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HomeMy WebLinkAbout41672-Z �osUIF���r© Town of Southold 7/26/2017 P.O.Box 1179 s' 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: 355 Old Shipyard Ln, Southold SCTM#: 473889 Sec/Block/Lot: 64.-5-14 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/26/2017 pursuant to which Building Permit No. 41672 dated 5/26/2017 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: ELECTRIC FOR PADDLE FANS, GFCI RECEPTACLES AND CIRCUIT BREAKER The certificate is issued to Munisteri,Philip of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 41672 07-05-2017 PLUMBERS CERTIFICATION DATED Authorized Signature �guFFot.r TOWN OF SOUTHOLD BUILDING DEPARTMENT CA TOWN CLERK'S OFFICE oy a 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#: 41672 Date: 5/26/2017 Permission is hereby granted to: Munisteri, Philip 15 Gaul Rd Setauket, NY 11733 To: Electric At premises located at: 355 Old Shipyard Ln, Southold SCTM # 473889 Sec/Block/Lot# 64.-5-14 Pursuant to application dated 5/26/2017 and approved by the Building Inspector. To expire on 11/25/2018. Fees: ELECTRIC $90.00 Total: $90.00 V)A z Buildin pector OF SO!/r�®l � o Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 , iQ roger.richert(cD_town.southold.ny.us Southold,NY 11971-0959 olycOU�,�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Munlsterl Address: 355 Old Shipyard Lane city,Southold st: New York zip: 11971 Building Permit#: 41672 Section 64 Block- 5 Lot: 14 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Blue Roan Contracting LLC License No: 4755-ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only. Commerical Outdoor X 1st Floor X Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency FixtureTime Clocks Disconnect Switches Twist Lock Exit Fixtures 9 TVSS Other Equipment: 3- Paddle Fans, 3- Fan Controls, 1- ARC Fault Circuit Breaker. Notes: Inspector Signature: Date: July 5, 2017 0-Cert Electrical Compliance Form.xls OF SO�lyOlo couto 0c� TOWN OF SOUTHOLD BUILDING DEPT.' 765-1602 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ELECTRICAL (FINAL) REMARKS: DATE II INSPECTOR? �o��OF SO�ryo! Town Hall Annex Telephone(631)765-1802 54375 Main Road cn {631)76 95 I P.O.Box 1179 G roQer.richert(afown.sou�no76ny us Southold,III'11971-0959 p • �� i BUILDING DEPARTMENT TOWN OF SOUTHOLD i APPLICATION FOR ELECTRICAL INSPECTION ' REQUESTED BY: Date: i Company Name: Name: License No.: L✓7�'/� Address: Alllo Phone No.: i JOBSITE INFORMATION: (*Indicates required information) *Name: ll�� P�/�` Nwj ler I `Address: *Cross Street: *Phone No.: P6--3 7 Permit No.: a Tax-Map District: 1000 Section: ® Block: Q0S Lot: *BRIEF DESCRIPTION OF WORK (Please Print Clearly) aau*0&JS&I 1 T 7clhual iso �b,�� ���� o /-���/•-,tee �� ��/��s �-ao�- �� ��r�C�r� ' r (Please Circle All That Apply) *Is job ready for inspection: YES / NO Rough In Final *Do you need a Temp Certificate: YES/ NO ` 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 � -112�� 82-Request for inspection Form