HomeMy WebLinkAbout43222-Z Town of Southold 11/20/2018
9 PA X
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40059 Date: 11/20/2018
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 1215 S View Dr, Orient
SCTM#: 473889 Sec/Block/Lot: 13.-3-3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
11/15/2018 pursuant to which Building Permit No. 43222 dated 11/15/2018
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:
200 AMP UNDERGROUND ELECTRIC SERVICE UPGRADE
The certificate is issued to Marland,Deborah&Backus,David
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 43222 11-19-2018
PLUMBERS CERTIFICATION DATED �--�
Authorized Signature-'
.
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
a TOWN CLERK'S OFFICE
'$ '' SOUTHOLD, NY
�1
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#: 43222 Date: 11/15/2018
Permission is hereby granted to:
Marland, Deborah & Backus, David
129 Park PI
Brooklyn, NY 11217
To: 200a underground electric service.
At premises located at:
1215 S View Dr, Orient
SCTM # 473889
Sec/Block/Lot# 13.-3-3
Pursuant to application dated 11/15/2018 and approved by the Building Inspector.
To expire on 5/16/2020.
Fees:
ELECTRIC $85.00
Total: $85.00
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Town Hall Annex Telephone(631)765-1802
54375 Main Road N Fax(631)765-9502
P.O.Box 1179 • �Q roger.riche rt(W-town.southold.ny.us
Southold,NY 11971-0959 Q
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To. Deborah Marland
Address. 1215 S View Dr City- Orient St: New York Zip 11957
Building Permit#' 43222 Section: 13 Block: 3 Lot: 3
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor, DBA. Tucker Electric LicenseNo- 4926-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 200a Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 200a A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks
Disconnect 200a Switches Twist Lock Exit Fixtures �] TVSS
Other Equipment: Up grade overhead service to 200a underground service, new 200a main panel
Notes:
-�7
Inspector Signature: Date: November 19 2018
81-Cert Electrical Compliance Form.xls
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BUILDING DEPARTMENT-Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex- 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX(631) 765-9502
roper.richert(&-town.southoid.ny.us
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Fgj,at4_ ',ya- Date: IS
Company Name: c i ic. I Nc.
Name: rktAmJ& RA
License No.: y9,2` MF-
Address:
E email: co,ak,tQ aocQ �hao. cor•
Address: P0. 110K iuy I -T-
Phone No.: &.3 - Ngs3 - L801
JOB SITE INFORMATION: (All Information Required)
Name: Ebo MAS
Address: 2 I S - a U
Cross Street: 3Rows5' "A Rva.
Phone No.: k- - 2430
Bldg.Permit#: _ tea. email:
Tax Map District: 1000 Section: 1 Block: Lot:
BRIEF DESCRIPTION OF WORK(Please Print Clearly) -i....,p_� 0Mr-wr,-LC'—V-J
s e 9J t C,V P" ,r, QV it 1L W EA t% -
Circle All That Apply:
Is job ready for inspection?: YES NO Rough In Final
Do you need a Temp Certificate?: S NO Issued On
Temp Information: (Ail information required)
Service Size (9D 3 Ph Size: _a=_A #MetersOldOld Meter#` q 112'I
New Service- Fire Reconnect- Flood Reconnect-Service Reconnected Underground- verhead
I#Underground Laterals 2 Frame Pole Work done on Service? M N
Additional Information: 21'EF„g C.Al X w,JY
&-M-+111,9-ZRoI i"A
PAYMENT DUE WITH APPLICATION
82-Request for inspectlon Form.xts