HomeMy WebLinkAbout40862-Z ®�g�FFOt�c Town of Southold 8/30/2016
P.O.Box 1179
o _ .� 53095 Main Rd
�.lj�l �ao4 Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38484 Date: 8/30/2016
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 365 Sound Ave,Peconic
SCTM#: 473889 Sec/Block/Lot: 67.-2-5
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/26/2016 pursuant to which Building Permit No. 40862 dated 7/26/2016
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 OVERHEAD ELECTRIC SERVICE
The certificate is issued to Engwiller,Barbara&Ors.
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. - 40862 08-10-2016
PLUMBERS CERTIFICATION DATED
Authorized Signature
�Sv�nt��oTOWN OF SOUTHOLD
moo BUILDING DEPARTMENT
y 4 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#: 40862 Date: 7/26/2016
Permission is hereby granted to:
Engwiller, Barbara & Ors.
145 South Rd
Stanfordville, NY 12581
To: re-connection of 200a overhead electric service with 1 meter.
At premises located at:
365 Sound Ave, Peconic
SCTM # 473889
Sec/Block/Lot# 67.-2-5
Pursuant to application dated 7/26/2016 and approved by the Building Inspector.
To expire on 1/25/2018.
Fees:
ELECTRIC $85.00
Total: $85.00
ding I _ ctor
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Town Hall Annex Telephone(631)765-1802
54375 Main Roady Fax(631)765-9502
P.O.Box 1179 ® aQ roger.riche rt(a)-town.so utho Id.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Engwiller
Address: 365 Sound Avenue City: Peconic St: New York Zip: 11958
Building Permit#: 40862 Section: 67 Block: 2 Lot: 5
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: EECO Electric License No: 54281-ME
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 Ceding Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 200A A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect 20 AA Switches Twist Lock Exit Fixtures 11 TVSS
Other Equipment: 200A OVERHEAD SERVICE - ADD SECOND GROUND ROD
Notes:
Inspector Signature: ����>� Date: August 10, 2016
00Electrical 81 Compliance Form.xls
i
ora '
Town Hall Annex Jj Telephone(631)765-1802
54375 Main Road 9 02
P.O.sox 1179 G Q roger.richert(a 'o`wn soittlola ny us ,
Southold,NY 11971-4959 0l _
BUILDING DEPARTMENT !
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: �,, ��� Date: '1 �2Zf LP j
Company Name: c L"o' r 12.
Name.-
License
ame:License No.: 522 81 -X-� C
Address: SU
Phone No.
JOBSITE INFORMATION: (*Indicates required information)
j
*Name: 6 asp _ i
_
- ���'i1,0 i I LPA
*Address: (off So u.,of
*Cross Street:
*Phone No.: ��S_ 71��g — ,fid
Permit No.: 4 DE(off
Tax Map District: 9 000 Section: Block:�^ Lot:
LI�3889
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
(Please Circle All That Apply)
*Is job ready for inspection: Yp Rough in Final
*Do-you need a Temp Certificate: S/ O -
Temp lnformation If eded)
_ I -
*Service Size: 1 Phase 3Phase 100 950 200 300 350 400 Other
*New Service: e-connect Underground Number €Meters, Change of Servi Overhead
Additional In€ormation: PAYMENT DUE WITH APPLICATION
82=bequest for Inspection Form
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