HomeMy WebLinkAbout37942-Z SUFF04 Town of Southold Annex 6/11/2013
P.O.Box 1179
54375 Main Road
oy �� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 36293 Date: 6/11/2013
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 240 Champlin PI, Greenport,
SCTM#: 473889 Sec/Block/Lot: 34.-3-43
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
4/16/2013 pursuant to which Building Permit No. 37942 dated 4/16/2013
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 IN LIVING ROOM OF EXISTING DWELLING
The certificate is issued to Grattan Jr, Daniel&Grattan, Sally
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 37942 06-10-2013
PLUMBERS CERTIFICATION DATED
Authorized Signature
f TOWN OF SOUTHOLD
yg�FFD(,�co BUILDING DEPARTMENT
hip y�
C TOWN CLERK'S OFFICE
oy • o�i 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#: 37942 Date: 4/1 612 0 1 3
Permission is hereby granted to:
Grattan Jr, Daniel & Grattan, Sally
323 Champlin PI
Greenport, NY 11944
To: electric in living room of existing dwelling.
At premises located at:
240 Champlin PI, Greenport
SCTM # 473889
Sec/Block/Lot# 34.-3-43
Pursuant to application dated 4/1 612 0 1 3 and approved by the Building Inspector.
To expire on 10116/2014.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Insp r
Town Hall Annex p�QS�FFO�K�oG� Telephone(631) 765-1802
54375 Main Road c Fax(631)765-9502
P.O. Box 1179 0
Southold, NY 11971-0959 y49 yp� roger.richert(@town.southold.ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Daniel Grattan
Address: 323(240)Champlin Place City: Greenport St: NY Zip: 11944
Building Permit#: 37942 Section: 34 Block: 3 Lot: 43
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Grattan Electric License No: 43643-me
SITE DETAILS
Office Use Only
Residential x Indoor x Basement Service Only
Commerical Outdoor 1st Floor x Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 8 Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures 4 CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 4 Twist Lock Exit Fixtures Ll TVSS
Other Equipment: living room, electricle work only, 1-paddle fan
Notes:
Inspector Signature: zV Date: June 10 2013
Electrical Certificate.xls
SO �
� r
ro
TOWN OF SOUTHOLD BUILDING DE T.
765-1802 15 r
INSPECTION
f
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[WLELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
DATE INSPECTOR �-`
0f SOUTyo�o
�ycourm,��'
t/ OWN OF SOUTHOLD BUILDING'DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ptELECTRICAL (FINAL)
REMARKS:
DATE , INSPECTO ,
pF SO(/jyQl
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road N (631)765-950
P.O.Box 1179 G Q roger.richertown.southol�d.ny.us
Southold,NY 11971-0959
COUNT'1,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: .Date: .l
Company Name: 6rC1,22 !
Name: —71
License No.:
Address: 9 3v �— U �✓ L
Phone No.:
JOBSITE INFORMATION: (*Indicates required information)
*Name: 04L/1 e l G,-U M/I
*Address: 32. G�iUn,p�.✓� ���C 2 G�P� L�Y
*Cross Street: j--
*Phone No.:
Permit No.:
Tax Map District: 1000 Section: Block: Lot:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
(Please Circle All That Apply)
*Is job ready for inspection: YES / NO Rough In. d\� M Final
*Do you need a Temp Certificate: YES / NO
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
a V
82-Request for Inspection Form
a