HomeMy WebLinkAbout39131-ZF4(,1.*ar,� Town of Southold
P.O. Box 1179
53095 Main Rd
• Southold, New York 11971
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CERTIFICATE OF OCCUPANCY
No: 37442 Date:
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 750 Capt Kidd Dr, Mattituck,
2/20/2015
2/19/2015
SCTM #: 473889 Sec/Block/Lot: 106.-2-50
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/22/2014 pursuant to which Building Permit No. 39131 dated 8/22/2014
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:
Electric Service
The certificate is issued to Filon, Michele
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
39131
02-18-2015
Authorized Signature
Permit #: 39131
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:
Filon, Michele
750 Captain Kidd Dr
Mattituck. NY 11952
To: Electric Service
At premises located at:
750 Capt Kidd Dr, Mattituck
SCTM # 473889
Sec/Block/Lot # 106.-2-50
Date: 8/22/2014
Pursuant to application dated 8/22/2014 and approved by the Building Inspector.
To expire on 2/21/2016.
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. richert(cD-town.Southold. ny. us
CERTIFICATE OF FLFCTRIMAl r_nMPI IAMr=
SITE LOCATION
Issued To: Michelle Filon
Address: 750 Capt Kidd Rd City: Mattituck St: NY Zip: 11952
Building Permit #: 39131 Section: 106 Block: 2 Lot: 50
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Glens Electric License No: 4770 -me
JI I t Ut I AILS
Office Use Only
Residential X Indoor Basement Service Only X
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic
Garage
INVENTORY
Service 1 ph 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 FixtureTime Clocks
Disconnect H:1 Switches Twist Lock 11 Exit Fixtures TVSS
Other Equipment: re -connect existing 200a over head service
Notes:
Inspector Signature: Date: Feb 18 2015
81 -Cert Electrical Compliance Form.xls
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
�D/765-1802 Telephone (6
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date: 22
/k
Company Name: �,y
Name:
License No.:
Address:
Phone No.: _ SAIJ
-
JOBSITE INFORMATION: (*Indicates required information)
*Name:
*Address:
L f-'/ C'o �(
*Cross Streef:-wx-, ca,f` r��
*Phone No.: o>r/._-5 'y 5/`����,.�
Permit No.:
Tax Map District: 1000 Section:_ Block: Lot: '5b
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
(Please Circle All That Apply)
*Is job ready for inspection:
*Do -you need a Temp Certificate:
YES / NO Rough In
YE ! NO
Final
Temp Information (if needed)
*Service Size- 3Phase 100 150 200 300 350 400 ther
*New Service: ect nderground Number of Meters Change of Servic Overhead
Additional Informa(:r10F7 PAYMENT DUE WITH APPLICATION
.82=Request for Inspection Form