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Home My WebLink About41852-Z ��o�$UF�I'fcoGy Town of Southold 8/8/2017 0 P.O.Box 1179 a' 53095 Main Rd �44o Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39113 Date: 8/8/2017 TINS CERTIFIES that the building ELECTRICAL Location of Property: 1115 Main Bayview Rd, Southold SCTM#: 473889 Sec/Block/Lot: 70.-8-2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/2/2017 pursuant to which Building Permit No. 41852 dated 8/2/2017 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: ELECTRICAL ADDTIONS AND UPGRADES TO AUDITORIUM ROOM The certificate is issued to Custer Institute of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Authorized Signature �SOFFntK�, TOWN OF SOUTHOLD Sao any BUILDING DEPARTMENT C2 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#: 41852 Date: 8/2/2017 Permission is hereby granted to: Custer Institute PO BOX 1204 Southold, NY 11971 To: electric outlets, light fixtures and exit sign for an assembly room in an existing commercial building. At premises located at: 1115 Main Bayview Rd, Southold SCTM # 473889 Sec/Block/Lot# 70.-8-2 Pursuant to application dated 8/2/2017 and approved by the Building Inspector. To expire on 2/1/2019. Fees: ELECTRIC $125.00 Total: $125.00 1 Building Inspector \\pF SO�j�y®l 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road N Fax(631)765-9502 P.O.Box 1179 • CoQ roger.richert(cD-town.southold.ny.us Southold,NY 11971-0959 �yC®UNN,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Custer Institute Address: 1115 Main Bayview Road city;Southold st: New York zip: 11971 Budding Permit#: 41852 Section: 70 Block: 8 Lot: 2 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 Indoor X Basement Service Only Commerical X Outdoor 1st Floor X Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 10 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 Fixture Time Clocks Disconnect Switches Twist Lock Exit Fixtures �] TVSS Other Equipment: Electrical Additions and Upgrades to "Auditorium Room" ,8- Wall Receptacles, 2- Floor Outlets, 1-Ceiling Outlet, 2- Light Fixtures, 1-Exit Sign. Notes: Inspector Signature: Date: July 11, 2017 0-Cert Electrical Compliance Form.xIs hO��pF SOUlyolo Z-f 00UM'1 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) KIELECTRICAL (FINAL) REMARKS: DATE �� / INSPECTOR 0F S®�lyo! 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road 6 gp2, P.O.Box 1179 G ®- 6 roger.rlchert( -own lsou�95015.ny.us Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Date: I /aI 1 Company Name: Cu s+hnn ,Name: License No.: $ci _ Address: 1 Phone No.: JOBSITE INFORMATION: (*Indicates required information) *Name: *Address: me= In,�,� }��, 4 n � _ Ak4o)eA Y l tq *Cross Street: 'Phone No.. 3 - "](��_ - aLoa (g Permit No.. rax-Map District: 1000 Section:--7C) Block:_ Lot: 'BRIEF DESCRIPTION OF WORK(Please Print Clearly) Watt O c4ttfq - E44 5 Please Circle All That Apply) 'Is job ready for inspection: YES/ NO Rough in Final Do you need a Temp Certificate: YES / 'emp Information (if needed) Service Size: 1 Phase 3Phasd 100 150 200 300 350 400 Other New Service: Re-connect Underground Number of Meters Change of Service Overhead ►dditional Information: PAYMENT DUE WITH APPLICATION )C)S �O a 82=Request for Inspection Form O(J /