HomeMy WebLinkAbout37897-Z %dfFOt,f Town of Southold Annex 4/1/2013
y� P.O.Box 1179
54375 Main Road
tp HIV Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 36183 Date: 3/29/2013
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 3005 Wells Rd, Peconic,
SCTM#: 473889 Sec/Block/Lot: 86.-2-4
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
3/29/2013 pursuant to which Building Permit No. 37897 dated 3/29/2013
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:
replace outlets, switches and relocate 2 x 2 lavinn fixtures in basement.
The certificate is issued to Jonathan Zavin&Bewrnadette Hogan
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 37897 3/26/13
PLUMBERS CERTIFICATION DATED
Authorized Signature
tom' TOWN OF SOUTHOLD
SUFFoc,r�oG
Sao � BUILDING DEPARTMENT
y TOWN CLERK'S OFFICE
Py • 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#: 37897 Date: 3/29/2013
Permission is hereby granted.to:
Miller, Karen
330 Majors Path
Southold, NY 11971
To: replace outlets, switches and relocate 2 x 2 layinn fixtures.
At premises located at:
3005 Wells Rd, Peconic
SCTM # 473889
Sec/Block/Lot# 86.-2-4
Pursuant to application dated 3/29/2013 and approved by the Building Inspector.
To expire on 9/28/2014.
Fees:
ELECTRIC $90.00
Total: $90.00
Building Inspector
Off' Or SOUT��I
Town Hall Annex ~ Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 • �� roger.riche rt(d-)town.southo Id.ny.us
Southold,NY 11971-0959
o1 OWN,
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Zavin/Hogan
Address: 3005 Wells Rd City: Peconic St: NY Zip: 11958
Building Permit#: a-7 Section: 86 Block: 2 Lot: 4
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: as built DBA: Zion Electric Inc License No: 38487-me
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service Only
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 20 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 30 Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 5 Twist Lock Exit Fixtures TVSS
Other Equipment: as built survey of basement
Notes:
Inspector Signature: Date: March 26 2013
81-Cert Electrical Compliance Form.xls
OF SOpT�,olo
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TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION.. . , .. .
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING/STRAPPING [ ] FINAL .
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL,(ROUGH) ] ELECTRICAL (FINAL)
REMARKS:
DATE f INSPECTOR
43 09:45 FAX 6317324414 ZION-ELECTRIC-INC44i4555
10 001/001
o\\afS lyo
TOM Hag Ann" �
5437514Iaiu Road TekPhOm(631)765.1802
P.O.Bar 1179
Southold,NY I iwit 59 � �@ r le (6$1 �.nV.lE8
.80
• I
BITII 1NG DEPARTIK ,iV r
TOWN OF SOUTFtOLD `
APRk,ICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: .
�a
- Company Name: ZloAf Date: Woo
�L "►?-c�C..,
Name:
License No.. -
q_7 AAIl _
dress:
one No.: v�ti1� It?3 I
JOBSITE INFORMATION: (*Indicates requited information)
i
I
'Name: ,J Ot4 1 t� � Xt�J 1 ,
''Address:
A�"Cross S -----StreetZ j
'Phone No.: - -
i
Permit No.:
Tax-Map District: 100p Sec�on: (�� ,
_�__ -_(�C� Block:Qe Lot Ord,
*BRIEF DESCRIPTION OF WORK(Please Print Clearly) ' ;
-
{Pteaee Circle All That Apply)
*Is job ready for inspection;
*l)O•you need a Temp Certificate: <: -g/ No. Rough In naI
YES
Temp InfMMdon of needed)
*Service Size: 1 Phase 3Phase 100 150 200 300 3a0 400
*`New Service. Ike-connect Other
llrAder9round Number of Meters Change o€Service Overhead
Additional In€ormation: PAYME DUE WITH APPUCATIO
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