HomeMy WebLinkAbout42321-Z F ' Town of Southold 2/9/2018
P.O. Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39501 Date: 2/9/2018
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 320 W Shore Dr, Southold
SCTM#: 473889 Sec/Block/Lot: 80.-5-3.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
1/23/2018 pursuant to which Building Permit No. 42321 dated 1/23/2018
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 BEACH STAIRS AS APPLIED FOR
The certificate is issued to Karpas,Auriel
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 42321 01-31-2018
PLUMBERS CERTIFICATION DATED
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Authorized Signature
TOWN OF SOUTHOLD
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#: 42321 Date: 1/23/2018
Permission is hereby granted to:
Karpas, Auriel
132 Andover Rd
Roslyn Heights, NY 11577
To: duplex outlet at top and bottom of beach stairs.
At premises located at:
320 W Shore Dr, Southold
SCTM # 473889
Sec/Block/Lot# 80.-5-3.1
Pursuant to application dated 1/23/2018 and approved by the Building Inspector.
To expire on 7/25/2019.
Fees:
ELECTRIC $90.00
Total: $90.00
Building Inspector
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Town Hall Annex Telephone(631)765-1802
54375 Main Road cn Fax(631)765-9502
P.O.sox 1179 roger.richert(pD-town.Southold.ny.us
Southold,NY 1 1971-0959 Q
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Karpas
Address: 320 West Shore Drive city Southold st: New York zip: 11971
Building Permit#• 42321 Section: 80 Block: 5 Lot: 3.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: HOME OWNER DBA: License No-
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 Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures Smoke Detectors
Main Panel 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 Switches Twist Lock Exit Fixtures �] TVSS
Other Equipment: Supply One Circuit to Supply Power to 2- GFCI Receptacles at Top
and Bottom of Stairs to Beach.
Notes:
Inspector Signature: 2 Date: January 31, 2018
0-Cert Electrical Compliance Form.xls
�s''zgOFFOCK'`°� BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
j° 'x Town Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
roger.richert(cD--town.southol d.ny.us
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date:
Company Name:
Name:
License No.: email:
Address:
Phone No.:
JOB SITE INFORMATION: (All Information Required)
Name:
Address: 3-15'6) we ore 2- u
Cross Street: e Cyon 5 o red
Phone No.: (o On,.5-- 9 D
Bldg.Permit#: 1� a�j email:
Tax Map District: 1000 Section: c?O . Block: Lot: 3• l
BRIEF DESCRIPTION OF WORK (Please Print Clearly) AC4 VkOX .Q t4
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Circle All That Apply: �}
Is job ready for inspection?: (Y3E / NO Rough In =Final
Do you need a Temp Certificate?: YES /0 Issued On
Temp Information: (All information required)
Service Size 1 Ph 3 Ph Size: A #Meters Old Meter#
New Service - Fire Reconnect- Flood Reconnect- Service Reconnected - Underground - Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information: -
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PAYMENT DUE WITH APPLICATION
82-Request for Inspection FormAs