HomeMy WebLinkAbout39364-Z"�. Town of Southold 3/6/2015
P.O. Box 1179
53095 Main Rd
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 37459 Date: 3/6/2015
THIS CERTIFIES that the building ELECTRICAL
Location of Property:
SCTM #: 473889
400 Anglers Rd, Greenport,
Sec/Block/Lot: 36.-2-17
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
11/13/2014 pursuant to which Building Permit No. 39364 dated 11/13/2014
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:
repairs due to water damage caused by burst pipe.
The certificate is issued to Santangelo, Michael & Santangelo, Catherine
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
39364
3/4/2015
Authorized Signature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
' SOUTHOLD, NY
# f'
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 #: 39364 Date: 11/13/2014
Permission is hereby granted to:
Santangelo, Michael & Santangelo, Catherine
147-07 Willets Point Blvd
Whitestone, NY 11357
To: Electric Sewwee Re C" t! S
At premises located at:
400 Anglers Rd, Greenport
SCTM # 473889
Sec/Block/Lot # 36.-2-17
Pursuant to application dated
To expire on 5/14/2016.
Fees:
11/13/2014
and approved by the Building Inspector.
ELECTRIC $125.00
Total: $125.00
Building Inspector
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
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y'rOUNil
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Telephone (631) 765-1802
Fax (631) 765-9502
roger.richert(a)-town.southold. ny. us
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Mike Santangelo
Address: 400 Anglers Lane City: Greenport St: New York Zip: 11944
Building Permit #: 39364 Section: 36 Block: 2 Lot: 17
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: REP Electric License No: 46288 -ME
Residential
Commerical
New
Addition
X
Indoor
Outdoor
Renovation
Survey
Duplec Recpt
10
SITE DETAILS
Office Use Only
X Basement
X 1st Floor
2nd Floor
Attic
INVENTORY
X Service Only
X Pool
X Hot Tub
Garage
Service 1 ph
Heat
Duplec Recpt
10
Ceiling Fixtures
HID Fixtures
Service 3 ph
Hot Water
GFCI Recpt
Wall Fixtures
2
Smoke Detectors
5
Main Panel
200
A/C Condenser
Single Recpt
Recessed Fixtures
3
CO Detectors
2
Sub Panel
A/C Blower
Range Recpt
Fluorescent Fixture
Pumps
Transformer
Appliances
Dryer Recpt
Emergency Fixture
Time Clocks
Disconnect
200
Switches
EEl7
Twist Lock
Exit Fixtures
TVSS
Other Equipment:
Electrical Repairs Due to Water Damage
Caused by Burst Pipe.
Notes: Post Light on Lawn. - Replace 200A Electric Panel and Circuit Breakers.
Inspector Signature: (iLC-tg6—� Date: March 4, 2015
IF
Electrical Compliance Form.xls
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TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
] FOUNDATION 1 ST
] FOUNDATION 2ND
]
FRAMING/ STRAPPING
] FIREPLACE A CHIMNEY
] FIRE RESISTANT CONSTRUCTION
] ELECTRICAL (ROUGH)
] CODE VIOLATION
[ ] ROUGH PLUMBING
[ ] INSULATION
[ ] FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
[] ELECTRICAL (FINAL)
[ ] CAULKING
REMARKS:
DATE �' � � � INSPECTOR X"
F
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I�JJ P.O. Box 1119
II 1 Southold, NY 11971
U y NOV 13 2014
R �T.
pf St
4
BUILDING DEPARTWXr
TOWN OF ad"% ]LD
APPLICATION FOR ELECTRICAL INSPECTION
Telephone (631) 765-1802
roger.richertd-tows) ufioQtl.nv.us
REQUESTED BY: f 2 l z:
�,6 Date:
Company Name: —Z
Name: � � �L c� C
License No.: Z -
Address:
Phone No.: 7.6 7 0
JOBSITE INFORMATION: (*Indicates required information)
*Name:
'Address:
*Cross Street:
*Phone No.:
Permit No.:
Tax -Map District: IUUU 'Section: Block: Lot:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
-ILA., / 4e //-,ell S 4-- /Z cc_esls� 6>1-1 Z" (; A
J
&11� � 1-1161-7�3
(Please Circle All That Apply)
*Is job ready for inspection: YE /P
Ro gh inD Final
*Dv you need a Temp Certificate: YES /
Temp Information (If needed)
*Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other
*New Service: Re -connect Underground Number of Meters Change of Service Overhead
Additional Information: PAYnnFtiT nl tG AnnTu Aon
82�Request for inspection Form
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