HomeMy WebLinkAbout39300-Z 4:9 Town of Southold 2/12/2016
P.O.Box 1179
o ze
53095 Main Rd
y �ab� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38096 Date: 2/12/2016
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 430 Terry Ln, Southold
SCTM#: 473889 Sec/Block/Lot: 65.-1-7
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
10/22/2014 pursuant to which Building Permit No. 39300 dated 10/22/2014
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:
150 AMP OVERHEAD ELECTRICAL SERVICE
The certificate is issued to Parra,Lorraine
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 39300 02-02-2016
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
,h, c°� BUILDING DEPARTMENT
I o *1 TOWN CLERK'S OFFICE
o g 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#: 39300 Date: 10/22/2014
Permission is hereby granted to:
Parra, Lorraine
44 Terrace Cir 3E
Great Neck, NY 11021
To: New Overhead Electric Service
At premises located at:
430 Terry Ln, Southold
SCTM # 473889
Sec/Block/Lot# 65.-1-7
Pursuant to application dated 10/22/2014 and approved by the Building Inspector.
To expire on 4/22/2016.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
��,�%�0� soi j'
Town Hall Annex ��, �® l® : Telephone(631)765-1802
54375 Main Road k 211 * , Fax(631)765-9502
P.O.Box 1179l
Southold,NY 11971-0959 =e'' -- r roper.richertCa�town.southold.ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Parra
Address: 430 Terry Lane City: Southold St: New York Zip: 11971
Building Permit#: 39300 Section. 65 Block: 1 Lot 7
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: R.J. Corazzini Jr. License No: 33419-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only X
Commerical Outdoor X 1st Floor Pool
New X Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph 150A Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 150A NC Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect 150A Switches Twist Lock Exit Fixtures TVSS
Other Equipment: New 150 A Overhead Service
Notes:
irrI Inspector Signature: " r - Date: February 2, 2016
Electrical 81 Compliance Form.xls
/40F 300140
Town Hall Annex i O Telephone(631)765-1802
54375 Main Roa
(631)765- 5
DOE
P. 1�{Zs ; G Q ��' racer.richert(t wn.soutF oIo.ny.us I
P1749 ) �014BUILDING DEPARTMENTTOWN OF SOUTHOLDDG DEPT SOUTHOLD APPLI ATION FOR ELECTRICAL INSPECTION
- -REQUESTED BY: h
Company Name: ''j '
Name: ?
License No.: 33 0.7 AG'---
Address:
GSAddress: 3 i4 4,,,„c /,.
Phone No.: 734/.- 02-662_
1
JOBSITE INFORMATION: (*Indicates required information)
*Name: Zo ferg i'/)(.0 ?air
*Address: i /ie) 12`�, 1-411
*Cross Street: T., /4,-6a AL
*Phone No.:
Permit No.:
Tax.Map District: 1000 • Section: Block: Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly) {
1
(Please Circle All That Apply)
*Is job ready for inspection:
NO Rough In Final I
*Do you need a Temp Certificate: = NO
Temp Information(If - •ed)
*Service Size: Phase 3Phase 100 150 200 300 350 400 Other 1.
*New Service: 'e-connect Underground N - •er of Meters Change of Service Overhead
Additional/ Information: PAYMENT DUE WITH APPLICATION
,// . 5e -- P . . 7`® J�61 73V- 73).7 1
82-Request for Inspection Form
• 04) JV l'
VI- !41y