2014
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 3595 Paradise Point Rd, Southold,
SCTM#: 473889 Sec/Block/Lot: 81.-1-15.5
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
10/22/2014 pursuant to which Building Permit No. 39301 dated 10/22/2014
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 SERVICE UPGRADE
The certificate is issued to Colin Klein, Laura
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 39301 10-22-2014
PLUMBERS CERTIFICATION DATED
AuthorizedSignature
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 #: 39301 Date: 10/22/2014
Permission is hereby granted to:
Colin Klein, Laura
41 W 96th St Apt PH
New York, NY 10025
To:
upgrade electric service
At premises located at:
3595 Paradise Point Rd, Southold
SCTM # 473889
Sec/Block/Lot# 81.-1-15.5
Pursuant to application dated 10/22/2014 and approved by the Building Inspector.
To expire on 4/22/2016.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
*pF SOT,
Town Hall Annex Telephone(631)765-1802
54375 Main Road /31 Fax(631)765-9502
P.O.Box 1179 '`
roger.riche rt(al_town.Southold.ny.us
Southold,NY 11971-0959 pIyCOUNTI'�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Colin Klein
Address: 3595 Parddise Point Rd City: Southold St: NY Zip: 11971
Building Permit#: 39301 Section: 81 Block: 1 Lot: 15.5
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Glen's Electric License No: 4770-me
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service Only
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph 300a Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 2-15 A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel 1-10 A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks
Disconnect 2-15 Switches Twist Lock Exit Fixtures �] TVSS
Other Equipment: up grade existing 300a underground service, add 1-100a sub panel, install 16 LEC
recessed fixtures in basement
Notes:
Inspector Signature: Date: Oct 22 2014
81-Cert Electrical Compliance Form.xls
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Town Hall Annex Telephone(631)765-1802 i>
54375 Main Road g Q2
P.O.Box 1179 G Q roger.richerte town so6ut1Vo15.nV.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: c Date: l
Company Name:
Name:
License No.:
Address:
Phone No.: 3 -'7-_
JOBSITE INFORMATION: (*Indicates required information)
*Name: •
*Address: 9
�a7
*Cross Street:
*Phone No.:
Permit No.: -9!a ,;3 0 1 i.
Tax-Map District: 1000 Section: Block:�_ Lot: f ,
3
*BRIEF DESCRIPTION OF WORK(Please Print Clearly) G
T
(Please Circle All That Apply)
*Is job ready for inspection: NO Rough in Fina %,,4 lev
*Do you need a Temp Certificate: YES! NO
i
Temp Information(If.needed)
*Service Size: Ahas3Phase 100 150 200 30 350 400 Other
*New Service: Re-conned Underground Number of Meters ange of Servi Overhead
E
Additional Information: PAYMENT DUE WITH APP ON
82=Request for Inspection Form \