HomeMy WebLinkAbout37827-Z apsuFFo Town of Southold 12/2/2015
y� P.O.Box 1179
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53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 37932 Date: 11/24/2015
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 53995 Route 25, Southold
SCTM#: 473889 Sec/Block/Lot: 61.4-20
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
2/25/2013 pursuant to which Building Permit No. 37827 dated 2/25/2013
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 2nd floor apartment west.
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. 37827 3/21/2013
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
o�SUFFo�,r�OG�
BUILDING DEPARTMENT
ti TOWN CLERK'S OFFICE
o . SOUTHOLD, NY
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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#: 37827 Date: 2/25/2013
Permission is hereby granted to:
Two Men Realty Corp & Quain Properties LLC
42-08 Bell Blvd
Bayside, NY 11361
To: 2nd fl apt west
At premises located at:
53995 Route 25, Southold
SCTM # 473889
Sec/Block/Lot# 61.-1-20
Pursuant to application dated 2/25/2013 and approved by the Building Inspector.
To expire on 8/27/2014.
Fees:
ELECTRIC $125.00
Total: $125.00
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Buil ing Inspector
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Town Hall Annex p� OGy Telephone(631)765-1802
54375 Main Road o Fax (631)765-9502
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P.O. Box 1179 v •
Southold, NY 11971-0959 y�Q� �pp� roger.richert()-town.southold.ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Joel Berger
Address: 53995 rt 25 City:Southold St: NY Zip: 11971
Building Permit#* 37827 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 X Indoor x Basement Service Only
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor x Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 16 Ceiling Fixtures 10 HID Fixtures
Service 3 ph Hot Water GFCI Recpt 4 Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel 1-60 A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect 11 Switches 11 Twist Lock Exit Fixtures TVSS
Other Equipment, 2nd floor appartment, west, 3-combination smoke/co detectors, 1-combination exil
emergency fixture
Notes:
Inspector Signature: Date: March 21 2013
Electrical Certificate.xls
Town Hall Annex ( Telephone(631)765-1802
54375 Main Road - Q
P.O.Box 1179 G.A roger.richert ow l.soTa ffi.ny us
- Southold,NY 11971059
BUMDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date: 1j
Company Name: A7, �L�CTfZ�G
Name:
License No.:
Address: Qv
Phone No.:
JOBSITE INFORMATION: (*Indicates required information)
*Name:
*Address:
*Cross Street: 17,5V&I Ul 1-7A/ A e
*Phone No_:
Permit No.: "
Tax-Map District: 1000 Section:—�-�--- Block: Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
(Please Circle All That Apply)
*is Job ready for inspection: YE -NO. Rough in Final
*Do-you need a Temp Certificate: YES
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 Overhe d
Additional Information: PAYMENT DUE WITH APPLICATION
kky
82-Request for Enspecfion Form