HomeMy WebLinkAbout37927-Z `QgUGFO(,�Co Town of Southold Annex 4/19/2013
�y P.O.Box 1179
c i 54375 Main Road
o Southold,New York 11971
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CERTIFICATE OF OCCUPANCY
No: 36201 Date: 4/19/2013
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 835 First St,New Suffolk,
SCTM#: 473889 Sec/Block/Lot: 117.-8-15
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. 37927 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:
storm damage electrical repairs.
The certificate is issued to Harkoff Charles D&Diane Rvc Trt
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 37927 4/17/2013
PLUMBERS CERTIFICATION DATED
Authorized Signature
4R" TOWN OF SOUTHOLD
�1FFOt,�-
��o�° BUILDING DEPARTMENT
y TOWN CLERK'S OFFICE
o . 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#: 37927 Date: 4/10/2013
Permission is hereby granted to:
Harkoff Charles D Rvc Trt & Harkoff Diane Rvc Trt
120 E Camp Mineola Rd Ext
PO BOX 1269
Mattituck, NY 11952
To: Electrical Repairs
At premises located at:
835 First St, New Suffolk
SCTM # 473889
Sec/Block/Lot# 117.-8-15
Pursuant to application dated 4/10/2013 and approved by the Building Inspector.
To expire on 10/10/2014.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
Town Hall Annex �guFFO�,�.0
2y Telephone(631) 765-1802
54375 Main Road o Fax (631)765-9502
P.O. Box 1179 •
Southold, NY 11971-0959 �y�j�l �a0� roger.richerta-town.southold.nv.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Harkoff (Legends Harborside Ltd)
Address: 835 First Street City: New Suffolk St: NY Zip: 11956
Building Permit#: 37927 Section: 117 Block: 8 Lot: 15
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Tucker Electric Inc License No: 4926-me
SITE DETAILS
Office Use Only
Residential Indoor x Basement Service Only
Commerical x Outdoor x 1st Floor x 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
Disconnect Switches Twist Lock Exit Fixtures TVSS
Other Equipment: storm damage, (Sandy) repairs, replaced 20 receptacles, transfer switch
5-step lights,exhaust hood wiring(3-fans)
Notes:
Inspector Signature: Date: April 17 2613
Electrical Certificate.xls
V
OF SI�Ur�
K i d, nex 'Telephone(631)765-1802
P.O.Box 1179 • �� ro er.richert aouvr%souio�d.n .us
Southold,NY 11971-0959
sUILDM AST
TOWN OF SOU'THOLD
APPLICATION FOR ELECTRICAL INSPECTION
[Name:
QUESTED BY:
Date:
mpany Name: ur cR E1 T�
� .
No.:
License
- - Taro rn� I-:
Address: O i
41 Phone No.: �r:h i�� - - -
JOBSITE INFORMATION: (*Indicates required information)
Name: i_Ec_EN L�
*Address: S_ .
* 8 3? sJ .S t F Iz i
Crass Street:
*Phone No..
Permit No..
Tax-Map District: 1000 Section:
_ Block:T�_ Lot: s
*BRIEF DESCRIPTION OF WORK(Please Print Clearly) -
a1a%Q9n Rcxx' zo etc.-Q�,�JIas i
(Please Circle Al!That Apply)
Is job ready for inspection:
- (a�! NO. Rough In final �*Do-you need a Temp Certificate: YES! NO
Temp Information(If.needed)
*Service Size: 3 Phase 313hase 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
R1L t'�f=o.F A CTE'P,
I `� 1
B24Request for Inspection Form i