HomeMy WebLinkAbout42273-Z � t'fCp Town of Southold 3/4/2018
P.O.Box 1179
• 53095 Main Rd
O! O�' Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 39542 Date: 3/5/2018
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 625 Uhl Ln, Orient
SCTM#: 473889 Sec/Block/Lot: 15.-5-24.9
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
1/2/2018 pursuant to which Building Permit No. 42273 dated 1/2/2018
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:
existing 200a overhead electrical service changes to underground.
The certificate is issued to Benzel, Jan
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 42273 2/22/2018
PLUMBERS CERTIFICATION DATED
uthorized Signature
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Town Hall Annex Telephone(631)765-1802
54375 Main Road H Fax(631)765-9502
P.O.Box 1179 oQ roper.richert(d-)town.Southold.ny.us
Southold,NY 11971-0959 Q
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To. Benzel (Bruce Weber)
Address: 625 Uhl Lane city,Orient st: New York zip: 11957
Building Permit#- 42273 Section: 15 Block: 5 Lot: 24.9
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA. Jim Shaw Electric License No: 33381-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 200A Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt 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 FixtureTime Clocks
Disconnect Switches Twist Lock Exit Fixtures TVSS
Other Equipment: 200A Existing Service Changed from Overhead to Underground.
Notes:
Inspector Signature: Date: February 22, 2018
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0-Cert Electrical Compliance Forma Is
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#: 42273 Date: 1/2/2018
Permission is hereby granted to:
Benzel, Jan
250 Mercer St Apt 131103
New York, NY 10012
To: Change to underground electrical service
At premises located at:
625 Uhl Ln, Orient
SCTM # 473889
Sec/Block/Lot# 15.-5-24.9
Pursuant to application dated 1/2/2018 and approved by the Building Inspector.
To expire on 7/4/2019.
Fees:
ELECTRIC $85.00
Total: $85.00
t
g Inspector
q SO/It
Town Hall Ann" 41 Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 a:r_- roqer.dchert
Southold,NY 11971-W59 p�yC� ��i� 4 -; .�.. ` I` �
JAN 2018
BUILDING DEPARTMENT
TOWN OF SOLYMOILD
APPLICATION FOR ELECTRICAL INSPECTION TOWN,OY S.0 U,,I..RC)Lj
REQUESTED BY:
5 ",-J Date:
__J . 2
Company Name: SkOrL-J Ob—c-T-o2 iC c
Name:
License No.: 333
Address: 1-h"�� A - -- AH W7 VI(
S�-
Phone No.: 3 1 5-3 .5-3Y7
JOBSITE INFORMATION: (*Indicates required information)
*Name: q_ Wt
*Address:
I I I S-7
*Cross Street: P-4 J
*Phone No.: Y7
Permit No.:
Tax Map District: 1000 Section: Block: Lot: Z7
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
A JCJS
(Please Circle All That Apply)
*Is job ready for inspection: YES NO (�gh I Final
*Do-you need a Temp Certificate: ES NO
Temp Information 1 ee�e
1 P
*Service Size: 1 has 3Phase 100 150 ( 00
�2 300 350 400 Other
*New Service: Re-connect(!nder�rq Number 0 M
eters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
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