HomeMy WebLinkAbout41504-Z $1�FFOt,�
0�0 tpG Town of Southold 5/12/2017
P.O.Box 1179
0
Cal
'. 53095 Main Rd
b'r"dal Southol New York 11971 d,
CERTIFICATE OF OCCUPANCY
No: 38940 Date: 5/12/2017
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 8100 Indian Neck Ln, Peconic
SCTM#: 473889 See/Block/Lot: 86.-7-9
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
4/7/2017 pursuant to which Building Permit No. 41504 dated 4/7/2017
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:
200A UNDERGROUND ELECTRIC SERVICE
The certificate is issued to 8100 Indian Neck LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 41504 05-09-2017
PLUMBERS CERTIFICATION DATED
Authorized Signature
��o�gUfEOIKC� TOWN OF SOUTHOLD
BUILDING DEPARTMENT
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#: 41504 Date: 4/7/2017
Permission is hereby granted to:
8100 Indian Neck LLC
C/O Jan Nicholson
419 E 50th St
New York, NY 10022
To: Electric Service
At premises located at:
8100 Indian Neck Ln, Peconic
SCTM #473889
Sec/Block/Lot# 86.-7-9
Pursuant to application dated 4/7/2017 and approved by the Building Inspector.
To expire on 10/7/2018.
Fees:
ELECTRIC $85.00
Total: $85.00
Buildi Ins for
SO!/j�®C
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road N Fax(631)765-9502
P.O.Box 1179 �., �Q roper.richert(a)-town.southold.ny.us
Southold,NY 11971-0959 Q
lycOUNTY,��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: 8100 Indian Neck LLC
Address: 8100 Indian Neck Lane City: Peconic St: New York Zip: 11958
Building Permit#: 41504 Section: 86 Block: 7 Lot: 9
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 200A Heat Duplec Recpt 2 Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 200A 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 61Switches Twist Lock Exit Fixtures TVSS
Other Equipment: 200A Underground H Frame Service.
Notes:
Inspector Signature: Date: May 9, 2017
0-Cert Electrical Compliance Form.xls
- pF SO�jyD!
� o
Town Hall Annex � � Tel
54375 Main Road
P.O.Box 1179 G r0 Er.rl e
Southold,NY 11971-0959
y0DUNiY,�c� APR e 2017 i
BUILDING DEPARTMENT
TOWN OF SOUTHOLD BUILDING DEPT. i
APPLICATION FOR ELECTRICAL INSPECTIOJOWN OF SOUTHOLD
I
REQUESTED BY: Date:
Company Name: zze
Name:
License No.:
Address: o 1,k-01AWv-,
/1 • .C
Phone No.:
JOBSITE INFORMATION: (*Indicates required information)
*Name: �' 1
'`Address: pod U,,e `A.e-
*Cross Street: -
*Phone No.:
Permit No.:
U�1 f
Tax Map District: 3000 Section: Block:__ Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly) 4- 6z
r-
- - I
(Please Circle All That Apply)
*Is job ready for inspection: � NO Rough In Final
*Do you need a Temp Certificate: E
S O
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
1411-1
82-Request for inspection Form )n
f