HomeMy WebLinkAbout37807-Z �QgUFFUt�co Town of Southold Annex 3/11/2013
�o Gym P.O.Box 1179
C 54375 Main Road
-V Southold,New York 11971
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CERTIFICATE OF OCCUPANCY
No: 36161 Date: 3/11/2013
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 2100 Park Ave, Mattituck,
SCTM#: 473889 See/Block/Lot: 123.-8-8.3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
2/13/2013 pursuant to which Building Permit No. 37807 dated 2/13/2013
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:
UNDERGROUND ELECTRIC SERVICE AND RE-LOCATION OF ELECTRIC METER
The certificate is issued to Swahn,Peter&Swahn, Barbara
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 37807 03-05-2013
PLUMBERS CERTIFICATION DATED
G
Authorized Signature
TOWN OF SOUTHOLD
�o�Su�Fo�,r�oy BUILDING DEPARTMENT
a TOWN CLERK'S OFFICE
oy . o�g SOUTHOLD, NY
fill
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#: 37807 Date: 2/13/2013
Permission is hereby granted to:
Swahn, Peter& Swahn, Barbara
PO BOX 729
Mattituck, NY 11952
To: underground electric service.
At premises located at:
2100 Park Ave, Mattituck
SCTM # 473889
Sec/Block/Lot# 123.-8-8.3
Pursuant to application dated 2/13/2013 and approved by the Building Inspector.
To expire on 8/15/2014.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
Town Hall Annex p�aS�FF04coGy Telephone(631)765-1802
54375 Main Road c Fax (631) 765-9502
P.O. Box 1179 0 '�
Southold, NY 11971-0959 y�flp� �,�� roger.richert(o)town.southold.ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Peter Swahn
Address: 2100 Park Ave City: Mattituck St: NY Zip: 11952
Building Permit#: 37807 Section: 123 Block: 8 Lot: 8.3
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
contractor: SBA: Dirrect Connection Const License No: 44943-me
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only X
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph 200 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
Disconnect Switches Twist Lock Exit Fixtures TVSS
Other Equipment: 200a underground service-relocate electric meter only, (interior remains as is)
Notes:
Inspector Signature: Date: March 5 2013
Electrical Certificate.xls
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.sox>itsc �. rogecrichert a,ownso�d.ny us
Southold,NY 11971.0959 'Q
BUILDING'DEPARTWNT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL. INSPECTION
REQUESTED BY: �Q,U I l..o IC151 a rl`�-. Date: a, 3
Company Name: rt°G l�1nr1CL i b Y\ IAhS r,UC-Tipf/�
Name:
License No.: �l 3
Address: 14 72- S Vko Lj p \Car Y11� cu+c vo q lOL-
Phone No.: C5 8
JOBSITE INFORMATION: (*Indicates required information)
*Name: . -�-�e
*Address:
*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
Vo-you need a Temp Certificate: OYES . NO
Temp Information(If needed)
*Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other
*New Service: Re-connect Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
.82=Request for inspection Form Ru.