HomeMy WebLinkAbout41147-Z o�g�FFOLtrro� Town of Southold 11/17/2016
a� y P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38661 Date: 11/17/2016
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 1305 Sigsbee Rd, Laurel
SCTM#: 473889 Sec/Block/Lot: 144.-2-6
Subdivision: Filed Map No. Lot No.
conforms,substantially to the Application for Building Permit heretofore filed in this office dated
11/7/2016 pursuant to which Building Permit No. 41147 dated 11/7/2016
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:
"AS BUILT"ELECTRIC SERVICE IN GARAGE AS APPLIED FOR
The certificate is issued to Murphy, Shirley
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 41147 11-15-2016
PLUMBERS CERTIFICATION DATED
Authorized Signature
i
�guFFnt��oTOWN OF SOUTHOLD
BUILDING DEPARTMENT
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#: 41147 Date: 11/7/2016
Permission is hereby granted to:
Murphy, Shirley
1305 Sigsbee Rd
Mattituck, NY 11952
To: as built" electric service in garage.
At premises located at:
1305 Sigsbee Rd, Laurel
SCTM # 473889
Sec/Block/Lot# 144.-2-6
Pursuant to application dated 11/7/2016 and approved by the Building Inspector.
To expire on 5/9/2018.
Fees:
ELECTRIC $85.00
Total: $85.00
nspector
OF SO(�P�®�
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 roger.riche rt(a-town.southoId.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To. Murphy
Address: 1305 Sigsbee Road City: Mattituck St: New York Zip: 11952
Building Permit#: 41147 Section: 144 Block: 2 Lot: 6
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: "AS BUILT" DBA: License No:
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage X
INVENTORY
Service 1 ph Heat Duplec Recpt 4 Ceiling Fixtures 5 HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures 1 Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel 30A A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect 11 Switches F]7 Twist Lock Exit Fixtures 11 TVSS
Other Equipment: "AS BUILT" - "ELECTRICAL SURVEY" - "NO VISUAL DEFECTS"
-Detached Garage-
Notes:
Inspector Signature: Date: November 15, 2016
0-81-Cert Electrical Compliance Form.xls
SOUjyo� '
i!S- • �o
�ycoum
TOWN OF SOUTHOLD BUILDING DEPT.
765-1602
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 / INSPECTOR
i
SO�lyo ;
Town Hall Annex � Telephone(631)765-1802 I
54375 Main Road cn (631)765- 5112
P.O.Box 1179 G� Q roger.richertO`wn.soufh�o d ny us
Southold,NX 11971-0959 -
�ly�4Ullj'I,� for�ci e'
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY:
Date: -
Company Name: .
Name:
License No.:
Address:
Phone No.:
JOBSITE INFORMATION: (*Indicates required information)
*Name: ,Gs 1�' l 'r #v re h'1 I m r h`
*Address: 15 0 f16-V-1?.e
*Cross Street: Al
OL
*Phone No.: 3 3
lG c OU
Permit No.: 6 / O
Tax-Map District: 1000 Section: Block: Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
Vc a_�iV�-�CIX�t�
(Please Circle All That Apply)
*Is job ready for inspection: YE / NO Rough In Final
*Do you need a Temp Certificate:
. - YES! NO - I
Temp Information (If.needed)
Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other
*New Service: Re-connect Underground g Number of Meters Change of Service Overhead '
Additional Information: PAYMENT DUE WITH APPLICATION
82=Request for inspection Form
- I -