HomeMy WebLinkAbout42127-Z ��®�OgUFFol�cpGy Town of Southold 12/27/2017
0
P.O.Box 1179
a' 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39421 Date: 12/27/2017
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 2700 Bray Ave, Laurel
SCTM#: 473889 Sec/Block/Lot: 126.-10-8
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
11/8/2017 pursuant to which Building Permit No. 42127 dated 11/8/2017
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 OVERHEAD ELECTRIC SERVICE UPGRADE
The certificate is issued to RAC Realty Group LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 42127 11-30-2017
PLUMBERS CERTIFICATION DATED
Authorized Signature
r
' 1
c
o�S�FFnc,r�oTOWN OF SOUTHOLD
�a �y BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
oy • o� SOUTHOLD, NY
?sol � ya
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#: 42127 Date: 11/8/2017
Permission is hereby granted to:
RAC Realty Group LLC
C/O Phillip Torres
1532 Waterford Dr
Edison, NJ 08817
To: 200a overhead electric service change.
At premises located at:
2700 Bray Ave, Laurel
SCTM # 473889
Sec/Block/Lot# 126.-10-8
Pursuant to application dated 11/8/2017 and approved by the Building Inspector.
To expire on 5/10/2019.
Fees:
ELECTRIC $85.00
Total: $85.00
ding Inspector
SDl6��®!
Town Hall Annex Telephone(631)765-1802
54375 Main Road y Fax(631)765-9502
P.O.Box 1179 ® �Q roger.richerKD-town.southoId.ny.us
Southold,NY 11971-0959
lyc®UNT1,��
BUILDING DEPARTMENT
TOWN OF SOUMOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: RAC Realty Group LLC (Torres)
Address: 2700 Bray Avenue city,Laurel st: New York zip: 11948
Building Permit#: 42127 Section: 126 Block: 10 Lot: 8
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Laurel Lighting License No: 4817-ME
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 200A Heat Duplec Recpt Ceding Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt 1 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- 200A OVERHEAD SERVICE UP-GRADE.
Notes:
Inspector Signature: Date: November 30, 2017
0-Cert Electrical Compliance Form.xls
oe so�lyo�
yllOOUNT'1, `�
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] 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 1 INSPECTOR , ,
OF SQUT�of ,
Town Hall Annex ! Telephone(631)765-1802
54375 Main Road cn roax(631)765-85Q`�
P.O-Box 1179 �, ger.fichert(C lown_sON501d nV us
Southold,NY 11971-0959
�yOwn��
BUILDING DEPARTNENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Fvr,Ln IZ 7(M Date:
Company Narrae:
Name: -
1
License No.: 7 A4 E
Address: 7,02Q
Phone No.: J s
JOBSITE INFORMATION: (*Indicates required information)
*Name: Pk z
1 r'
*Address: - F _ r!hV L �, I
'Cross Street: Q/-o V r
*Phone No.. - 2-1 r SZ
i
E
Permit No.: i
Tax-Map District: 1000 Section: 0 Block: D 0 Lot-
*BRIEF DESCRIPTION OF WORK (Please Print Clearly) e
. t
(Please Circle All That Apply)
Is job ready for inspection:
YES/ NO Rough In Final �
*Do-you need a Temp Certificate: S/ NO
_ - I
Temp Information (If needed)
*Service Size: Oase 3Phase 100 150 200 300 350 400 er I .
*New Service: Re-connect. Underground Number of Meters Change of Servic Overhead
Additional Information: PAYMENT DUE WfITI-I , LIGATION
82-Request for inspection Form
f