HomeMy WebLinkAbout40320-Z ,,,0suFFo4COG;, Town of Southold 3/10/2016
I t Vi P.O.Box 1179
1 co 53095 Main Rd
NI * 4f:'
f: Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38145 Date: 3/10/2016
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 455 N View Dr, Orient
SCTM#: 473889 Sec/Block/Lot: 13.-1-9.2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
12/3/2015 pursuant to which Building Permit No. 40320 dated 12/3/2015
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 UNDERGROUND ELECTRIC SERVICE
The certificate is issued to Caprise,Winifred
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 40320 03-08-2016
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
e BUILDING DEPARTMENT
;a t TOWN CLERK'S OFFICE
•Its, SOUTHOLD, NY
�,pf pR
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#: 40320 Date: 12/3/2015
Permission is hereby granted to:
Caprise, Winifred
345 Northview Dr
PO BOX 235
Orient, NY 11957
To: 200a underground service.
At premises located at:
455 N View Dr, Orient
SCTM # 473669
Sec/Block/Lot# 13.-1-9.2
Pursuant to application dated 12/3/2015 and approved by the Building Inspector.
To expire on 6/3/2017.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
��,•%OF SOUI'y0l
Town Hall Annex �� do 0 Telephone(631)765-1802
54375 Main Road ilig ligFax(631)765-9502
%P.O.Box 1179 % G Q ��
Southold,NY 11971-0959 ', ao 00 roger.richerttown.southold.ny.us
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Caprise
Address: 455 North View Dnve City: Orient St: New York Zip: 11957
Building Permit#: 40320 Section: 13 Block: 1 Lot: 9.2
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Doroski Electric License No: 2941-E
SITE DETAILS
Office Use Only
Residential X Indoor X 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: Up Grade 200A Service from Over Head to Underground
Notes:
AI
Inspector Signature: :IF — - - Date: March 8, 2016
Electrical 81 Compliance Form.xls
/401"8114.it
Town Hall Mum. 41401Telephone1631)76.5-111054375 Main Road Looer richQC44. 1 .nv.t�s
P.O.Box 1179
Southold.NY I 1971.MP r
BUILDING DtPA&TMEST
TOWN OF SOUTHOLD
APPLL^ Tl ly FOR ELECTRICAL INSPECTION
REQUESTED BY: $1‘.,11 .0‘,04<r) _ __....., Date: >� /
- ----- Company Name: `e,
Name: a.-^-I��� R
License No.: Z YC- g
Address: (' C3.4�ets�ky '7 f -tip. /� Q �.,-e til Lt,
Phone No.: A r 7 3 P !� 4 til s C 0 1 2
JOBSITE INFORMATION: (*indicates required information) Pa 1E4- 3
*Name: A-cs°r01 i eet
*Address: �.�.__.._ e
*Cross Street: � - No L eitAy f� _
*Phone No.: 6117 (1 -
Permit
1 --Permit No.:
Tax Map District: 6C 0: Section;„ . Sic ck: _--j*- Lot q.
*BRIEF DESCRIPTION OF V 'ORK(Please Print Clearly) C _A�� v�oct
-err-L -�- 2°. 4 �3h�c1�-rte Q�u�-► > . , •
(Please Circle AN That,Z ply) . zl
*is job ready for inspection: (D/ NO Rough In Final
*Do you need a Temp Certificate: / NO
Temp Information Of needed)
*Service Size: 1 Phials 3Phase 100 150 20C 300 360 400 Other
*New Service: Re-connect (Underground Number of Meter Change of Servi Overhead
Additional Information: PAYIIFNT
MONEY
82-Request for inspection Form
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