HomeMy WebLinkAbout37952-Z ��ti Town of Southold Annex
�O�gUf F0(�cOG 4/19/2013
y P.O.Box 1179
54375 Main Road
oy, � ti Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 36202 Date: 4/19/2013
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 240 Sunset Path, Southold,
SCTM#: 473889 Sec/Block/Lot: 54.4-19
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
4/18/2013 pursuant to which Building Permit No. 37952 dated 4/18/2013
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:
50 amp car charging outlet on front lawn.
The certificate is issued to Manfredi,Richard&Manfredi,Mary
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 37952 4/19/13
PLUMBERS CERTIFICATION DATED
—� Authorized Signature
TOWN OF SOUTHOLD
��o y BUILDING DEPARTMENT
0
TOWN CLERK'S OFFICE
oy � , 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#: 37952 Date: 4/18/2013
Permission is hereby granted to:
Manfredi, Richard & Manfredi, Mary
391 Muttontown Rd
Syosset, NY 11791
To: 50 amp car charging outlet on front lawn.
At premises located at:
240 Sunset Path, Southold
SCTM # 473889
Sec/Block/Lot# 54.-1-19
Pursuant to application dated 4/18/2013 and approved by the Building Inspector.
To expire on 10/18/2014.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
F��cuFQ1Koo
Town Hall Annex O Gym Telephone(631) 765-1802
54375 Main Road c 1 Fax(631) 765-9502
�n z
P.O. Box 1179 0 "�
Southold, NY 11971-0959 'f'� ��� roger.richert(a�-town.southold.ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Richard Manfredi
Address: 240 Sun Set Path City:Southold St: NY Zip: 11971
Building Permit#: �3 R S.�L- Section: 54 Block: 1 Lot: 19
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: G&S Electric License No: 578-e
SITE DETAILS
Office Use Only
Residential x Indoor 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
Disconnect ri
Switches Twist Lock Exit Fixtures TVSS
Other Equipment: 1-50a receptacle (outside) for car charger
Notes:
Inspector Signature: Date: April 19 2013
Electrical Certificate.xls
q so�jyolo
Town Hall Annex 4 Telephone(631)765-1802
ax(631)765-
54375 Main Road 5
roger richertAown.sout o .ny.us
P.O.Box 1179 �Q
Southold,NY 11971-0959 NT'I,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date: A7)z__?
Company Name:
Name:
License No.:
Address: PU
Phone No.. �Q Flo
JOBSITE INFORMATION: (`Indicates required information)
*Name: / P /z-t> A& #\)Jc--2 �
*Address: V40 c>n!S T �A-r-/7
*Cross Street:
*Phone No.: S/161 11.1)_m
Permit No.: —
Tax Map District: 1000 Section: Block: Lot:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
c t\J fJ,- Z ► �! n
(Please Circle All That Apply)
*Is job ready for inspection: YES NO Rough In Final
*Do you need a Temp Certificate: YES X0
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
4(� ��• r
82-Request for Inspection Form
e-