HomeMy WebLinkAbout41733-Z Town of Southold 8/2/2017
9 P.O.Box 1179
a
53095 Main Rd
��10 Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39093 Date: 8/2/2017
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 1350 W Cove Rd, Cutchogue
SCTM#: 473889 Sec/Block/Lot: l l 1.-5-2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
6/14/2017 pursuant to which Building Permit No. 41733 dated 6/14/2017
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:
TESLA CHARGER RECEPTACLE
The certificate is issued to Gluckman,Thomas
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 41733 07-11-2017
PLUMBERS CERTIFICATION DATED
Authorized Signature
�guFFoc�c TOWN OF SOUTHOLD
BUILDING DEPARTMENT
C3 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#: 41733 Date: 6/14/2017
Permission is hereby granted to:
Gluckman, Thomas
Attn: Fownes
16E34thStFl5
New York, NY 10016
To: Wiring for Tesla Charger
At premises located at:
1350 W Cove Rd, Cutchogue
SCTM # 473889
Sec/Block/Lot# 111.-5-2
Pursuant to application dated 6/14/2017 and approved by the Building Inspector.
To expire on 12/14/2018.
Fees:
ELECTRIC $85.00
Total: $85.00
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Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 �Q roger.richert(aD_town.southold.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Thomas Gluckman
Address: 1350 W. cove Road city:Cutchogue st: New York zip: 11935
Building Permit#. 41733 Section: 1 1 1 Block: 5 Lot: 2
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: All Wright Electric License No: 43457-ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only
Commerical Outdoor X 1st Floor 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 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 TVSS
Other Equipment- Special 50A Car Charger Receptacle.
Notes:
Inspector Signature: Date: July 11, 2017
0-Cert Electrical Compliance FormAs
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OUMV,
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
,INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ] ELECTRICAL (FINAL)
REMARKS:
DATE ll / INSPECTO c r
Town Hatt Annex Telephone(631)755-1802
54375 Maio Road (631 7 52 {
)P.O.Box 1179 rMenrichert oiem. p iO nv.us
Southold,NY 11971-0959
- i
HUffDI r G DEPARTh[EN'I` I
TOWN OF BOUTIROLD
APPLICATION FOR ELECTRICAL. INSPECTION �
REQUESTED BY:
Date;
Company Name: , Y� In W_ G LAar
Name:
License No.. 3 ��
Address- �QF1e
hone No.:
JOBSITE W ORMATION: (*Indicates required informafiian) J
*Name:
*Address: 5 ,s C.x�ve
cle
*Cross Street: {
*Phone No., - il�f_cir q 6 3 —
t
Permit No.: at 33
Tax-Map District_ 1000 T Section:_- l l I. Block: Lot: ,-
*BRILF DESCRIPTION OF WORK(Please Print Clearly)
(Please Cirarle All That Apply)
Is job ready far inspection: Y Np 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: Ike-connect Underground Number of Meters Change of Semite Overhead
Additional Information: PAY AE DUE Wl M APPLICATION
82 Request for lnspecHon Form
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