HomeMy WebLinkAbout41366-Z OSOFQdo�y Town of Southold 3/13/2017
g P.O.Box 1179
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v' 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38853 Date: 3/13/2017
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 50 Jackson St,New Suffolk
SCTM#: 473889 Sec/Block/Lot: 116.-6-24.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
2/13/2017 pursuant to which Building Permit No. 41366 dated 2/13/2017
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:
electrical survey for clubhouse.
The certificate is issued to Kimogenor Pt Co
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 41366 3/2/2017
PLUMBERS CERTIFICATION DATED
uthorized Signature
F aF 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#: 41366 Date: 2/13/2017
Permission is hereby granted to:
Kimogenor Pt Co
Attn: Nancy Akeson
PO BOX 8020
Garden City, NY 11530
To: Electrical Survey
At premises located at:
50 Jackson St, New Suffolk
SCTM # 473889
Sec/Block/Lot# 116.-6-24.1
Pursuant to application dated 2/13/2017 and approved by the Building Inspector.
To expire on 8/15/2018.
Fees:
ELECTRIC $90.00
Total: $90.00
Building Inspec
so
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
FOUNDATION 1ST ROUGH PL13G.
FOUNDATION 2ND INSULATION
FRAMING / STRAPPING FINAL
FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION
FIRE RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION
ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
REMARKS:
DATE INSPECTOR
Town Hall Annex ] Telephone(631)765-1802
54375 Main RoadCA Q ro errlC S -
P.O.Box 1179 .
�O f1
Southold,NY 11971-0959
FEB B 1 3 2017
BUILDING DEPARTMENT
TOWN OF SOUTHOLD BUILIDINg IDEPL
APPLICATION FOR ELECTRICAL I NSPECTIOtTOWN OF SOUTHOLD
REQUESTED BY: Date: a I ?)h"�
Company Name:
Name:
License No.:
Address:
Phone No.:
JOBSITE INFORMATION: (*Indicates required information)
*Name: Z, AAQ Ct' 0,9JV4.,0&0t/
*Address: 0
*Cross Street: Su��(�C A�
e
*Phone No.: a -6Z& q
Permit No.: ,� °
Tax Map District: 1000 Section: Block: Lot: 1
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
o .
CA
(Please Circle All That Apply)
*Is job ready for inspection: YE / NO Rough In Final
*Do you need a Temp Certificate: YES / NO
Temp Information (If needed)
*Service Size: 1 Phase 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
6
82-Request for Inspection Form q0
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