HomeMy WebLinkAbout41607-Z O�g�FFO(,rcok Town of Southold 7/7/2017
P.O.Box 1179
co 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39041 Date: 7/7/2017
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 55 Cox Neck Rd,Mattituck
SCTM#: 473889 Sec/Block/Lot: 113.-7-19.23
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/4/2017 pursuant to which Building Permit No. 41607 dated 5/4/2017
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:
100A OVERHEAD CONSTRUCTION ELECTRIC SERVICE
The certificate is issued to 55 Cox Neck Road Realty LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 41607 06-08-2017
PLUMBERS CERTIFICATION DATED
Authorized Signature
o�Sv�nt��oTOWN 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#: 41607 Date: 5/4/2017
Permission is hereby granted to:
55 Cox Neck Road Realty LLC
9 Colonial Dr
Upper Brookville, NY 11545
To: Electric Service for Construction
At premises located at:
55 Cox Neck Rd, Mattituck
SCTM # 473889
Sec/Block/Lot# 113.-7-19.23
Pursuant to application dated 5/4/2017 and approved by the Building Inspector.
To expire on 11/3/2018.
Fees:
ELECTRIC $85.00
$85.00
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Building Inspec ,
®F SOUr'y®� .
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G ® a� roger.richertCaD-town.southold.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: 55 Cox Neck Road LLC
Address: 55 Cox Neck Road City: Mattituck St: New York Zip: 11952
Budding Permit#: 41607 Section: 113 Block: 7 Lot: 19.23
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Fulton Electric License No: 5006-ME
SITE DETAILS
Office Use Only
Residential Indoor Basement Service Only X
Commerical X Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph X Heat Duplec Recpt 2 Ceding Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures Smoke Detectors
Main Panel X 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 RX Switches Twist Lock Exit Fixtures TVSS
Other Equipment: 100A Overhead Construction Service to Trailer.
Notes:
Inspector Signature: Date: June 8, 2017
0-Cert Electncal Compliance FormAs
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 G r0 er.richert to 7 V
Southold,NY 11971-0959 �ry� ^a�0
MAY m 4 2017
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
BUMDING DEPT'.
APPLICATION FOR ELECTRICAL INSPECTION TOWN OF SOUTHOLD
REQUESTED BY:
cDate:
Company Name: d t,v p
Name: a f
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License No.:
Address:
Phone No.: �6"
JOBSlTE INFORMATION: (*Indicates required information)
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*Name: C GLS ;
*Address: X C
*Cross Street: n I
r✓ - I
*Phone No.:
Permit No.:
Tax Map District: 1000 Section: Block: Q Lot: ,
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
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(Please Circle All That Apply)
*Is job ready for inspection: YES NO Rough In Fina
*Do you need a Temp Certificate: NO
Temp Information (if needed)
*Service Size: 1 Phase 3Phase 10 150 200 - 300 350 400 Other
*New Service: Re-connect Underground Number of Meters Change of ServiceOverhead
Additional Information: PAYMENT DUE WITH APPLICATION
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82-Bequest for Inspection Form ,1 I
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