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HomeMy WebLinkAbout37089-Z �Qgl1FFp(�o Town of Southold Annex 4/7/2012 �o Gyp P.O.Box 1179 54375 Main Road cy • D�gy Southold,New York 11971 ter CERTIFICATE OF OCCUPANCY No: 35517 Date: 4/7/2012 THIS CERTIFIES that the building ELECTRICAL Location of Property: 1295 Pine Neck Rd. Southold, SCTM#: 473889 See/Block/Lot: 70.-5-38 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building"Permit heretofore filed in this officed dated 3/26/2012 pursuant to which Building Permit No. 37089 dated 3/26/2012 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: upgrade overhead electric service. The certificate is issued to Sideris, Laurence (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37089 3/29/12 PLUMBERS CERTIFICATION DATED Authorized Signature SO(/r�o Town Hall Annex l0 Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 ro Southold,NY 11971-0959 g er.richert(a-town.southold.ny.us �` �� COUNT`1,0c� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Laurence Sideris Address: 1295 Pine Neck Rd City: Southold St: NY Zip: 11971 Building Permit* 3—7 O S 1 Section: 70 Block: 5 Lot: 38 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Custom Lighting of Suffolk License No: 38893-me SITE DETAILS Office Use Only Residential X Indoor Basement Service Only 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 F1 Other Equipment: 200a overhead service Notes: Inspector Signature: Date: March 29 2012 81-Cert Electrical Compliance Form.xls Q�gUFFO(,y-c0� TOWN OF SOUTHOLD BUILDING DEPARTMENT y z TOWN CLERK'S OFFICE 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#: 37089 Date: 3/26/2012 Permission is hereby granted to: Sideris, Laurence 3 W Franklin Ct Garden City, NY 11530 To: upgrade overhead electric service. At premises located at: 1295 Pine Neck Rd. Southold SCTM # 473889 Sec/Block/Lot# 70.-5-38 Pursuant to application dated 3/26/2012 and approved by the Building Inspector. To expire on 9/25/2013. Fees: ELECTRIC $85.00 Total: $85.00 Building Inspector so�lyo Town Hall Annex if. Telephone(631)765-1802 54375 Main Roadcoo ax(631)76 g5 P.O.Box 1179 G @ roger.richertCa town.soufioQ�.ny.us Southold,NY 11971-0959 COUNi`1;� BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: ' �� Date: .fZ/1 �A M 1✓1 ( 'L _ Company Name: Name: License No.: 3 - Address: © S�OJc gAwrtdk NZY �— Phone No.: JOBSITE INFORMATION: (Indicates required information) *Name: L A U.C." Ck *Address: *Cross Street: "�e,W+ I-A. *Phone No.: --- Cv 38" Permit No.: L=(nct«c ortlY Tax-Map District: - 1000 Section: 70 . Block: Lot: 3& *BRIEF DESCRIPTION OF WORK (Please Print Clearly) cro to -70 Apt P 7b o 0 M P ale r kead :5e nh ce. (Please Circle All That Apply) *Is job ready for inspection: YES / NO Rough In Final *Do-you need a Temp Certificate: E NO Temp Information(If•n laded) *Service Size: 1 Phas '3Phase 100 150 00 300 350 400 Other *New Service: R -tonne Underground . Number of Meters/ Chan a of Servic verhe Additional Information: PAYMENT DUE WITH APPLICATION Lc, �- � .82=Request for Inspection Form