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HomeMy WebLinkAbout38281-Z -�--'=Z� FO1/rcaG� Town of Southold Annex 8/30/2013 P.O.Box 1179 x 54375 Main Road Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 36478 Date: 8/30/2013 THIS CERTIFIES that the building ELECTRICAL Location of Property: 11280 Great Peconic Bay Blvd,Mattituck, SCTM#: 473889 Sec/Block/Lot: 126.-6-18 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 8/27/2013 pursuant to which Building Permit No. 38281 dated 8/27/2013 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: 200a underground electric for baseball shed. (meter at shed by home plate.) The certificate is issued to Mattituck Park Dist (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 38281 8/28/13 PLUMBERS CERTIFICATION DATED Authorized Signature o�guFFntK�v TOWN OF SOUTHOLD BUILDING DEPARTMENT y 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#: 38281 Date: 8/27/2013 Permission is hereby granted to: Mattituck Park Dist PO BOX 1413 Mattituck, NY 11952 To: UPGRADE BASEBALL SHED TO 200 AMP ELECTRICAL SERVICE At premises located at: 11280 Great Peconic Bay Blvd, Mattituck SCTM # 473889 Sec/Block/Lot# 126.-6-18 Pursuant to application dated 8/27/2013 and approved by the Building Inspector. To expire on 2/26/2015. Fees: ELECTRIC $85.00 Total: $85.00 Building Inspector SO!/jyolo Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 oly iQ roger.riche rtR-town.southold.ny.us Southold,NY 11971-0959 ,4U ,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Mattiuck Park District Address: 11280 Great Peconic Bay Blvd City: Laurel St: NY Zip: 11948 Building Permit#: 38281 Section: 126 Block: 6 Lot: 18 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Pumillo Electric License No: 2300-me SITE DETAILS Office Use Only Residential Indoor Basement Service Only X Commerical X Outdoor X 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 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 TVSS Other Equipment: up grade 200a underground service (meter at shed by home plate) Notes: Inspector Signature: Date: Aug 28 2013 81-Cert Electrical Compliance Form.xls Tom Hag Annex Telephone(631)765-1$42 54375 Main Road 6$1)P.O. .Box 1 �5917 �► roger richertCc "rn�rnm.sou�fio Southold, An MUDING DEPART TOMNOFSOUTHOLD APPLICATION FOR ELECTRICAL 1NSP CTION REQUESTED BY: J 6 t) " M't Date:�` — Company Name: w, ► LL© Name: ��b� �► M i � (� Ucense No.: Address: Phone No.: JOESITE INFORMATION: (*indicates required information) *Narne- M -7-7 / 7tA C— *Address: 0 X I. .M Aj rTLA JU-Y, 1.1 (DtJ Street: r\, , GL(4 *Phone No.: f 0 Permit No.: Tax-Map [district: 4 000 Section: 1-7,6 Block: Lot: *SRI. DESCRIPTION OF WORK(Please Print Clearly) u o)_vD /9 sC—nVe C le- (Please Circle AN That Apply) *Is job ready for inspection: S NO. Rough In. Finat Vo-you need a Temp CaMeate: I NO Temp Informa&w I - eeded) *Service Size: C!,PhAse 3Phase 100 1W <!jj� 300 350 400 Other *New Service: Re-wrined Undergroun Number of Deters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION L -OC47i0Al 0/ C-t G 15 I /C _ s .82-Request for Inspection Form �l