HomeMy WebLinkAbout37754-Z fF-L/FFat/C Town of Southold Annex 2/25/2013
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P.O.Box 1179
y 54375 Main Road
oy Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 36123 Date: 1/25/2013
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 1110 Gillette Dr, East Marion,
SCTM#: 473889 Sec/Block/Lot: 38.-2-12
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
1/15/2013 pursuant to which Building Permit No. 37754 dated 1/15/2013
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:
Electrical Upgxade to 200 Amp Service
The certificate is issued to Christopher&Elisabetta Coschignano
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 37754 01-17-2013
PLUMBERS CERTIFICATION DATED
Authorized Signature
tom" TOWN OF SOUTHOLD
-�SufFnt�-�oG
BUILDING DEPARTMENT
y g 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#: 37754 Date: 1/15/2013
Permission is hereby granted to:
Cook, Walter& Cook, Barbara
C/O Judith C Palmer, Exec
8448 Woodlane Dr
Germantown, TN 38138
To: Electrical Upgrade to 200 Amp Service
At premises located at:
1110 Gillette Dr, East Marion
SCTM # 473889
Sec/Block/Lot# 38.-2-12
Pursuant to application dated 1/15/2013 and approved by the Building Inspector.
To expire on 7/17/2014.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
SO�Tyolo
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 �Q roger.rich ert(a)-town.southo Id.ny.us
Southold,NY 11971-0959
C4UNTY,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: C&E Coschignano
Address: 1110 Gillette Drive City: East Marion St: NY Zip: 11939
Building Permit#: 3 7-7 5 Section: 3$ Block: 2 Lot: 12
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: High Security Electric License No 2401-me
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 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 EmerHgency Fixtures Time Clocks
Disconnect 200a Switches Twist Lock Exit Fixtures TVSS
11
Other Equipment: 200a overhead Service
Notes:
Inspector Signature: - Date: Jan 17 2013
81-Cert Electrical Compliance Form
1 \
Town Hall Annex J�L J�[ Telephone(631)765-1802
54375 Main Road v, {631176502
P.O.Box 1179 G @ rogenrichert OWnsO 0[6y us
S@uthold,NY 11971-0959
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date: lid oZ -
Company Name: . j C V (Ir`�- G _C�Yi C_
Name: rf S m 0.i n e GL
License No.:
Address:
Phone No.: - Q,g`j—:5q Lt2
JOBSITE INFORMATION: (*Indicates required information)
*Name:
*Address: I 0
*Cross Street:
*Phone No.: 5 1 _1121 -15 3(P I -(n y l -) l0 Y� `
Permit No.:
Tax-Map District: 1000 Section:o3g. po Block: Oa. 00 Lot: O/a . OC3
*BRIEF DESCRIPTION OF WORK(Please Print Clearly) - �V i e e
, YY- m l b b. prAos 4,D 20D AYYY5
(Please Circle Alt.That Apply)
*Is job ready for inspection: YES/ NO Rough In' / Fin
*Do-you need a Temp.Certificate: YES/ p
Temp lnformation(If needed)
*Service Size: 1 Phase 3Phase 100 150 0 300 350 40 Other
*New Service: Re-connect Underground Number of rs ange of Se Ovefiea
Additional Information: PAYMENT DUE WITH CATION
41, M V/
R24Request for InsP 'on F -JAN 15 2013
BLDG.DEPT.
TOWN OF SOUTHOLD
- SF S.,�jj�o!
o
TO7Nn,Hall Annex Telephone(631)765-1802
54375 Main Road N 7
P.O.Box 1179 roger-d ert toxxw{n1sou5agg
ny us
Southold,NY 11971-0959 !.
BUILDING DEPARTMENT ;
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date: L S oZ
Company Name: .
i 3-eau ri car► G . ,.
Name: n S a.i h e. - o .
License No.:
Address: 12 QY-fDT a A-ve q7
Phone No.: - `1 .5q (42
JOBSITE INFORMATION: (*Indicates required information)
*Name: O h(i S 6, 1 1 Sa b-24a- &)-,-P M i'1 GL�1 p
*Address: l
*Cross Street:
*Phone No.:
-`721 =15310 16
Permit No.:
Tax Map District: 1000 Section:0-3g, oo Block: Oa, 00 Lot: O J 4 o o p
i
*BRIEF DESCRIPTION OF WORK(Please Print Clearly) �f V e
Y`0M I t)0 A� S +D 20D � S
(Please Circle All That Apply)
Is job ready for inspection: '
YES/ NO. Rough In Final
*Do-you need a Temp Certificate: YES! dO
Temp Information(if needed)
*Service Size: 1 Phase 3Phase 100 150 (90 300 350 . 400 Other .
*New Service: Re-connect Underground Number of Meters ange a#Servi Overhea
Additional Information: PAYMENT DUE WITH APPLICATION
82-Request for Inspection F JAN 15 2013 V p
V"
BLDG. DEPT.
TOWN OF SOUTHOLD (U