HomeMy WebLinkAbout39666-ZTown of Southold
P.O. Box 1179
53095 Main Rd
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 37691 Date:
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 2800 Sigsbee Rd, Laurel
SCTM #: 473889
See/Block/Lot: 126.-5-14
8/4/2015
8/4/2015
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
4/10/2015 pursuant to which Building Permit No. 39666 dated 4/10/2015
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:
100 AMP OVERHEAD ELECTRIC SERVICE
The certificate is issued to Sponheimer, George & Selma
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
39666 07-22-2015
Authorized Signature
®sU�F�i���
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)
Permit #: 39666 Date: 4/10/2015
Permission is hereby granted to:
Sponheimer, George & Selma
154 Bellevue Rd
Oakdale. NY 11769
To: 100a overhead electric service ONLY.
At premises located at:
2800 Sigsbee Rd, Laurel
SCTM # 473889
Sec/Block/Lot # 126.-5-14
Pursuant to application dated 4/10/2015 and approved by the Building Inspector.
To expire on 10/9/2016.
Fees:
ELECTRIC $85.00
Total: $85.00
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
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CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: George Sponheimer
Address: 2800 Sigsbee Road City- Mattituck St: New York Zip: 11952
Building Permit#: 39666 Section: 126 Block: 5 Lot: 14
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Grandview Electric License No: 3957 -ME
SITE DETAILS
Office Use Only
Residential X Indoor X 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 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
Other Equipment: 100A Over Head Service
Notes:
Inspector Signature: - Date: July 22, 2015
Electrical 81 Compliance Form.xls
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TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
REMARKS:
[ ] ROUGH PLUMBING
[ ] INSULATION
[ ] FINAL
[ ] FIRE SAFETY INSPECTION
[ J F@RE RESISTANT PENETRATION
�] ELECTRICAL (FINAL)
f l
CAULKING
DATE INSPECTOR
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 1197I-0959
Telephone (631) 765-1802
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
1REQUESTED BY: `,b M s��, '� �\ Date: -� 5
1companyName:
Name: s ��
License No.:
Address:
Phone No.: d
JOBSITE INFORMATION: (*Indicates required information)
*Name: eco v
*Address: a%06 S \Sae�i ,a .L \rN-\ ,x.�a.. �.� Y
*Cross Street:
*Phone No.. r��1 _ � � � C�)
Permit No.:
Tax -Map District: 4000 Section: \a(- Block:
Lot: 1_
*BRIEF DESCRIPTION OF WORK (Please Print Clearly) rrl
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(Please Circle All That Apply)
*Is job ready for inspection: YE /NO Rough In
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*Doyou need a Temp Certificate:�/ NO -
Temp Information (If needed)
*Service Size: ase 3Phase 100 150 200 300 350
400 Other
*New Service: Re -connect Underground Number of Meters Change of Service Overhead
Additional Information:
eAlis
.8241equest for Inspection Form
PAYMENT DUE WITH APPLICATION �S
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