HomeMy WebLinkAbout36712-Z pgUFfp(,�c Town of Southold Annex 1/3/2012
54375 Main Road
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x ' Southold,New York 11971
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CERTIFICATE OF OCCUPANCY
No: 35376 Date: 1/3/2012
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 1255 Bay Shore Rd, Greenport,
SCTM#: 473889 Sec/Block/Lot:. 53.4-2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
9/26/2011 pursuant to which Building Permit No. 36712 dated 9/26/2011
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:
overhead electric service upgrade.
The certificate is issued to Oliver, Helen&Oliver,Katherine
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 36712 12/30/11
PLUMBERS CERTIFICATION DATED
Authorized Signature
pF SO!/Tyol
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
roger.richert(aD-town.southold.ny.us
Southold,NY 1 1 97 1-0959
CDUNT`I,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Oliver
Address: 1255 Bayshore Rd City: Greenport St: NY Zip: 11944
Building Permit#: ?) Section: C ' 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 X Indoor X Basement X 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: service upgrade to 200a overhead
Notes:
Inspector Signature: - yc Date: Dec 30 2011
81-Cert Electrical Compliance Form
�oT'r�z TOWN OF SOUTHOLD
SUFFOI,r�oo BUILDING DEPARTMENT
" TOWN CLERK'S OFFICE
o . 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 #: 36712 Date: 9/26/2011
Permission is hereby granted to:
Oliver, Helen & Oliver, Katherine
8044 Narrows Ave
Brooklyn, NY 11209
To: . electric service upgrade.
At premises located at: ,
1255 Bay Shore Rd, Greenport
SCTM # 473889
Sec/Block/Lot# 53.4-2
Pursuant to application dated 9/26/2011 and approved by the Building Inspector.
To expire on 3/27/2013.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
o��pG SOUIyO.
Town Hall Annex j : Telephone(631)765-1802
54375 Main Road N • O �ax(631)765 5�2
P.O.Box 1179 roger.richert( own.so od.ny.us
Southold,NY 11971-0959' Q
BUILDING DEPARTMENT
TOWN OF SOUTHOLD..
APPLICATION .FOR ELECTRICAL INSPECTION
REQUESTED BY: �QC C o t k�, EZ fz r/L I� Date: 2
Company Name: Mkt
Name: r
2 1
License No.: -
Address: A.
Phone No.. ,�o�
JOBSITE INFORMATION: (*Indicates required infOrmation)
*Name:
*Address: 2 a
*Cross Street: etl
Y
*Phone No.:
Permit No.: N
Tax Map District: 1000 Section = Block: --EF - Lot: "-
*BRIEF DESCRIPTION OF'WORK (Please Print Clearly) E
(Please Circle All That Apply)
Is job ready for inspection.: NO Rough In. Final
*Do you need a Temp Certificate: YES / O ,
Temp Information (If needed)
*Service Size: 1 �as3Phase '100 1,50. 2 0 00 350 400 Other
*New Service: Re-connect Underground Number of Mete Change,of
Additional Information: , PAYMENT DUE WITH APPLI
17 -- 5 7F--
82-Request for Inspection Form BLDG.DEPT.
TOWN OF SOUTHOLD