HomeMy WebLinkAbout37211-Z SU Fp l=�'�C Town of Southold Annex 5/11/2012
=off �Gy P.O.Box 1179
54375 Main Road
o • { Southold,New York 11971
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CERTIFICATE OF OCCUPANCY
No: 35592 Date: 5/11/2012
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 700 Glen Ct, Cutchogue,
SCTM#: 473889 Sec/Block/Lot: 83.4-18.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
5/11/2012 pursuant to which Building Permit No. 37211 dated 5/11/2012
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:
electrical inspection
The certificate is issued to Magill,Alfred&Magill,Mary
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 37211 5/11/92
PLUMBERS CERTIFICATION DATED Zq
Authorized Signature
~� TOWN OF SOUTHOLD
`ASUFEn�K�O BUILDING DEPARTMENT
�o Gyp
y TOWN CLERK'S OFFICE
o . SOUTHOLD, NY
y'tlpl � 4,
r 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#: 37211 Date: 5/11/2012
Permission is hereby granted to:
Magill, Alfred & Magill, Mary
1145 Fleetwood Rd
Cutchogue, NY 11935
To: electrical inspection
At premises located at:
700 Glen Ct, Cutchogue
SCTM # 473889
Sec/Block/Lot# 83.-1-18.1
Pursuant to application dated 5/11/2012 and approved by the Building Inspector.
To expire on 11/10/2013.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
oF so�ryolo
Town Hall Annex Telephone(63.1)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 117
Southold,NY 11971-0959 G io roger.rich ert(a-town.southo Id.ny.us
�`
COUNT`I,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Alfred A Magill
Address: 700 Glen Court City: Cutchogue St: NY Zip: 11935
Building Permit#: Section: 1�33 Block: Lot: l$ '
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: as built DBA: License No:
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 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
Ed
Disconnect Switches Twist Lock Exit Fixtures TVSS
Other Equipment: re inspection of electrical service, meter pan, and main distribution panel, found to,
be code compliant and in a safe and matained condition.
Notes:
Inspector Signature: 2--emoDate: May 11 2012
81-Cert Electrical Compliance Form.xls
Town Hall Annex 1 Telephone(631)765-1802
54375 Main Road y (631)765-95OZ
P.O.Box 1179 G roger.richert aftao`wn.south011(Q] nV Us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: /a�F/ZE'� fl. Al I;Lele ' Date: %f // Zo i zm
Company Name:
Name.
License No.:
Address:
Phone No.. 631 73 S/— 8/2--V A&-wi ` e*z4 G3/-Mr5 —7X-6
JOBSITE INFORMATION: (*Indicates required information)
*Name: 2 4 I*f"/G G.
*Address: moo G'� y C&/ 1A.0 6v r✓5r
'kCross Street: E-},9177
*Phone No.:
Permit No.: Al A?
Tax-Map District: 1000 Section.. Block: Lot: Q, l
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
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#*V owl'OV) /oA.✓&_z_ _r'V
(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 100 150 200 300 350 400 Other
*New Service: n r,? Number of Meters Change of Service Overhead
Additional Info II YME T DUE WITH APPLICATION
1 2012
BLDG.DEPT.
.82=Request for InsP cuo TOWN OF SOUTHOLD