HomeMy WebLinkAbout38005-Z Town of Southold Annex 8/19/2013
P.O.Box 1179
54375 Main Road
o Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 36453 Date: 8/19/2013
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 2575 Oaklawn Ave, Southold,
SCTM#: 473889 Sec/Block/Lot: 70.-3-23
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
pursuant to which Building Permit No. 38005 dated 5/7/2013
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 kitchen.
The certificate is issued to Conigho Fam 2007 Iry Trt
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 38005 8/8/13
PLUMBERS CERTIFICATION DATED
Authorized Signature
��soFEot,��o TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
¢� • �g 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#: 38005 Date: 5/7/2013
Permission is hereby granted to:
Coniglio Fam 2007 Iry Trt
9 Carrie Dr
Manalapan, NJ 07726
To: Electric Service in Kitchen
a
At premises located at:
2575 Oaklawn Ave, Southold
SCTM # 473889
Sec/Block/Lot# 70.-3-23
Pursuant to application dated 5/7/2013 and approved by the Building Inspector.
To expire on 11/6/2014.
Fees:
ELECTRIC $90.00
Total: $90.00
Building Inspector
QSUEFO���,
Town Hall Annex pv 0�� Telephone(631)765-1802 .
54375 Main Road g Fax(631)765-9502
2-1
P.O. Box 1179 0 •
Southold, NY 11971-0959 9 p� roger.richert(@town.southold.ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Coniglio
Address: 2575 Oaklawn Ave City:Southold St: NY Zip: 11971
Building Permit#: 38005 Section: 70 Block: 3 Lot: 23
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Dave Kennedy Elec License No: 4032-me
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only
Commerical Outdoor 1st Floor X Pool
New Renovation X 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 5 Ceiling Fixtures 1 HID Fixtures
Service 3 ph Hot Water GFCI Recpt 8 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 dw Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 4 Twist Lock Exit Fixtures TVSS
Other Equipment: 1-exhaust fan
Notes:
Inspector Signature: Date:.Aug 8 2013
Electrical_Certificate.xls
OF SO�Tyo�o
couto
TOWN 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) [ j ELECTRICAL (FINAL)
REMARKS:
DATE INSPECTORS
o\\pf SO�lyp!
Town Hal!Annex 7�f Telephone(631)765-1802
54375 Main Road
P.O.Box 1179. G roger.richert C�ow .SoliCl101�.nY.US
Soufiold,NY 11971-0959VV
VVVi'll�i
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: c ��-a�i S17/�3
�di/imo t r-t-cons vc Date:
Company Name: wt ✓ — �Ge v �' ��
Name:
License No.: 0
Address:
Phone No.: _
JOBSITE INFORMATION: (*Ind.icates required information)
*Name: ' 1
( h
*Address: = o I 7 J
*Cross Street: LAJ e_j S
*Phone No.:
Permit No.:
Tax-Map District: 1000 Section:__7D, Block:— _ Lot:
*'BRIEF DESCRIPTION OF WORK(Please Print Clearly) I _
(Please Circle All That Apply)
*Is job ready for inspection: YES / NO. Rough in Final
*Do-you need a Temp Certificate: YES I 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
�f 7 113
Bequest for Inspection Form ��-� 3 3 d-
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