HomeMy WebLinkAbout37242-Z & 37243-Z -� Town of Southold Annex
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54375 Main Road
o • Southold,New York 11971
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CERTIFICATE OF OCCUPANCY
No: 35987 Date: 10/4/2012
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 2120 S Harbor Rd, Southold,
SCTM#: 473889 Sec/Block/Lot: 75.-7-2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
5/23/2012 pursuant to which Building Permit No. 37242 dated 5/23/2012
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:
underground electric service to barn,
The certificate is issued to Anderson,Bradley&Anderson,Francesca
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 37342 10/2/12
PLUMBERS CERTIFICATION DATED
Authorized Signature
g�FF@t,f Town of Southold Annex
10/4/2012
P.O.Box 1179
54375 Main Road
oy • �V' Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 35988 Date: 10/4/2012
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 2120 S Harbor Rd, Southold,
SCTM#: 473889 Sec/Block/Lot: 75.-7-2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
5/23/2012 pursuant to which Building Permit No. 37243 dated 5/23/2012
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:
underground electric service to dwelling
The certificate is issued to Anderson,Bradley&Anderson,Francesca
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 37373 10/4/12
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
�gUFFOZ,�c4G
y BUILDING DEPARTMENT
ca TOWN CLERKS OFFICE
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#: 37242 Date: 5/23/2012
Permission is hereby granted to:
Anderson, Bradley &Anderson, Francesca
51 Cranberry St
Brooklyn, NY 11201
To: underground electric service to barn
At premises located at:
2120 S Harbor Rd, Southold
SCTM # 473889
Sec/Block/Lot# 75.-7-2
Pursuant to application dated 5/23/2012 and approved by the Building Inspector.
To expire on 11/22/2013.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
4�SUFEnt��o, TOWN OF SOUTHOLD
BUILDING DEPARTMENT
c TOWN CLERK'S OFFICE
SOUTHOLD, NY
4,1
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#: 37243 Date: 5/23/2012
Permission is hereby granted to:
Anderson, Bradley &Anderson, Francesca
51 Cranberry St
Brooklyn, NY 11201
To: underground electric service to dwelling
At premises located at:
2120 S Harbor Rd, Southold
SCTM # 473889
Sec/Block/Lot# 75.-7-2
Pursuant to application dated 5/23/2012 and approved by the Building Inspector.
To expire on 11/22/2013.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
pF SO(/ryo
Town Hall Annex ~� l0 Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 • aoQ roger.richert(5-town.southo Id.ny.us
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Bradley Anderson
Address: 2120 South Harbor 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: DBA: Paul Burns Electrical Cont License No: 3891-e
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 400a Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 2-20 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 2-20 Switches Twist Lock Exit Fixtures TVSS
Other Equipment: 400a underground service (barn)
Notes:
1
Inspector Signature: Date: Oct 2 2012
81-Cert Electrical Compliance Form.xls
o��oF so�Tyol
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 N
Southold,NY 11971-0959 e;�-l� roger.riche rt(ab-town.southo Id.ny.us
COUNTY,
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Bradley Anderson
Address: 2120 South Harbor 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: DBA: Paul Burns Electrical Cont License No: 3897-e
SITE DETAILS
Office Use Only
Residential X Indoor 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 A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks
Disconnect Switches Twist Lock Exit Fixtures TVSS
Other Equipment: new 200a underground service
Notes:
Inspector Signature: Date: Oct 2 2012
81-Cert Electrical Compliance Form.xls
- I
Tom Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 enricherkdO�suI nv us
Southold,NY 11971-0959
BUMDING DEPARTMENT 1
TOWN OF SOUMOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Ob r RS '
Date: S z,� i? f
Company Name: ']( Ile c r►�� ' -��„cto r,s „
Name:., ;-
License No.:
Address: �� , a f o f )
Phone No.:
JOBSITE INFORMATION: (*Indicates required information)
*Name: ]3 r'ad I e derS 0r)
*Address: 2/ 20 Syu�'k,I f i
*Cross Street: '
*Phone No.: yU,�
r
Permit No.: i.
Tax-Map District: 1000 Section:—72!; _. Block: ` Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly) I
20 Llo t�t�
(Please Circle Alf That Apply)
*Is job ready for inspection: YES/ NO Rough in Final
*Do-you need a Temp Certificate: ES NO
Temp Information(It needed)
*Service Size: 1 Pha 3Phase 100 150 <0 300 350 400 Other
i
*New Service: Re-connect dergroun Number of Meters Change of Servi Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
,i
B24Request for Inspection Form T
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Town Hall Annex
�i[ � Telephone(631)763-1802
64375 Main Road e noRP.O.Box 1179 ro errichownn.soa.nV us ,
Southold,NY 11971-0959
BLUDING DEPART NEW
EW
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: a� 13 c� /�-�,s Date: S Z2 l Z
N
ompany Name:
ame: ✓ J r-
.i
License No.:
Address Iw R e1 1061 v� ;
Phone No.:
JOBSITE INFORMATION: (*Indicates required inform' on)
*Name:
*Address: Zt ?o SdErtl.�-1ee-la r f2
*Cross Street:
*Phone No.. N�,o
Permit No.: i Tax-Map District: 1000 Section:_� �y - Block:_ Lot;
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
(Please Circle Alt That Apply)
Is job ready for inspection: YES NO. Roclgh In Final
*Do-you need a Temp Certificate: YES NO
Temp Information(if needed)
*Service Size: 1 Phase 3Phase 100 150 200 300 350 0Q0 Other
*New Service: Re-conned nderground Number of Meters Cha e of Se. n9 overhead .
F•i
Additional Information: PAYMENT DUE WITH APPL ION
M J
B241eq Inspection Form