HomeMy WebLinkAbout42931-Z ?f=
%dFF0410-- Town of Southold 8/22/2018
P.O.Box 1179
°' 53095 Main Rd
o4% �ao� � Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39861 Date: 8/22/2018
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 1700 E Cedar Point Dr, Southold
SCTM#: 473889 Sec/Block/Lot: 92.-1-3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/10/2018 pursuant to which Building Permit No. 42931 dated 8/10/2018
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:
New Electric Meter Pan
The certificate is issued to McDonald,John &Lori
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 42931 08-14-2018
PLUMBERS CERTIFICATION DATED
Authorized Signature
FFat,r�oTOWN OF SOUTHOLD
BUILDING DEPARTMENT
sn a
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#: 42931 Date: 8/10/2018
Permission is hereby granted to:
McDonald, John
109 Wetherill Rd
Garden City, NY 11530
To: Meter pan replacement
At premises located at:
1700 E Cedar Point Dr, Southold
SCTM # 473889
Sec/Block/Lot#92.-1-3
Pursuant to application dated 8/10/2018 and approved by the Building Inspector.
To expire on 2/9/2020.
Fees:
ELECTRIC $85.00
Total: $85.00
uilding Inspector
pF SO!/r�ol
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Town Hall Annex Telephone(631)765-1802
54375 Main Road N Fax(631)765-9502
P.O.Box 1179 G Q
Southold,NY 11971-0959 �colyCMc
dao roger.riche D-town.south old.ny.us
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: John McDonald
Address: 1700 Cedar Point Dr E City: Southold St: New York Zip: 11971
Building Permit#: 42931 Section 92 Block: 1 Lot 3
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Doroski Electric Inc License No. 2941-E
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only X
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 Fixtures Time Clocks
Disconnect Switches Twist Lock Exit Fixtures TVSS
Other Equipment: Install new meter pan on existing 200a service due to rusted condition
Notes.
Inspector Signature: Date: August 14 2018
81-Cert Electrical Compliance Form As
q�tyFfiDJr�' ILDING-DEPARTMEIN7- Electrical Inspector
TOWN OF 50UTHOLD
Town Hnex - 54375 Main Road - PO Box 1179
^ AUG 10 G99 thold, New-York 11971-6959
, qtr 8
I ellphone (631) 765-180 Z - FAX (631) 765-9502
+ SUILDrm Dwr, roger.richertntov+ni.southold.nv.us
Tovw APPLICATICMN ECTRICAL IN:z,PECTION
EQUESTEU BY: . oYo�s � __ �� :c 1 b1.C. _ _ hate._ 8--10 1-'2
Company Name: '2�ara s
Name:
Ucense No.: a c? y 1 r- E� email: G -1!3 L.(?-.,
2
Address: o -Ta k �� ���C� e N�
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Phone No:: G '�I SC G -7 0 L 2
JOB SITE INFORMATION: information Reqrred) f-
'Name: J o�n ty M (:5, � _
Address: 1, 100 C e V e ��s�� �m����` ►� `��
Cross Street:
Phone No.: �„� _9 4I S,? 1 6, `a
Bldg.Permit#: email:
Tax Map District: 1006 section: q Block: j Lot: 2::J
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BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Circle All That Apply:
Is job ready for inspection?: Ql NO Qi3b
Fina
Do you need a Temp Certificate?: IY/ NO' l,3sued On
Temp Information: (Al information required). � 917 3aa -7Zs
Service Size ( 3 Ph Size: A #Meters _ Old Meter#
New Service -Fire Reconnect- Flood Reconnect-Service Reconnects(i - Undergroun -Overhea
#Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
y r
Additionallnformation: _ _ - ---�
MI
,n-- 4gK PLe-Vv' c-e m
PAYI�AENT DUE WITH APPLICATION
Request for inspection Forfluds n N p/CJ
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