HomeMy WebLinkAbout39966-ZCERTIFICATE OF OCCUPANCY
No: 37694 Date: 8/5/2015
THIS CERTIFIES that the building ELECTRICAL
Location of Property:
SCTM #: 473889
1910 Leeton Dr, Southold
S ec/Blo ck/Lot: 58.-2-12
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/22/2015 pursuant to which Building Permit No. 39966 dated 7/22/2015
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:
REPLACEMENT OF SERVICE ENTRANCE CABLE
The certificate is issued to Daniels, Elizabeth
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
39966
07-16-2015
Authorized Signature
Town of Southold 8/5/2015
P.O. Box 1179
A t
53095 Main Rd
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 37694 Date: 8/5/2015
THIS CERTIFIES that the building ELECTRICAL
Location of Property:
SCTM #: 473889
1910 Leeton Dr, Southold
S ec/Blo ck/Lot: 58.-2-12
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/22/2015 pursuant to which Building Permit No. 39966 dated 7/22/2015
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:
REPLACEMENT OF SERVICE ENTRANCE CABLE
The certificate is issued to Daniels, Elizabeth
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
39966
07-16-2015
Authorized Signature
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit #: 39966 Date: 7/22/2015
Permission is hereby granted to:
Daniels, Elizabeth
421 Park Ave
NY 10580
To: Service Entrance Electric Cable replaced
At premises located at:
1910 Leeton Dr, Southold
SCTM # 473889
Sec/Block/Lot # 58.-2-12
Pursuant to application dated
To expire on 1/20/2017.
Fees:
7/22/2015
and approved by the Building Inspector.
ELECTRIC
Total:
Building Inspector
$85.00
$85.00
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
r
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 #: 39966 Date: 7/22/2015
Permission is hereby granted to:
Daniels, Elizabeth
421 Park Ave
NY 10580
To: Service Entrance Electric Cable replaced
At premises located at:
1910 Leeton Dr, Southold
SCTM # 473889
Sec/Block/Lot # 58.-2-12
Pursuant to application dated
To expire on 1/20/2017.
Fees:
7/22/2015
and approved by the Building Inspector.
ELECTRIC
Total:
Building Inspector
$85.00
$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
roger. riche rt(a-town.south old. ny.us
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To. Grasecy Christopher (Daniels)
Address: 1910 Leeton Drive City: Southold St: New York Zip: 11971
Building Permit #: 39966 Section: 58 Block: 2 Lot: 12
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Celi Electrical License No: 1022-E
Residential
Commerical
New
Addition
X
Indoor
Outdoor
Renovation
Survey
Heat
Duplec Recpt
SITE DETAILS
Office Use Only
Basement
1 st 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 FixturesTime
Clocks
Disconnect
200A
Switches
Twist Lock
Exit Fixtures
H
TVSS
El
Other Equipment:
Replaced Damaged Service Entrance Cable
Notes:
Inspector Signature: Date: July 16, 2015
Electrical 81 Compliance Form.xls
Jul 14 2015 7:45AM
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 119714959
CELI ELECTRIC
6312882293 7
P.
tJ (-b � �
Telephone (681) 765-1802
(0 1)6 76 5
UVO %
rogerA hert((- own.6ny.U;a
BUIMINGDEPARTMOT
TOWN OF SOUTHOLD
AFPW9ATPN FOR ELEQT- RICAL INSPEQ
rED BY: CC- kA.
""
Narne: j - i::�-f r-, t-, , -,- .
M
M
go
I
JAD BSITE INFORMATION:
*C'r,oss Street:
*'Phone No.:
066it No.:
ttjj��Map District.. 1000 Section:
Block: Lot:
.",tF DESCRIPTION OF WORK (Please Print Clearly)
M RE
=4
�TW = ff
(1ndica4es required information)
014`9*80 Circle All That Apply)
'W,�b ready for impection:
u need a Temp Cortfficate. YES NO. Rough In I Dw
I NO
Information (it neodod)
94vice Size: I Phaze 313hase 100 150 200 35c 400 Other
NP�v Service: Re-oonnect Underground Nurober of Meters Change of Service Overhead
L!O, onal Information:
EAYMENI DUE WITH APPI Ir.ATION
-.6-Reqwst for InspecUan Form
I
-----Xomm Hall Annex
5�
4�437�-M
Bo�_-1179
old, NY 119
JUL 2 1 20%
17p9 1
------------------------- BUMDING 'MEN'V
T
AM OWN OF SOUTHO"'Jill
ION FOR ELECTRICAL 1:
REQUESTED BY: Ccallk-
qbmpanyName: Oje:,L_4-
t'-'scense No.:
Address:
Phone No.:
Telephone (631) 765-1802
(631)765-.
er-richert own.soutg5olEny.us
Date:
),j q
J'0, BSITE INFORMATION: (*Indicates required informatiol
m
*NJae: -e Y�)
. 4 - C-5
*Address: -e e - ick )-i U At
*Cross Street
*Phone No.:
Permit No.: OI
T,�x,!Vlap District: 1000 Section:
EF DESCRIPTION OF WORK (Please Print Clearly)
-r-
Lot:
Apply)
/Please Circle All That A
'A P
b ready for inspection:
YES NO Rough In (F i Ea
*Dq,you need a Temp Certificate: S NO
T4
i , rop Information (it needed)
te"rvice Size: I Phase 3Phase 100 150 200 300 350 400 Other
*Nqv Service: Re -connect Underground Number of Meters Change of Service Overhead
Additlonal Information: PAYMENT DUE WITH APPLICATION
_82=Request for Inspection Form