HomeMy WebLinkAbout40996-Z ��b�sUFFQt�CpG� Town of Southold 10/20/2016
A P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38608 Date: 10/20/2016
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 40635 CR 48, Southold
SCTM#: 473889 Sec/Block/Lot: 59.-7-30
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/15/2016 pursuant to which Building Permit No. 40996 dated 9/15/2016
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 Chamews,Cornelia
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 40996 10-05-2016
PLUMBERS CERTIFICATION DATED
Authorized Signa re
�guFFot,r�oTOWN 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#: 40996 Date: 9/15/2016
Permission is hereby granted to:
Charnews, Cornelia
40635 CR 48
Southold, NY 11971
To: 200a electric service upgrade.
At premises located at:
40635 CR 48, Southold
SCTM # 473889
Sec/Block/Lot# 59.-7-30
Pursuant to application dated 9/15/2016 and approved by the Building Inspector.
To expire on 3/17/2018.
Fees:
ELECTRIC $85.00
Total: $85.00
nspector
Town Hall Annex Telephone(631)765-1802
54375 Main Road C Fax(631)765-9502
P.O.Box 1179 a roger.riche rtCa)town.southold.ny.us
Southold,NY 11971-0959 '®
couffm�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Charnews
Address: 40635 CR 48 City: Southold St: New York Zip- 11971
Budding Permit#. 40996 Section: 59 Block: 7 Lot. 30
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Gratton Electric License No: 43643-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service Only
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 1 Wall Fixtures Smoke Detectors
Main Panel 200 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 200 Switches Twist Lock Exit Fixtures [] TVSS
Other Equipment 200A Overhead Service
Notes,
Inspector Signature: Date: October 5, 2016
0-81-Cert Electrical Compliance Form.xls
'. f SOUTy�Io
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to,
1 � • �o
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
- INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
REMARKS:
DATE 6e� ��- INSPECTOR`
SO�lyo �
Town Hall Annex Telephone(631)765-1802
54375 Main Road (6 31)765- 5
P.O.Box 1179 G • roger.richert a.town.souf9o1d.ny.us
Southold,NY 11971-0959 Q i
I
BUILDING DEPARTMENT I
- - -- - -TOWN OF SOUTHOLD_ - - - - -
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY:' �t� Date: 9� /J=/
Company Name: � G r\ C A-
Name:
License No.: 1/36 1-
Address: Rat„,7-e Zl
Phone No.:
JOBSITE INFORMATION: (*Indicates required information)
*Name: ClPr�ey�
*Address: t-j06,?3-- C,-,- /Zerl�'d V5' So�7-/41 /Q� _ �
*Cross Street: k,
*Phone No.: j 1-9 1,�_7
t
Permit No.: 14 09 9 to
Tax Map District: 1000 Section:=�� Block:�_ Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly) /P�>�rF� j S7e/'v��C,P
- i
I�
(Please Circle All That Apply) !
Is job ready for inspection: YES O Rough In Final
*Do you need a Temp Certificate: ES NO
Temp Information(If.needed)
*Service Size: CIPhas 3Phase 100 150 200 300 350 400 Other
*New Service: Re-connect Underground Number of Meters Change of Service, Overhead ' -
Additional Information: PAYMENT DUE WITH APPLICATION
f -
82-Request for Inspection Form % /
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