HomeMy WebLinkAbout37611-Z OFFpt,��OGy Town of Southold Annex 2/25/2013
P.O.Box 1179
C 54375 Main Road
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 36149 Date: 2/25/2013
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 505 W Cedar Point Dr, Southold,
SCTM#: 473889 Sec/Block/Lot: 90.4-7
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
11/5/2012 pursuant to which Building Permit No. 37611 dated 11/5/2012
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 fire repair in kitchen.
The certificate is issued to Case,Gerard&Case,Constance
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 37611 2/6/13
PLUMBERS CERTIFICATION DATED
Authorized Signature
�vF of TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Ze 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#: 37611 Date: 11/5/2012
Permission is hereby granted to:
Case, Gerard & Case, Constance
505 W Cedar Point Dr
Southold, NY 11971
To: Electric Fire Repair in Kitchen
At premises located at:
505 W Cedar Point Dr, Southold
SCTM # 473889
Sec/Block/Lot# 90.-1-7
Pursuant to application dated 11/5/2012 and approved by the Building Inspector.
To expire on 5/712014.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
Town Hall Annex p�'10004�oGy Telephone(631) 765-1802
54375 Main Road o Fax(631)765-9502
co z
P.O. Box 1179 0 •
Southold, NY 11971-0959 y - .8p! roger.richertCa)town.southold.ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Gerard Case
Address: 505 Cedar Point Drive West City:Southold St: NY Zip: 11971
Building Permit#: —7 b-1 , Section: 90 Block: 1 Lot: 7
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 X Basement Service Only
Commerical Outdoor X 1st Floor X Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph 200a Heat Duplec Recpt 7 Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt 3 Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures 7 CO Detectors
Sub Panel A/C Blower Range Recpt 40a Fluorescent Fixture Pumps
Transformer Appliances dw Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 1 Twist Lock Exit Fixtures TVSS
Other Equipment: kitchen fire repair and service re-connect, 200a overhead service, 1-paddle fan
Notes:
Inspector Signature: Date: Feb 6 2013
Electrical Certificate.xls
OF SO(/Tyolo
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�L TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING/STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
DATE ' INSPECTOR O
i
d '
Town Hall Annex Telephone(631)765-1802
54375 Main Road G rt� aR WnP.O.Box 1179 roger.riche QQ ny us (
1
Southold,NY 11971-0959
is
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: ns Date: r
s y�-
Company Name:
Name:
License No.: 3e 0 �>.e
Address: (90 i X l
�
Phone No.: � i
G31—vGJ- /73
JOBSITE INFORMATION: (*Indicates required information)
*Name:
*Address:
*Cross Street:
*Phone No.:
Permit No.:
Tax-Map District: 1000 Section: Block: Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly) .
a eCcvLrl��i I'
(Please Circle All That Apply)
*Is job ready for inspection: NO. Rough in Final
*Do-you need a Temp Certificate: tNO
Temp Information(if_needed)
*Service Size: 11_Pha 3Phase 100 150 20 300 350 . 400 Other
*New Service: Re-connect Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
B2=Request for Inspection Fort