HomeMy WebLinkAbout39438-ZCERTIFICATE OF OCCUPANCY
No: 37369 Date:
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 200 Tabor Rd, Orient,
1/9/2015
1/9/2015
SCTM #: 473889 Sec/Block/Lot: 18.-5-12
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
12/23/2014 pursuant to which Building Permit No. 39438 dated 12/23/2014
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:
200 AMP UNDERGROUND ELECTRIC SERVICE
The certificate is issued to Calverton Group The
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 39438 01-07-2015
PLUMBERS CERTIFICATION DATED
r Authorized Signature
Town of Southold Annex
P.O. Box 1179
r
54375 Main Road
'`[* 01,0
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 37369 Date:
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 200 Tabor Rd, Orient,
1/9/2015
1/9/2015
SCTM #: 473889 Sec/Block/Lot: 18.-5-12
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
12/23/2014 pursuant to which Building Permit No. 39438 dated 12/23/2014
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:
200 AMP UNDERGROUND ELECTRIC SERVICE
The certificate is issued to Calverton Group The
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 39438 01-07-2015
PLUMBERS CERTIFICATION DATED
r Authorized Signature
Permit #: 39438
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:
Calverton Group The
2790 Peters Neck Rd
PO BOX 455
NY 11957
To: New 200 Amp Underground Electric Service
At premises located at:
200 Tabor Rd, Orient
SCTM # 473889
Sec/Block/Lot # 18.-5-12
Date: 12/23/2014
Pursuant to application dated 12/23/2014 and approved by the Building Inspector.
To expire on 6/23/2016.
Fees:
ELECTRIC
Total:
Building Inspector
$85.00
$85.00
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Telephone (631) 765-1802
Fax (631) 765-9502
roger. riche rt(d)-town.southoId. ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: The Calverton Group (Latham)
Address: 200 Tabor Road City: Orient St: NY Zip: 11957
Building Permit #: 39438 Section: 1$ Block: 5 Lot: 12
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: G&S Electric License No: 578-e
SITE DETAILS
Office Use Only
Residential X Indoor Basement
Commerical Outdoor X 1st Floor
New Renovation 2nd Floor
Addition Survey 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
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 Fixture
Time Clocks
Disconnect
200a
Switches
Twist Lock
El
Exit Fixtures
TVSS
Other Equipment:
200a underground service (meter main)
Notes:
Inspector Signature: Date: Jan 7 2015
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
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BUnDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY. Date:
Company Name: e�5 C (�
Name:
License No.: --
Address: /s v o "e. 114-7/
Phone No.: Z/(o
JOBSITE fNFORMATION: (Indicates required information)
*Name:
*Address: f P �O ��k /7 %. Qvu4r-AI— / /q,�_7
*Cross Street: 12-1– a S
*Phone No.:
Permit No.:
Tax -Map District
3t -_ 6___ 96 y/
1000 '.1 Section:
Lot:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly) MP
(Please Circle All That Apply)
Is job ready for inspection: NO. Rough In Final
*Do -you need a Temp Certificate: e/ NO
Temp Information (if needed)
*Service Size: 1 Pha 313hase 100 150 00 300 350 .400 Other
*New Service: ' Re -connect' Undergroun Number of Meters /Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
A
.82=Request for Inspection Form