HomeMy WebLinkAbout39970-Z ,$), QlcGy Town of Southold 8/26/2015
�o P.O.Box 1179
53095 Main Rd
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CERTIFICATE OF OCCUPANCY
No: 37741 Date: 8/26/2015
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 515 Oak St, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 136.-1-29
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/27/2015 pursuant to which Building Permit No. 39970 dated 7/27/2015
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:
200 AMP OVERHEAD ELECTRIC SERVICE
The certificate is issued to Garibaldi,Joseph&Glass, Christine
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 39970 08-12-2015
PLUMBERS CERTIFICATION DATED
Authorized Signature
et,'/%7470;\ TOWN OF SOUTHOLD
� BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
Ts. 0°7 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#: 39970 Date: 7/27/2015
Permission is hereby granted to:
Garibaldi, Joseph & Glass, Christine
95 Oxford Rd
Rockville Centre, NY 11570
To: 200 Amp Electrical Service
At premises located at:
515 Oak St, Cutchogue
SCTM # 473889
Sec/Block/Lot# 136.-1-29
Pursuant to application dated 7/27/2015 and approved by the Building Inspector.
To expire on 1/25/2017.
Fees:
ELECTRIC $85.00
._.1: $85.00
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Building Inspector
II, & SOUTyo
Town Hall Annex �f' ~o to Telephone(631)765-1802
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54375 Main Road * Z Fax(631)765-9502
P.O Box 1179 � G �1$1 roger.richert(ci)town.southold.ny.us
Southold,NY 11971-0959 O �`
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To Garibaldi
Address: 515 Oak Street City: Cutchogue St: New York Zip: 11935
Building Permit#: 39970 Section 136 Block 1 Lot 29
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Harborfields Electric License No: 34883-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 Overhead Service
Notes:
Inspector Signature: SZe-p--CZrcva --? Date: August 12, 2015
Electrical 81 Compliance Form xis
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Town Hall Annex
54375 Main Road e31)765-95Q
P.O.Box 1179 �� ro•ersichertLl • 1n.SOUtnOIA.n .us '
Southold,NY 11971-0959 :1•?` -.X 0 to1 UL 2 2 ZQIrj I,�'
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BUILDING DEPARTMENT
TOWN OF SOUTHOGD
APPLICATION FOR ELECTRICAL INSPECTION
- REQUESTED BY: ,%�'�^' e Date:
Company Name:
Name: 13/n C . C,-,u„/, •
License No.: 3 Y gra, -
Address: p d s.) ig , -/,,i-t( r // 2/
Phone No.:
JOBSITE INFORMATION: (Indicates required information)
*Name: 7-3-5".ce ti G....-. ‘4../4
*Address: sis- v k sT r z/Te-e,/,s - /1--" '
*Cross Street:
*Phone No.:
Permit No.:
Tax-Map District: 1000 Section: C b Block: 1 Lot:
`BRIEF DESCRIPTION OF WORK (Please Print Clearly) ��44.1cZe
•
(Please Circle All That Apply)
*Is job ready for inspection: v! NO Rough In Final
*Do you need a Temp Certificate: "O
Temp Information(If needed) •
Service Size: `Phas 3Phase 100 150 20 300 350 400 Other
New Service: Re-connect Underground Number of Meters Ckr2ge of�1-4ce Overhea
Additional Information: PAYMENT DUE WITH APPLICATION C $1C' Q<
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82-Request for Inspection Form �( Y
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