HomeMy WebLinkAbout37421-Z ��o�SUFfOt�COG Town of Southold Annex 8/27/2012
P.O.Box 1179
y� 54375 Main Road
o Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 35916 Date: 8/27/2012
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 1850 Bridge Ln, Cutchogue,
SCTM#: 473889 Sec/Block/Lot: 85.-2-28
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
8/6/2012 pursuant to which Building Permit No. 37421 dated 8/6/2012
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 Upgrade
The certificate is issued to Cartselos,Charles&Cartselos,Elpiniki
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 37421 07/27/2012
PLUMBERS CERTIFICATION DATED
Authorized Signature
os�F of ���oy TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y TOWN CLERK'S OFFICE
oy • 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#: 37421 Date: 8/6/2012
Permission is hereby granted to:
Cartselos, Charles & Cartselos, Elpiniki
1850 Bridge Ln
Cutchogue, NY 11935
To: Electric Service Upgrade
At premises located at:
1850 Bridge Ln, Cutchogue
SCTM # 473889
Sec/Block/Lot# 85.-2-28
Pursuant to application dated 8/6/2012 and approved by the Building Inspector.
To expire on 2/5/2014.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
SO!/ryolo
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G �Q roger.richert(cD-town.southold.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: N Cartselos
Address: 1850 Bridge La 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: C-Cat CO License No: 953-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
Other Equipment: 200a overhead service
Notes:
Inspector Signature: Date: Aug 27 2012
81-Cert Electrical Compliance Form.xls
pF SO�Tyol
Town Hall Annex Telephone(631)765-1802
54375 Main Road Co- (631)765- 50
P-O.Box 1179 roger.richerKa `own.sout�i0 d.ny.us
• Southold,NY 11971-0959Q�CO/n�
Yid 11e
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: �, ��� �� Date: 2
Company Name:
------ --- --- Name: -. - __ . . - --
License No.:
Address-
Phone No.:
JOBSITE INFORMATION: (*Indicates required information)
*Name: C�A,e�-CE- �C
*Address: I L'p l e—(-DCc�-- LA
*Cross Street
*Phone No..
Permit No.:
Tax Map District 1000 Section: Block: Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
r(f Z- Jpl ro CAJ)
(Please Circle All That Apply)
*Is job ready for inspection: YES NO Rough In Final
*Do you need a-Temp Certificate: YES"U
Temp Information(if eeded)
*Service Size: 1 Phase 3Phase 100 150 200 300 . -350 400 Other
*New Service: Re-connect Underground Number of Meters a of Servi�r erhead
Additional-Information: PAYMENT DUE WITH APPLICATION �—
82-Request for Inspection Fonn