HomeMy WebLinkAbout42802-Z 4DG� Town of Southold 6/26/2018
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P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39731 Date: 6/26/2018
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 3515 Horton Ln. Southold
SCTM#: 473889 Sec/Block/Lot: 59.-3-32.2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
1/l/.10 Y 9 pursuant to which Building Permit No. 42802 dated 6/18/2018
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:
UPGRADE ELECTRIC SERVICE AND MOVE METER TO OUTSIDE LOCATION
The certificate is issued to Markel,David
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 42802 06-19-2018
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
a TOWN CLERK'S OFFICE
ce
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#: 42802 Date: 6/18/2018
Permission is hereby granted to:
Markel, David
3515 Hortons Ln
Southold, NY 11971
To: move electric box outside.
At premises located at:
3515 Horton Ln. Southold
SCTM # 473889
Sec/Block/Lot# 59.-3-32.2
Pursuant to application dated 1/1/1900 and approved by the Building Inspector.
To expire on 12/18/2019.
Fees:
ELECTRIC $85.00
Total: $85.00
ell Inspector
pF SO!/�'®l
Town Hall Annex Telephone(631)765-1802
54375 Main Road N Fax(631)765-9502
P.O.Box 1179 c • �@ roger.richert(a-town.southold.ny.us
Southold,NY 11971-0959
® COONN,� '
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: David Markel
Address: 3515 Horton Lane city;Southold st: New York zip: 11971
Building Permit#: 42802 Section- 59 Block: 3 Lot: 32.2
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: OWNER DBA: License No:
SITE DETAILS
Office Use Only
Residential Indoor X Basement X Service Only
Commerical X Outdoor X 1st Floor X 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 �] TVSS El
Other Equipment: Up Grade Service - Move Meter to Outside Location 200A Overhead Service.
Notes:
Inspector Signature: Date: June 19, 2018
0-Cert Electrical Compliance FormAs
OF SOUTyO�
* # TOWN OF SOUTHOLD BUILDING DEPT.
°`�courmN�` 765-1802
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 G lg ( � INSPECTOR �'
t FS
b�g�FF84 BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
ca M Town Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
roger.richerta-town.southold.ny.us
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date:
Company Name:
Name:
License No.: email:
Address:
Phone No.:
JOB SITE INFORMATION: (All Information Required)
Name: David W
Address: s
Cross Street: K0(A,e y?
Phone No.: (j3 -7 73
Bldg.Permit #: email: 06t yy'Lrk-0 iti i ®co
Tax Map District: 1000 Section: S Block: Lot:
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Move 66K
Circle All That Apply:
Is job ready for inspection?: -YES NO Rough In Final
Do you need a Temp Certificate?: YES /0 Issued On
Temp Information: (All information required)
Service Size 1 Ph 3 Ph Size: A # Meters Old Meter#
New Service - Fire Reconnect - Flood Reconnect- Service Reconnected - Underground - Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
82-Request for Inspection FormAs
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