HomeMy WebLinkAbout41036-Z ��o�guFFOt,��oGy Town of Southold 5/18/2017
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-{ P.O.Box 1179
53095 Main Rd
�yfjol �ao� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38959 Date: 5/18/2017
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 245 Bayview Ave, Greenport
SCTM#: 473889 Sec/Block/Lot: 52.-5-27
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/28/2016 pursuant to which Building Permit No. 41036 dated 9/28/2016
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:
200A Electric Service
The certificate is issued to Hockemeyer,Judith
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 41036 05-17-2017
PLUMBERS CERTIFICATION DATED
Authorized Signature
o�SUFFot,r�oTOWN OF SOUTHOLD
BUILDING DEPARTMENT
x TOWN CLERK'S OFFICE
o . SOUTHOLD, NY
y�01�3
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#: 41036 Date: 9/28/2016
Permission is hereby granted to:
Hockemeyer, Judith
166-26 Powells Cove Blvd 9A
Beechhurst, NY 113572050
To: Electric Service
At premises located at:
245 Bayview Ave, Greenport
SCTM # 473889
Sec/Block/Lot# 52.-5-27
Pursuant to application dated 9/28/2016 and approved by the Building Inspector.
To expire on 3/30/2018.
Fees:
E EC'fR $85.00
Total: $85.00
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Building Ins cte�r � _---
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if Soulyo
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 ® aQ roger.richerttown.southold.ny.us
Southold,NY 11971-0959
®�yC®UNT`1,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
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CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Hockemeyer
Address: 245 Bayview Avenue City: Greenport St: New York Zip: 11944
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Buddingi,Permit#: 41036 Section. 52 Block: 5 Lot: 27
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WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: _ DBA: East County Electric License No: 1005-E
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only X
Co mmencal Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage Ll
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INVENTORY
Servile 1 ph 200A Heat Duplec Recpt 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
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Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks
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Disconnect 200A Switches Twist Lock Exit Fixtures TVSS
Other Equipment: 200A OVERHEAD SERVICE
Notes:
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Inspector Signature: Date: May 17, 2017
0-Cert Electrical Compliance FormAs
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Town Hall Annex ! Telephone(63311)765-4 =
54375 Main Roads I�
P.O.Box 1179 G rp e� (631?7U F'j0( .n .
j Southold,NY 11971-0959 ! �� 2 d alb !
� 1(4COUNI�C�� i.
BUILDING DEPT.
BURDING DEPARTMENT TOWN OF SOUTHOLD �
TOWN OF SOtTTROLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Q /
� o-. � Date:
Company Name: , --�
Name: -
License No.:
Address:
Phone No.:
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JOBSITE INFORMATION: (*Indicates required information) ?
*Name:
*Address: J p V� ov�. � I
Cross Street: 1 - n,
Phone No.:
Permit No.:
Tax•Map District: 1000 Section: Z - Block: 57 Lot
*BRIEF DESCRIPTION OF WORK(Please Print Cleady)
ew 47 0 wren t3�LL
(Please Circle All That Apply)
*Is job ready for inspection: YES NO Rough in Final
*Do•you need a Temp Certificate: YES 1 NO
Temp Information (if n eded)
*Service Size: 1 Phase Whase 100 150 200 300 350 400 Other
*New Service: Re-connect 'Underground Number of Meters Change of Service verhead
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Additianal Information: PAYMENT DUE WITH APPLICATION
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071
82;-Request for Inspection Form �7
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