HomeMy WebLinkAbout38009-Z rig'FF p Town of Southold Annex 5/29/2013
o�y GGy' P.O.Box 1179
y 54375 Main Road
o�o� �ao.�} Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 36264 Date: 5/29/2013
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 4350 Camp Mineola Rd, Mattituck,
SCTM#: 473889 Sec/Block/Lot: 122.-9-8
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
5/8/2013 pursuant to which Building Permit No. 38009 dated 5/8/2013
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 SERVICE CHANGE
The certificate is issued to Crilly, Gerard
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 38009 05-22-2013
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
�y BUILDING DEPARTMENT
C 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#: 38009 Date: 5/8/2013
Permission is hereby granted to:
Crilly, Gerard
4350 Camp Mineola Rd
Mattituck, NY 11952
To: electric service change
At premises located at:
4350 Camp Mineola Rd, Mattituck
SCTM # 473889
Sec/Block/Lot# 122.-9-8
Pursuant to application dated 5/8/2013 and approved by the Building Inspector.
To expire on 11/7/2014.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
suEFot�
Town Hall Annex 0� ela Telephone(631) 765-1802
54375 Main Road Q Fax(631) 765-9502
x
P.O. Box 1179 O •
Southold, NY 11971-0959 y�11V roper.richertCa)-town.southold.ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Mike DeFonzo (Crilly)
Address: 4350 Camp Mineola Rd City: Mattituck St: NY Zip: 11952
Building Permit#: 38009 Section: 122 Block: 9 Lot: 8
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Ramp Electric License No: 50177-me
SITE DETAILS
Office Use Only
Residential X Indoor x Basement Service Only X
Commerical Outdoor x 1 st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph 200a Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 200a 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 200a Switches Twist Lock Exit Fixtures 11 TVSS
Other Equipment: re-locate 200a main electrical panel
Notes:
Inspector Signature: Date: May 22 2013
Electrical Certificate.xls
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SO[/T�o�
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TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
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 I INSPECTOR'W►iEf-
Town Hall Annex 7f Jxf Telephone(631)765-1802
54375 Main Road
o o�o P.O.Box 1179 roger.richert( wn.sto1d.ny.usG
Southold,NY 1197I-0959 Q� �
��ouulrn,�'
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: �� Date: - -�
Company Name:
Name:
License No.:
Address:
Phone No.: 63f 3 7 5L/U/
JOBSITE INFORMATION: (Indicates required information)
*Narne: VU t Ice !�� On�
*Address:
*Cross Street:
*Phone No.:
Permit No.:
Tax-Map District: 1000 Section:^ � Block: Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
S_�Jc ce 66-w-y4
(Please Circle All That Apply)
Is job ready for inspection: YES I NO. Rough In Final
*Do-you need a Temp Certificate: NO
Temp Information flf-needed) lam'
*Service Size: 1 P se 3Phase 100 150 24 300 350 400 Other
"New Service: Re-connect Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION GG
.82=Request for Inspection Form �, E&G 11