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HomeMy WebLinkAbout36144-Z lFo 'fto 'eG Town of Southold 9/17/2015 1 �� P.O.Box 1179 53095 Main Rd et,fj�� $ Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 37783 Date: 9/17/2015 THIS CERTIFIES that the building ELECTRICAL Location of Property: 4075 PARADISE POINT RD SOUTHOLD SCTM#: 473889 Sec/Block/Lot: 81.-1-10.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 1/20/2011 pursuant to which Building Permit No. 36144 dated 1/20/2011 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: 200A OVERHEAD POLE SERVICE The certificate is issued to STEVEN T&ANDREA KOLYER of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL , ELECTRICAL CERTIFICATE NO. 36144 09-16-2015 PLUMBERS CERTIFICATION DATED . ti Authorized Signature FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 36144 Z Date JANUARY 20, 2011 Permission is hereby granted to: STEVEN T & ANDREA KOLYER 24 GRAMERCY PARK S APT 3E NEW YORK,NY 10003 for : ELECTRIC SERVICE POLE AS APPLIED FOR. at premises located at 4075 PARADISE POINT RD SOUTHOLD County Tax Map No. 473889 Section 081 Block 0001 Lot No. 010 . 001 pursuant to application dated JANUARY 20, 2011 and approved by the Building Inspector to expire on JULY 20, 2012 . Fee $ 90 . 00 Authorized Signature ORIGINAL Rev. 5/8/02 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 36144 Z Date JANUARY 20, 2011 Permission is hereby granted to: STEVEN T & ANDREA KOLYER 24 GRAMERCY PARK S APT 3E NEW YORK,NY 10003 for : ELECTRIC SERVICE POLE AS APPLIED FOR. at premises located at 4075 PARADISE POINT RD SOUTHOLD County Tax Map No. 473889 Section 081 Block 0001 Lot No. 010 . 001 pursuant to application dated JANUARY 20, 2011 and approved by the Building Inspector to expire on JULY 20, 2012 . Fee $ 90 . 00 (aL Authorized Signature COPY Rev. 5/8/02 'I,,,, iii��..__ Town Hall Annex �� ® : Telephone(631)765-1802 54375 Main Road ; Fax(631)765-9502 P.O.Box 1179 % co__ i roger.richertRtown.southold.ny.us Southold,NY 11971-0959 . �` �® e ®l�C®UNTY% i- 0 ' -- , BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To. Kolyer Address: 4075 Paradise Point Road City: Southold St: New York Zip: 11971 Building Permit#. 36144 Section: 81 Block: 1 Lot: 10.1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Goodale Electric License No: 783-E SITE DETAILS Office Use Only Residential X Indoor Basement Service Only 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 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 Pole Service With 2-20A Circuit Panel Notes: Inspector Signature: Date: September 16, 2015 Electrical 81 Compliance Form.xls , Town Hall Annex ;1:1;.("fgtiitl Telephone(631)765-1802 54375 Main Roady ( 1)7rg��l'O..Box1179 �\ GQ��S roger.richert((�own.southo .nv.us - .Southold,NY 11971-0959 ; Q0 ������ CQ ,,, BUILDING DEPARTMENT - - TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION - REQUESTED BY: p6,60 �� / Date: /r-- / —/f, Company Name: d iaA-14._ r2C , . Name: License No.: g Address: 1) v 6 o 1 /To ' , .A--T�e (11 i f c5,, Phone No.: JOBSITE INFORMATION: (*Indicates required information) *Name:• •'Teta VS /24 ii C%z-V-, *Address: 'O AA/1i 5A P.,p. ' i' Oc/17Q • *Cross Street: Mti,2`l./ ,4 it,�ir , ) *Phone No.: _S . -iy/ 59-2 3S- Permit No.: . `.. e.11i-- , Tax Map District: 1000 Section: . 2 \ Block: i Lot: kb *BRIEF DESCRIPTION OF WORK(Please Print Clearly) • 1/ 'Sr-A-Li- .£LJ! id- c.,-J e. ZLt, c , A k all(% 4,;(4/ '/� . Vt.'17`(--/ (J?( dxr - R/x- /,Frs r,r' Poc-e �:vc • (Please Circle Alt That Apply) *Is.job ready for inspection: ES / NO Rough In 6.16-,-,-;a0 Do you need a Temp Certificate: s?,I NO • /4114/ . Temp'information If needed) • p �` e *Service Size: 1 P ase 3Phase 100 150 200 300 350 400 Other *New Service: •Re-connect Underground Number of Meters Change of Serviceverhea. -/ Additional Information: PAYMENT DUE WITH APPLICATION . V /1/Ar ?, 1 • cL,/o 6/1_47 ild vs, (t,(14 X " \ 8 -R0Vtjgst kr lr s ecty'on Form