Loading...
HomeMy WebLinkAbout40602-Z (,01.4U1,f4;-' Town of Southold 5/5/2016 cl C•;; `'off VI P.O.Box 1179 o , 53095 Main Rd 40Z �� �' Southold,New York 11971 asR CERTIFICATE OF OCCUPANCY No: 38297 Date: 5/5/2016 THIS CERTIFIES that the building ELECTRICAL Location of Property: 850 Bay Home Rd, Southold SCTM#: 473889 Sec/Block/Lot: 56.-5-1.4 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/11/2016 pursuant to which Building Permit No. 40602 dated 4/11/2016 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: 200A OVERHEAD ELECTRIC SERVICE The certificate is issued to Baiz,Robert Lang of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 40602 04-27-2016 PLUMBERS CERTIFICATION DATED ----.-Z:S: . Authorized Signature -- TOWN OF SOUTHOLD ��o�StFFo��coG BUILDING DEPARTMENT 3 TOWN CLERK'S OFFICE 5 . o�4., SOUTHOLD, NY diol ,� a 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#: 40602 Date: 4/11/2016 Permission is hereby granted to: Baiz, Robert Lang 817 Elm Springs Rd Pittsburgh, PA 15243 To: Electric Service Change At premises located at: 850 Bay Home Rd SCTM # 473889 Sec/Block/Lot# 56.-5-1.4 Pursuant to application dated 4/11/2016 and approved by the Building Inspector. To expire on 10/11/2017. Fees: ELECTRIC $85.00 Total: $85.00 it Bu •ing Ins.-- •r 'ow,' /iii �• 1I��®��QF $®(/jy®l - . Town Hall Annex �� ® . Telephone(631)765-1802 54375 Main Road i Alig Illg t Fax(631)765-9502 P.O.Box 1179 : `�' � �� G + roger.richert(c�town.southold.ny.us Southold,NY 11971-0959 �' y® �$ BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Baiz Address: 850 Bay Home Road City: Southold St: New York Zip: 11971 Building Permit#: 40602 Section: 56 Block: 5 Lot: 1 4 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: G&S Electric License No: 578-E 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. 200A Overhead Service Notes: r Inspector Signature: ' ►' ,� , in Date: April 27, 2016 Electrical 81 Compliance Form.xls • • l� L . TOWII.Hall Annex (4( • i 54375 Main 11!nad ; Telephone(631)765-1802 F. P.O.Box 1179 O}�i avers'* - ?1 ? " i�:1�i::: Southold,NY 11971-0959 �! I�� �� _ :eptl 1 ' . D APR 1 1 2016 I: • BUILDING D> 'A r TOWN OF SOUTHOLD BUILDING DEPT. i. APPLICATION FOR ELECTRICAL INSPECTION TOWN OF SOUTHOLD REQUESTED BY: Date: • Company Name: G g' - 6 L�zC�I�I /o /� Name: /f License No.: �-'79 - - ddress_ - p � „� �/S2 S-04)4o� //q7/ Phone No.: i. t-- JOBSITE [INFORMATION: (*Indicates required information) *Name: LI - 1/1/0/1.) bo/OA Di�" . 1 *Address: 85'p gA j l "-Lw ( A® o # *('.toss Street: Pay r �► o 1 *Phone No.: ' q/7 S--e) 1 8g)s—• - Permit No.: 1 Tax-Map District: - 1000 . Section: B� Lot: - *SRIEF DESCRIPTION OF WORK(Please Print Clearly) - _ • --moo .9'"'r &‘--4-titc cI, . [Please Circle All That Apply) _- Is job ready for inspection: Oo you need a Temp Cert ca#e: NO" Rough In �2' 1- 'env information.Of-needed) Service Size: 41M 3Phase 100 150 20i 300 350 _ 400 Other New Service: «.nnect Underground Number of Meters ange of Servicer Overhead . dditional Information: PAYMENT DUE WITH APPUCATION -- PC) � ( _ U (Q ©._ZG rz_ c_) e_ hot) si -11i) . _ 0'--)6 r 82Rrequest for Inspection Form • 'Si /„ f 3 (6,11)‘A. Oko tkl, -WAM -3tA ii,* c