HomeMy WebLinkAbout37449-Z OSUF Town of Southold Annex 8/20/2012
P.O.Box 1179
cm 54375 Main Road
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 35900 Date: 8/20/2012
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 14300 Route 25, Mattituck,
SCTM#: 473889 Sec/Block/Lot: 114.-11-1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
8/16/2012 pursuant to which Building Permit No. 37449 dated 8/16/2012
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:
Parkin Lot of Lights
The certificate is issued to Roman Catholic Church
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 37449 08/16/2012
PLUMBERS CERTIFICATION DATED
Authorized Signature
�gl1FFU(Ir TOWN OF SOUTHOLD
�Gy BUILDING DEPARTMENT
y TOWN CLERK'S OFFICE
Irv. 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#: 37449 Date: 811612012
Permission is hereby granted to:
Roman Catholic Church
Attn: Michael V. Flanagan, Esq
50 N Park Ave
Rockville Centre, NY 115719023
To: parking Lot Lights
At premises located at:
14300 Route 25, Mattituck
SCTM # 473889
Sec/Block/Lot# 114.-11-1
Pursuant to application dated 8/16/2012 and approved by the Building Inspector.
To expire on 2/15/2014.
Fees:
ELECTRIC $125.00
Total: $125.00
Building Inspector
SO(/lyOl
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
100UNT`l,�c�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Our Lady Of Good Counsel
Address: Reeve Ave&Main Rd City: Mattituck St: NY Zip: 11952
Building Permit#: Section: 114 Block: 11 Lot: 1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA:.Doroski Electric Inc License No: 2941-e
SITE DETAILS
Office Use Only
Residential Indoor Basement Service Only
Commerical X 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, 3
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 TVSS
Other Equipment: Install 3-15ft tall parking lot lights, 250w mh
Notes:
Inspector Signature: Date: Aug 15 2012
81-Cert Electrical Compliance Form.xls
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