HomeMy WebLinkAbout39299-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
12/24/2014
No: 37343 Date: 12/24/2014
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 2700 Harbor Ln, Cutchogue,
SCTM #: 473889 See/Block/Lot: 103.4-20.8
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
10/21/2014 pursuant to which Building Permit No. 39299 dated 10/21/2014
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:
NEW ELECTRIC SERVICE IN KITCHEN
The certificate is issued to Anderson, Mark & Anderson, Jillian
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF ]HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
39299 12-23-2014
Authorized Signature
a�
f�
Town of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
12/24/2014
No: 37343 Date: 12/24/2014
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 2700 Harbor Ln, Cutchogue,
SCTM #: 473889 See/Block/Lot: 103.4-20.8
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
10/21/2014 pursuant to which Building Permit No. 39299 dated 10/21/2014
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:
NEW ELECTRIC SERVICE IN KITCHEN
The certificate is issued to Anderson, Mark & Anderson, Jillian
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF ]HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
39299 12-23-2014
Authorized Signature
TOWN OF SOUTHOLD
�y BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
'jpl � Sao
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 #: 39299 Date: 10/21/2014
Permission is hereby granted to:
Anderson, Mark & Anderson, Jillian
96 Diamond St Unit 1B
Brooklvn, NY 11222
To: electric for kitchen renovation.
At premises located at:
2700 Harbor Ln, Cutchogue
SCTM # 473889
Sec/Block/Lot # 103.-1-20.8
Pursuant to application dated
To expire on
Fees:
4/21/2016.
10/21/2014
and approved by the Building Inspector.
ELECTRIC $90.00
Total: $90.00
i
Building Inspector
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Telephone (631) 765-1802
Fax(631)765-9502
roper.riche rKED-town. southoId. ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Anderson
Address: 2700 -Harbor Lane City: Cutchogue St: NY Zip: 11935
Building Permit #: 39299 Section: 103 Block: 1 Lot: 20.8
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL -ELECTRIC CODE
Contractor: DBA: Steve Ferrera License No: 4324 -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 I ph Heat Duplec Recpt 7 Ceiling Fixtures 3 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 dw Dryer Recpt Emergency Fixtures Time Clocks
-Disconnect Switches 3 Twist Lock Exit Fixtures TVSS
Other Equipment: KITCHEN, 1 -exhaust fan
Notes:
Inspector Signature: Date: -Dec 23 2014
81 -Cert Electrical Compliance Form.xls
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T-OWN"OF SOUTHOLD BUILDING� DEPT.
765-1802
INSPEC-TION.-
I FOUNDATION IST ]ROUGH PLUMBING
FOUNDATION 2ND INSULATION
FRAMING/ STRAPPING FINAL
FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION
FIRE RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION
ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
CODE VIOLATION CAULKING
REMARKS:
DATE— INSPECTO
OF SO!/T,�olo
COUNiY,�
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
] FOUNDATION IST
] FOUNDATION 2ND
]
FRAMING/ STRAPPING
] FIREPLACE & CHIMNEY
] FIRE RESISTANT CONSTRUCTION
] ELECTRICAL (ROUGH)
] CODE VIOLATION
REMARKS:
[ ] ROUGH PLUMBING
[ ] INSULATION
[ ] FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
ELECTRICAL (FINAL)
[ ] CAULKING
_l J
1
r�
DATE;- INSPECTOR
r\ C
01-2,3-12;17:46 ;
Town Ball Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
2186811
# 1/ 2
Telephone (681) 765-1$02
roger.richertor`wnN uthiold nv us
BUILDING DEPARTMENT
TOWN_ OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: pate:
Company Name:
Naie:
License No.:
Address:
Phone No.:
JOBStTE INFORMATION: (*Indicates
*Name:
"Address:
*Cross Street:
*Phone No.:
Permit No.:
Tax'Map' District
*BRIEF
uired information)
1000. Section: -1-- Block: 1 Lot: �Q
PTION OF WORK (Please Print Clearly)
5d w lel® I-n/31�/'' f 7
(Please Circle All That Apply)
*Is job ready for inspection: YES / NO Rough In Final
*Do you need'a Temp Certificate: YES / NO
Temp information -(If needed)
*Service Size: 1 Phase 3Phasa 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
of cam_ r........