HomeMy WebLinkAbout39451-ZTown of Southold Annex 1/9/2015
P.O. Box 1179
54375 Main Road
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 37371 Date: 1/9/2015
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 75 Wells Rd, Pecomc,
SCTM #: 473889 Sec/Block/Lot:
75.-6-3.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
12/30/2014 pursuant to which Building Permit No. 39451 dated 12/30/2014
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 (POLE) ELECTRIC SERVICE
The certificate is issued to Munafo, Joseph & Munafo, Jodi
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
39451
01-05-2015
Authorized Signature
TOWN OF SOUTHOLD
0'�2kN 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 #: 39451 Date: 12/30/2014
Permission is hereby granted to:
Munafo, Joseph & Munafo, Jodi
1850 Indian Neck Ln
Peconic. NY 11958
To: 200 Amp Electric Service
At premises located at:
75 Wells Rd. Peconic
SCTM # 473889
Sec/Block/Lot # 75.-6-3.1
Pursuant to application dated 12/30/2014 and approved by the Building Inspector.
To expire on
Fees:
6/30/2016.
ELECTRIC $85.00
Total: $85.00
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 rt(aD-town.southold.ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Munafo
Address: 75 Wells Rd City: Peconic St: NY Zip: 11958
Building Permit #: 39451 Section: 75 Block: 6 Lot: 3.1
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
1
Ceiling Fixtures
HID Fixtures
Service 3 ph
Hot Water
GFCI Recpt
1
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 FixtureTime
Clocks
Disconnect
100a
Switches
Twist Lock
El
Exit Fixtures
TVSS
Other Equipment:
200a pole service (construction service), over head, with 100a disconnect
Notes:
Inspector Signature: Date: Jan 5 2015
81 -Cert Electrical Compliance Form.xls
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Telephone (631) 7651802
roger.nchertfc _ own.sou ioid.ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date: /off la q ! q
Company Name: 61. a S
Name: 2 G v Afz. L r'-t_.t'z
License No.:
Address: ' o . a Is` c)T-A o 1-r-�' i1i % I g'? 1
Phone No.:. (6 S --L l L_
JOBSITE CNFORMATION: (*Indicates required information)
*Name:
*Address:
*Cross Street:
*Phone No.:
Permit No.:
Tax -Map District:
® c E --I;? k IM U r'S O ro-
Z i S /_&A 0, 20>e a 7s_ P1 cow i
25—
S1 (6 7-2 a! 60J.2
1000 Section: Block:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly) a2.0 ,�Q ,-►r.
1e�wt cr, C) -r'1 pates
Lot:
(Please Circle All That Apply)
*Is job ready for inspection: YES NO. Rough In Final
*Do•you need a Temp Certificate: YE NO
Temp Information (if needed)
*Service Si 1 Phase 3Phase 100 150 200 300 350 400 Other
* i Re -connect Underground Number of Meters % Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
.82=Request for Inspection Form �6L'