HomeMy WebLinkAbout41483-Z ��0�0�'UfFQI'�cQGy Town of Southold 5/9/2017
P.O.Box 1179
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01, 53095 Main Rd
o4,1 58� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38936 Date: 5/9/2017
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 2265 King St, Orient
SCTM#: 473889 Sec/Block/Lot: 26.-2-43.11
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
3/31/2017 pursuant to which Building Permit No. 41483 dated 3/31/2017
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:
REPLACE ELECTRIC METER PAN AND CONDUIT FOR EXISTING 200A SERVICE
The certificate is issued to Mayer,Chester&Robin
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 41483 05-03-2017
PLUMBERS CERTIFICATION DATED
Authorized Signature
�goFFn�,r�oTOWN OF SOUTHOLD
�o a BUILDING DEPARTMENT
y a 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#: 41483 Date: 3/31/2017
Permission is hereby granted to:
Mayer, Chester & Robin
2265 King St
PO BOX 367
Orient, NY 11957
To: �
replace meter pan and up run 200a overhead service
At premises located at:
2265 King St, Orient
SCTM # 473889
Sec/Block/Lot# 26.-2-43.11
Pursuant to application dated 3/31/2017 and approved by the Building Inspector.
To expire on 9/30/2018.
Fees:
ELECTRIC $85.00
Total: $85.00
r
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Building Inspector
SOl1r�®l
Town Hall Annex Telephone(631)765-1802
54375 Main Road c/s Fax(631)765-9502
P.O.Box 1179 aQ roger.richert(cD-town.southoId.ny.us
Southold,NY 11971-0959 Q
Court
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Mayer
Address: 2265 King Street City: Orient St: New York Zip: 11957
Budding Permit#: 41483 Section. 26 Block: 2 Lot: 43.11
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Grattan Electric License No: 43643-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 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 Fixtures Time Clocks
Disconnect Switches Twist Lock Exit Fixtures TVSS
Other equipment: Install New Meter Pan and Conduit for Overhead Service Conductors for Existing
200A Service.
Notes:
Inspector Signature: Date: May 3, 2017
0-Cert Electrical Compliance Form.)ls
of soy
Town Hall Annex if 1�( Telephone(631)765-1802
54375 Main Road col d�axx,(631)765-9g51q
P.O.Box 1179 a roaer.richert IOwn.SOUtIIOI�.nV uS
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Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: "� I
. / Date:
Company Name:
Name:
License No.: ` 1 _ r
Address: 1/9
Phone No.: 3
JOBSITE INFORMATION: (*Indicates required information)
*Name:
*Address: �-�G 5' /<;/-70 S r 0/Irel)-f /�� %/9 S 7'
*Cross Street: '
*Phone No..
1 - 917 — 7C 7—
Permit No.: 1414V3i-
Tax-Map District: 9000 Section: Block: Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
Lot Ez Lo L4 e-
fi r/r� 2 O l �l 5 i✓1 Cllcl
(Please Circle All That Apply)
*Is job ready for inspection: ?Y14NO Rough In Final
*Do you need a Temp Certificate: O
Temp Information (if needed)
*Service Size: as 3Phase 100 150 00 300 350 400 Other
*New Service: Re-connect Underground Number of Meters Change of Service Overh ae d
Additional Information: PAYMENT DUE WITH APPLICATION
I
—1
82-Request for Inspection Form