HomeMy WebLinkAbout38476-Z SUEFtI1�tp Town of Southold 3/1/2017
P.O.Box 1179
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53095 Main Rd
�4AQI �� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38850 Date: 3/1/2017
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 64150 Route 25, Greenport
SCTM#: 473889 Sec/Block/Lot: 56.-7-1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
1/1/1900 pursuant to which Building Permit No. 38476 dated 11/6/2013
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 underground electric service.
The certificate is issued to Goldsmiths Boat Shop
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 38476 2/22/2017
PLUMBERS CERTIFICATION DATED
Authorized Signature
�vFE�c TOWN 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#: 38476 Date: 11/6/2013
Permission is hereby granted to:
Goldsmiths Boat Shop
PO BOX 1436
Southold, NY 11971
To: electric service change
At premises located at:
64150 Route 25, Greenport
SCTM # 473889
Sec/Block/Lot# 56.-7-1
Pursuant to application dated 1/1/1900 and approved by the Building Inspector.
To expire on 5/8/2015.
Fees:
ELECTRIC $125.00
Total: $125.00
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Building Inspector
pF SOl
IO
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 ® roger.richertR-town.southoId.ny.us
Southold,NY 11971-0959
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Goldsmith's Boat Shop
Address:64150 Route 25 City,Greenport St: New York Zip: 11944
Building Permit#: 38476 Section- 56 Block: 7 Lot: 1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: G&S Electric License No: 578-E
SITE DETAILS
Office Use Only
Residential Indoor X Basement Service Only X
Commerical X Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceding Fixtures HID Fixtures
Service 3 ph 200A 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 FixtureTime Clocks
Disconnect 200A Switches Twist Lock El Exit Fixtures 0 TVSS El
OtherEgwpment: Change Existing 200A, 3 Phase Service From Overhead to Underground
Notes:
Inspector Signature: Date: February 22, 2017
0-Cert Electrical Compliance Form.xls
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TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
I 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:
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DATE INSPECTOR
pF SO�jyDlo
Town Hall Annex Telephone(631)765-1802
54375 Main Roadx(631)765- 5116
C* INC'� roger richertt own.soutl9io ny.us
P.O.Box 1179 � �O�
Southold,NY 11971-0959 Ol�,gOUNTI,a
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date: `p d� S
Company Name:
Name: o IF Oe&IZJ�_V
License No.: Zc? --
Address: 01
Phone No.. /6 61
JOBSITE INFORMATION: (Indicates required information)
*Name: 0p L.D sl'Yl1 ZA I I
*Address: K VZS-0 Z{7—
*Cross Street: �p,�d— p� �� y d'� –C)L 6) JYiA�HJ IZ�
*Phone No.: / - 4100 q
—
Permit No.: _
Tax Map District: 1000 Section: Block: Lot:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
dna 3 0/ (CF—
(Please
CF(Please Circle All That Apply)
*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 Phase 6E;D 100 150 2001 300 350 400 Other
*New Service: Re-connect Underground Number of Meters' Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
C,
82-Request for Inspection Form
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