HomeMy WebLinkAbout43168-Z SUFF��'fC Town of Southold
10/31/2018
3�, y P.O.Box 1179
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53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40014 Date: 10/31/2018
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 710 Flint St, Greenport
SCTM#: 473889 Sec/Block/Lot: 48.-2-17
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
10/26/2018 pursuant to which Building Permit No. 43168 dated 10/26/2018
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:
20 AMP ELECTRIC CIRCUIT FOR DISHWASHER
The certificate is issued to Mims,Frances
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 43168 10-29-2018
PLUMBERS CERTIFICATION DATED
Authorized Signature
�gUFFnl�co TOWN OF SOUTHOLD
BUILDING DEPARTMENT
o - TOWN CLERK'S OFFICE
oy.,• ` 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#: 43168 Date: 10/26/2018
Permission is hereby granted to:
Mims, Frances
711 Flint St
Greenport, NY 11944
To: 200 Amp circuit for dishwasher
At premises located at:
710 Flint St, Greenport
SCTM #473889
Sec/Block/Lot#48.-2-17
Pursuant to application dated 10/26/2018 and approved by the Building Inspector.
To expire on 4/26/2020.
Fees:
ELECTRIC $90.00
Total: $90.00
g Inspector
tpF SO(/r�ol
Town Hall Annex Telephone(631)765-1802
54375 Main Road N 4W Fax(631)765-9502
P.O.Box 1179 aQ roger.riche rt(cD-town.south old.ny.us
Southold,NY 11971-0959
�yCOUNTY,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To Frances Mims
Address: 710 Flint St City: Greenport St: New York Zip: 11944
Building Permit#• 43168 Section 48 Block- 2 Lot. 17
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Nourth Country Electric License No: 4577-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only
Commerical Outdoor 1st Floor X Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph 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 dw Dryer Recpt Emergency FixtureTime Clocks
Disconnect Switches Twist Lock Exit Fixtures TVSS
Other Equipment: 1-20a circuit for dishwasher
Notes
i
Inspector Signature: Date: October 29 2018
81-Cert Electrical Compliance Form.xls
q SOUK°�
# # TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
x j�
[ ] FOUNDATION 1ST [ ] ROUGH PLSG. I J
[ ] 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 v INSPECTO ,
o � D
gufFQL UILDING DEPARTMENT - Electrical Inspector
�o QCT 2 5 NAB TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
-
-G oy,� Southold, New York 11971-0959
��� • 010F SGS Telephone (631) 765-1802 - FAX (631) 765-9502
roger richert(cDtown-south old.nV-us
APPLICATION FOR ELECTRICAL INSPECTION
- - - -- -
----------------------------------
-EQUESTED-BY-:- - - - -- -
Company Name: Nb Coc-qV1
Name: �c
License No.: �j �7 _ ►M email: yje: a! �r)* P-A ec,0- n (pP
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Address: 2,-7 S yv lit l-h '- - s° rc� � �lV 11 .) 3
Phone No.: X31 - -110 0�
JOB SITE INFORMATION: (All Information Required)
Name: wl
Address:
Cross Street:
Phone No.:
Bldg.Per it#: email:
Tax Map District: 1000 ection: Block: Lot: �.
BRIEF DESCRIPTION OF WORK(Please Print C[ear[y) op�v
CA C
Circle All That Apply:
Is job ready for inspection?: 1 YE / NO Rough In Final '
Do you need a Temp Certificate?: YES I(0 Issued On
Temp Information: (All information required)-
Service Size 1 Ph 3 Ph Size: A # Meters Old Meter#
New Service-Fre Reconnect- Flood Reconnect- Service Reconnected - Underground -Overhead
#Underground'Laterals 1 2 H Frame Pole Work done on Service? Y N
Addifional•Information: 'neLAJ cR Oc�ow)
PAYMENT DUE WITH APPLICATION
Request for Inspection Form-As