HomeMy WebLinkAbout36820-Z ru=.
iOguFFG1/r Town of Southold Annex 11/30/2011
54375 Main Road
x Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 35312 Date: 11/30/2011
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 3805 Route 25, Laurel,
SCTM#: 473889 See/Block/Lot: 125.4-6.2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
11/11/2011 pursuant to which Building Permit No. 36820 dated 11/18/2011
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:
Whole house-electrical survev
The certificate is issued to N&J Management Co LLC
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 36820 11/14/11
PLUMBERS CERTIFICATION DATED
Authorized ignature
SOUlyolo
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 ae roger.richert(-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: N&J Management
Address: 3805 Main Rd City: Laurel St: NY Zip: 11948
Building Permit#: Section: Block: Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: as built--elec survey DBA: License No:
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service Only
Commerical Outdoor X 1st Floor X Pool
New Renovation 2nd Floor X 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: whole house-ELECTRICAL SURVEY-no visual defects
Notes:
Inspector Signature: - Date: Nov 14 2011
81-Cert Electrical Compliance Form
TOWN OF SOUTHOLD
do�s"FEoc,��
BUILDING DEPARTMENT
co TOWN CLERK'S OFFICE
• ``,=S SOUTHOLD' NY
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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 #: 36820 Date: 11/18/2011
Permission is hereby granted to:
N & J Management Co LLC
38A Fifty Acre Rd
St James, NY 11780
To: Whole house - electrical survey
At premises located at:
3805 Route 25, Laurel
SCTM # 473889
Sec/Block/Lot# 125.-1-6.2
Pursuant to application dated 11/11/2011 and approved by the Building Inspector.
To expire on 5/19/2013.
Fees:
ELECTRIC $185.00
Total: $185.00
Building Inspector
OF SOUlyolo
cou
Ov
u TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING/STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
REMARKS:
DATE -' �� /� INSPECTOR '
10-28-11 ; 17:55 8628216 # 1/ 2
O��pf SOU,�yo ,
Town Hai!Annex Tcicphonc(681)765-1802
54375 Main Road (3J7Uy {P.O.Box 1179 rq erfCh®rt ho .n
.US
Southold,NY 11971.0959 �O �
BUR�]ING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION -
REQUESTED BY: Date:
Company Name.
Name:
License No.:
Address:
Phone No.:
JOBSITE INFORMATION: (*Indicates required information)
*Address: 3�.05 �a►� 0,'- Lliur� l , iv y I!5 S
*Cross Street: A 1661-1 CA L411 e-
*phone No.:
Permit No.: _.
Tax Map District: 1000 Section.: Block: Lot:
*BRIEF
� /DESCRIPTION OF WORK (Please Print Clearly)
V OSVG I G feC�yiCr. .7"VeC7%,,i61
-
(Please Circle All That Apply)
*Is job ready for inspection: (DYESNO Rough In Final
*Do you need a Temp Certificate: YES/ NO
Temp Information-(If needed)
*Service Size: 1 Phase 3Phase 100 160 200 300 360 400 Other
*New Service: Re-connect Underground Nurn6er of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
82-Request for Inspection Form