HomeMy WebLinkAbout36835-Z i
fiSF pF��. Town of Southold Annex 12/19/2011
Q� cll,� 54375 Main Road
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
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No: 35351 Date: 12/19/2011
THIS CERTIFIES that the liuilding ELECTRICAL
Location of Property: 706 Hummel Ave, Southold,
SCTM#: 473889 ! Sec/Block/Lot: 63.-2-30.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
11/28/2011 pursuant to which Building Permit No. 36835 dated 11/28/2011
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, 1 phase, pole,service only.
(Romeo-Dimon Marine Services)
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The certificate is issued to ! Suffolk County IDA
(OWNER)
of the aforesaid building.
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SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 36835 12/12/11
PLUMBERS CERTIFICATION DATED
Authorized Signature
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I o�*Of SO(/lyol
Town Hall Annex ~ Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 1 1 97 1-0959 roger.richert(a_town.southold.ny.us
C4UNT`I,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Romeo-Dimon Marine Services
Address: 700 Hummel Ave City: Southold St: NY Zip: 11971
Building Permit#: ����5 Section: Block: Lot:
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WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Daniel Wilcenski Electrical License No: 4723-me
SITE DETAILS
Office Use Only
Residential Indoor Basement Service Only X
Commerical X Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph 100a 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
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Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect 20a Switches Twist Lock Exit Fixtures TVSS
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Other Equipment: 100a, 1 phase, pole service only
Notes:
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Inspector Signature: !� Date: Dec 12 2011
81-Cert Electrical Compliance Form
TOWN OF SOUTHOLD
Q�g�FFO(,�co
BUILDING DEPARTMENT
y 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#: 36835 Date: 11/28/2011
Permission is hereby granted to:
Suffolk CountylIDA
100 Veterans Memorial Hwy
Hauppauge, NY 11747
To: new electric service
At premises located at:
700 Hummel Avb, Southold
SCTM # 473889
Sec/Block/Lot#61-2-30.1
Pursuant to application dated 11/28/2011 and approved by the Building Inspector.
To expire on 5/29/2013.
Fees:
ELECTRIC $85.00
Total: $85.00
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Building Inspector
pF SO(/T�olo
��'y�0lINiY,�
r(� y 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 1 INSPECTOR
\\of so�r�o
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.o.Box 1179 • roger.richert aCtown sout�io9�tl.ny us
- . Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date:
Company Name:
Name:
icense No.: r f 3 _
15
Address:
Phone No.: 6 311- G T__ Z k6 V
JOBSITE INFORMATION,: (*Indicates. required information)
*Name:,
*Address: -7 ® a I4 " ,f ,are 57Q.rrf J(J AJH
*Cross Street: & 'I s JA-L ee
*Phone No.:
Permit No.:
Tax Map District: 1000 Section: Block: Lot; ,
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
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(Please Circle All That Apply)
*Is.job ready for inspection: V9'/ NO Rough In Final
*Do you need a Temp Certificate: NO
Temp Information If eded}
*Service Size: (_IflaW 313hase 100 150 . 200 300 350 400 Other
*New Service: Re-connect Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH,APPLICATION
(2P—�
82-Request for Inspection Formoo