HomeMy WebLinkAbout37517-Z rrUFFOI Town of Southold Annex 9/17/2012
S �c�Gy P.O.Box 1179
54375 Main Road
Southold,New York 11971
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CERTIFICATE OF OCCUPANCY
No: 35955 Date: 9/17/2012
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 600 Snug Harbor Rd, Greenport,
SCTM#: 473889 Sec/Block/Lot: 35.-5-35
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
9/14/2012 pursuant to which Building Permit No. 37517 dated 9/14/2012
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:
200 Amp Electrical Service Upgrade
The certificate is issued to Streicher,Herbert
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 37517 09/14/2012
PLUMBERS CERTIFICATION DATED
Authorized Signature
�SUFFoi' TOWN OF SOUTHOLD
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#: 37517 Date: 9/14/2012
Permission is hereby granted to:
Streicher, Herbert
600 Snug Harbor Rd
Greenport, NY 11944
To: 200 Amp Electrical Service Upgrade
At premises located at:
600 Snug Harbor Rd, Greenport
SCTM # 473889
Sec/Block/Lot# 35.-5-35
Pursuant to application dated 9/14/2012 and approved by the Building Inspector.
To expire on 3/16/2014.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
pE SObT�olo
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 • Q roger.richert(aD-town.southold.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Herbert Streicher
Address: 600 Snug Harbor Rd City: Greenport St: NY Zip: 11944
Building Permit#: Section: Block: Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: License No:
SITE DETAILS
Office Use Only
Residential X Indoor X Basement 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 up grade
Notes:
Inspector Signature: Date: Sept 11 2012
81-Cert Electrical Compliance Form.xls
lot
Town Hall Annex ` Telephone(631)765-1802
54375q.Main Road y roger.dchertd-gown sosufg5oQ�d.nV.us
P.O.Box 1179 PM—
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date:
Company Name:
Name:
License No.:
Address:
Phone No.:
JOBSITE INFORMATION; (*Indicates required information)
*Name.. . .57-�J=/C
*Address:
*Cross Street: Gr
*Phone. No.: `- ate_zz
Permit No.:
Tax Map District: 1000. Section: '� Block: Lot S
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
(Please Circle All That 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 Ot r
*New Service: Re-connect Underground Number of Meters Change of Service Overh
Additional Information: PAYMENT DUE WITH APPLICATION
82-Request for Inspection Form