HomeMy WebLinkAbout41426-Z Town of Southold
3/15/2017
y P.O.Box 1179
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`� 53095 Main Rd
�yjy�l �ao� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38857 Date: 3/15/2017
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 3600 S Harbor Rd, Southold
SCTM#: 473889 Sec/Block/Lot: 75.-8-3.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
3/15/2017 pursuant to which Building Permit No. 41426 dated 3/15/2017
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 hook up for portable generator.
The certificate is issued to Clark,Judy Lee
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 41426 3/9/2017
PLUMBERS CERTIFICATION DATED
Ohod Signature
vffik'tTOWN OF SOUTHOLD
cGy, BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
oy . 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#: 41426 Date: 3/15/2017
Permission is hereby granted to:
Clark, Judy Lee
PO BOX 1020
Mattituck, NY 11952
To: electrical hook up for portable generator.
At premises located at:
3600 S Harbor Rd, Southold
SCTM # 473889
Sec/Block/Lot# 75.-8-3.1
Pursuant to application dated 3/15/2017 and approved by the Building Inspector.
To expire on 9/14/2018.
Fees:
ELECTRIC $90.00
Total: $90.00
Building Inspe
pF SOI�ThOI
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Town Hall Annex Telephone(631)765-1802
54375 Main Road N Fax(631)765-9502
P.O.Box 1179 �►, a �� roger.riche rt(&-town.southoId.ny.us
Southold,NY 11971-0959 Q
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BLTELDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Judy Clark
Address:3600 South Harbor Road City:Southold St: New York Zip: 11971
Building Permit#: 41426 Section: 75 Block: 8 Lot: 3.1
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 Basement Service Only
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks
Disconnect Switches Twist Lock El Exit Fixtures TVSS
Other Equipment: "AS BUILT" - "ELECTRICAL SURVEY' - "NO VISUAL DEFECTS"
Notes: Install 30A Rain Tight Inlet For Portable Generator.
Inspector Signature: Date: March 9, 2017
0-Cert Electrical Compliance Form.xls
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TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECT-ION
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 (1'7 INSPECTOR��0
*pF SO�Tyolo
Town Hall Annex ! [ J [ Telephone(631)765-1802
54375 Main Road max(631)765-9512
P.O.Box 1179 G� _ O roger.richert(a�iown.southold.ny.us
Southold,NY 11971-0959 COU�,���
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date:
Company Name:
C
Name:
License No.: a oI E
Address: O BU -7 F I PLAL -119-36
Ph one
I) Jr-
Phone No.: b -76P q— 7 5 .9-5
JOBSITE INFORMATION: (*Indicates required information)
*Name: �\
*Address:
*Cross Street: `
*Phone No.:
Permit No.:
Tax Map District: 1000 Section: Block: Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
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(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 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
82-Request for Inspection Form ro '