HomeMy WebLinkAbout43107-Z �OS� FF Ol Town of Southold 10/16/2018
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39972 Date: 10/16/2018
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 1075 Clipper Dr, Southold
SCTM#: 473889 Sec/Block/Lot: 79.-4-17.5
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
10/1/2018 pursuant to which Building Permit No. 43107 dated 10/9/2018
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 for accessory shed.
The certificate is issued to Kelleher,Terence&Margaret
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Authorized Signature
�SyFFot�c TOWN OF SOUTHOLD
��o may 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#: 43107 Date: 10/9/2018
Permission is hereby granted to:
Kelleher, Terence
1075 Clipper Dr
Southold, NY 11971
To: Electric for shed
At premises located at:
1075 Clipper Dr, Southold
SCTM #473889
Sec/Block/Lot# 79.-4-17.5
Pursuant to application dated 10/1/2018 and approved by the Building Inspector.
To expire on 4/9/2020.
Fees:
ELECTRIC $90.00
Total: $90.00
Bu' spector
o�tOF SO!/��o!
h O
Town Hall Annex Telephone(631)765-1802
54375 Main Road G y � Fax(631)765-9502
P.O.Box 1179 @
Southold,NY 11971-0959 �O`y� � �o roper.richert(Q-town.southold.ny.us
RUNTY,
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Kellerher
Address: 1075 Clipper Dr City: Southold St: New York Zip: 11971
Building Permit#. '—/'310-7 Section: 79 Block. 4 Lot. 175
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: JES Electric License No: 4483
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 Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 3 Ceiling 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 1 A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 1 Twist Lock Exit Fixtures TVSS
Other Equipment: "Pool Storage Shed" accessory building
Notes* 1-paddle fan
Inspector Signature: t = Date: October 3 2018
81-Cert Electrical Compliance Form.xls
OF SOUTho�
# TOWN OF SOUTHOLD BUILDING DEPT.
`ycouffm 765-1802
INSPECTION " o,r
[ ] FOUNDATION 1ST [ ] ROUGH PLBG. 0MAIL-3Z
[ ] 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 INSPECTORS°
o3►�rjf S0.
�IyO
Telephone(631)765--1802
Town Hall Annex (631)76�9512�
54375 Main Road ,e
5-o er.richert s o .n .us
P.O.Box 11790 • �O� D ��
Southold,NY 11971-0959 ecouw
- - 1
n BUnDING DEPARTMENT OCT 2018
- TOWN OF SOUTHOLD R, Dwr Dr •
APPLICATION FOR ELECTRICALINSPECTION Towx .����,� ��
REQUESTED BY: _ 6kW llb ,� l� Date: 9611
Company Name:
Name: C69ko
License No.:
Address: 02(�� ✓fCt�b iV. . o"L
Phone No.: -71D3
JOBSITE INFORMATION: (*Indicates required information)
*Name:
*Address: D
*Cross Street:
*Phone No.:
Permit No.:
Tax-Map District: 1000 �Sec�ton_ ���Biock. Lot:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
(Please Circle All That Apply)
*Is job ready for inspection: YES / Rough In Final
*Do•you need a Temp Certificate: YES / O
d. -
Terrlp Information (If needed) -
*Service Size: 1 Phase 3Phase 100 150 200 300 350 400
*New Service: Re-connect Underground Number of Meters Change of Service (7
Additional Information: PAYMENT DUE WITH APPLICATIO (�
A0
Request for Inspection Form