HomeMy WebLinkAbout37199-Z SupFpt,fc Town of Southold Annex 5/10/2012
P.O.Box 1179
y 54375 Main Road
oy HIV Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 35591 Date: 5/10/2012
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 7980 N Bayview Rd, Southold,
SCTM#: 473889 Sec/Block/Lot: 79.-7-52
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
5/8/2012 pursuant to which Building Permit No. 37199 dated 5/8/2012
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.
The certificate is issued to John Galligan
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 37199 5/9/12
PLUMBERS CERTIFICATION DATED
Authorized Signature
4�SUFF t��o TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
?1p1 �4
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 #: 37199 Date: 5/8/2012
Permission is hereby granted to:
Tetrault, Kim & Tetrault, Heather
7980 N Bayview Rd
Southold, NY 11971
To: upgrade electric service.
At premises located at:
7980 N Bayview Rd, Southold
SCTM # 473889
Sec/Block/Lot# 79.-7-52
Pursuant to application dated 5/8/2012 and approved by the Building Inspector.
To expire on 11/7/2013.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
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Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 roger.richert(-town.southold.ny.us
Southold,NY 11971-0959
C4UNTY,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: John Galligan
Address: 7980 N Bayview Ave City: Southold St: NY Zip: 11971
Building Permit#: b Section: 79 Block: 7T Lot: 52
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: SBA: Safeway Electrical Cont In(License No: 5160-me
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 EJ
Other Equipment: 200a Overhead service
Notes:
Inspector Signature: Date: May 9 2012
81-Cert Electrical Compliance Form.xls
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Town Hall Annex Telephone(631)765-1802
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P.O.Box 1179 iZ roger.rlCh@ IOWt1.S0 ny US
Southold,NY 11971-0959 !.
tuaDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY:
�%M A►Vt o 6 d _ Date: _ Z
Company Name: w,q LtiCT rl, cisjogT -r-O A-S .1
IName:
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License No.: S- In - _ E
Address: o r� v 1`1 WAD
D
Phone No.: cps I - 811 -3.c0 3 Z
JOBSITE fNFORMATION: (*Indicates required information)
*Name:
11 ,) Is 0-1 I� �.,
'Address: .,
*Cross Street:
`Phone No
Permit No..
Tax Map District: 1000 Section: Block: Lot: 5�
*BRIEF DESCRIPTION OF WORK(Please Print Clearly) a IE
' b
c-"To \C A rt_.y An A 20 �� n
(Please Circle All That Apply)
*Is job ready for inspection: YES NO. Rough In Final
*Do.you need a Temp Certificate: YES NO
Temp Information.(If needed)
*Service Size: CjPhase 3Phase 100 150 200 300 350 . 4.00 Other
New Service: Re-connect Underground Number of Meters Change of Service erhea
Additional information: ` PAYMENT DUE WITH APPLICATION . $5...��.. .
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8241eguest for Inspection Form -O v C A vS 6 GT A. NT'oI'^ 1-i L H o u S
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