Loading...
HomeMy WebLinkAbout37511-Z Town of Southold Annex 9/13/2012 &SIP G P.O.Box 1179 54375 Main Road o4 �, � rS Southold,New York 11971 `�pl CERTIFICATE OF OCCUPANCY No: 35947 Date: 9/13/2012 THIS CERTIFIES that the building ELECTRICAL Location of Property: 2170 Hyatt Rd, Southold, SCTM#: 473889 Sec/Block/Lot: 54.4-6 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 9/13/2012 pursuant to which Building Permit No. 37511 dated 9/13/2012 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: replace electric service. The certificate is issued to Wockenfuss Janet Rvc Trt&Brown,Ruth (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37511 9/11/12 PLUMBERS CERTIFICATION DATED Authorized Signature TOWN OF SOUTHOLD o�SUFFot,rcp . a BUILDING DEPARTMENT TOWN CLERK'S OFFICE o . SOUTHOLD, NY a 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#: 37511 Date: 9/1 312 0 1 2 Permission is hereby granted to: Wockenfuss Janet Rvc Trt & Brown, Ruth 7240 Deer Point Ln West Palm Beach, FL 334115716 To: replace electric service. At premises located at: 2170 Hyatt Rd, Southold SCTM # 473889 Sec/Block/Lot# 54.-1-6 Pursuant to application dated 9/13/2012 and approved by the Building Inspector. To expire on 3/15/2014. Fees: ELECTRIC $85.00 Total: $85.00 Building Inspector OF SO!/ryOlo Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G o roger.richert a[-town.Southold.ny.us Southold,NY 11971-0959 Cou�m,��' BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Janet Wockenfuss-Ruth Brown Address: 2170 Hyatt Rd City: Southold St: NY Zip: 11971 Building Permit#: Section: Block: Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: SBA: East County Electric License No: 1005-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: install new 200a overhead service to replace old deteriated service in unsafe condition. Notes: Inspector Signature: Date: Sept 11 2012 81-Cert Electrical Compliance Form.xls .moo 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road y WmOW637'dhert nSOM-95o VusP.O.Box 1179 roger.0 Southold,NY 11971-09 U/c c,`<,C-4V F 67 S5' 7avo2)ec1_ Po �r�R tiE 1 BUILDING DEPARTMENT TOWN OF SOUMOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Date: Z- Company Name: 'v Narne: t'v License No.: S MC Address: 43©C) (�t1ery\ Eb 400_1W6 l /I 1 Phone No.: JOBSITE INFORMATION: (*Indicates required information) *Name: *Address: r�ouvr-Aw o! NY *Cress Street: *Phone No.: (s 2 j_ 8 74 ?lo f Permit No.: Tax-Map District: 1000 Section: Block: Lot: *BRIEF DESCRIPTION OF WORK(Please Print Clearly) Re**bJ1%C9 /00 Arw e V 46 evirg O Am {Please Circle All That Apply) *Is job ready for inspection: ES O Rough In �i; *Do.you need a Temp Certificate: YE NO Temp Information (it needed) *Service Size: . Phase 313hase 100 150 00 300 350 400 Other *New Service: Re-connect- Underground Number of.Meters' bane of Service verhead Additional Information: PAYMENT DUE WITH APPLICATION . -------------- BMequest for Inspection Form �` �2 (