HomeMy WebLinkAbout41903-Z SUFFQt'fcoG� Town of Southold 10/24/2017
3 P.O.Box 1179
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- • 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39312 Date: 10/24/2017
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 450 Paradise Shore Rd, Southold
SCTM#: 473889 Sec/Block/Lot: 79.-5-12
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/24/2017 pursuant to which Building Permit No. 41903 dated 8/24/2017
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:
RE-CONNECT EXISTING 150 AMP OVERHEAD ELECTRIC SERVICE
The certificate is issued to Maz, Chester&Mcdonald,Colleen
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 41903 10-11-2017
PLUMBERS CERTIFICATION DATED
Authorized Signatur,
TOWN OF SOUTHOLD
�SUmc,r..�y. BUILDING DEPARTMENT
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TOWN CLERK'S OFFICE
5 • 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#: 41903 Date: 8/24/2017
Permission is hereby granted to:
Maz, Chester & Mcdonald, Colleen
450 Paradise Shores Rd
Southold, NY 11971
To: re-energize existing electric service.
At premises located at:
450 Paradise Shore Rd, Southold
SCTM # 473889
Sec/Block/Lot# 79.-5-12
Pursuant to application dated 8/24/2017 and approved by the Building Inspector.
To expire on 2/23/2019.
Fees:
$85.00
Total: $85.00
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Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 �� roper.richert&town.southold.ny.us
Southold,NY 11971-0959
COU
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To- Chester Maz
Address: 450 Paradise Shore Road city,Southold st: New York zip: 11971
Building Permit#' 41903 Section: 79 Block: 5 Lot. 12
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: G&S Electric License No: 578-E
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X 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 Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt 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 FixtureTime Clocks
Disconnect 150A Switches Twist Lock Exit Fixtures TVSS
Other Equipment: Re-connect Existing 150A Overhead Service.
Notes:
Inspector Signature: Date: October 11, 2017
0-Cert Electrical Compliance Form.xls
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Town Ball Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 Gro c -g�
Southold,NY 11971-0959 O y� D
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BUaDING DEPARTMENT
TOWN OF SOUTHODDgtTII,DING DEPT.
APPLICATION FOR ELECTRICAL INSPECT MN OF SOUTROLD
REQUESTED BY: Date: / 7
Company Name: S L
Name:
License No.: �7
Address:
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-Phone No.:
JOBSITE INFORMATION: (*Indicates required information)
*Name: TM R7_ 117
*Address: Ll So Pa Ria 7 t s t: -S h a f L.C_:�,s
ata-
*Cross Street: la`Ay tI r--,Ly
*Phone No.:
Pennit No.: LIZ 903-
-Tax—Map District: 1000 Section:---7c) - Block: _ Lot
*BRItF DESCRIPTION OF WORK(Please Print Clearly)
S Z-l rJ C S E(LV( C.F—
(Please Circle All That Apply)
Is job ready for inspection: ES NO Rough In Fina!
*Dv-you need a Temp Certificate: YES� NO - -
Temp Information(If needed)
'Service Size: 1 Phase Whase 100 150 200 300 350 400 Other
'New Service: Reconnect Underground Number of Meters Change of Service Overhea
4dditional Information: PAYMENT DUE WITH APPLICATION
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.82=Request-for Inspection Form -a�-f--�