HomeMy WebLinkAbout40899-Z ��SUFFO(�co� Town of Southold 9/8/2016
�� • P.O.Box 1179
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°� 53095 Main Rd
X4,1 �ao�� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38501 Date: ' 9/8/2016
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 3720 S Harbor Rd, Southold
SCTM#: 473889 Sec/Block/Lot: 75.-8-2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/11/2016 pursuant to which Building Permit No. 40899 dated 8/11/2016
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:
100 AMP OVERHEAD ELECTRIC SERVICE UPGRADE
The certificate is issued to March Margaret M Liv Trt
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 40899 09-01-2016
PLUMBERS CERTIFICATION DATED
Authorized Signature
%of 04 TOWN OF SOUTHOLD
BUILDING DEPARTMENT
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#: 40899 Date: 8/11/2016
Permission is hereby granted to:
March Margaret M Liv Trt
515 Park View Dr
Park View, IA 52748
To: 100 Amp Electric Service Upgrade
At premises located at:
3720 S Harbor Rd, Southold
SCTM # 473889
Sec/Block/Lot# 75.-8-2
Pursuant to application dated 8/11/2016 and approved by the Building Inspector.
To expire on 2/10/2018.
Fees:
ELECTRIC $85.00
Total: $85.00
B ing Inspector
pF SOUK,®l -
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Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 roger.riche rt(a)-town.south old.ny.us
Southold,NY 11971-0959 Q
COUNTI,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: March Margaret M Liv Trt
Address: 3720 S. Harbor Road City: Southold St: New York Zip: 11971
Building Permit* 40899 Section: 75 Block: 8 Lot: 2
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 100A Heat Duplec Recpt Ceding Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 100A 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 100A Switches El Twist Lock Exit Fixtures TVSS
11
Other Equipment: 100A OVERHEAD SERVICE - UP GRADE
Notes:
Inspector"Signature: Date: September 1, 2016
OOElectncal 81 Compliance Form.xls
pf SOUTyolo
Town Hall Annex tt J [ Telephone(631)765-1802
54375 Main Road v, .�a�c(631?765-95Q�
P.O. Box 1179 G roper_rlchert(a own.southol .ny.us
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Southold,NY 1197I-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY. Date: tD /16
Company Name: gS
Name:
License No.: _F
Address:
Phone No.:
JOBSITE INFORMATION: (*Indicates required information)
*Name: .�� RCF L aAt- MaAl�)
Address: ?0� o SOS' H A/tF %v>-, 6io-A o zo
*Cross Street:
*Phone No.:
Permit No.:
Tax-Map District: 1000 Section: Block:__ Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly) _ Z,0 O /.1 af
(Please Circle All That Apply)
*Is job ready for inspection: SNO
NO Rough in ina!*Do-you need a Temp Certificate:
Temp Information (if needed)
'Service Size: 7 Phase Whase 100 150 200 300 350 400 Other
'New Service: Re-connect- Underground Number of Meters an e of Service ;rhead -
Uditional Information: PAYMENT DUE WITH APPLICATION
00 G I a Crn
82-Request for tnspecGon Form _ I J &C-1
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