HomeMy WebLinkAbout37925-Z SUfFO(,� Town of Southold Annex 4/17/2013
P.O.Box 1179
y 54375 Main Road
oy ��w Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 36199 Date: 4/17/2013
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 575 Ruch Ln, Greenport,
SCTM#: 473889 Sec/Block/Lot: 52.-3-5
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
4/10/2013 pursuant to which Building Permit No. 37925 dated 4/10/2013
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:
electric for existing garage.
The certificate is issued to O'Brien,John
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 37925 4/16/13
PLUMBERS CERTIFICATION DATED
Authorized Signature
Town Hall Annex pvQSu�FQl�c4G� Telephone(631)765-1802
54375 Main Road o Fax(631) 765-9502
P.O. Box 1179 •
Southold, NY 11971-0959 y?j9 �•Dp�` roger. ichert town.southold.n .us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: John O'Brien
Address: 575 Ruch Ln City: Greenport St: NY Zip: 11944
Building Permit#: 37925 Section: 52 Block: 3 Lot: 5
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
contractor: SBA: East County Electric License No: 1005-e
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage X
INVENTORY
Service 1 ph Heat Duplec Recpt 1 Ceiling Fixtures 1 HID Fixtures
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel 40a A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 2 Twist Lock Exit Fixtures TVSS
Other Equipment: install power to existin garage, 1-motion detector
Notes:
Inspector Signature: Date: April 16 2013
Electrical Certificate.xls
o�suff�co TOWN OF SOUTHOLD
,a In BUILDING DEPARTMENT
y 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#: 37925 Date: 4/10/2013
Permission is hereby granted to: -
O'Brien, John
1802 21 st St
Astoria, NY 11105
To: electric for existing garage.
At premises located at:
575 Ruch Ln, Greenport
SCTM # 473889
Sec/Block/Lot# 52.-3-5
Pursuant to application dated 4/10/2013 and approved by the Building Inspector.
To expire on 10/10/2014.
Fees:
ELECTRIC $90.00
Total: $90.00
Bui ing I spec r
Tdwa Hall Amex Telepkoue( i�7& 1802=
54375 Maia Road
P.O..Box 1179 0 rome1Ache�Wn SOutll0ifl.ny us
Southold,NY 119714M
Ii AMING.MAM%IP"
TOWN OF SOUTH-OLD
APPLICATION- FOR ELECTRICAL INSPECTION,-
REExUESTED BY �--� G�. �..J '"_SNz
Date:
Cornpan Name: ( C.0(.a !-�
ame:
'cense-No.:
�Cddress:
Phone-Ma.:
J0-13SI-TE INF(ahMA�MM.— (*fhdicates required information)
&IN r\ 0 rjt
*Address: .
*Cross S#reef:- 0 o r T HIoAa
*Rhone No.: (03( ?(o s•l 5(0
-
Tax 11ll�ap'Qi ct: 1000 SeEban: f3tocle Lot ":;I .:
*BRIEF DESCRIPTION OF WORK(Please Pant cilpidyl
q0 04MD -I - G ram �N4u 4 to w�a 4J sob Ane�
� ' �F'I �V'�eT- �- Yj'�oT�o V� 1�►cc-[o r4 (.- �,►41�i " Z 'S
.(P!ease 04de Aft 7-bat Apply).
*is job ready for inspection: - : YES I NO Rough In: tnat_
*Doi you need a Temp Certificate. YES/ N0
'romp-Information Elf needed -
*Setvice Size: 1 Phase. Whase 100 -150- 200 30(r 350• 400 001er
*New Service: Re-connect Underground- Number of Meters Change of Service OO edieaL
AddMonal-InforrnOon: PAYMENT DUE WITH-APPLIC a I N-T - G � l
Y3-
ho�aOF SOUIyo�
/ c0UNT1,�
OWN OF SOUTHOLD BUILDING DEPT.
765-1802
J'
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
REMARKS:
DATE �3 t
INSPECTOR