HomeMy WebLinkAbout42347-Z r ',no. Town of Southold 3/20/2018
P.O.Box 1179
53095 Main Rd
;4ol�n ��pT Y Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39557 Date: 3/20/2018
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 12990 Soundview Ave, Southold
SCTM#: 473889 Sec/Block/Lot: 54.-3-10
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
2/6/2018 pursuant to which Building Permit No. 42347 dated 2/6/2018
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:
REPAIRED ELECTRIC FROM WATER DAMAGE
The certificate is issued to Barnard,Jamie&Adrianne
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 42347 02-21-2018
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
� 1 baa SOUTHOLD, NY
f
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#: 42347 Date: 2/6/2018
Permission is hereby granted to:
Bamard, Jamie
11 Gerard Ave
New Hyde Park, NY 11040
To: Electric repair
At premises located at:
12990 Soundview Ave, Southold
SCTM # 473889
Sec/Block/Lot# 54.-3-10
Pursuant to application dated 2/6/2018 and approved by the Building Inspector.
To expire on 8/8/2019.
Fees:
ELECTRIC $90.00
Total: $90.00
uilding Inspector
�o"�'pF SOUjyol
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
C002-
P.O.Box 1179 • �O roger.richert(a-)-town.soLitho Id.ny.us
Southold,NY 11971-0959 p'yCOUNTI,��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Barnard
Address: 12990 Soundview Avenue City Southold st: New York zip: 11971
Building Permit#- 42347 Section: 54 Block. 3 Lot: 10
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor. DBA: Allways Electric License No: 4062-E
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service Only
Commerical Outdoor 1st Floor X Pool
New Renovation X 2nd Floor X Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 4 Ceiling Fixtures 6 HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures 8 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: "Water Damage Repair"
Notes: 1- Combination Smoke/ CO Detector.
Inspector Signature: Date: February 21, 2018
0-Cert Electrical Compliance Forrn.xIs
pf SOUTyo�
Z� cOUMI1 `
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
REMARKS:
DATE 2 INSPECTOR `
07-30-10; 12: 27 6660479 # 1/ 2
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-Town lull Annex 4Tdc;phonc(631)765.1802
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5437;Main Road '
P.O.Box 1179 roer.riche7*7
Southold,NY 11971.0959
FEB - 62018
BUILDING DEPAXIM. ,NT
TOWN OF SOUf'HOLD B-��D-NG4 r D>y`PT.
APPLICATION FOR ELECTRICAL INSPECTION TOWN OFSOUTHOLD
REQUESTED BY: Date:
Company Name: P, ��w s 6 l ,
Name: p SMkk
License No.: (96-2-_j_
Address: (5zLI2 OP-l" OC—C, CcNTw4<L—:�6Z_ -2 ( 6
Phone No.:
JOBSITE INFORMATION: (*Indicates required information)
*Name: ��j 2 Yvl A�0
-----
*Address: ---------------------------- ---------- __.
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*Cross Street:
*Phone No..:
Permit No.: 6fZ
Tax Map District: 1000- Section: 6 44 Block: 3 Lot: i o
-*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
6Pt S(�v►
(Please Circle All That Apply)
*Is job ready for inspection: YES /JD Rough In Final
*Do you need a Temp Certificate: YES / NO
Temp Information (if needed)
*Service Size: 1 Phase ' 3Phase 100 150 200 300 350. 400 Other
*New Service: Re--connect Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
t�3 OU
82-Request for Inspection Form