HomeMy WebLinkAbout37594-Z osU�ap l�.c Town of Southold Annex 3/5/2013
P.O.Box 1179
C 54375 Main Road
v • Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 36156 Date: 2/28/2013
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 820 S Smith Dr, Southold,
SCTM#: 473889 Sec/Block/Lot: 76.-3-21.3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
10/23/2012 pursuant to which Building Permit No. 37594 dated 10/23/2012
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 Underground Electrical Service
The certificate is issued to Daniel&Nancy Melhado
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 37594 2/28/13
PLUMBERS CERTIFICATION DATED ^
V Authorized Signature
sz � TOWN OF SOUTHOLD
gUFFO(,�c
BUILDING DEPARTMENT
�a 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#: 37594 Date: 10/23/2012
Permission is hereby granted to:
O'Neill, Louise
55075 Main Rd
Southold, NY 11971
To: New Underground Electrical Service
At premises located at:
820 S Smith Dr, Southold
SCTM # 473889
Sec/Block/Lot# 76.-3-21.3
Pursuant to application dated 10/23/2012 and approved by the Building Inspector.
To expire on 4/24/2014.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
pF SO�ryolo
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 Q roger.riche rtatown.southo Id.ny.us
Southold,NY 11971-0959 'tX a
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Dan Melhado
Address: 820 Smith Drive South City: Southold St: NY Zip: 11971
Building Permit#: 1 Section: Block: Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Brian Brooks Electrical Inc License No: 3613-e
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service Only
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph 200a Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 200a A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect 200a Switches Twist Lock Exit Fixtures TVSS
Other Equipment: 200a underground service
Notes:
Inspector Signature: F Date: Feb 28 2013
81-Cert Electrical Compliance Form.xls
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Town Hall Annex J Tel o
54375 Main Road )7�g50Q2$
P.O.Box 1179 G • r0 erAchert soutflold.n U
Southold,NY 11971-0959
BLDG.DEPT.
TOWN OF SOUTHOLD
BTjIWING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Fria n &=Vh 5 Date: 10 a, a
Company Name: r
Name: ,
License No.: 36 1.3-E
Address: t7 1 Gt o G
Phone No.:
JOBSITE INFORMATION: (Indicates required information)
*Name:
*Address: ` O PAi Pl ,�-I.)Un D SbL r
*Cross Street:
*Phone No.:
Permit No.:
Tax-Map District: - 1000 Section: Block: Lot:
*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: YE / NO
Temp Information(if needed}
*Service Size: 1 Phase 3Phase 1.00 150 Q&Oj 300 350 400 Other
*New Service: Re-connect ndergroun Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
.82=Request for Inspection Form