HomeMy WebLinkAbout41839-Z �o�g�ffOt,�cOG Town of Southold
9/21/2017
�A P.O.Box 1179
0
o _ -9 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39227 Date: 9/21/2017
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 3300 Sound Dr, Greenport
SCTM#: 473889 Sec/Block/Lot: 33.-1-6
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/26/2017 pursuant to which Building Permit No. 41839 dated 7/26/2017
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:
REPLACED DAMAGED METER PAN
The certificate is issued to Henson,Mary Beth
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 41839 09-12-2017
PLUMBERS CERTIFICATION DATED
Authorized Signature
o�SufFat,r�o TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
oy • 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#: 41839 Date: 7/26/2017
Permission is hereby granted to:
Henson, Mary Beth
130 E 75th St Apt 7C
New York, NY 10021
To: replace damaged meter pan
At premises located at:
3300 Sound Dr, Greenport
SCTM #473889
Sec/Block/Lot# 33.-1-6
Pursuant to application dated 7/26/2017 and approved by the Building Inspector.
To expire on 1/25/2019.
Fees:
ELECTRIC $85.00
Total. $85.00
Building Inspector
pF SOUjy®l®
Town Hall Annex Telephone(631)765-1802
54375 Main Road y Fax(631)765-9502
P.O.Box 1179 CiAa ® �Q roger.rich ert(cD-town.southold.ny.us
Southold,NY 11971-0959 'Q
l�COUNTI,�s�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Mary Beth Henson
Address: 3300 Sound Drive city:Greenport st: New York zip: 11944
Building Permit#: 41839 Section: 33 Block: 1 Lot: 6
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 Basement Service Only
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph 200A Heat Duplec Recpt Ceding 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. Replace Damaged Meter Pan - Only 200A Service.
Notes:
Inspector Signature: Date: September 12, 2017
0-Cert Electrical Compliance Form.xls
Town M Annex
Telephone(631)7'6!5-18J02
64375 Main Road 765
P.O.Box 1179 Loger.richertdrb WMN'o &n M.u s
Southold,NY 11971-M9
BUILDING DEPAIrrMLNT
TOWN OF SO HO
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date:
Company Name:
Name:
2A-riN ar�' r rc 012f
License No.:
Address:
jPhone No.: 31
JOBSITE INFORMATION: (*Indicates required information)
*Name: ARX-
*Address- 886-0 'Slza)ncl
*Cross Street: 1\aatW_00d-Lho
*Phone No.: k331 Z- -
—
Permit No.:
Tax Map District: , 1000 Section:-3-3? Block: Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
hu
(Please Circle All Tat Apply)
Is job ready for inspection: YES NO Rough In
*Do you need a Temp Certificate:
YES/ NO
Temp Info mat' d)
*Service Size- I Phase Whase 100 1 300 350 400, Other
Service-- I
*New Service: Re-connect Underground Number of Meters Change of Overhead
Additional Infbrmation: PAYMENT DUE W�CIT:H::AP N
32-Request for Inspection Form