HomeMy WebLinkAbout37659-Z Z' pE*:=t� Town of Southold Annex 12/14/2012
P.O.Box 1179
' 54375 Main Road
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 36085 Date: 12/14/2012
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 9780 Route 25, East Marion,
SCTM#: 473889 Sec/Block/Lot: 31.40-5
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
11/29/2012 pursuant to which Building Permit No. 37659 dated 11/29/2012
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:
overhead electric service to garage.
The certificate is issued to Brischler,Thomas&Brischler,Janine
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 37659 12/11/12
PLUMBERS CERTIFICATION DATED
�-Wgg;��
v Authorized Signature
z-SUFFO( TOWN OF SOUTHOLD
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BUILDING DEPARTMENT
y TOWN CLERK'S OFFICE
o . ��
l SOUTHOLD, NY
y 0 ,�¢a�rr
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 #: 37659 Date: 11/29/2012
Permission is hereby granted to:
Brischler, Thomas & Brischler, Janine
9 Cedar Hill Rd
Miller Place, NY 11764
To: electric service
At premises located at:
9780 Route 25, East Marion
SCTM # 473889
Sec/Block/Lot# 31.-10-5
Pursuant to application dated 11/29/2012 and approved by the Building Inspector.
To expire on 5/31/2014.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
pF SO(/ryolo
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 Q roger.richert(D-town.southold.ny.us
Southold,NY 11971-0959
COUNTY,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Brischler
Address: 9780 Main Rd City: East Marion St: NY Zip: 11939
Building Permit#: -3 G 659 Section: 31 Block: 10 Lot: 5
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: BIII Ruis Elec Cont Co License No: 38263-me
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only X
Commerical Outdoor 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 11 TVSS
Other Equipment: 200a overhead service to garage
Notes:
Inspector Signature: Date: Dec 11 2012
81-Cert Electrical Compliance Form.xls
SO(/T�olo
UMY,
\ - TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION -. -
I FOUNDATION 1ST [ ] ROUGH.PLOG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING/STRAPPING [ ] FINAL
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION I FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) VVIELECTRICAL (FINAL)
REMARKS:
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DATE 1 �� l2i INSPECTOR`
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got so�ry�
Town HaA Annex Teiephpnc(C%31)765-1802
543751Vl,ifl Road
. 71 16o16r s.dChe9OW1 l Oa lP 0.Box 1179 _y.us
Sou;told,NY;973-095P
BUUDING DEPARTMIN Z'
TOWN OF SOXMIOILD-
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: �,. C .L &-�'�..- °�V, I 's -- Date:.
Company Nam _�: �j4L -Ails �� �- ►?,t�� /J r,, C0N7_j?A C jAv6-' C
- Name: - I C:t-r Av i_s _ -
License No.:
Address: �®J���Pt��/c�®U Ave sc-L 06a, rJ 1 l C(
Phone No.: 73 0- - -70 L10 G6 C,6'gJ -7q`7 - 7 !60
JOBSITE INFORMATION- ( Indicates required information)
"Address` A ry /?0.._ '/Qg% A /0►v�_N'�
*Crass Street: C .N E T�F
Permit No.:
Tax Map [District ` 000 seaFoi : � 3l Block: /p -- Lot �'d --
*BRIFF DESCRIPTION OF WORK(Please Print Clearly) 4Z_/V I R GC,6-V Al IA/
�2 00 A ice,, M 101 1 .sue(Z yl..�� ...��`7.r.�oZ. 01'.,._ d c6 �....�.
(Please Cirole A � Y llat Apply) _
*is job ready for inspection: YE P NO Rough In Dna
*Do you need a Temp CertIncate YES / 40
4
Temp Information-(If needed)
*Service Size: QPhase Phase 100 150 2a0 300 350 400 Other
*New Service, Re=connect Underground Number of,Meter hange of Servic overhead.
Additional Inforrhation: PAYMENT DUE WITH APPLICATION
Aj sE rZ v Z C (/.SRO a/�,6\Q. �
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82-Request for Inspection corm