HomeMy WebLinkAbout37290-Z FF04caG Town of Southold Annex 8/7/2012
y P.O.Box 1179
y 54375 Main Road
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 35869 Date: 8/7/2012
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 615 Oak St, Cutchogue,
SCTM#: 473889 Sec/Block/Lot: 136.4-31.4
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
6/12/2012 pursuant to which Building Permit No. 37290 dated 6/12/2012
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:
Install 100 AMP Electric Service
The certificate is issued to Millin,Cecilia
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 37290 08/06/2012
PLUMBERS CERTIFICATION DATED
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Authorized Signature
Y TOWN OF SOUTHOLD
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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#: 37290 Date: 6/12/2012
Permission is hereby granted to:
Millin, Cecilia
32-29 42nd St
Long Island City, NY 11103
To: Install 100 AMP Service
At premises located at:
615 Oak St, Cutchogue
SCTM # 473889
Sec/Block/Lot# 136.-1-31.4
Pursuant to application dated 6/12/2012 and approved by the Building Inspector.
To expire on 12/12/2013.
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
Southold,NY 11971-0959 • �p� roger.richert(a)town.southold.ny.us
COU
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Carol Millin
Address: 615 Oak St City: Cutchogue St: NY Zip: 11935
Building Permit#: Section: Block: Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
contractor: DBA: Goodale Electric License No: 783-e
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only X
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph 100 Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 100 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 P0 Switches Twist Lock Exit Fixtures 11 TVSS
Other Equipment: 100a overhead service
Notes:
Inspector Signature: Date: Aug 6 2012
81-Cert Electrical Compliance Form.xls
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Town Hall Annex l Telephone(631)765-1802
54375 Main Road N m�;ax(631)765-,,gg5�2
P.O.Box 1179 G Q roger.richertEC�iown.southo d.nY.uS
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: D y1i/ r��c 7?��, G l� Date: - 2
Company Name:
Name:
License No.: -�
Address: Pd A
fle',0 /0,4-77,1 / l
Phone No.: s
JOBSITE INFORMATION: (*Indicates required information)
*Name: C 14,90 Le:_
*Address: /� S~ C/ Ci�i ' ce' 3 S
*Cross Street: /-I/'✓So� ��,vd
*Phone No.:
Permit No.:
Tax-Map District: 1000 Section: Block: Lot:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
(Please Circle All That Apply)
*Is job ready for inspection: YE / NO Rough In Final
*Do you need a Temp Certificate: E / NO
Temp Information eeded)
*Service Size: 1 hase 3Phase 10 150 200 300 350 400 O
*New Service: Re-connect Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
.82=Request for Inspection Form