HomeMy WebLinkAbout42496-Z g�FFOI�
Town of Southold 5/25/2018
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P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39668 Date: 5/25/2018
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 12340 Soundview Ave, Southold
SCTM#: 473889 Sec/Block/Lot: 54.-7-7
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
3/27/2018 pursuant to which Building Permit No. 42496 dated 3/27/2018
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 H frame electric service.
The certificate is issued to Hammel, Stephen&Patricia
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 42496 5/9/2018
PLUMBERS CERTIFICATION DATED
Authorized Sign ure
II
sUFFot,r• TOWN OF 'SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
oy • 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#: 42496 Date: 3/27/2018
Permission is hereby granted to:
Hammel, Stephen
16 Voorhis Dr
Old Bethpage, NY 11804
To: Electric Upgrade
At premises located at:
12340 Soundview Ave, Southold
SCTM # 473889
Sec/Block/Lot# 54.-7-7
Pursuant to application dated 3/27/2018 and approved by the Building Inspector.
To expire on 9/26/2019.
Fees:
ELECTRIC $85.00
Total: $85.00
g Inspector
pF SO!/r�®l
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Town Hall Annex Telephone(631)765-1802
54375 Main Road N Fax(631)765-9502
P.O.Box 1179 e ® aQ roer.rich ert(a)-town.southoId.ny.us
Southold,NY 11971-0959
01,
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Stephen Hammel
Address: 12340 Soundview Avenue city,Southold st: New York zip: 11971
Building Permit#: 42496 Section: 54 Block: 7 Lot: 7
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor. DBA: Peconic Bay Electric License No: 46360-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 Fixture Time Clocks
Disconnect Switches Twist Lock Exit Fixtures TVSS
Other Equipment: 200A "H" Frame, Underground Service.
Notes:
Inspector Signature: Date: May 9, 2018
0-Cert Electrical Compliance Form.xls
OF SOUIyo�
# TOWN OF SOUTHOLD BUILDING DEPT.
u765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING/STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
DATE INSPECTOR
oF(�"� � �
FFA BUILDING DEPARTMENT- Electrical I ector DD
��pS� KCO TOWN OF SOUTHOLD MAR 2 � `2018
Town Hall Annex - 54375 Main Road - PO Box 1179
New York 11971-0959
Southold, , _ ;•
�y apl� Telephone (631) 765-1802 - FAX (631) i& SOUTHOLD
1 ,�c roper richert(rDtown.southoId.ny.us
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: 5c- lA C,l WV�O�_ Date:
Company Name: 4 �C6�n.iL -1� �C- �
Name:
License No.: L� ( 3(0 -� remail: o vv op q&--
Address: 2.l y o�l
Phone No.: , 7 - O
JOB SITE INFORMATION��
: (All Information Required)
Name: c Aay"nbYl2
Address: 2 40 Sou" t e w A,
Cross Street: vc-r
Phone No.: (2�16 -13
Bldg.Permit#: � I email:
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Circle All That Apply:
Is job ready for inspection?: YES / NO Rough In Final
Do you need a Temp Certificate?: Ty
NO Issued On
Temp Information: (All information required)
Service Size 1 Ph 3 Ph Size: 200 A # Meters Old Meter#
New Service - Fire Reconnect- Flood Reconnect Service Reconnecte - Underground Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information: u wv 2-c 1`G� 00A
200 G� �.. i n 1 � �� U ea u v1 uM�
PAYMENT DUE WITH APPLICATION Q_
CP 1�0
Nc& g% 1__)0 jrl�'
Request for Inspection FormAs