HomeMy WebLinkAbout43055-Z '� Town of Southold 11/20/2018
�, P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40057 Date: 11/20/2018
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 57305 CR 48, Greenport
SCTM#: 473889 Sec/Block/Lot: 44.-2-3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/20/2018 pursuant to which Building Permit No. 43055 dated 9/20/2018
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:
REPLACED ELECTRIC METER CABINET
The certificate is issued to Temiz,Anita
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 43055 11-13-2018
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
'$ SOUTHOLD, NY
*kk0- ,4
lf �
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#: 43055 Date: 9/20/2018
Permission is hereby granted to:
Temiz, Anita
221 Chestnut Ridge Rd
Woodcliff Lake, NJ 076757738
To: Replace existing meter cabinet
At premises located at:
57305 CR 48, Greenport
SCTM # 473889
Sec/Block/Lot# 44.-2-3
Pursuant to application dated 9/20/2018 and approved by the Building Inspector.
To expire on 3/21/2020.
Fees:
ELECTRIC $85.00
Total: $85.00
Building nspector
SOUr�ol
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road N Fax(631)765-9502
P.O.Box 1179 G Q
�► • �o roper.richerta-town.southold.ny.us
Southold,NY 11971-0959 Q
NT`I,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To. Anita Temiz
Address. 57305 CR 48 City Greenport St: New York Zip 11944
Building Permit* 43055 Section: 44 Block: 2 Lot: 3
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA. Custom Lighting of Suffolk license No: 38893-ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only X
Commerical Outdoor X 1 st Floor 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 Dryer Recpt Emergency FixtureSH Time Clocks
Disconnect Switches Twist Lock Exit Fixtures TVSS
Other Equipment: Install new meter cabinet on existing 400a underground service
Notes.
Inspector Signature: _IwDate: November 13 2018
81-Cert Electrical Compliance FormAs
LDING DEPARTMENT- Electrical Inspector
SEP g ZO�a TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
C-DF,Y'r• Southold, New York 11971-0959
rpt 7V%1Wone (631) 765-1802 - FAX (631) 765-9502
roger.richertO-town.southold.mus
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: r Date:
Company Name: Ll p
Name:
License No.: 3 email:
Address:
Phone No.: l ags
JOB SITE INFORMATION: (All Information Required)
Name: �+
Address:
Vri
Cross Street: Ev
-�
Phone No.:
Bldg.Permit#: 55 email:
Tax Map District: 1000 Section: Block: 'f/ Lot;
BRIEF DESCRIPTION OF WORK(Please Print Clearly)
bt ✓� ,e.�' gems o WD(A-ed(
Circle All That Apply:
Is job ready for inspection?: YES � Rough In Final
Do you need a Temp Certificate?: (YiDNO Issued On
Temp Information: (All informatio required)
SerAm Size (2D3 Ph Size- A #Meters�_ Old Meter#
New Service- Fire Reconnect- Flood nnectService R�econnecteUndergroun Overhead
#Underground Laterals 1 2 H F DPole Work done on Service? O N
Additional Information:
PAYMENT DUE WITH APPLE 4TION
82-Request for Inspection FormAs