HomeMy WebLinkAbout41425-Z o�gUPFQI�coG Town of Southold 7/26/2017
y P.O.Box 1179
a
a' 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39078 Date: 7/26/2017
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 8440 Oregon Rd, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 95.4-8
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
3/15/2017 pursuant to which Building Permit No. 41425 dated 3/15/2017
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:
NEW ELECTRIC IN KITCHEN AND BATHROOM
The certificate is issued to Nemirof�Carla
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 41425 07-13-2017
PLUMBERS CERTIFICATION DATED
Authorized Signature
esu fa TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y z 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#: 41425 Date: 3/15/2017
Permission is hereby granted to:
Helinski, Karen
PO BOX 1182
Southold, NY 11971
To: New Electric Wiring - Kitchen and Bath
At premises located at:
8440 Oregon Rd, Cutchogue
SCTM # 473889
Sec/Block/Lot# 95.4-8
Pursuant to application dated 3/15/2017 and approved by the Building Inspector.
To expire on 9/14/2018.
Fees:
ELECTRIC $90.00
Total: $90.00
Building Inspector
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Town Hall Annex Telephone(631)765-1802
54375 Main Road y Fax(631)765-9502
P.O.Box 1179 G aQ roper.richert(a)town.Southold.ny.us
Southold,NY 11971-0959 �®
��cOUNT 10
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Helinski (Sperenza)
Address: 8440 Oregon Road city,Cutchogue st: New York zip: 11935
Building Permit#- 41425 Section: 95 Block: 4 Lot: 8
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Custom Lighting of Suffolk License No: 38893-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only
Commerical Outdoor 1st Floor X Pool
New X Renovation 2nd Floor X Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 4 Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt 4 Wall Fixtures 4 Smoke Detectors
Main Panel A/C Condenser Single Recpt 1 Recessed Fixtures 6 CO Detectors
Sub Panel A/C Blower Range Recpt 2pq Fluorescent Fixture Pumps
Transformer Appliances pW Dryer Recpt Emergency Fixture Time Clocks
Disconnect Switches Q Twist Lock Exit Fixtures f] TVSS
Other Equipment: Kitchen and 2nd Floor Bathroom, 1- Exhaust Fan, 1- Paddle Fan.
Notes:
Inspector Signature: Date: July 13, 2017
0-Cert Electrical Compliance Form.xls
pE SOUTyolo
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ELECTRICAL (FINAL)
REMARKS:
DATE - 7 // 311-2 INSPECTOR��
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Town Hall Annex 'Fele hoac � �
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54375 Main Road Y 11C 7559502 DD
P.O.Box 1179 roer.deh wn.southola.n .us
Southold,NY 11971t959 mol �' @ MAR 1 5 2017
FUILDING DEPT.
BUILDING DEPARTMENT TOWN OF SOUTHOLD
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date: l "
Company Name: 11 ff-umc-
Name:
License MG.., �--
Address:
Phone No.: 1K
JOBSITE INF RMATION: (Indicates required information)
*Name:
*Address:
*Cross Street.
*Phone No.:
Permit No.: �5
Tax Map District: 1000 Section: 5 Block: Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly) ®Y
QUO -k%�MnO� W) Ola x�Al'q 1(� 4.tj
(Please Circle All at Apply)
Is.job ready for inspection: YES Rough In Final
To you need a Temp Certificate: YE / NO
Temp-infarmation (If needed) -
`Service Size: 1 Phase 3Phase 900 150 200 300 350 400, Other
*New Service: Re-connect Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
82-Request for inspection Form Q `�