HomeMy WebLinkAbout41143-Z S11FFtl4co�y Town of Southold 5/9/2017
3 P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38933 Date: 5/9/2017
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 1900 Pine Neck Rd, Southold
SCTM#: 473889 Sec/Block/Lot: 70.-9-3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
11/3/2016 pursuant to which Building Permit No. 41143 dated 11/3/2016
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:
ELECTRIC UPGRADE
The certificate is issued to Passanant,Thomas&Giorgi,Alyce
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 41143 05-02-2017
PLUMBERS CERTIFICATION DATED
Authorized Signature
�5on��cvTOWN OF SOUTHOLD
�a �y BUILDING DEPARTMENT
M 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#: 41143 Date: 11/3/2016
Permission is hereby granted to:
Passanant, Thomas & Giorgi, Alyce
1900 Pine Neck Rd
Southold, NY 119713404
To: rewiring of house and service upgrade from 100a to 150a.
At premises located at:
1900 Pine Neck Rd, Southold
SCTM # 473889
Sec/Block/Lot# 70.-9-3
Pursuant to application dated 11/3/2016 and approved by the Building Inspector.
To expire on 5/5/2018.
Fees:
ELECTRIC $185.00
Total: $185.00
r
Buildi ector
pf SO(/r�®l
Town Hall Annex Telephone(631)765-1802
54375 Main Road y � Fax(631)765-9502
P.O.Box 1179 iQ roper.richertCa)_town.southold.ny.us
Southold,NY 11971-0959
BUII,DING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Passanant
Address: 1900 Pine Neck Road City: Southold St: New York Zip: 11971
Building Permit#: 41143 Section. 70 Block: 9 Lot: 3
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Mangan Electric License No: 5041-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service Only
Commerical Outdoor X 1st Floor X Pool
New Renovation 2nd Floor X Hot Tub
Addition Survey Attic X Garage
INVENTORY
Service 1 ph 150A Heat Duplec Recpt 21 Ceding Fixtures 11 HID Fixtures
Service 3 ph Hot Water GFCI Recpt 3 Wall Fixtures 2 Smoke Detectors 7
Main Panel 150A 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 150A Switches 16 Twist Lock Exit Fixtures �] TVSS
Other Equipment: 2- Combination Smoke= Detectors, 1- Exhaust Fan, Upgrade Service to 150A
Overhead.
Notes: Upgrade and Remove Defects From Sections of House.
Inspector Signature: <& Date: May 2, 2017
0-Cert Electrical Compliance FormAs
SOpl�o� L,
y� �y00UMV,N�
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
S�jyo
TOW°Hal!Amex I Telephone(631)765-1842
54375 Main RoadCA ��,q
P.O.Box 1179 i • roger riCl]e OL S0 0 ny us
Soerthold,NY 11971-0959
BUELDING DEPARTMENT
TOWN OF SOUMOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY. �,M � � Date:_An
a
N
ompany Name:
ame:
License No.: r0 0 L\ N
Address: �,,..1 �'1i 1(Vst-P_� V
Phone No.: 1 6J C, G C 1u
JOBSITE INFORMATION: (*Indicates required information) `
*Name:
*Address: i �C� e_4N - , SOON \��j 1 Wit.
*Cross Street: 0 g"V �),n
`Phone No.: 63\ ' L»I?
Permit No.:
Tax Map District: 1000 Section: (',- Block: Lot: .
*BRIEF DESCRIPTION OF WORK(Please Print Clearly) -
•�t �-Crj-•M 1 GC)
(Please Circle All That Apply)
Is job ready for inspection: j YES g) Rough In Final
*Do.you need a Temp Certificate: YES/ NO
Temp Information Qf.needed)
*Service Size: 1 Phase Whose 100 150 200 300 350 400 Other
i
*Mew Service: Re-connect Underground Number of Meters Change of Service Overhead
Additional Information: I PAYMENT DUE WITH APPLICATION
I'
B24Requed for Inspection Form