HomeMy WebLinkAbout37525-z �o��,OPFajq�cOG� Town of Southold 12/2/2015
3 P.O.Box 1179
0
a' 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 37931 Date: 11/24/2015
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 53995 Route 25, Southold
SCTM#: 473889 Sec/Block/Lot: 61.-1-20
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/18/2012 pursuant to which Building Permit No. 37525 dated 9/18/2012
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 first floor of building(common area., meter room,northern most store, corner store, center store and west
store).
The certificate is issued to Two Men Realty Corp&Quain Properties LL
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 37525 9/18/2012
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
0
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#: 37525 Date: 9/18/2012
Permission is hereby granted to:
Two Men Realty Corp & Quain Properties LLC
42-08 Bell Blvd
Bayside, NY 11361
To: electric work part of first floor of building.
At premises located at:
53995 Route 25, Southold
SCTM # 473889
Sec/Block/Lot# 61.-1-20
Pursuant to application dated 9/18/2012 and approved by the Building Inspector.
To expire on 3/20/2014.
Fees:
ELECTRIC $125.00
Total: $125.00
Building Inspector
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Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 117
Southold,NY 119711-0959 G �Q roper.richert(D-town.southoId.ny.us
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Joel Berger
Address: 53995 Rt 25(Main Rd) City: Southold St: NY Zip: 11971
Building Permit#: 37525 Section: Block: Lot
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: BJ Electric License No: 2670-me
SITE DETAILS
Office Use Only
Residential Indoor X Basement X Service Only
Commerical X Outdoor X 1st Floor X Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat 1-ga Duplec Recpt 11 Ceiling Fixtures 17 HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures 1 Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel 2-60 A/C Blower Range Recpt Fluorescent Fixture 2 Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 7 Twist Lock Exit Fixtures TVSS
Other Equipment: Common area, meter room, northern most store (on Beckwith)-remove defects
2-combination smoke/co detectors,1-exit/emergency light, 1-200w space heater
Notes:
Inspector Signature: Y4M z2Li--
Date: Nov 8 2012
81-Cert Electrical Compliance Form.xls
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Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 roger.richert(aD-town.southold.ny.us
Southold,NY 11971-0959 ;`
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To. Joel Berger
Address: 53995 Rt 25(corner Beckwith&Main Street) City: Southold St. NY Zip: 11971
Building Permit# *3_76 Section: 61 Block. 1 Lot: 20
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: BJ Electric License No: 2670-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 27 Ceiling Fixtures 22 HID Fixtures
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures 1 Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel 3 A/C Blower Range Recpt Fluorescent Fixture 3 Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches R25 Twist Lock F1 Exit Fixtures 11 TVSS
Other Equipment: defects removed, rewire 3 first floor stores identified as, "corner", "center", "west".
32ft-track lighting,3-paddle fans,3-combination smoke/co detectors,3-"exit/emergency"fixtures,baseboard elec heat-2-4ft,4-6ft,1-8ft
Notes:
Inspector Signature: Date: Sept 18 2012
81-Cert Electrical Compliance Form As
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*-T N OF SOUTHOLD BUILDING DEPT.
765-1802
ce I NSPECTION '
[ ] FOUNDATION IST [ ] 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 INSPECTOR _ '
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Town Hall Annex Telephone(631)765-1802
54375 Main Road (631)765- 50,2
P.O.Box 1179 G� Q roger.richertCa own.sout�io d.nv.us
Southold,NY 11971-0959 I �Q�
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date: Oo'�2
Company Name:
Name:
License No.:
Address: 3�� � �� //,"
Phone No.: -3 19 3 11790 5/lo 0
JOBSITE INFORMATION: (*Indicates required.information)
*Name: t539
*Address: e
*Cross Street:
*Phone No.:
Permit No.:
Tax Map District: 1000 Section:�J� Block:_� Lot: a®
*BRIEF DESCRIPTION OF WORK (Please Prin Clearly)
(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
82-Request for Inspection Form ���