HomeMy WebLinkAbout40091-Z ,��o\psUFFa1,•caG,; Town of Southold 10/5/2015
P.O.Box 1179
o 53095 Main Rd
',,4401
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 37813 Date: 10/5/2015
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 5610 Great Peconic Bay Blvd, Laurel
SCTM#: 473889 Sec/Block/Lot: 128.-2-10
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/16/2015 pursuant to which Building Permit No. 40091 dated 9/16/2015
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:
UNDERGROUND ELECTRIC SERVICE
The certificate is issued to Leccese,Michael&Leccese,Eileen
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 40091 09-28-2014
PLUMBERS CERTIFICATION DATED
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Authorized Signature
a1si�FFot,r� TOWN OF SOUTHOLD
,�o� °may BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
}xo 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#: 40091 Date: 9/16/2015
Permission is hereby granted to:
Leccese, Michael & Leccese, Eileen
11 High St
East Williston, NY 11596
To: New Underground Electric Service
At premises located at:
5610 Great Peconic Bay Blvd, Laurel
SCTM # 473889
Sec/Block/Lot# 128.-2-10
Pursuant to application dated 9/16/2015 and approved by the Building Inspector.
To expire on 3/17/2017.
Fees:
ELECTRIC $85.00
Total: $85.00
411,
Building Inspector
'leg, .i..��-_
Town Hall Annex �i . Telephone(631)765-1802
54375 Main Road i 4 4 ; Fax(631)765-9502
P.O.Box 1179G .he
Southold,NY 11971-0959 'ccOly 40,,�1� roger.richert c(Dtown.southoId.ny.us
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Leccese
Address: 5610 Great Peconic Bay Blvd City: Laurel St: New York Zip: 11948
Building Permit#: 40091 Section: 128 Block' 2 Lot• 10
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Sabat Electric License No: 4204-ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only X
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph 200A Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 200A NC Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel NC Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect 200A Switches Twist Lock Exit Fixtures TVSS
Other Equipment: Change Service From Overhead To Underground
Notes:
Alh
Inspector Signature: 440/ Date: September 28, 2014
Electrical 81 Compliance Form.xls
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Town Hall Annex ; * 41 Telephone(631)765-1802
54375 Main Road ; � (631)765-gg5Q
P.O.Box 1179 r✓ �� roger.rlchert(w own.soutnola.ny.us
Southold,NY 11971-0959 ` �� .% 11$
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
- - REQUESTED BY: !r)10/ R 0,4 cr--- Date: 4- IQ-- /
Company Name: ,64-"F". �-7,ec�d •
• Name:
License No.: 41z. 8 9
Address: SPAT C.•a E /11 cik /ay?, / / 5 .tL•
5Phone No.: 2 7 1 c S—g
JOBSITE INFORMATION: (*Indicates required information)
*Name: C h a ( L..e C C S •
*Address: 6 '‘- v cz,r, i 6 4 Ivd
*Crass Street: e 1 r c
`Phone No.:
Permit No.: .
Tax•Map District: 1000 Section: ` Block: 2_ Lot: (0
*BRIEF DESCRIPTION OF WORK(nnPlease Print Clearly) • CI, en p. 0 Ve/he-cbst
"(CD r"--
(Please Circle All That Apply)
*Is job ready for inspection: 10/ NO RoughInFinal
*Do•you need a Temp Certificate: NO
Temp information(If.needed)
- *Service Size:__ 1 Phase 3Phase 100 150 300 350 400 Other
*New Seri : L ; e;connectroun• Number of Meters Change of Service Overhead
Additional Itl 6rmation: I { "' PAYMENT DUE WITH APPLICATION
_ 1 SEP 1 5 2015 -12)
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82-Request forlrspuctlorrForm