HomeMy WebLinkAbout42411-Z 'fCo Town of Southold 3/9/2018
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39550 Date: 3/9/2018
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 585 Orchard St, Orient
SCTM#: 473889 Sec/Block/Lot: 25.-2-14.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
2/26/2018 pursuant to which Building Permit No. 42411 dated 2/26/2018
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:
200A overhead electrical service.
The certificate is issued to Foster,Thomas&Sewer,Dinah
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 42411 3/1/2018
PLUMBERS CERTIFICATION DATED
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 #: 42411 Date: 2/26/2018
Permission is hereby granted to:
Foster, Thomas
PO BOX 653
Orient, NY 11957
To: Electric Service Upgrade
At premises located at:
585 Orchard St, Orient
SCTM # 473889
Sec/Block/Lot# 25.-2-14.1
Pursuant to application dated 2/26/2018 and approved by the Building Inspector.
To expire on 8/28/2019.
Fees:
ELECTRIC $85.00
Total: $85.00
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Town Hall Annex Telephone(631)765-1802
54375 Main Road y Fax(631)765-9502
P.O.Box 1179 ioQ roger.richert(-town.southold.ny.us
Southold,NY 11971-0959 Q
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To. Foster/Seiver
Address: 585 Orchard Street city Orient st: New York zip- 11957
Building Permit#- 42411 Section: 25 Block: 2 Lot: 14.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Promaster Electric License No: 59226-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 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 11 TVSS
Other Equipment: 200A Overhead Service Upgrade
Notes:
Inspector Signature: Date: March 20, 2018
0-Cert Electrical Compliance Form.xls
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Town Hall % O Telephone(631)765-1802
54375 Main
P.O.Box 1 �
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roger.risny.us
Southold, VY i1Vi26
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._T....., G DEPARTMENT
TOWN OF SOYWOF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION `
EQUESTED BY: 1qo OY a,!;1et 2%c- il e- Date: O Z
ompany Name: foo7ns ,!;F/cc�r�C
ame: 2(,ts 9 o G2 .
cense No.:
ldress: . 0 (3ox y2S ocerpot
lone No.: / C_� 9-�3 S$3 V 34/ V-.
JBSITE INFORMATION: (*Indicates required information)
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lame: af kaAga.
Wdress: Orchard D. r►-eol Po
:ross Street:
'hone No.: Z.
3r it No.: 63/ 2 g -7o Y3.
3x Map District: 1000 Section:—;2 Block: Lot: j
IRIEF DESCRIPTION OF WO (Please Print Clearly)
Up Onalc. o 2o0 Dver hcrt e cc cn e�
'lease Circle All That Apply)
job ready for inspection: YE NO Rough In Final
)o you need a Temp Certificate: YES/AVO
imp Information (If needed)
service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other
lew Service: Re-connect Underground Number of Meters Change of Service Overhead
iditional Information: PAYMENT DUE WITH APPLICATION
82-Request for Inspection Form i-