Loading...
HomeMy WebLinkAbout42957-Z �o�g11FFOl��oG Town of Southold 8/23/2018 P.O.Box 1179 CM d' 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39861 Date: 8/23/2018 THIS CERTIFIES that the building ELECTRICAL Location of Property: 387 Wood Ln, Peconic SCTM#: 473889 Sec/Block/Lot: 86.-6-29 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/17/2018 pursuant to which Building Permit No. 42957 dated 8/17/2018 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: ELECTRIC SERVICE TO BOAT DOCK The certificate is issued to Lazio Jr,Ernest of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 42957 08-20-2018 PLUMBERS CERTIFICATION DATED Authorized Signature Q�g�FFn TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE 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#: 42957 Date: 8/17/2018 Permission is hereby granted to: Lazio Jr, Ernest 387 Wood Ln Peconic, NY 11958 To: electric service for dock. At premises located at: 387 Wood Ln, Peconic SCTM # 473889 Sec/Block/Lot# 86.-6-29 Pursuant to application dated 8/17/2018 and approved by the Building Inspector. To expire on 2/16/2020. Fees: ELECTRIC $85.00 Total: $85.00 B ector pF SOU�yo! 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road y Fax(631)765-9502 P.O.Box 1179 G Q Southold,NY 11971-0959 �p • �� roper.richert(cD-town.southold.ny.us couff N' BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To Ernest Lazio Jr Address: 387 Wood Ln City: Peconic St. New York Zip: 11957 Building Permit#. 42957 Section 86 Block. 6 Lot: 29 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: AS BUILT DBA: License No: 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 X Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceding Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt 1 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 ri Twist Lock ri Exit Fixtures 11 TVSS Other Equipment: "AS BUILT" "ELECTRICAL SURVEY' "NO VISUAL DEFECTS" Notes. Supply power to boat dock, 1-GFCI recpticle Inspector Signature: Date: August 20 2018 81-Cert Electrical Compliance Form.xls OF SOUTy�6 # TOWN OF SOUTHOLD BUILDING DEPT. 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 BUILDING DEPARTMENT - Electrical Inspector �O TOWN OF SOUTHOLD ~ Town Hall Annex - 54375 Main Road - PO Box 1179 Ac Southold, New York 11971-0959 • �- Telephone (631) 765-1802 - FAX (631) 765-9502 mal , c roper.richert(c�town.southold.ny.us APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY:- . Vu'S - Date: .�/ - - - Company Name: Name: License No.: email: "c Address: 106-e�Dnp (G Phone No.: i -- 3 7 t- JOB SITE INFORMATION: (All Information Required) Name: Address: `� W",b ia�Cf e—e ooj tG Cross Street: Phone No.: (yid — 3-71 2� B[dg.Permit#: email: fly M A&j Tax Map District: 1000 Section: OGr& .00 Block: ©G. i Lot:®2 .000 BRIEF DESCRIPTION OF WORK(Please Print Clearly) 1�u� ck Circle All That Apply: Is job ready for inspection?: YES / NO Rough In Final Do you need a Temp Certificate?: YES / NO 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 Request for Inspection Fonn.xis ac- �� � ;fid 0 �. � a 1 ao we • f 1�{an k.�,lpY� Q _ •'Y .IH01RIa - f' N ' A � • . / _ - r ao� � `f��^'�• yV�elf/��,I�+)e1�t1:+~4i�'•. Y w . 4 • J gyA gz W � A/0 5 00 A rt �ac:K 4 k` Q f 0.U. n �_ I tt C t