HomeMy WebLinkAbout42827-Z ��o�sUFFQt�C Town of Southold 7/12/2018
P.O.Box 1179
C3
a' 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39766 Date: 7/12/2018
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 1460 Strohson Rd, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 103.-10-29.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
6/28/2018 pursuant to which Building Permit No. 42827 dated 6/28/2018
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:
200 AMP UNDERGROUND ELECTRIC SERVICE, ELECTRIC FOR DOCK AND 100 AMP SUB PANEL IN
BASEMENT
The certificate is issued to Cannizzaro D QPRT
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 42827 07-02-2018
PLUMBERS CERTIFICATION DATED
Authorized Sign re
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y TOWN CLERK'S OFFICE
o . 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#: 42827 Date: 6/28/2018
Permission is hereby granted to:
Cannizzaro D APRT
192-25 Underhill Ave
Fresh Meadows, NY 11365
To: Electric for house, garage and dock
At premises located at:
1460 Strohson Rd, Cutchogue
SCTM # 473889
Sec/Block/Lot# 103.-10-29.1
Pursuant to application dated 6/28/2018 and approved by the Building Inspector.
To expire on 12/28/2019.
Fees:
ELECTRIC $170.00
Total: $170.00
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Town Hall Annex Telephone(631)765-1802
54375 Main Road C Fax(631)765-9502
P.O.Box 1179 �Q roger.richerl a)-town.Southold.ny.us
Southold,NY 11971-0959
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Cannizzaro D APRT
Address: 1460 Strohson Road city,Cutchogue st: New York zip: 11935
Building Permit#: 42827 Section: 103 Block 10 Lot: 29.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Bayman Electric License No: 4692-E
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X 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 1 Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors
Main Panel 200A A/C Condenser Single Recpt 1 Recessed Fixtures CO Detectors
Sub Panel 100A A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks
Disconnect 200A Switches 1 Twist Lock Exit Fixtures �] TVSS
Other Equipment: 200A Underground Service, 30A Power to Existing Dock, 1-20A GFCI Circuit
Breaker, 1- Dock Light, 100A Sub Panel in Basement.
Notes:
Inspector Signature: - I Date: July 2, 2018
0-Cert Electrical Compliance Form.xls
pF SOUTyo�
# TOWN OF SOUTHOLD BUILDING DEPT.
`ycoom, 765-1802
INSPECTICN
[ ] 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 IdlyINSPECTOR tL.
4
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al Inspector
BUILDING DEPARTMENT- Electric
FQLK
TOWN OF SOUT [EC�RIVE
Town Hall Annex - 54375 Main d - PO Box 1179 D
0 Southold, New York 1 -09
Telephone (631) 765-1802 - FAX (63 63 VJ
�1 , c roger richert�town.southold.ny.us
0 WUMILDING DEPT.
APPLICATION FOR ELECTRICAL INSPECTIM '���,,T>�4LD
REQUESTED BY: � c`R�"�P,� - S�'NliS .- NS{ • Date: (0 26> 19 -
Company Name: E(pc.
Name:
License No.: ha 2, email: e.7E6
Address: 3 r q
Phone No.: bat- 5- 3 `7
JOB SITE INFORMATION:" (All Information Required)
Name: �C3-t�t� ti ZZ�O
Address: 1460 r w
Cross Street: i ? e
Phone No.: '
BIdg.Permit#: email:
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK (Please Print Clearly) ?`!'���� �S�I`)� ��°"MP % $er Oce_
1fC u-*%T r0 c- a-tjw 20th-pf � G S i e- =�V
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Circle All That Apply: �Ji�e (1� Si Le �o1e&S)
0}SiNj( doe,,Ae 2,o c.,rc�;A5,(.i) F1 o4l�t
?6) Gt;l bre�t� NO Rou h In Finalis job ready for inspection.. g
Do you need a Temp Certificate?: YES /FN—d 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: ZtaD kAG o XLI� r ��� 'N S'"
�n Se -lti �c�.e �2t,J M N •� � � ,
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PAYMENT DUE WITH APPu�H I I(�N 2 eX��-�o�- gcc��1 r5
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Request for Inspection FormAs
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