HomeMy WebLinkAbout42884-Z Town of Southold 7/31/2018
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P.O.Box 1179
C* 53095 Main Rd
eiyrjc� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39812 Date: 7/31/2018
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 390 N Sea Dr, Southold
SCTM#: 473889 Sec/Block/Lot: 54.-5-18
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/20/2018 pursuant to which Building Permit No. 42884 dated 7/20/2018
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:
Re-connect electric service and repair electric in basement and first floor damaged from fire
The certificate is issued to Belica,Paul&Deborah
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 42884 07-23-2018
PLUMBERS CERTIFICATION DATED
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Authorized Signature
o�su fF o TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
o • �ti SOUTHOLD, NY
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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#: 42884 Date: 7/20/2018
Permission is hereby granted to:
Belica, Paul
129 Kilburn Rd
Garden City, NY 11530
To: Electric
At premises located at:
390 N Sea Dr, Southold
SCTM # 473889
Sec/Block/Lot# 54.-5-18
Pursuant to application dated 7/20/2018 and approved by the Building Inspector.
To expire on 1/19/2020.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
pF SO!/a�®�
Town Hall Annex Telephone(631)765-1802
54375 Main Road N Fax(631)765-9502
P.O.Box 1179 aQ roger.rich ert(c)-town-so uthold.ny.us
Southold,NY 11971-0959 Qlyc®Uo9��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Paul Bellca
Address: 390 N Sea Drive city,Southold st: New York zip: 11971
Building Permit#: 4.2884. Section: 54 Block: 5 Lot: 18
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
contractor: DBA: Hilderbrandt Electric License No: 38496-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service Only
Commerical Outdoor X 1st Floor X Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceding 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: Re-Connect Existing Service After Fire, Repair Fire Damage in Basement and
First Floor.
Notes:
1
Inspector Signature: Date: July 23, 2018
0-Cert Electrical Compliance Form.xls
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# # TOWN OF SOUTHOLD BUILDING DEPT.
`�courm,� 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 INSPECTOR
DI DING DEPARTMENT- Electrical Inspector
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JUL 19 2018 TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
o • Southold, New York 11971-0959
BUILDING TWhone (631) 765-1802 - FAX (631) 765-9502
roger.richert(a)town.south old.ny.us
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: iAl��/rJ� - r t� 6hE} �✓ Date: I )g - -
Company Name: O i t-0 C wo-r c,0-cT(+-y c- L
Name:
License No.: 39-L/q,,6 MF- email: k,` uA eT2,c ,o�Lsa� , cr-
Address: SIO V7z 01-0 N/ +1 q -)
Phone No.: 6 31 G— 9 6 g V
JOB SITE INFORMATION: (All Information Required)
Name: A%L' c_ -cue-
Address: 3 1 0 140 wro SCA- a-D ,
Cross Street: P,D .
Phone No.:
BIdg.Permit q email:
Tax Map District: 1000 Section: �j Block: Lot:
BRIEF DESCRIPTION OF WORK (Please Print Clearly) iNGelfarPS-6,G-
�—$CO,✓r/�� F}"��6iYL E.�✓n*7's✓l MQ S'?(LOct �' S'v.d.��.,L �"r /l.fZ
Circle All That Apply:
Is job ready for inspection?: ES / NO Rough In Final
Do you need a Temp Certificate?: V_�/
NO Issued On
Temp Information: (All information required)
Service Size 1 P- 3 Ph Size: A # Meters Old Meter#
New Service --Fire Reconnect- Flood Reconnect- (eEic:eLReco�nnecteUnderground - Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y LN )
Additional Information: octo ,ws(94C'I as TO 0-67-
PAYMENT DUE WITH APPLICATION
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Request for Inspection FormAs