HomeMy WebLinkAbout40811-Z FIpGy Town of Southold 11/30/2016
C* P.O.Box 1179
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53095 Main Rd
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CERTIFICATE OF OCCUPANCY
No: 38682 Date: 11/30/2016
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 3625 Pine Neck Rd, Southold
SCTM#: 473889 Sec/Block/Lot: 70.-6-22
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
6/30/2016 pursuant to which Building Permit No. 40811 dated 6/30/2016
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:
ELECTRIC UPGRADE TO FIRST FLOOR
The certificate is issued to Canning,Andrew
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF BEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 40811 11-16-2016
PLUMBERS CERTIFICATION DATED
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��'"Authorized Signature
�gUF TOWN OF SOUTHOLD
moo �y 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#: 40811 Date: 6/30/2016
Permission is hereby granted to:
Canning, Andrew
3625 Pine Neck Rd
Southold, NY 11971
To: electric
At premises located at:
3625 Pine Neck Rd, Southold
SCTM # 473889
Sec/Block/Lot# 70.-6-22
Pursuant to application dated 6/30/2016 and approved by the Building Inspector.
To expire on 12/30/2017.
Fees:
ELECTRIC $245.00
Total: $245.00
�iTQ �-" hspector
pF SO -,®C
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Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G ® �Q roger.riche rtCaD-town.southoId.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Andrew Canning
Address: 3625 Pine Neck Road City: Southold St: New York Zip: 11971
Building Permit#: 40811 Section: 70 Block: 6 Lot: 22
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: All Wright Electric License No: 43457-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only
Commerical Outdoor 1st Floor X Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 8 Ceding Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures 12 Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures 7 CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches F-i 1 Twist Lock El Exit Fixtures TVSS
Other Equipment: Electrical Up Grades to First Floor, All Work Snaked.
Notes:
Inspector Signature: Date: November 16, 2016
0-Cert Electrical Compliance Form.xls
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TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [g ELECTRICAL (FINAL)
REMARKS:
DATE - INSPECTOR�j
U�-26-1b,'11 .41 2553445
'T'ewn Hall Anncr d s�t 'r�icpho��e 0311765-1808
54315 Main Road "1)7e>su£�ro�
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SoUdWid.NY 11971-0959 1
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL11SPECTION
REQUESTED BY: Date: �1 6
Company Nampa: wvu,G- - �ktu t - �
Name: c vc
License No.: $ o-
Aadress: C.vJ Yt�
Phone No.: S 3 I
JOBSITE INFORMATION: (*Indlcates required information)
*Name:
*Address:
Cross Street:
•Phone No.. -
Permit No.:
Tax Map District: 1000 Section:.j� Block: 6 Loft
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
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(Please Circle All That AppiY)
*Is job ready for Inspection: YES/ NO Rough In Final
*Do you need a Tamp Certificate: YES/ NO
Temp 106 nation(if needed)
*Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other
*New Service: Re-connect Underground Number of Meters Change of$arvice overhead
Additional Information: - PAYMENT DUE WITH API�I_t.GATJQN
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824Request for Inspection Form °y_ 5—