HomeMy WebLinkAbout41416-Z Town of Southold 4/10/2017
P.O.Box 1179
a'> 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38896 Date: 4/7/2017
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 1320 Arshamomaque Ave., Southold
SCTM#: 473889 Sec/Block/Lot: 66.-2-29
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
3/10/2017 pursuant to which Building Permit No. 41416 dated 3/10/2017
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:
REPLACEMENT OF METER PAN AND MAST FOR EXISTING ELECTRIC SERVICE
The certificate is issued to Cashion,David
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 41416 04-05-2017
PLUMBERS CERTIFICATION DATED
Authorized Signature
gUEEO(�C TOWN OF SOUTHOLD
BUILDING DEPARTMENT
cm cm TOWN CLERK'S OFFICE
o . 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#: 41416 Date: 3/10/2017
Permission is hereby granted to:
Cashion, David
72 Perry St Apt 3A
New York, NY 10014
To: Electrical permit- repair of meter enclosure and service re-connect.
At premises located at:
1320 Arshamomaque Ave., Southold
SCTM # 473889
Sec/Block/Lot# 66.-2-29
Pursuant to application dated 3/10/2017 and approved by the Building Inspector.
To expire on 9/9/2018.
Fees:.
ELECTRIC $95.00
Total: $95.00
I
B �ing�lspector
SOUr�®l®
Town Hall Annex Telephone(631)765-1802
54375 Main Road CP Fax(631)765-9502
P.O.Box 1179 �� roger.richert _town.southold.ny.us
Southold,NY 11971-0959 Q
lyftuN%
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Cashion
Address: 1320 Arshamomaque Avenue City: Southold St: New York Zip: 11971
Building Permit#: 41416 Section: 66 Block: 2 Lot- 29
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: RJ Corazzini Electric License No: 33419-ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only X
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph 100A 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 F1 Twist Lock El Exit Fixtures �] TVSS
Other Equipment: Replace Meter Pan and Mast for Existing 100A Overhead Service.
Notes:
Inspector Signature: - Date: April 5, 2017
0-Cert Electrical Compliance Form.xls
OF SOUl�,olo
/1 cOUPfi`I,�
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) ELECTRICAL (FINAL)
REMARKS:
DATE INSPECTOR `
i
OF SOUT�o
Town Hall Annex 1 t J�[ Telephone(631)765-1802
54375 Main Road c� max(631)765- 5Q2
P.O.Box 1179 G ro er.richert(C�town.souf050 nV us
Southold,NY 11971-0959
BUELDnvG DEPARTMENT
TOWN OF SOUTHOLD
i
APPLICATION FOR ELECTRICAL INSPECTION '
_ f-
REQUESTED BY: Date;
Company Name: � ;1 ,� 3-Io - ��
���
Name:
License No.:
Address:
Phone No.: ( 6
JOBSITE INFORMATION: (*Indicates required information)
*Name:
*Address: ,'iz- S 1A le/
*Cross Street:
*Phone No.: j
Permit No.:
Tax-Map District: 1000 Section: Block: Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly) E
i
(Please Circle All That Apply)
*Is job ready for inspection: YES/ NO Rough in Final
*Do you need a Temp Certificate:
• ES NO -
-
Temp Informatio d)
*Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other I -
*New Service: a-conn ct nderground Number of Mete1 Change of Service Overhead
Additional Info PAYMENT DUE WITH APPLICATION
82-Request for Inspection Form
v\ f