HomeMy WebLinkAbout41530-Z ��o.,psUFF�I'�CDGy� Town of Southold 6/2/2017
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P.O.Box 1179
53095 Main Rd
�4, p`�� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38988 Date: 6/1/2017
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 1675 Pine Neck Rd, Southold
SCTM#: 473889 Sec/Block/Lot: 70.-5-42
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
4/13/2017 pursuant to which Building Permit No. 41530 dated 4/13/2017
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:
300 AMP UNDERGROUND ELECTRIC SERVICE
The certificate is issued to Weitzman,Adam&Rachel
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 41530 05-17-2017
PLUMBERS CERTIFICATION DATED
Authorized Signature
�SUFFat,r�oTOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
�; • ! 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#: 41530 Date: 4/13/2017
Permission is hereby granted to:
Weitzman, Adam & Rachel
151 W 21st St Apt 2B
New York, NY 10011
To: 300a underground electrical service.
At premises located at:
1675 Pine Neck Rd, Southold
SCTM #473889
Sec/Block/Lot# 70.-5-42
Pursuant to application dated 4/13/2017 and approved by the Building Inspector.
To expire on 10/13/2018.
Fees:
ELECTRIC $85.00
Total: $85.00
BuilVg
gInspector
SO�jy®�
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 ® A-Q roper.richert(ab_town.southoId.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Weitzman
Address: 1675 Pine Neck Road City: Southold St: New York Zip: 11971
Budding Permit#: 41530 Section: 70 Block: 5 Lot: 42
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
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph 300A Heat Duplec Recpt Ceding Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 2 A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
DisconnectVA
Appliances Dryer Recpt Emergency Fixture Time Clocks
Disconnect Switches Twist Lock Exit Fixtures TVSS
Other Equipment- 300A UNDERGROUND SERVICE
Notes:
Inspector Signature: Date: May 17, 2017
0-Cert Electrical Compliance Form.xls
Town Hall Annex Telephone(631)765-1802 i s
54375&Iain Road 9 p ;
P.o.Box 1179 G roger.richertd-fo`wi.soU h01 nV us
Southold,NY 11971-0959 �® _
I
BUILDING DING DEPARTMENT
T owN aF gOU°H®LD i
APPLICATION FOR ELECTRICAL INSPECTION i
R
EQUESTED BY. If
Date: 4/
ame: /
.: G te_n� d. 'SOUS= 76g 7 —
JOBSITE INFORMATION: (1ndioates required information)
=Name: Ao�c�,�t -j- - -
Kpc��e_ W C mi Z#I A1
`Address: ((��� inE M e0Z N
=Cross Street:
=Phone No-:
Permit No-: L- 16'3 I.
Tai Map District: 1000 Section: - Block: Lot:— _
*BRIEF DESCRIPTION OF WORK(Please Print Clearly) - - -
3coy���f�rouV"d
(Please Chole All That Apply)
*Is)ob ready for inspection: `
YES 1 NO- Rough In Final
*Do-you need a Temp Certificate:
ES NO
Temp Mormatio€n (If needed)
Service Size: 1 Phase 3Phase 700 150 200 30Q 350 400 Other I -
'Near Serulce: Re-tonne nderground Number of Meters Change of Service Overhead '
o.
Additional Information: PAYMENT DUE WITH APPLICATION
"i
82=Request for inspection Form �� '�