HomeMy WebLinkAbout37167-Z O�Ogtl GI/r Town of Southold Annex 8/16/2012
ell P.O.Box 1179
cm y = 54375 Main Road
o • � Southold,New York 11971
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CERTIFICATE OF OCCUPANCY
No: 35834 Date: 8/16/2012
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 13175 Route 25 Mattituck,
SCTM#: 473889 See/Block/Lot: 140.-3-38.4
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
4/25/2012 pursuant to which Building Permit No. 37167 dated 4/25/2012
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 Orioli&Son Rental E LLC
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 37167 07/09/2012
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y 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 #: 37167 Date: 4/25/2012
Permission is hereby granted to:
Orioli & Son Rental E LLC
24 Orchard Dr
Woodbury, NY 11797
To: UPGRADE ELECTRIC SERVICE
At premises located at:
13175 Route 25 Mattituck
SCTM # 473889
Sec/Block/Lot# 140.-3-38.4
Pursuant to application dated 1/1/1900 and approved by the Building Inspector.
To expire on 10/25/2013.
Fees:
ELECTRIC $125.00
7Total: 25.00
1
Buildi n�
pF SO!/l�olo
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
roger.richert(-town.southoId.ny.us
Southold,NY 1 1 97 1-0959
OOUNTY,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION,
Issued To: Orioli and son Rental East
Address: 13175 Main Rd City: Mattituck St: NY . Zip: 11952
Building Permit#: Section: 140 Block: .3 Lot: 38.4
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: ATN Electric License No: 1212-e
SITE DETAILS
Office Use Only
Residential Indoor X Basement Service Only X
Commerical X Outdoor X 1st Floor X Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph 400a Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 2-20 A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect 2-20 Switches Twist Lock Exit Fixtures 11 TVSS
Other Equipment: 400a 3 phase overhead service, 6-30a recpticles for yogurt machines
Notes:
Inspector Signature: Date: July 9 2012
81-Cert Electrical Compliance Form.xls
OF SO�T�,olo
OWN OF SOUTHOLD BUILDING DEPT.
n,, 1
765 1802
INSPECTION ..
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG. a t*
[ ] FOUNDATION 2ND [ ] INSULATION r
[ ] FRAMING/STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ,ELECTRICAL (FINAL)
REMARKS:
DATE �� INSPECTOR `
OFSpf/r
Town Hall Annex Telephone(631)765--1802
W75 Main Road c�` ,jOn1)O76
SU 5
F.O.Box 1179 rr rogerAch O nV.us
Southold,NY 11971-0959ly
I$ a DING DEPA,Ii'fNwr
TOWN OF SOUTHOLD
APPLICATION FQ8 ELECTRICAL INSPECTION
REQUESTED BY: yUm� �., / �sg Date: %�—
Company Name: 7-/V ecec-l-;�71 C_' co
Name: /VCR/�'m AA/ III 15S
License No.: 2
Address: I I)e2 wood p �7,SUN 11S-0�
Phone No.: _ � , ,6 -
JOBSITE INFORMATION, (*Indicates required information)
*Name: OriO d ,J Ord SOAI f&-AJ 7-A&
*Address: /__. /? /�1�kd��' � A//1417/CoC k /// / C S2
*Cross Street:
*Phone No.:
Permit No.:
Tax-Map District: 1000 Section: ( Block:_ Lot:3
*BRIEF DESCRIPTION OF WORK(Please Print Clearly) L)VC, (LaT) r{f
(Please Circle All That Apply)
Is job ready for inspection: EES>*
Rough In Final
*Do•you need a Temp Certificate:
Temp Information(If.needed) .
*Service Size: 1 Phase 3Pha a 100 150 200 300 350 �0 Other
*New Service: Re-connect Underground Number of Meters Change of Service O_verhead
Additional Information: PAYMENT DUE WITH APPLICATION
.824Request fnr Inspection Fotrn