HomeMy WebLinkAbout40908-Z i
�q�g�yFFQt�el Town of Southold 9/28/2016
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38546 Date: 9/28/2016
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 1480 Leeton Dr, Southold
SCTM#: 473889 Sec/Block/Lot: 58.-2-3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/15/2016 pursuant to which Building Permit No. 40908 dated 8/15/2016
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 Stanton D J&V L Rev Trust
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 40908 09-06-2016
PLUMBERS CERTIFICATION DATED
Ir Authorized Signature
�o�gilFFnt��vTOWN OF SOUTHOLD
�y BUILDING DEPARTMENT
y a 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#: 40908 Date: 8/15/2016
Permission is hereby granted to:
Stanton D J &V L Rev Trust
14 O'Shea Ln
St James, NY 11780
To: 200a overhead electric service.
At premises located at:
1480 Leeton Dr, Southold
SCTM # 473889
Sec/Block/Lot# 58.-2-3
Pursuant to application dated 8/15/2016 and approved by the Building Inspector.
To expire on 2/14/2018.
Fees:
ELECTRIC $85.00
$85.00
Building Inspector --
pF SOU��®l®
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G • �Q roger.riche rt(a-)town.southoId.nV.us
Southold,NY 11971-0959 ®�yC®uN119�^�`
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Stanton
Address: 1480 Leeton Drive City: Southold St: New York Zip: 11971
Budding Permit#: 40908 Section: 58 Block: 2 Lot: 3
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: C-Cat License No: 953-ME
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 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 200A Switches Twist Lock El Exit Fixtures TVSS
Other Equipment 200A OVER HEAD SERVICE
Notes:
Inspector Signature: Date: September 6, 2016
OOElectrical 81 Compliance Form.xls
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TownHaIl Amex Telephone(630 765-1802
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BUR DING DEPARTMENT
• TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY:� ,; �- L Date:
Cmpany Name:
License No.:
i — —
Phone No.: tc,5l - L(L43
i.
JOBSITE INFORMATION: (Indicates required information)
*Name: 1���
*Address: r 8b L �-
*Cross Street
*Phone No..
Permit No.: p
Tax Nap District 1000 Section: Block: ,
Lot
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
' 6
(Please-Circle All That AppW
*Is job ready for inspection: YES/ NO Rough in Final
*Do you need a Temp Certificate: YES/ NO
-Temp Information(If needed]
*Service Size: 1 Pham 312hase 100 150 200 300 350 400 Other
New Service: Re-oonrax t Underground Number of Metersange�ofSeM�ce �wh�ead
Additional Information: PAYMENT DUE WITH APPLICATION
-
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