HomeMy WebLinkAbout42313-Z �o�SUFfO(,f�OG� Town of Southold 2/9/2018
3 P.O.Box 1179
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o • 53095 Main Rd
y�J,►pl ��0� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39502 Date: 2/9/2018
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 53245 Route 25, Southold
SCTM#: 473889 See/Block/Lot: 61.4-8.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
1/22/2018 pursuant to which Building Permit No. 42313 dated 1/22/2018
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:
200 AMP OVERHEAD ELECTRIC SERVICE
The certificate is issued to 53245 Main Road Corp
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 42313 02-07-2018
PLUMBERS CERTIFICATION DATED
uthorized Signature,
�sUnc TOWN OF SOUTHOLD
�a xcy�y BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
Py . 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#: 42313 Date: 1/22/2018
Permission is hereby granted to:
53245 Main Road Corp
22 Wright Rd
Rockville Centre, NY 11570
To: replace 200a overhead service
At premises located at:
53245 Route 25, Southold
SCTM # 473889
,Sec/Block/Lot# 61.-1-8.1
Pursuant to application dated 1/22/2018 and approved by the Building Inspector.
To expire on 7/24/2019.
Fees:
ELECTRIC $85.00
Total: $85.00
ERNkLing Inspector
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Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 • �@ roger.riche rt(�i-)town.Southold.ny.us
Southold,NY 11971-0959
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: 53245 Main Road Corp
Address: 53245 Route 25 city,Southold st: New York zip: 11971
Building Permit#: 42313 Section: 61 Block: 1 Lot: 8.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: EECO Electric License No: 2816-M
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 200A Heat Duplec Recpt Ceding 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:
Notes: Replace 200A Overhead Service
Inspector Signature: y Date: February 7, 2018
0-Cert Electrical Compliance FormAs
BUILDING DEPARTMENT-Electrical Inspector
o� ae TOWN OF SOUTHOLD
�, • Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959
Ql Telephone(631)765-1802-FAX(631)765-9502
Temporary Certificate Date 2018
Customer Name ?may ��W G210 Electrician Name 4f:U- b L_�
Address .5 Ajqt SGu1 &( p Phone 6"Sl- 765--
e-mail
6 -e-mail e-mail
Phone ! - 610 - 74f License# 'Z
Size ZW A Phase Overhead ( Underground #of Meters
Remarks feewlkee- e-6,¢ dN
#of Underground Laterals 1 2 New
"H" Frame or Pole H P Fire Reconnect
Was work done on Service? Y/N Flood Reconnect
Old Meter# Service Reconnected
Application for electrical service equipment is on file with the town of Southold.On the applicant's notification that this installation
is complete,the town will conduct a premises inspection of the service equipment.
This itication is valid for 9 d e e above.
Authorized by
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Town Hall Annex Telephone(631)765-1802
54375 Main Road • O `richert (631)765-95� I
P.O.Box 1179 G ronerl
. 'own.sou o a nv us I
Southold,NY 11971-0959 a
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BUILDING DEPARTMENT
TOWN Old SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION ,
REQUESTED BY- Awvep,f5; Date: I t g
Company Name: crrp .
Name:
License No.:
Address: ALJ
3.
Phone No.: (a 7J I r ��
JOBSITE INFORMATION: (*Indicates required information)
*Name: 15 9 H45; NA CCU 1
*Address: :i 2-1-)-Li � 'a
*Cross Street: ( 2- ke)"S cs P-0 oa,-� Ha ION
`Phone No.: Ci 4 CcPi0® -
Permit No.: L _
Tax-Map District: 1000 Section: Block:_ Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly) j
' s
(Please Circle Alf That Apply)
*Is fob ready for inspection: YES NO Rough In Final
*Do you need a Temp Certificate: YES
S NO
Temp Information If-needed)
Size: �1-Phas)-
*Service 3Phase 100 150200 300 350 400 er
*New Service: Re-connect Underground Number of Meters hange of Service Overhead
A +tional n ornation: PAYMENT DUE WITH APPLICATION
W8 Request for Ens Lon Form �l ��"�