HomeMy WebLinkAbout42978-Z Town of Southold 11/29/2018
P.O.Box 1179
53095 Main Rd
01 Southold,New York 11971
Sir
CERTIFICATE OF OCCUPANCY
No: 40076 Date: 11/29/2018
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 50 CR 48. Peconic
SCTM#: 473889 Sec/Block/Lot: 69.4-13
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/29/2018 pursuant to which Building Permit No. 42978 dated 8/29/2018
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 HORSE BARN
The certificate is issued to Szczotka,Nancy
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 42978 11-27-2018
PLUMBERS CERTIFICATION DATED
Authorized Signature
FOL TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
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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#: 42978 Date: 8/29/2018
Permission is hereby granted to:
Szczotka, Nancy
PO BOX 294
Peconic, NY 11958
To: Electric for barn
At premises located at:
50 CR 48. Peconic
SCTM # 473889
Sec/Block/Lot# 69.-4-13
Pursuant to application dated 8/29/2018 and approved by the Building Inspector.
To expire on 2/28/2020.
Fees:
ELECTRIC $150.00
Total: $150.00
Building Inspector
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Town Hall Annex 411 Telephone(631)765-1802
54375 Main Road GFax(631)765-9502
P.O.Box 1179 .2
Southold,NY 11971-0959 • �o roper.richerta—town.southold.ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Nancy Szczotka
Address: 50 CR 48 City: Peconic St: New York Zip 11958
Building Permit* 42978 Section: 69 Block: 4 Lot: 13
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor DBA. Ron Fetter Electric License No. 40968-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only
Commerical Outdoor X 1 st Floor X Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 3 Ceiling Fixtures 9 HID Fixtures
Service 3 ph Hot Water GFCI Recpt 6 Wall Fixtures 4 Smoke Detectors 1
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel 100a A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks
Disconnect Switches 14 Twist Lock Exit Fixtures TVSS
Other Equipment: "Horse Barn"
Notes. 2-paddle fans
Inspector Signature: Date: November 27 2018
81-Cert Electrical Compliance Form.xls
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• TOWN OF SOUTHOLD BUILDING DEPT.
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INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG. 2
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [�1 ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
DATE INSPECTOR<�7 y
bING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
A�� 2 Town Hall Annex - 54375 Main Road - PO Box 1179
�,. t V,, • Southold, New York 11971-0959
�A � y6� ' ;�`,;-TiI one (631) 765-1802 - FAX (631) 765-9502
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roger.richertcDtown.southold.ny.us
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date:
Company Name:
Name:
License No.: email: G
Address:
to A
Phone No.: Z"" 2
JOB SITE INFORMATION: (All Information Required)
Name: S Z L t
Address: S-D 'c
Cross Street:
Phone No.:Bldg.Permit #: q-90-7$' email:
Tax Map District: 1000 Section: Block: q Lot: j
BRIEF DESCRIPTION OF WOR (Please Print Clearly) s•Z/�(/,�c� Q Z t o
t
Wn S c
Circle All That Apply:
Is job ready for inspection?: YES / Rough In Final
Do you need a Temp Certificate?: YES /2 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
U
Request for Inspection Form.xls _