HomeMy WebLinkAbout40467-Z � orp EF��'fei Town of Southold 3/10/2016
t a P.O.Box 1179
t5' T 53095 Main Rd
„Ai, o‘" Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38143 Date: 3/10/2016
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 65 Gin Ln, Southold
SCTM#: 473889 Sec/Block/Lot: 88.-4-1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
2/18/2016 pursuant to which Building Permit No. 40467 dated 2/18/2016
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:
electrical survey of dwelling.
The certificate is issued to Mcloughlin,Kenneth&Dorothy
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 40467 2/24/2016
PLUMBERS CERTIFICATION DATED
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TOWN OF SOUTHOLD
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3, 1' TOWN CLERK'S OFFICE
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SOUTHOLD, NY
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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#: 40467 Date: 2/18/2016
Permission is hereby granted to:
Mcloughlin, Kenneth & Dorothy
65 Gin Ln
Southold, NY 119714238
To: electrical survey
At premises located at:
65 Gin Ln, Southold
SCTM # 473889
Sec/Block/Lot# 88.-4-1
Pursuant to application dated 2/18/2016 and approved by the Building Inspector.
To expire on 8/19/2017.
Fees:
ELECTRIC $90.00
Total: $90.00
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Building Inspector
Town Hall Annex �� ���®� ® : Telephone(631)765-1802
54375 Main Road ; ilig 4 Z Fax(631)765-9502
P.O.Box 1179 ik �G
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rogerrichert(a�town.southold.ny,us
Southold,NY 11971-0959 :�1 ..„ 1�
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
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CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Mcloughlin
Address: 65 Gin Lane City: Southold St: New York Zip: 11971
Building Permit#: 40467&40463 Section. 88 Block: 4 Lot: - 1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: "AS BUILT” DBA: License No:
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X 1 Service Only
Commerical Outdoor X 1st Floor X Pool
New Renovation 2nd Floor Hot Tub x
Addition Survey X Attic Garage X
INVENTORY
Service 1 ph Heat OIL Duplec Recpt 35 Ceiling Fixtures 11 HID Fixtures
Service 3 ph Hot Water OIL GFCI Recpt 6 Wall Fixtures 6 Smoke Detectors 1
Main Panel NC Condenser 1 Single Recpt Recessed Fixtures 6 CO Detectors
Sub Panel 1 NC Blower 1 Range Recpt 40A Fluorescent Fixture 1 Pumps
Transformer Appliances DW Dryer Recpt 1-30/ Emergency Fixtures Time Clocks
Disconnect Switches 29 Twist Lock Exit Fixtures TVSS
Other Equipment: "AS BUILT" - "ELECTRICAL SURVEY" - "NO VISUAL DEFECTS"
200A Over Head Service,3-Exhaust Fans, 1-Paddle Fan,6 Ft of Lighting Track,Self Contained Hot Tub with
Notes: GFCI Protected Disconnect,1-Paddle Fan in Gazebo
‘="9Inspector Signature: Date: February 24, 2016
Electrical 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) lokis ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
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DATE Y741 /CI INSPECTOI
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Town Hall Annex
t Telephone(631)765-1802
54375 Main Road
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P.o.Box 1179 • G Q roger.riChert .town.so(lthofl .ny.us
Southold,NY 11971-09.59 : ® �O f
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: �/� L
�! )SIC/ )/ Date:
Company Name:
Name: ye.',,,
License No.:
Address:
Phone No.:
JOBSITE INFORMATION: (*Indicates required information)
*Name: y12,9 e-0 ! ` c
*Address: �- ( i, �q/
*Cross Street: not ,7 64/.
/.U%ete
*Phone No.:
Permit No.: 1--OH 1-P7
Tax.Map District: 1000 Section: gY Block: 1 Lot: /
*BRIEF DESCRIPTION OF
WORK (Please Print Clearly)
/ �1' ivy
(Please Circle All That Apply)
*Is job ready for inspection: 40/ NO Rough In Final
*Do you need a Temp Certificate: YES/ NO
Temp Information (If needed)
'Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other
'New Service: Re-connect Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
82-Request for Inspection Form ed c)11)41.
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