HomeMy WebLinkAbout39382-ZfFOL4,co Town of Southold Annex 1/2/2015
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CERTIFICATE OF OCCUPANCY
No: 37353 Date: 1/2/2015
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 3310 New Suffolk Ave, Mattituck,
SCTM #: 473889
Subdivision:
Sec/Block/Lot: 115.-9-5.2
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
11/24/2014 pursuant to which Building Permit No. 39382 dated 11/24/2014
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:
100 AMP OVERHEAD POLE SERVICE
The certificate is issued to Bagshaw Jr, Harvey & Bagshaw, Gay
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
39382 12-31-2014
Authorized Signature
40G
0, s.
Permit #: 39382
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)
Permission is hereby granted to:
Bagshaw Jr, Harvey & Bagshaw, Gay
Deephole Dr
PO BOX 1449
NY 11952
To: new pole service
At premises located at:
3310 New Suffolk Ave. Mattituck
SCTM # 473889
Sec/Block/Lot # 115.-9-5.2
Date: 11/2412014
Pursuant to application dated 11/24/2014 and approved by the Building Inspector.
To expire on 5/25/2016.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
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
roger. riche rt( _town. southoId. ny. us
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Harvey Bagshaw
Address: 3310 New Suffolk Ave City: Mattituck St: NY Zip: 11952
Building Permit#: 39382 Section: 115 Block: 9 Lot: 5.2
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: C -Cat CO License No: 953 -me
Residential
100a
X
Indoor
Commerical
Ceiling Fixtures
Outdoor
New
Service 3 ph
Renovation
Addition
GFCI Recpt
Survey
SITE DETAILS
Office Use Only
Basement
X 1st Floor
2nd Floor
Attic
INVENTORY
Service Only X
Pool
Hot Tub
Garage
Service 1 ph
100a
Heat
Duplec Recpt
Ceiling Fixtures
HID Fixtures
Service 3 ph
Hot Water
GFCI Recpt
Wall Fixtures
Smoke Detectors
Main Panel
100a
A/C Condenser
Single Recpt
Recessed Fixtures
CO Detectors
Sub Panel
A/C Blower
Range Recpt
Fluorescent Fixture
Pumps
Transformer
Appliances
Dryer Recpt
Emergency Fixtures
Time Clocks
Disconnect
100a
Switches
El
Twist Lock
Exit Fixtures
TVSS
Other Equipment:
100a overhead pole service
Notes:
Inspector.Signature:✓ _ Date: Dec 31 2014
i
81 -Cert Electrical Compliance Form.xls
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Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959.
Telephone (631) 765-1802
ro4er.richertd-foxw6nls (W00Fd.ny.us
BUILDING DEPARTMENT
-' TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
UESTED BY:."' Oky Pt-Q.—G,4. (')a,- FZw_ &tom_ Dater
pany Name: -� Co t jmrM C `A m)
License No.:
Address:
Phone No.:
,JOBSITE INFORMATION: (*Indicates required information)
*Name:
*Address: - ? 3'3
*Cross Street:
*Phone 'No.:
Permit No.:
Tax Map District
*BRIEF DESCRIPTION OF WORK (Please Print Clearly) �S .� 4,45:r'
1.
.�VIIn n
(Please- Circle All That Apply)
*Is job ready for inspection:
*Do you need a Temp Certificate:
NO Rough In
YES NO
Final
Temp Information (If needed)
*Service Size: Phase 3Phase100 150 200 300 350 400 Other
*New Service: Re -connect Underground Number of Meters ange of Service vefiead
Additional Information: PAYMENT DUE WITH APPLICATION
S5, D
o
82 - Request for Inspection Form 11-2414'