HomeMy WebLinkAbout40871-Z �4�9 G Town of Southold 8/30/2016
ti P.O.Box 1179
co • 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38365 Date: 8/30/2016
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 165 Oyster Ponds Ln, Orient
SCTM#: 473889 Sec/Block/Lot: 18.-5-2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/1/2016 pursuant to which Building Permit No. 40871 dated 8/1/2016
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 Rackett,Harriett
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 40871 08-18-2016
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Z TOWN CLERK'S OFFICE
o • 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#: 40871 Date: 8/1/2016
Permission is hereby granted to:
Rackett, Harriett
PO BOX 67
Orient, NY 11957
To: electric service change
At premises located at:
165 Oyster Ponds Ln, Orient
SCTM # 473889
Sec/Block/Lot# 18.-5-2
Pursuant to application dated 8/1/2016 and approved by the Building Inspector.
To expire on 1/31/2018.
Fees:
ELECTRIC $85.00
Total: $85.00
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Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 , aQ roger.riche rt(aD-town.southoId.ny.us
Southold,NY 11971-0959
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Rackett
Address: 165 Oyster Ponds Lane City: Orient St: New York Zip: 11957
Budding Permit#: 40871 Section: 18 Block: 5 Lot: 2
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: EECO Electric Corp. License No: 54281-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X 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 A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel g0 A/C 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 OVER HEAD SERVICE, 90A SUB PANEL
Notes:
Inspector Signature: Date: August 18, 2016
OOElectncal 81 Compliance Form.xls
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Town Hall Annex 4 4 Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 G roAer.richert a own soukol ny us
Southold,NY 11971-0959 .
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED 6Y. , Date:
Company Name: ec
Name: c ✓�in22r
License No.:
Address: S I D Olisndza� kI . ! L9
Phone No.: 3 t - 'll�-SS
JOBSITE INFORMATION: (*Indicates required information) �®
*Name:
*Address: I CpS a U51!�� pond Lamin z__-2 /J}
*Cross Street: t✓la ;r, �+
*Phone No.:
Permit No.: a ,I
Tax-Map District: 9000 Section: - Block:- Lot:��
*BRIEF DESCRIPTION OF WORK(Please Print Clearly) �,��
(Please Circle All That Apply)
*Is job ready for inspection': Y / NO Rough In Final
*Do you need a Temp Certificate: YES NO
Temp Information(if needed)
*Service Size: 1 Phase 3Phase 100 950 200 300 400 Other
*New Service: Re-connect Underground Numb Meters Change of Service - verhead
Additional Information: PAYMEDUE WITH APPLICATION
El
W8 Request for Inspection Form /`