HomeMy WebLinkAbout38768-Z �c�u�FFlt71:0i 4A Town of Southold 8/20/2015
P.O.Box 1179
; 53095 Main Rd
a'✓ ' o��`# Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 37730 Date: 8/20/2015
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 800 Lighthouse Rd, Southold
SCTM#: 473889 Sec/Block/Lot: 51.-2-2.5
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
4/4/2014 pursuant to which Building Permit No. 38768 dated 4/4/2014
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:
200 AMP UNDERGROUND ELECTRIC SERVICE
The certificate is issued to Perservera Holdings LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 38768 08-11-2015
PLUMBERS CERTIFICATION DATED
A ho ed ignat e
yz" TOWN OF SOUTHOLD
gU�FF�ir��Q
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
•"oma 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 #: 38768 Date: 4/4/2014
Permission is hereby granted to:
Perservera Holdings LLC
PO BOX 246
Peconic, NY 11958
To: change of electric service
At premises located at:
800 Lighthouse Rd, Southold
SCTM # 473889
Sec/Block/Lot# 51.-2-2.5
Pursuant to application dated 4/4/2014 and approved by the Building Inspector.
To expire on 10/4/2015.
Fees:
ELECTRIC $85.00
Total: $85.00
AitAti(:(/\-
Building Inspector
I,,„ „mail
Iii0
•
Town Hall Annex ,s2 r2 % Telephone(631)765-1802
54375 Main Road ; ��', Fax(631)765-9502
P.O.Box 1179 %
1 roperrichert( town.southold.ny.us,�® o ot
Southold,NY 11971-0959 � �- I COU, A0.0
�-- 1,'i
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Persevere Holding LLC
Address: 800 Lighthouse Road City: Southold St: New York Zip: 11971
Building Permit#: 38768 Section: 51 Block: 2 Lot: 2.5
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: GJS Electric License No: 4839-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service Only X
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
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 NC Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel NC Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect 200A Switches Twist Lock Exit Fixtures TVSS
Other Equipment: 200A UNDERGROUND SERVICE
Notes:
Inspector Signature: Date: August 11, 2015
f
Electrical 81 Compliance Form.xls
S01/74,0%,
,f \
g 1
,44• •
27 (.11/Q
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
, FOUNDATION 1ST [ ] ROUGH PLUMBING
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) >1 ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ I CAULKING
REMARKS:
r-74f4- L — 6
c
4 /1
DATE
eiif 2 INSPECTOR Or—
II
05-26-10; 12:46 2982174 # 1/ 2
''�,ao��,0'F SO�jTyo
Town Hall Annex -
4, 4,
Telephone(631)765-1802
54375 Main Road i vs ax(631)765- 5
P.O.Box 1179 ��+ roper.richert(ctown.soutfio9�tl_ny.us
Southold,NY 11971-0959 %;-0 /AI �'
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
jz
REQUESTED BY: e 54j. _ Date:
Company-Name:--__ail E- --- - ------ ------ - ------------ ----------- --- �--------�-
Name: ! S at1,2R___ .
License No.: g 3 oi A4 o�
Address: (0C 1 S nnOvi 9 ) AO j-"' fi^ - r Jy /19 52--
Phone No.: 6 3e- gL9r- Lisqs
JOBSITE INFORMATION: (*Indicates required information)
*Name: ems. r SeAierc. I 6\CUrkok. 1L L Ca
*Address: 300 � k71-pnoU a ((tea -`�I i.o1
1.-1
*Cross Street: 5 o v r,i v t Q,./ 4 1 ®tJ Uo 64. Rai
*Phone No.: (p 3 i _t-tgq_LFLoc2
Permit No.: a a 3
Tax Map District: 1000 Section: 5 1 Block: Q. Lot: Q , S
'BRIEF DESCRIPTION OF WORK (Please Print Clearly)
___---7,- --\'\
,-
e - - - S eI V�(1L" ..,._.-`; - �' c\ -, 1;`-- `-J - ---\`t' \_ \\
\` \\,\_)\
(Please Circle All That Apply) VP Ar1 \TVS,
*Is job ready for inspection: �\`,
c / NO Roug 1*Do you need a Temp Certificate: i ( ina
.°
Temp Information (If needed)
*Service Size: 1 Phase 3Phase 100 150 300 350 400 Other
*New Service: Re-connect ,1,..11,4tQl Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
– 82=RequesMi Inspection Form — �"` --1-