HomeMy WebLinkAbout37007-Z FF p Town of Southold Annex 3/28/2012
ti��� COG P.O.Box 1179
' 54375 Main Road
o Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 35557 Date: 3/28/2012
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 845 Maple Ln, Southold,
SCTM#: 473889 Sec/Block/Lot: 64.-1-29
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
2/24/2012 pursuant to which Building Permit No. 37007 dated 2/24/2012
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 to barn.
The certificate is issued to Philip&Jennifer Stanton
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 37007 3/26/12
PLUMBERS CERTIFICATION DATED
Authorized Signature
�o�SofFut��o TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y s TOWN CLERK'S OFFICE
oy • 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#: 37007 Date: 2/24/2012
Permission is hereby granted to:
Stanton, Philip & Stanton, Jennifer
18 Orchard St
New York, NY 10002
To: electric service to barn.
At premises located at:
845 Maple Ln, Southold
SCTM # 473889
Sec/Block/Lot# 64.-1-29
Pursuant to application dated 2/24/2012 and approved by the Building Inspector.
To expire on 8/25/2013.
Fees:
ELECTRIC $85.00
Total: $85.00
y` r-
Building Inspector
pF SO�Tyolo
Town Hall Annex Telephone(631)765 1802
54375 Main Road Fax(631)765-9502
P.O.Box1179 �o roger.richert(-town.southold.ny.us
Southold,NY 1 1 97 1-0959
o�ycOU ,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Stanton
Address: 845 Maple Lane City: Southold St: NT Zip: 11971
Building Permit#:Z-? O do Section: �1.� Block: Lot: a9
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Daniel Wilcenski Elec License No: 4723-me
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only X
Commerical Outdoor list Floor Pool,
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph X 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: 200a overhead service to barn
Notes:
Inspector Signature: �c-�,c�l Date: March 26 2012
81-Cert Electrical Compliance Form.xls
�OF SO!/l�D
Town Hall Annear Telephone(631)765-1802
54375 Main Road N (631)765- 5Q2�
P.o..sox 1179 G . Q roger.richertCatown.sout�iollaa.ny.us
Southold,NY 11971-0959
UNtY,
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: i (cis )(, Date: 2, �.
Company Name:
Name: G._,
License No.: 2- 7 _
Address:
Phone No.: (ej 2
JOBSITE INFORMATION: (*Indicates. required information)
*Name::
*Address: /24
*Cross Street:
*Phone No.:
Permit No.:
Tax Map District: 1000 Section: Block: Lot:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
SCI✓I c`. Ck �,,c
(Please Circle All That Apply)
*Isjob ready for inspection: NO Rough In Final
*Do you need a Temp Certificate: NO
Temp Information (If eded) ,
*Service Size: 1 Phase 3Phase 100 150 200 ' 300. 350 400 Other,
*New Service: Re-connect Underground Number of Meters Change of Servic Overhead
Additional Information: PAYMENT DUE WITH APPLICATION r
82-Request for Inspection Form