HomeMy WebLinkAbout36682-Z S�1Ep�lA' Town of Southold Annex 9/12/2011
54375 Main Road
' Southold,New York 11971
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CERTIFICATE OF OCCUPANCY
No: 35203 Date: 9/12/2011
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 1205 Route 25, Greenport,
SCTM#: 473889 Sec/Block/Lot: 35.4-25
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
9/12/2011 pursuant to which Building Permit No. 36682 dated 9/12/2011
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:
200a load center, 3-5kw electric heaters with 3 30a switches (Brecknock HaIUSCWA)
The certificate is issued to Peconic Lndng @ Southold
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Authorized ignature
�o�g�FFoi�,co TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y� TOWN CLERK'S OFFICE
o 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 #: 36682 Date: 9/12/2011
Permission is hereby granted to:
Peconic Lndng @ Southold
1500 Brecknock Rd
Greenport, NY 11944
To: 200a load center, 3-5kw electric heaters with 3 30a switches
At premises located at:
1205 Route 25, Greenport
SCTM # 473889
Sec/Block/Lot# 35.-1-25
Pursuant to application dated 9/12/2011 and approved by the Building Inspector.
To expire on 3/13/2013.
Fees:
ELECTRIC $125.00
Total: $125.00
Building Inspector
pF SOUryolo
Town Hall Annex Telephone(631)765-1802
54375 Main Road N Fax(631)765-9502
P.O.Box 1179 G Q
Southold,New York 1 1 97 1-0959 �� roper.richert(a)-town.Southold.ny.us
lyOOUNT`I, "
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: SCWA Brecknock Hall
Address: 1205 Rt 25 City: Greenport St: NY Zip: 11944
Building Permit#: Section: 35 Block: 1 Lot: 25
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: LEB Electric, Ltd License No: 1401-me
SITE DETAILS
Office Use Only
Residential Indoor X Basement Service Only
Commerical X Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 3 Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt 1 Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture 6 Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches Twist Lock Exit Fixtures TVSS 11
Other Equipment: 200a load center, 3-5kw electric heaters with 3 30a switches
1-100a fused switch, 1 hunidifier-115 volt
Notes:
Inspector Signature: Date: July 7 2011
81-Cert Electrical Compliance Form
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TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
REMARKS:
DATE 1 INSPECTOR `
06/14/2011 TUE 10: 26 FAX 16318420535 0001/002
06-14-11;12:58 8420535 # . 1/ 2
PLC
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Town Hall Annex Telehhonc(681)7g65.1802
&.375 Mace Road _ _ #h I .P.O.Box 1179 • roaer.riohert(a taown l ou o nv.us
Soudeold,NY 1197I-0959 7!
B>`IMING DEP RTME qT
TOWN Ole'SUUTIROI,D
APPLICATION FOR ELECTRICAL INSPEC ON
REQUESTED BY: Patrick Goeren Date: 6/14/11
Company Name: L.E.B. Electric, Ltd.
Name: Louis Black
License No.: 14 01-ME
Address: 85 Ralph Avenue, Copiague NY 11726
Phone No.: 631 . 842 :0500—
JOBSITE INFORMATION: ('"Indicates required information)
Name: SCWA- Brecknock Hall
*Address': 1205 Route 25 Gxeenport, Southold
*Cross Street: _ _— ._..
*Phone No.: 631-842-0500
Permit No.:
Tax Map District: 1000 Section:_ 3 5 Block: 1 dot: P 025
*BRIEF DESCRIP-HON OF WORK(Please Print Clearly) See attached counts
(Please Circle All That Apply)
*ls job ready for Inspection Y NO Raugh in Final
*Do you need a Temp Certtficate; YES/ NO' -
Temp information(if needed)
*Service Size: 1 Phase 3Phase 100 150 .200 300 350 400 _ .Other
*New Service: Re-connect Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION