HomeMy WebLinkAbout37899-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
1/2/2015
No: 37352 Date: 1/2/2015
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 57225 Route 25, Southold,
SCTM #: 473889 Sec/Block/Lot: 63.-3-21.5
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
3/28/2013 pursuant to which Building Permit No. 37899 dated 4/1/2013
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 OVERHEAD ELECTRIC SERVICE
The certificate is issued to North Fork Rlty Assoc LLC
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
37899
12-31-2014
T 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 #: 37899
Permission is hereby granted to:
North Fork Rlty Assoc LLC
57225 Route 25
Southold, NY. 11971
To: Replace 200 Amp Service
At premises located at:
57225 Route 25, Southold
SCTM # 473889
Sec/Block/Lot # 63.-3-21.5
Date: 4/1/2013
Pursuant to application dated 3/28/2013 and approved by the Building Inspector.
To expire on 10/1/2014.
Fees:
ELECTRIC
Total:
Building Inspector
$85.00
$85.00
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Telephone (631) 765-1802
Fax (631) 765-9502
roper. riche rKED-town.southoId. ny.us
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: North Fork Table Resturant
Address: 57225 Main Rd, Rt25 City: Southold St: NY Zip: 11971
Building Permit #: 37899 Section: 63 Block: 3 Lot: 21.5
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: QC Electric License No: 3823-e
Residential
Commerical
New
Addition
200a
Indoor
Outdoor
Renovation
Survey
X
Duplec Recpt
SITE DETAILS
Office Use Only
Basement
X 1st Floor
2nd Floor
Attic
INVENTORY
Service Only X
Pool
Hot Tub
Garage
Service 1 ph
200a
Heat
Duplec Recpt
Ceiling Fixtures
HID Fixtures
Service 3 ph
Hot Water
GFCI Recpt
4
Wall Fixtures
Smoke Detectors
Main Panel
200a
A/C Condenser
Single Recpt
Recessed Fixtures
CO Detectors
Sub Panel
1
A/C Blower
Range Recpt
Fluorescent Fixture
Pumps
Transformer
Appliances
Dryer Recpt
Emergency Fixtures
Time Clocks
Disconnect
200]
Switches
Twist Lock
1-50
Exit Fixtures
TVSSEl
Other Equipment:
200a over head service with sub panel at remote location outside
Notes:
Inspector Signature: Date: Dec31 2014
81 -Cert Electrical Compliance Form.xls