HomeMy WebLinkAbout41888-Z -
S�IFOt'f4Q� Town of Southold 10/24/2017
-
P.O.Box 1179
C3
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39308 Date: 10/24/2017
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 3645 Soundview Ave,Peconic
SCTM#: 473889 Sec/Block/Lot: 68.4-14.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/16/2017 pursuant to which Building Permit No. 41888 dated 8/16/2017
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:
200 AMP MAIN BREAKER PANEL
The certificate is issued to Heigl Family Trust
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 41888 10-12-2017
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
gUf�otx BUILDING DEPARTMENT
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#: 41888 Date: 8/16/2017
Permission is hereby granted to:
Heigl Family Trust
3645 Soundview Ave
Peconic, NY 11958
To: install new 200a main breaker panel
At premises located at:
3645 Soundview Ave, Peconic
SCTM # 473889
Sec/Block/Lot# 68.-1-14.1
Pursuant to application dated 8/16/2017 and approved by the Building Inspector.
To expire on 2/15/2019.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 �� roger.richerl:0-town.southold.ny.us
Southold,NY 11971-0959 'P®
c®U9�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Heigl Family Trust
Address: 3645 Soundview Avenue city,Peconic st: New York zip: 11958
Building Permit#: 41888 Section 68 Block 1 Lot: 14.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: C.S.F. Electric License No: 5153-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only
Commerical Outdoor 1st Floor X Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph 200A Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 200A 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 200A Switches Twist Lock Exit Fixtures TVSS
Other Equipment' Install New 200A Main Breaker Panel Only.
Notes:
Inspector Signature: Date: October 12, 2017
0-Cert Electrical Compliance Form.xls
SOUjyo�
G • O -
DUN1V,
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION ( ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
REMARKS:
DATE j CZ/ l INSPECTOR
2 1
' I
VA=
f�D �9�Q �CTownHall ex I
J� Telephone(631)765-1802 _
AU .o D
roger.richert(a�town.sou lolkny-i
Southold,NY 11971-0959
FUMDING DLW-
TOWN OF SOMHOLD I
BUILDING DEPARTMENT
T01W OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: i ,FSC Date:
Company Name: j C - I
Name: kCA
Z
License No.: 5153
Address: U�
Phone No.: (-031-3'3 I - i
JOBSITE INFORMATION: (*Indicates required information)
*Name: --F4—
`Address: L SUv v vvv2 nc,l�
*Cross Street:
*Phone No.: - L
hermit No.:
Tax-Map District: 9000 Section: Block:` Lot: `
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
Su Y�2
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�-2 e wQ DO l
(Please Circle All That Apply)
*Is job ready for inspection:
YE / NO Rough In Final
*Do-you need a Temp Certificate: YES NO
Temp InformationIf needed)
*Service'Size: 1 Pha 3Phase 100 150 200 300 3 400 Other
*New Service: Re-connect Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPL TION
8241equest for Inspection Form
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