HomeMy WebLinkAbout39223-Z Town of Southold 1/24/2017
P.O.Box 1179
53095 Main Rd
�T.jjploo�� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38789 Date: 1/24/2017
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 415 Willow Dr, Greenport
SCTM#: 473889 Sec/Block/Lot: 33.-6-10
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/29/2014 pursuant to which Building Permit No. 39223 dated 9/29/2014
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:
200 AMP ELECTRICAL UNDERGROUND SERVICE UPGRADE
The certificate is issued to Cahill,Kevin
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 39223 01-03-2017
PLUMBERS CERTIFICATION DATED
Authorized Signature
4 �o TOWN OF SOUTHOLD
�S�FFnt,r
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
wo • 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#: 39223 Date: 9/29/2014
Permission is hereby granted to:
Dickman, Donna & Bursuk, Merrick
283 Avenue C Apt 8D
New York, NY 10009
To: Electrical Upgrade
At premises located at:
415 Willow Dr, Greenport
SCTM # 473889
Sec/Block/Lot# 33.-6-10
Pursuant to application dated 9/29/2014 and approved by the Building Inspector.
To expire on 3/30/2016.
Fees:
ELECTRIC $85.00
Total: $85.00
ae—1
Building Inspector
a
hO��pF SOUr�ol
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 aQ roger.riche rt(aD-town.southoId.ny.us
Southold,NY 11971-0959
�lyCVullI10
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Cahill
Address: 415 Willow Drive City: Greenport St: New York Zip: 11944
Building Permit#: 39223 Section: 33 Block: 6 Lot: 10
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Brian Brooks Electric License No: 3613-E
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 Wall Fixtures Smoke Detectors
Main Panel 200A A/C Condenser 2 Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower 2 Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency FixturesTime Clocks
Disconnect 200A Svotches F] Twist Lock Exit Fixtures TVSS Ll
Other Equipment: Service Update, 200A Underground
Notes:
Inspector Signature: Date: January 3, 2017
0-Cert Electrical Compliance Formas
SOpryOlo
o�ycoUlumv,a
TOWN OF SOUTHOLD BUILDING DEPT.
765-16®2
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ] ELECTRICAL (FINAL)
REMARKS:
DATE / l INSPECTOR
t
� �- s�i �
Town Hall Annex J1 41 on�63 76 1
54375 Main Road Q ,,aaxx(631)76512
P.O.Box 1179 r0 er.ri2 IOwn.SOU O U n .Us
Southold,NY 11971-0959 �l� �� . SEP '2 9 2014
BLDG DEPT.
TOWN OF SOUTHOLD '
BUMDING DEPARTMENT
TOWN OF SOUTHOLD-
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: A]rinDate: 1X7 A
Company Name: Ct
Name: s
License No.: I✓
Address: G
Phone No.: 3 P136
F .
JOBS ITE-INFORMATION: -(*Indicates required information)
*Name: Kevin Cain,I f
*Address: r -
*Cross Street: n 16to
*Phone'No..
Permit No.:
Tax-Map District: 1000 Section: Block: Lot:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
(�vtn�Q�a, .;�s� V In ccs 3drn�s
(Please Circle All That Apply)
*Is job ready for inspection: YES/®O Rough In Final
*Do you need a Temp Certificate: Y S NO
Temp Information (if-needed) `
*Service Size: Phase 313hase 100 . 150 200 300 350 400 Other
*New Service: Re-connect <Qndergroun Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
82-Request for Inspection Form