HomeMy WebLinkAbout37128-Z �UlFO4c Town of Southold Annex 5/7/2012
P.O.Box 1179
C* 54375 Main Road
oy Southold,New York 11971
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CERTIFICATE OF OCCUPANCY
No: 35581 Date: 5/7/2012
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 23195 Route 25, Cutchogue,
SCTM#: 473889 Sec/Block/Lot: 109.4-10.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
4/10/2012 pursuant to which Building Permit No. 37128 dated 4/10/2012
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 electric service in rear barn.
The certificate is issued to Carnation Properties Inc
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 37128 5/2/12
PLUMBERS CERTIFICATION DATED
Authorized Signature
o��OF SO�jyol
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 roper.riche rt(a-D-town.southo Id.ny.us
Southold,NY 11971-0959
C4UNTY,Nc�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Carnation Properties Inc
Address: 23195 Main Rd City: Cutchogue St: NY Zip: 11935
Building Permit#: 37128 Section: CP( -{�Block: 1 Lot: 10.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: John Ludemann License No: 4.643-me
SITE DETAILS
Office Use Only
Residential Indoor X Basement Service Only X
Commerical X Outdoor X 1st Floor P061
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: 200a overhead service to barn
Notes:
Inspector Signature: Date: May 2 2012.
81-Cert Electrical Compliance Form.xls
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
Py.• ,� 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#: 37128 Date: 4/10/2012
Permission is hereby granted to:
Carnation Properties Inc
PO BOX 419
Garden City, NY 11530
To: Upgrade service in rear barn
At premises located at:
23195 Route 25, Cutchogue
SCTM # 473889
Sec/Block/Lot# 109.-1-10.1
Pursuant to application dated 4/10/2012 and approved by the Building Inspector.
To expire on 10/10/2013.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
kof SOU,
Town Hall Annex Telephone(631)765-1802
54375 Main Road ` H (631)765-99d
5Q2
P.O..Box 1179 G e roger.richertCaown.southo .ny us
Southold,NY 11971-0959
Ofilm
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: V ` tdenh Date:
Company Name:
Name: Sa
License. No.:
Address: a / r o/ !t 6W
Phone No.: G 31
JOBSITE INFORMATION: (*Indicates. required information)
*Name C h o
*Address: �3 1 '2,5" AIA`AI Read
*Cross-Street: Al YA N5
*Phone No.: 6-16 87-7 9y8 2
Permit No.:
Tax Map District: 1000 Section: 109 Block: i Lot: I O
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
(Please Circle All That Apply)
*Isjob ready for inspection: CES)/ NO Rough In Final
*Do you need a Temp Certificate: <fR-P/ NO
Temp Information (If needed}
*Service Size: C.lPhase) 3Phase 100 150 200 300 3 r
*New Service: Re-connect Underground Number of Meters Change o Ice erh
-
Additional Information: PAYMENT DUE WITH APPLI Ion PR 10 2012
ILJ
SIDG. DEPI.
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82-Request for Inspection Form