HomeMy WebLinkAbout36758-Z rr� Town of Southold Annex 10/19/2011
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oG� 54375 Main Road
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 35246 Date: 10/19/2011
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 175 Soundview Ave,Mattituck,
SCTM#: 473889 Sec/Block/Lot: 99.-3-1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
10/17/2011 pursuant to which Building Permit No. 36758 dated 10/17/2011
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:
underground electric service.
The certificate is issued to Meyran,Virginia
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 36758 10/14/11
PLUMBERS CERTIFICATION DATED
Authorized Signature
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Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 N
Southold,NY 1 1 97 1-0959 �G'ti • �oQ roger.richert@town.southoId.ny.us
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Virginia Meyran
Address: 175 Sound View Dr City: Mattituck St: NY Zip: 11952
Building Permit#: Section: Block: Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: C-Cat Co License No: 953-me
SITE DETAILS
Office Use Only
Residential X Indoor Basement 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 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 11 TVSS
Other Equipment: change service to underground, only outside equipment changed, (200a)
Notes:
Inspector Signature: Date: Oct 14 2011
81-Cert Electrical Compliance Form
Y=r= TOWN OF SOUTHOLD
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BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
N 2
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#: 36758 Date: 10/17/2011
Permission is hereby granted to:
Meyran, Virginia
175 Soundview Ave
Mattituck, NY 11952
To: underground electric service.
At premises located at:
175 Soundview Ave, Mattituck
SCTM # 473889
Sec/Block/Lot# 99.-3-1
Pursuant to application dated 10/17/2011 and approved by the Building Inspector.
To expire on 4/17/2013.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
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ToH,n Hall Annex Telephone(631)765-1802
54375 Main Road C (631)765- 50;�
P.O.Box 1179 ell- roger.richert(aown.sout�i0'1d.nV us
Southold,NY 11971-0959 �
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: � �� � Date:
Company Name:
Name:
License No.:
I
Address:
Phone No.: _ q g- 87(o Lf
JOBSITE INFORMATION: (*Indicates required information)
*Name:
*Address: S.00 \l t c
*Cross Street: � .� A (�
*Phone No.:
Permit No.:
Tax Map District: 1000 Section: Block: Lot:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly) a
(Please Circle All That Apply)
*Is job ready for inspection: YE / NO Rou
In
*Do you need a Temp Certificate: ES NO
Temp Information (If needed)
*Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other
*New Service: Re-connect ndergroun Number of Meters a e ry enn
Additional Information: PAYMENT DUE W V
nrT
BLDG.DEPT.
2-Request for Inspection Form �, VrTOWN OF SOUT!IOLD