HomeMy WebLinkAbout36693-Z �Q�$u FF pl Town of Southold Annex 11/22/2011
54375 Main Road
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 35300 Date: 11/22/2011
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 1625 W Creek Ave, Cutchogue,
SCTM#: 473889 Sec/Block/Lot: 110.-2-2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
9/16/2011 pursuant to which Building Permit No. 36693 dated 9/16/2011
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:
electric service re-connect
The certificate is issued to Blanchard,Patricia.
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Authorized Signature
OF SO!/lyol
Town Hall Annex ~ Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 N
Southold,NY 11971-0959 .t`
�� roper.richert(c-town.southold.ny.us
COUNT`I I
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Pat Blanchard
Address: 1625 West Creek Ave City: Cutchogue St: NY Zip: 11935
Building Permit#: Section: Block: Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: C-Cat Electric 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 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 Switches Twist Lock Exit Fixtures TVSS
Other Equipment: re-connect existing 200a Overhead service
Notes:
Inspector Signature: Date: Nov 21 2011
81-Cert Electrical Compliance Form
2' `/-
FoL�-� TOWN OF SOUTHOLD
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BUILDING DEPARTMENT
N z TOWN CLERK'S OFFICE
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 #: 36693 Date: 9/16/2011
Permission is hereby granted to:
Blanchard, Patricia
1625 W Creek Ave
Cutchogue, NY 11935
To: electric service re-connect
At premises located at:
1625 W Creek Ave, Cutchogue
SCTM # 473889
Sec/Block/Lot# 110.-2-2
Pursuant to application dated 9/16/2011 and approved by the Building Inspector.
To expire on 3/17/2013.
Fees:
ELECTRIC $90.00
Total: $90.00
1�.
r
Building Inspector
O��pF SO(/T�,ol
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'Town Hall Annex ! 8 J�t Telephone(631)765-1802
54375 Maun Road ix(631)76>(,5%
roger richert _ own.southold.ny.us
P.O.Box 1179 �pQ
Southold,NY 11971-0959 C®UNTI,��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQLIESTED BY: ! e �e�1(Ae Date:
Company Name: 2G L
Name: c
License No.: — P 53 I
Address: �� cL I J9SZ
Phone No.:
JOBSITE INFORMATION: (*Indicates required information)
*Name: Po_� ) d
*Address: 5 � f_S� clelcl \0- f Id
*Cross Street:
*Phone No.: a y- J .52 1
Permit No.:
Tax Map District: 1000 Section: ? 1 [) Block:.
Lot:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
��P r 11 iC� �.c..o✓1���
(Please Circle All That Apply)
*Is job ready for inspection: ES NO Rough In Final
*Do you need a Temp Certificate: / NO
Temp Information (If needed)
*Service Size: 1 Phase 3Phase 100 150 200 300 350 400 O r
*New Service: Re-connect Underground Number of Meters W
Additional Information: PAYMENT DUE WIT� G � cJ �
l � TOWN OF SOUTHOLD
82-Request for Inspection Form