HomeMy WebLinkAbout38552-ZTown of Southold
P.O. Box 1179
53095 Main Rd
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
5/13/2015
No: 37552 Date: 5/13/2015
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 985 Boisseau Ave, Southold
SCTM #: 473889 See/Block/Lot: 63.-2-27
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
12/9/2013 pursuant to which Building Permit No. 38552 dated 12/9/2013
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 UPGRADE
The certificate is issued to Reinckens, Thomas & Reinckens, Carlyn
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
38552
05-12-2015
Authorized Signature
fSU`�coTOWN OF SOUTHOLD
�� ay BUILDING DEPARTMENT
y TOWN CLERK'S OFFICE
o 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 #: 38552 Date: 12/9/2013
Permission is hereby granted to:
Reinckens, Thomas & Reinckens, Carlyn
371 Briar Brae Rd
Stamford. CT 06903
To: Electric Service Upgrade
At premises located at:
985 Boisseau Ave. Southold
SCTM # 473889
Sec/Block/Lot # 63.-2-27
Pursuant to application dated 12/9/2013 and approved by the Building Inspector.
To expire on
Fees:
6/10/2015.
ELECTRIC $85.00
Total: $85.00
Building Inspector
Town Hall Annex
.54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Telephone (631) 765-1802
Fax(631)765-9502
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CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Thomas Reinckens
Address: 985 Boisseau Ave City: Southold St: New York Zip: 11971
Building Permit #: 38552 Section: 63 Block: 2 Lot: 27
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Roslak Electric Inc. License No: 3677 -ME
Residential
Commerical
New
Addition
X
Indoor
Outdoor
Renovation
Survey
Duplec Recpt
SITE DETAILS
Office Use Only
Basement
X 1st Floor
2nd Floor
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
200A
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
200A
Switches
Twist Lock
Exit Fixtures
El
TVSS
El
Other Equipment:
Service Up Grade - 200A Overhead Service
Notes:
Inspector Signature: Date: May 12, 2015
Electrical 81 Compliance Form.xls
D EC9 2013
BLDG. DEPT.
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