HomeMy WebLinkAbout39668-Z gQFFQ(X% Town of Southold 2/18/2016
t4V P.O.Box 1179
{ � 53095 Main Rd
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'Ai 410 1 Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38102 Date: 2/18/2016
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 470 Moose Trail, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 103.-4-12
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
4/10/2015 pursuant to which Building Permit No. 39668 dated 4/10/2015
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:
ELECTRIC IN KITCHEN ONLY
The certificate is issued to Nardo,Michael&Nardo,Rosie
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 39668 02-02-2016
PLUMBERS CERTIFICATION DATED
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Authorized Signature
„,,s,FFoi4'00G_z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
2 TOWN CLERK'S OFFICE
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#: 39668 • Date: 4/10/2015
Permission is hereby granted to:
Nardo, Michael & Nardo, Rosie
5 Willow Rd
New Hyde Park, NY 11040
To: Electric Service
At premises located at:
470 Moose Trail, Cutchogue
SCTM #473889
Sec/Block/Lot# 103.-4-12
Pursuant to application dated 4/10/2015 and approved by the Building Inspector.
To expire on 10/9/2016.
Fees:
ELECTRIC $90.00
To a. $90.00
411” _ (
Building Inspecto
os' 41‘
S Ju13,®
Town Hall Annex ��� ~ l® : Telephone(631)765-1802
54375 Main Road i * * Z Fax(631)765-9502
P.O.Box 1179s
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Southold,NY 11971-0959 ;4. .0,, AF--.. .1®UNle
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Nardo
Address: 470 Moose Trail City: Cutchogue St: New York Zip: 11935
Building Permit#: 39668 Section' 103 Block: 4 Lot: 12
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: SAFE Inc. License No: 4324-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service Only
Commerical Outdoor 1st Floor X Pool
New Renovation X 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 5 Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures Smoke Detectors
Main Panel NC Condenser Single Recpt Recessed Fixtures 4 CO Detectors
Sub Panel 1-60A NC Blower Range Recpt 40A Fluorescent Fixture Pumps
Transformer Appliances DW Dryer Recpt Emergency Fixtures Time Clocks
Disconnect _ Switches 6 Twist Lock Exit Fixtures TVSS
Other Equipment: 4- Under Counter Lights, 2- Low Voltage Ceiling Lights, 1 GFCI Circuit Breaker.
Notes:
Inspector Signature: �e- Date: February 2, 2016
Electncal 81 Compliance Form.xls
--------------
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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) ` ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
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DATE --7/(1/(ip INSPECTOR - L
01-22-12; 17:46 ; 2186811 ; # 1/ 2
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Town Hall Annex i 1l[ . . ' 4 Telephone(681)765-1802
54375 Main Road ' ( 7.. .e
P_O.Box 1179 QQ ..G k �� ro.er.ri atii o •:n .us
Southold,NY 11971-0959 iel(-0 \'4+ V� a0l L ''rl II U h
,,,Y,• e,(0. , 0 6 I L I APR 1 0 2015 I '
S' i. BUILDING D. ARTMENT 4
TOWN OF 'OUTHOLI)
El Dr, r,EPI
• APPLICATION FOR ELE I TICAL INSPECT ! k F0,".f OF SOU[HOLD
REQUESTED BY: . Date: -I' - I 015 i
Company Name: : --;" -a_-a.
/A1 • . .
Name: ' i a! .• A . E - _ (';Yt �.
License No.: LI 3 - 1 _ M r 11 nn 11 11796
Address: arb cn io 'l 1 P. W . SyviILQ ' .
Phone No.:
JOBSITE INFORMATION: (*Indicates req ired information)
*Name: Kai 1 E / A 4 O -
*Address. `-170 0Ll d .f_ /g L
*Cross Street: L---/7-7-2- /L/c . • /e6
*Phone No.: —/(,o - .30 _ 5.44,141'
Permit No.: / I4 3010('
Tax Map District: 1006 Section: (Q? Block: 4 Lot: l2
• 'BRIEF DESCRIPTION OF WORK(Please Print (early) /-<7��'),/' 1`a77 V/ / DTI
5(4eA pieti-ge— • avig, ,. eme'
._/744,./ !.5-. C,..s/ -/e w s 4 j GtCL(S
(Please Circle AO That Apply) \\.\.
*Is job ready for inspection: 8.,NO Rough In Final
�_1 ,
*Do you need a Temp Certificate: YES
Temp Information (If needed)
*Service Size: 1 Phase 3Phase- 100 '50 200 300 350 400 Other
*New Service: Re-connect Underground Nu ber of Meters Change of Service Overhead
Additional information: PAYMENT DUE WITH APPLICATION
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