HomeMy WebLinkAbout37416-Z y� Town of Southold Annex 6/18/2013
g�ffOl�-eOG� P.O.Box 1179
3 54375 Main Road
v Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 36302 Date: 6/18/2013
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 1110 Holden Ave, Cutchogue,
SCTM#: 473889 Sec/Block/Lot: 110.-5-16
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
8/2/2012 pursuant to which Building Permit No. 37416 dated 8/2/2012
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:
overhead electric service.
The certificate is issued to Brengel,Richard
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 37416 9/27/12
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
�o�°guFM,yeo BUILDING DEPARTMENT
� Gy
z 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#: 37416 Date: 8/2/2012
Permission is hereby granted to:
Brengel, Richard
1525 Eton Way .. .
Crofton, MD 21114
To: Electric Service Upgrade
At premises located at:
1110 Holden Ave, Cutchogue
SCTM # 473889
Sec/Block/Lot# 110.-5-16
Pursuant to application dated 8/2/2012 and approved by the Building Inspector.
To expire on 2/1/2014.
Fees:
ELECTRIC $85.00
Total: $85.00 .
Building Inspector
SO(/j�Olo
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 roqer.riche rt(a�town.southo Id.ny.us
Southold,NY 11971-0959 %'
o�ycoU�,��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Stephen Pinzino
Address: 1100 Holden Ave City: Cutchogue St: NY Zip: 11935
Building Permit#: Section: 110 Block: 5 Lot: 16
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Custom Lighting of Suffolk. License No: 38893-me
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only X
Commerical Outdoor 1st 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 A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency 11 Fixtures Time Clocks
Disconnect Switches Twist Lock Exit Fixtures TVSS
Other Equipment: replace 200a overhead service
Notes:
Inspector Signature: Date: Sept 27 2012
81-Cert Electrical Compliance Form.xls
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Town Fall Annex Telephone(631)765-1802
54375 Main Road pax
P.O..Box 1179 G Q roger.richerld—ro n SOub90 by us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
B E REQUSTED Y:,
. � , Date:
Company Name: t' r cco V,__
Name:
License No.:
Address: CY0
Phone No.. C( �(
JOBSITE INFORMATION: (*Indicates. required information)
*Name: lez 7bAJ.4,o
*Address:
nj
*Cross Street: �p � Ck10 s
*Phone Na.:
Permit No.:
Tax Map District: 1000 Section: lip Block: Lot: I ly
*BRIEF DESCRIPTION OF WORK(Please Print Clearly) Q �e
_a(:b
(Please Circle-All-That Apply)
*Is•job ready for inspection: YE / NO Rough In final
*Do you need a Temp Certificate: YES / '0
Temp Information (If n ded)
*Service Size: 1 Phase 3Phase 100 150- . 0 30G 350 400 Other
*New Service: e-connect Underground Number of Metersl Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
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C�&� Po<- MJS a-0 &k- o4 cceS
82-Request for Inspection Form