HomeMy WebLinkAbout36846-Z SyF f F Town of Southold Annex 12/6/201
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54375 Main Road
y Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 35318 Date: 12/6/2011
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 11500 Sound Ave, Mattituck,
SCTM#: 473889 Sec/Block/Lot: 141.-3-46
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
12/1/2011 pursuant to which Building Permit No. 36846 dated 12/1/2011
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 Sound Industrial Inc
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 36846 11/21/11
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 • o roger.richerta-town.southold.ny.us
Southold,NY 11971-0959
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Kolb Mechanical
Address: 11500 Sound Ave City: Mattituck St: NY Zip: 11952
Building Permit#: 3GS l6 Section: 1 L-1 Block: Lot: 6
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: RJ CoraZZini Elec License No: 33419-me
SITE DETAILS
Office Use Only
Residential Indoor Basement Service Only X
Commerical X Outdoor 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 200a 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 11 TVSS
Other Equipment: 200a 3 phase underground service
Notes:
Inspector Signature: Date: Nov 21 2011
81-Cert Electrical Compliance Form
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Town Hall Annex Telephone(631)765-1802
54375 Main Road y ax(631)M 5Q2
rog OP.O.Box 1179 , . ua.nV us
Southold,NY 11971-0959
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: 1A z r% c/73- , Date: /0
Company Name: e zz-
Name:
License No.:
Address: 3�v %<� .✓ L,,.
Phone No.: l ?Se'/
JOBSITE INFORMATION: (*Indicates required information)
*Name:
*Address: mj o V4 CA- -L C—L
*Cross Street: J--.1 p C,p rt-OQd
*Phone No.: ��, 5SZ-7
Permit No.: `)Uc3 y
Tax-Map District: 1000 . Section: 1'y 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: YE / NO
Temp Information If._eeded)
*Service Size: QLIase 3Phase 100 150 200 300 350 400 Other
*New Service: Re-connect Underground Number of Meters Change of Service Overhead
Additional Information: D E C [ A E WITH AP IC TION
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82=Request for Inspection Form BLDG.DEPT.
TOWN OF SOUTHOLD