HomeMy WebLinkAbout36690-Z g11FFOt,fc
Town of Southold Annex 11/4/2011
.54375 Main Road
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 35275 Date: 11/4/2011
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 640 Love Ln, Mattituck,
SCTM#: 473889 Sec/Block/Lot: 140.-2-16
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
9/15/2011 pursuant to which Building Permit No. 36690 dated 9/15/2011
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:
repair of electric service
The certificate is issued to Jkk Enterprises LLC
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 36690 11/3/11
PLUMBERS CERTIFICATION DATED
Authorized Signature
SO!/r�olo
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G roper.richert@town.southold.ny.us
Southold,NY 11971-0959
COUNTI
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Joseph Schirripa DBA Northeastern Equipment
Address: 640 Love Lane City: Mattituck St: NY Zip: 11952
Building Permit#: 3(o(� �� Section: I y-o Block: Lot: (�
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: License No:
SITE DETAILS
Office Use Only
Residential Indoor Basement Service Only X
Commerical X Outdoor X 1st Floor Pool
New Renovation 2nd Floor. 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 Fixtures Time Clocks
Disconnect Switches Twist Lock Exit Fixtures TVSS
Other Equipment: Repair of outside storm damage to existing 3 phase 200a overhead service
meter pan to weather head
Notes:
Inspector Signature: Date: Nov 3 2011
81-Cert Electrical Compliance Form
a
SUS TOWN OF SOUTHOLD
BUILDING DEPARTMENT
cli TOWN CLERKS OFFICE
SOUTHOLD NY
P
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#: 36690 Date: 9/15/2011
Permission is hereby granted to:
Jkk Enterprises LLC
640 Love Ln
PO BOX 1620
Mattituck, NY 11952
To: repair of electric service
At premises located at:
640 Love Ln, Mattituck
SCTM # 473889
Sec/Block/Lot# 140.-2-16
Pursuant to application dated 9/15/2011 and approved by the Building Inspector.
To expire on 3/16/2013.
Fees:
ELECTRIC $90.00
Total: $90.00
n
Building Inspector
pF SOUjy®�o
Town Hall Annex Telephone(631)765-1802
,T ((i31) out 50
54375 Main Road
roger richert��own.sut�iord.ny.us
P.O.Box 1179
Soudiold,NY 11971-0959 O
�y"Ouff`l,�c�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date:-
Company Name: C- CoAmrranq
Name: C e
License No.: AkPc5 3
Address: �,6, C S Z
Phone No.:
JOBSITE INFORMATION: (*Indicates required information)
*Name: . >�SC!'H �Ch</.P�/%'A 1�F�� n/o �i� �e� A���,o,�„e�ts
*Address: (�;�DLoY�1.a��E W Sib; 1Ar1/r.�✓y/��r2
*Cross-Street: -
*Phone No.:
Permit No.: (� b -
Tax Map District: 1000 Section: _ ,1 ;p_ Block: Lot:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
(Please Circle All That Apply)
*Is job ready for inspection: ES NO Rough In Final
*Do you need a Temp Certificate: YES NO
Temp Information (If needed)
*Service,Size: 1 Phase 3Pha 100 150 200 300 350 400 Other
*New Service: Re-connect Underground Number of,
f e er e i v d
dditio al Information: PAYMENT �UE Vf
-lam_12011
1`�G 5D BLDG.DEPT.
2-Request for Inspection Form TOWN OF SOLIT]OLD