HomeMy WebLinkAbout37613-Z L F0jr Town of Southold Annex 11/27/2012
����agl1FF�(q�� P.O.Box 1179
a 54375 Main Road
o s ,� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 36060 Date: 11/27/2012
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 645 Knapp Pl, Greenport,
SCTM#: 473889 Sec/Block/Lot: 34.-2-10
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
11/7/2012 pursuant to which Building Permit No. 37613 dated 11/7/2012
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:
Electric Service Change
The certificate is issued to Harris,Peter&Harris,June
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 37613 11/26/2012
PLUMBERS CERTIFICATION DATED
Authorized Signature
` TOWN OF SOUTHOLD
o�SvfFot��oG BUILDING DEPARTMENT
' TOWN CLERK'S OFFICE
oy . 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#: 37613 Date: 11/7/2012
Permission is hereby granted to:
Harris, Peter& Harris, June
Knapp PI
Greenport, NY 11944
To: Electric Service Change
At premises located at:
645 Knapp PI, Greenport
SCTM # 473889
Sec/Block/Lot# 34.-2-10
Pursuant to application dated 11/7/2012 and approved by the Building Inspector.
To expire on 5/9/2014.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
so�ryolo
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 Q roper.riche rt(a-town.southo Id.ny.us
Southold,NY 11971-0959
ooUNT`I,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Harris
Address: 212 Knapp PL City: Greenport St: NY Zip: 11944
Building Permit#: 36713 Section: 34 Block: 2 Lot: 10
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: C-Cat Co License No: 953-me
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 100a Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 100a 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 100a Switches Twist Lock Exit Fixtures TVSS
Other Equipment: 100a overhead service
Notes:
Inspector Signature: Date: Nov 26 2012
81-Cert Electrical Compliance Form.xls
o��pF SOUI�,�!
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Town Hall Annex 4 Telephone(631)765-1802
54375 Main Road H (6n3 765- 50
P.O.Box 1179 G • roger.richert(c-own.sout�io�d.nq.us
Southold,NY 11971-0959. Q�CQ
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: C , �,� l `+ Date: I I Z
Company Name:
--
License No.: - )\;F-
Address: .J
Phone No.: - 2-9
- crl 3
t
JOBSITE INFORMATION: (*Indicates required information)
*Name: S
*Address: ,'qsl V k L4
*Cross Stree 1
*Phone No.:
Permit No.: "X
Tax Map District: 1000 Section: 5U Block: Lot:.If
*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 10 150 200 300 350 400 Other
New Service: Re-connect Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE W 1 E
1 L)
JUU NOV -7 209 LUJ
8241equestfor Inspection Form BLDG.DEPT.
TOWN OF SOUTHOLD