HomeMy WebLinkAbout37414-Z ` 'Town of Southold Annex
guEFO( 10/4/2012
c�Gy P.O.Box 1179
C 54375 Main Road
o Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 35989 Date: 10/4/2012
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 850 Pequash Ave, Cutchogue,
SCTM#: 473889 Sec/Block/Lot: 103.41-6
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
8/2/2012 pursuant to which Building Permit No. 37414 dated 8/2/2012
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:
new meter pan and mast on existing 100 a overhead service.
The certificate is issued to Steinke,Paul
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 37414 9/27/12
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
ay
y TOWN CLERK'S 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#: 37414 Date: 8/2/2012
Permission is hereby granted to:
Stemke, Paul
850 Pequash Ave
Cutchogue, NY 11935
To: new meter pan and mast on existing 100 a overhead service.
At premises located at:
850 Pequash Ave, Cutchogue
SCTM #473889
Sec/Block/Lot# 103.-11-6
Pursuant to application dated 8/2/2012 and approved by the Building Inspector.
To expire on 2/1/2014.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
o�\\OF SOUryol
Town Hall Annex ~ Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 CA ��
Southold,NY 11971-0959 roger.richert(@-town.southold.ny.us
�`
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Paul Stemke
Address: 850 Pequash Ave City: Cutchogue St: NY Zip: 11935
Building Permit#: S-1 y y Section: Block: Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: MRK Electric LLC . License No: 5089-e
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 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 Fixtures Time Clocks
i11 Disconnect Switches Twist Lock Exit Fixtures TVSS
Other Equipment: install new meter pan and mast on existing 100a overhead service
Notes:
Inspector Signature: Date: Sept 27 2012
81-Cert Electrical Compliance Form.xls
i
- Of SOliIyD
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Town Hall AnnexR J�[ Telephone(631)765-1802
54375 Main Road N (631)765-g5Q2
P.O.Box 1179 G @ ro er.richert 0 n 18ouf95o a.n .us
Southold,NY 11971-0959 � ® �O i
V
BUILDING DEPARTMENT
TOWN OF SOUTHOLD �
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY:
C t'q V- 1 Date:
Company Name: E rk t L �
Name:
License No.:
Address: ��r✓I��bti,., Avg 5 bk�l�
Phone No.:
IJOBSITE INFORMATION: (*Indicates required information) �
.*Name: �w
*Address: ; C� t3 p a (;. Ave
*Cross Street:
*Phone No.:
p
Permit No.:
Tax-Map District: 1000 Section: )D Block:_ Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly) 11 12� .ems/
(Please Circle All That Apply)
*Is job ready for inspection: E / NO. Rough In Final
*Do-you need a Temp Certificate: E f NO
Temp Information(if.needed)
*Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other
*New Service: Re-connect Underground Number of Meters Change of Service Overhead
Addit I1gola r n� �/ PAYME T DUE WITH APPLICATION
AUG - 2 2012 LUI V-Y
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TOWN OF SOUTHOLD