HomeMy WebLinkAbout37988-Zdt�OSUFFOL/r Town of Southold 5/27/2015
P.O. Box 1179
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c 53095 Main Rd
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 37576 Date: 5/27/2015
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 410 Wood Ln, Greenport
SCTM #: 473889 See/Block/Lot: 43.4-29
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
4/30/2013 pursuant to which Building Permit No. 37988 . dated 4/30/2013
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:
100a overhead electric service.
The certificate is issued to Robert & Marie Ragona
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
37988
4/30/2013
Authorized Signature
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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
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SOUTHOLD, NY
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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 #: 37988 Date: 4/30/2013
Permission is hereby granted to:
Kinscherf, Eleanor
395 Inlet Dr
Greenport, NY 11944
To: electric service change
At premises located at:
410 Wood Ln. Gree
SCTM # 473889
Sec/Block/Lot # 43.4-29
Pursuant to application dated
To expire on
Fees:
10/30/2014.
4/30/2013
and approved by the Building Inspector.
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
roger.richertCcD-town.southold.ny.us
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Robert Ragona (Kinscherf)
Address: 410 Wood Ln City: Greenport St: NY Zip: 11944
Building Permit #: 37988 Section: 43 Block: 4 Lot: 29
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 Service Only x
Commerical Outdoor x 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph 100a Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt S Wall Fixtures Smoke Detectors
Main Panel 100a 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 100a Switches Twist Lock Exit Fixtures TVSS Ll
Other Equipment: 100a overhead service
Notes:
Inspector Signature: A, Date: April 30 2013
Electrical Certificate.xls
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
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Telephone (631) 765-1802
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date: �2
Company Name: 4 97
Name: p; �� G 0,4 /2/�
License No.: �' 79 —
Address: f,D. 60o A- A) LIQ -71
Phone No.. ig
JOBSITE INFORMATION.: (`Indicates required information)
*Name:
PA
*Address: 4/��0 �� 1 moo Lia ivy
*Cross Street:�d "/VSl Ag-� A tj4--
*Phone No.: ,- 5-41
Permit No.: � 9
Tac Map District: 1000 Section: Block: Lot:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
IIce- '��
(Please Circle All That Apply)
*is job ready for inspection. NO Rough In Final
*Do you need a Temp Certificate: YE f NO
Temp Information (If ded]
*Service Size: 1 D�, 3Phase ® 150 200 300 350 400 Other
*New Service: Re -connect Underground Number of Meters 1 Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION.
1\1nest for Ins on Form `
82 -Req pew