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HomeMy WebLinkAbout37880-Z FaI�c©G�� Town of Southold Annex 9/4/2013 P.O.Box 1179 � x 54375 Main Road o Southold,New York 11971 yglpl .�D�i�? CERTIFICATE OF OCCUPANCY No: 36484 Date: 9/4/2013 THIS CERTIFIES that the building ELECTRICAL Location of Property: 1370 N Sea.Dr, Orient, SCTM#: 473889 Sec/Block/Lot: 15.-3-36.3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 3/22/2013 pursuant to which Building Permit No. 37880 dated 3/22/2013 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: CHANGE TO 200 AMP OVERHEAD ELECTRICAL SERVICE The certificate is issued to Baum,John&Baum,Doris (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37880 08-26-2013 PLUMBERS CERTIFICATION DATED Authorized Signature ' TOWN OF SOUTHOLD BUILDING DEPARTMENT y TOWN CLERK'S OFFICE 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 #: 37880 Date: 3/22/2013 Permission is hereby granted to: Baum, John & Baum, Doris 61 Woodland Dr Brightwaters, NY 11718 To: Change 200 amp Overhead Service At premises located at: 1370 N Sea Dr, Orient SCTM # 473889 Sec/Block/Lot# 15.-3-36.3 Pursuant to application dated 3/22/2013 and approved by the Building Inspector. To expire on 9/21/2014. 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 io roger.richerta-town.southo Id.ny.us Southold,NY 11971-0959 o�ycoU ,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Giordano (Baum) Address: 1370 North Sea Dr City: Orient St: NY Zip: 11957 Building Permit#: 37880 Section: 15 Block: 3 Lot: 36.3 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Double R Contracting Inc License No: 4027-e SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only X Commerical 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: 200a overhead service Notes: Inspector Signature: Date: Aug 26 2013 81-Cert Electrical Compliance Form.xls o�*Of SO�jly�! Town Hall Annex J Telephone(631)765-1802 54375 Main Road g9 pp P.O.Box 1179 Q r9ger.richertCa:-rOA SOuI 015.ny,us Southold,,NY 11971-0959 WELDING DEPARTMENT TOWN OF SOUTHOM APPLICATION FOR ELECTRICAL INSPECTION F UESTED BY: � _/1 GA (� �5 Date: --�� any Name: � � � � `e: ' License No.: b �� Address: Phone No.: 6?�--��f�— l�7 JOBSITE INFORMATION: (*Indicates required information) *Name: *Address: 0-1�4 c� (�, n�v i �%�, ®rr�, �[. 7577 *Cross Street: `Phone No.: Permit No.: Tax-Map District: - 1000 Section: f 5. Block: 3 Lot: *BRIEF DESCRIPTION OF WORK Please Print Clearly) (Please Circle All That Apply) Is job ready for inspection: YES"�. Rough in Final *Do.you need a Temp Certificate: YES/ NO Temp Information(If.needed) *Service Size: 1 Phase 3Phase 100 150 n26O 300 350 . 400 Other *New Service: Re-connect Underground Number of Meters Change of Servic Overhead Additional Information: PAYMENT DUE WITH APPLICATION 013 82=Request for Inspection Form