HomeMy WebLinkAbout43203-Z . y
Town of Southold 12/10/2018
P.O.Box 1179
53095 Main Rd
# � Southold,New York 11971
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CERTIFICATE OF OCCUPANCY
No: 40091 Date: 12/10/2018
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 2460 Shipyard Ln Unit 5A2, East marion
SCTM#: 473889 Sec/Block/Lot: 38.2-2-2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
11/7/2018 pursuant to which Building Permit No. 43203 dated 11/7/2018
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 WALL HEATER
The certificate is issued to Wallenhorst,Michelle&Logiudice,Rita
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 43203 12-05-2018
PLUMBERS CERTIFICATION DATED
Authorized Sign ure
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
1 f
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#: 43203 Date: 11/7/2018
Permission is hereby granted to:
Wallenhorst, Michelle
12 Holmes Ave
Eastport, NY 11941
To: electric for wall heater
At premises located at:
2460 Shipyard Ln Unit 5A2, East marion
SCTM # 473889
Sec/Block/Lot# 38.2-2-2
Pursuant to application dated 11/7/2018 and approved by the Building Inspector.
To expire on 5/8/2020.
Fees:
ELECTRIC $90.00
Total: $90.00
uilding Inspector
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Town Hall Annex Telephone(631)765-1802
54375 Main Road y Fax(631)765-9502
P.O.Box 1179 G Q
Southold,NY 11971-0959 �� • �o roger.richerta-town.Southold.ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To. Wallenhorst
Address. 2460 Shipyard Ln unit-5A2 City- East Marion St: New York Zip 11939
Building Permit#' 43203 Section: 38.2 Block: 2 Lot: 2
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
contractor: DBA. Messina Electric Inc License No. 43108
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only
Commerical Outdoor 1 st Floor X Pool
New Renovation 2nd Floor X 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 Fixture Time Clocks
Disconnect Switches Twist Lock Exit Fixtures �] TVSS
Other Equipment: Install 1600 watt electric heater in 1st floor entry way,1-20a ARC fault circuit break
Notes:
Inspector Signature: Date: December 5 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.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [j'7] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
DATE
INSPECTOR
y�FFQE& 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
roger.richert(&-town.southold.ny.us
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date:
Company Name: essi r, (eco -=7� �-
Name: S(> S.e )N (fin o C\c%-
License No.: Lt 31 d a-nn C email:
Address: Po Sox )4L43 �o rn�s 14 Lf�
PhoneNo.: bat - 3) 90
JOB SITE INFORMATION: (All Information Required)
Name: c M c kLIte- Wcl(e„lncsc s�Address: 7-92c> S 1-, & 1193 A2
Cross Street: R zS
Phone No.: S I+0 2-4 2 - q 20 S
Bldg.Permit#: email:
Fax Map District: 1000 Section3� , Block: Lot:
BRIEF DESCRIPTION OF WORK(Please Print Clearly)
Circle All That Apply:
Is job ready for inspection?: YES / NO Rough In Final
Do you need a Temp Certificate?: YES/ NO 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: Ce«Q Fn e f: i l000 c _3c kk , t'Zd l2Lto y0 K
PAYMENT DUE WITH APPLICATION
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62-Request for Inspection Form.xis `
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