HomeMy WebLinkAbout41893-Z �q�sUFFOlIr Gy Town of Southold 10/24/2017
3 !A P.O.Box 1179
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• 53095 Main Rd
4gj01 �a Southold,New York 11971
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CERTIFICATE OF OCCUPANCY
No: 39309 Date: 10/24/2017
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 906 Old Harbor Rd,New Suffolk
SCTM#: 473889 Sec/Block/Lot: 117.-5-48.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/17/2017 pursuant to which Building Permit No. 41893 dated 8/17/2017
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:
150 AMP ELECTRIC SERVICE
The certificate is issued to Kwit Susan T H Revoc Trust
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 41893 10-11-2017
PLUMBERS CERTIFICATION DATED
Authorize Signature
TOWN OF SOUTHOLD
�aa�° cod BUILDING DEPARTMENT
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#: 41893 Date: 8/17/2017
Permission is hereby granted to:
Kwit Susan T H Revoc Trust
155 E 76th St 9B
New York, NY 10021
To: 200 AMP Electric Service
At premises located at:
906 Old Harbor Rd, New Suffolk
SCTM # 473889
Sec/Block/Lot# 117.-5-48.1
Pursuant to application dated 8/17/2017 and approved by the Building Inspector.
To expire on 2/16/2019.
Fees:
ELECTRIC $85.00
Total: $85.00
1
B 'I{ding I -" ector
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 a� roger.richertO-)town.southoId.ny.us
Southold,NY 11971-0959 �®
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To. Kwit
Address: 906 Old Harbor Road city:New Suffolk st: New York zip: 11956
Building Permit#: 41893 Section 117 Block: 5 Lot: 48.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Platinum East Electric License No: 34091-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 150A Heat Duplec Recpt Ceding Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors
Main Panel 150A 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 150A Switches Twist Lock Exit Fixtures TVSS El
Other Equipment 150A "H" Frame Service, 2- GFCI Circuit Breakers.
Notes:
Inspector Signature: Date: October 11, 2017
0-Cert Electrical Compliance Form.xls
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Town Hall Annex Telepo 37tJ
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54375 Main Road %05
Box 1179
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Southold,NY 11971-0959
COUNiY, � l-' AUG 1 7 2017
BUILDING DEPARTMENT � C DEpr
TOWN OF SOXJTHOLD TOIVN OF,900i66
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: fG-ITI-I Date: _
Company Name: A.IV,, CAsjr AI -
Name: — - -
License No.: '34091 - r
Address:
13JO CcIvQelfS 9D
Phone No.: &91 - r>uS- ljya
JOBSITE INFORMATION: (*Indicates required information)
*Name: k1A TN/qtii&-z Vii r-
*Address: °O & OLD L[Ai ,Aot ,2 ID . "EW S v FF oc
*Cross Street: A)61(,- f-L/tt-&` rc
*Phone No.: C1 r2 6L-- � y2 Y
Permit No.:
Tax Map District: 1000 Section: Block: _ Lot:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
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(Please Circle All That Apply) ,�
*Is job ready for inspection:" NO Rough In Fi
*Do you need a Temp Certificate: NO
Temp Information (If n a '
*Service Size: Phas 3Phase 100 150 r2O 300 350 400 Other
*New Service: e-connect Undergrou Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
82-Request for Inspection Form
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