HomeMy WebLinkAbout36716-Z ;f SU alb Town of Southold Annex 9/27/2011
54375 Main Road
x Southold,New York 11971
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CERTIFICATE OF OCCUPANCY
No: 35238 Date: 9/16/2011
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 650 Old Shipyard Rd, Southold,
SCTM#: 473889 Sec/Block/Lot: 64.-2-44
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this ofliced dated
9/27/2011 pursuant to which Building Permit No. 36716 dated 9/27/2011
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:
overhead electric service upgrade
The certificate is issued to Salup,Marni&Rubin, Stephanie
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 36716 9/16/11
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
c�gUFFO���
BUILDING DEPARTMENT
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TOWN CLERK'S OFFICE
y • � : 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#: 36716 Date: 9/27/2011
Permission is hereby granted to:
Salup, Marni & Rubin, Stephanie
403 W 21 st St
New York, NY 10011
To: overhead electric service upgrade
At premises located at:
650 Old Shipyard Rd, Southold
SCTM # 473889
Sec/Block/Lot# 64.-2-44
Pursuant to application dated 9/27/2011 and approved by the Building Inspector.
To expire on 3/28/2013.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
*oF so�ryolo
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 v'
Southold,NY 11971-0959 mot`
roger.richert(a�town.southold.ny.us
COWN
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Salup/Rubin
Address: 650 Old Shipyard La City: Southold St: NY Zip: 11971
Building Permit#: (�-7 49W Section: 64 Block: 2 Lot: 44
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: as built DBA: License No:
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service Only X
Commerical Outdoor X 1st 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 Fixtures Time Clocks
Disconnect 200a Swatches Twist Lock Exit Fixtures TVSS
Other Equipment: 200a overhead service upgrade
Notes:
Inspector Signature: Date: Sept 16 2011
81-Cert Electrical Compliance Form
4f SO(/r�o
Town Hall Annex _ Telephone(631)765-1802
L 54375 Main Road N (631)765- 50
P.O.Box 1179
rogerAchert own.sout�ho�d.ny.us
Southold,NY 11971=0959 O
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BUILDING DEPARTMENT
r / TOWN OF SOUTHOLD Y
CATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date:
Company Name:
Name:
License No.:
Address:
Phone No.:
JOBSITE INFORMATION: (*Indicates required information)
*Name: '� }�-� 1-2, 1 4
*Address: L�4 �� 7
*Cross Street:
*Phone No.:
cf-
Permit No.: cv,- i + r
Tax Map District: 1000 Section: Block: Lot:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
(Please Circle All That Apply)
*Is job ready for inspection: YES / NO Rough In Final
*Do you need a Temp Certificate: YES / NO
Temp Information (I d) ,
*Service Size: 11 Phase 3Phase 100 150 200 300 350 400 Other
*New Service: e-connect Underground Number o eters Change of Servic Overhead
Additional Information; PAYMENT DUE WITH APPLICATIO
82-Request for In pection Form