HomeMy WebLinkAbout40551-Z ,ro�p�'�FF0t'f%' Town of Southold
5/12/2016
` � -� P.O.Box 1179
I.-- 'I ' 53095 Main Rd
191 Agi -Pr°, Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38320 Date: 5/12/2016
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 5800 Great Peconic Bay Blvd, Laurel
SCTM#: 473889 Sec/Block/Lot: 128.-2-9.2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
3/23/2016 pursuant to which Building Permit No. 40551 dated 3/23/2016
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:
200 AMP UNDERGROUND ELECTRIC SERVICE
The certificate is issued to O'shaughnessy, Stephen
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 40551 04-12-2016
PLUMBERS CERTIFICATION DATED
Authorized Signature
rt TOWN OF SOUTHOLD
(cf.,
suFFnt, �GBUILDING DEPARTMENT
4.) TOWN CLERK'S OFFICE
4',1 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#: 40551 Date: 3/23/2016
Permission is hereby granted to:
O'shaughnessy, Stephen
27 Survey Dr
Merrick, NY 11566
To: 200 Amp Underground Service
At premises located at:
5800 Great Peconic Bay Blvd, Laurel
SCTM # 473889
Sec/Block/Lot# 128.-2-9.2
Pursuant to application dated 3/23/2016 and approved by the Building Inspector.
To expire on 9/22/2017.
Fees:
ELECTRIC $85.00
Total: $85.00
u ding Ins•-ctor
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Town Hall Annex �,•I,, ®�® : Telephone(631)765-1802
54375 Main Road z Fax(631)765-9502
P.O.Box 1179 % Q
roger.richert(a�town.southold.ny.us
Southold,NY 11971-0959 : .c` ' 4® i�
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: O'Shaughnessy
Address: 5800 Great Peconic Bay Blvd. City: Laurel St: New York Zip: 11948
Building Permit#: 40551 Section 128 Block. 2 Lot 9 2
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Sabat Electric License No: 4204-ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C BlowerRange Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches Twist Lock Exit Fixtures TVSS
Other Equipment: 200A Underground Service, 200A Transfer Switch for Future Generator
Notes:
Inspector Signature: Date: April 12, 2016
Electrical 81 Compliance Form.xls
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AplifiCaiibb-lo •electildgeeriiideTe4.1iptnOtAli.iinga..:witty,tiidf Townrtipt,SPIghOck On applicant's notification
that this ins6llatiotiis complete,(th:600 01,06000:4,0•00goinAjaptiiin"of the service
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Town Hall Arinex * - *1 Telephone(631)765-1802
54375 Main Road y . �;
• Y.O.Box 1179 G r0•er.richert • •; :y�s; �:s 1'*
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Southold,NY 11971-0959 ........1,` _`,��I1+ rf ~ �+ C �g I.
' D•
MAR 232016
BUILDING DEPARTMENT
TOWN OF SOUTHOLD F�DDIG D
APPLICATION FOR ELECTRICAL INSPECTION T® OF otj 0
LD
•
- REQUESTED BY:
1'Y1 Q 02 L�. SA AAT Date: ?�-IC.-/C
Company Name: S'A 6,417' ELEG-7-p .
Name:
License No.: 426 4il C
Address: 6-1) `il'e4-1' LA ni E alr C - Aly / i s cL.
Phone No.: _ secR.
JOBSITE INFORMATION: (*Indicates required information)
*Name: S I E '1/4IO S 1� AAA/ (
*Address: 51166 PSC a&i C 6I( V 1t,u
*Cross Street: A f,4 A V
*Phone No.: ,
Permit No.: `-'l,b 5 ,
Tax.Map District: 1000 Section: ,At Block: Lot: r-I'
*BRIEF DESCRIPTION OF WORK(Please Print Clearly) . Nal )-is6 ARA P
U 41bEft- GAO ktidl SEA-)l C F'
(Please Circle All That Apply)
*Is job ready for inspection: 1104 NO Rough In _ Final
*Do you need a Temp Certificate: 0/ NO
Temp Information(If ne- •ed) •
*Service Size: P ase 3Phase 100 1500 ,
300 350 400 Other
*New Service: -e-connect , -:- grount Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
fit,;:ti /ec ntol I
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.82-Request for Inspection Form
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