HomeMy WebLinkAbout37415-Z Town of Southold Annex 8/18/2012
o cay� P.O.Box 1179
C* 54375 Main Road
o • { Southold,New York 11971
4,1
CERTIFICATE OF OCCUPANCY
No: 35898 Date: 8/18/2012
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 9980 Nassau Point Rd,
SCTM#: 473889 Sec/Block/Lot: 119.4-19
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
8/2/2012 pursuant to which Building Permit No. 37415 dated 8/2/2012
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:
Electric Service for Generator
The certificate is issued to Garmise,Alan&Garmise,Rochelle
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 37415 8/13/12
PLUMBERS CERTIFICATION DATED
Authorized Signature
�soFFot,� TOWN OF SOUTHOLD
moo cOay BUILDING DEPARTMENT
y z 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#: 37415 Date: 8/2/2012
Permission is hereby granted to:
Garmise, Alan & Garmise, Rochelle
9980 Nassau Point Rd
Cutchogue, NY 11935
To: Electric Service for Generator
At premises located at:
9980 Nassau Point Rd
SCTM # 473889
Sec/Block/Lot# 119.-1-19
Pursuant to application dated 8/2/2012 and approved by the Building Inspector.
To expire on 2/1/2014.
Fees:
ELECTRIC $90.00
Total: :$90.00.
Building Inspector
OF SOUryol
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 N
Southold,NY 11971-0959 � roger.riche rt(ab-town.southold.ny.us
COUNVi
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Alan Garmise
Address: 9980 Nassau Point Rd City: Cutchogue St: NY Zip: 11935
Building Permit#: L4 Section: Block: Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Ocean Electric License No: 4015-e
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service Only
Commerical Outdoor X 1st Floor 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 Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 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 Switches Twist Lock Exit Fixtures 11 TVSS
Other Equipment: install 20kw emergency generator, 100a auto transfer switch, 24 circuit panel
Notes:
Inspector Signature: Date: Aug 13 2012
81-Cert Electrical Compliance Form.xls
10
Town Hall Annex
5075 Main Road � � Tcicphone(631)765--11802
Coal • O oP.O.Box 1179 roger_richertwns ou�old nv us
Southold,NY 11971-0959 �l y
�G4UIV1`I,�
BUILDING DEFARTM ffr
TOWN Off'SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: (, ry�Co`-Z__ _ 5nV Date: '�- ?�- e_.
Company Name: GecAf X_ -co
Name:
License No.: L40I S�
Address:
Phone No.:
. I 1 Flo
JOBSITE INFORMATION: (*Indicates required information)
*Name: Al
*Address: �D � 4 CA�
*Cross Street: v-
*Phone No.:
Permit No.. -
Tax-Map District: 1000 - . Section: Block: _ Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly) ' \C.0
(Please Circle All Tha 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: 1 Phase 3Phase 100 150 200 300 350 400 Other
'New Service: Re-connect Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
�-� 4
8241equest For Inspection Form