HomeMy WebLinkAbout38370-Z Town of Southold Annex 10/7/2013
P.O.Box 1179
co 54375 Main Road
oy �I Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 36553 Date: 10/7/2013
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 9900 Soundview Ave, Southold,
SCTM#: 473889 See/Block/Lot: 59.-2-7
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
9/30/2013 pursuant to which Building Permit No. 38370 dated 9/30/2013
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 Sub Panel in Garage with 1 Switch, 1 GFCI recepticle and 1 Light.
The certificate is issued to Barry,John&Barry,Carol
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 38370 10/1/13
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
N 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#: 38370 Date: 9/30/2013
Permission is hereby granted to:
Barry, John & Barry, Carol
PO BOX 965
Southold, NY 11971
To: Install Electric Sub Panel in Garage
At premises located at:
9900 Soundview Ave, Southold
SCTM # 473889
Sec/Block/Lot# 59.-2-7
Pursuant to application dated 9/30/2013 and approved by the Building Inspector.
To expire on 4/1/2015.
Fees:
ELECTRIC $90.00
Total: $90.00
Building
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Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 iQ roger.richert(a town.southo Id.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: John Barry
Address: 9900 Soundview Ave City: Southold St: NY Zip: 11971
Building Permit#: 38370 ( 6) Section: 59 Block: 2 Lot: 7
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: New York Electric Co License No:
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage X
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures 1 Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel 100a A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches El Twist Lock Exit Fixtures 11 TVSS
Other Equipment: 100a sub panel installed in garage with 1 switch, 1 GFCI recpticle & 1 light
Notes:
-�ZInspector Signature: Date: Oct 1 2013
81-Cert Electrical Compliance Form.xls
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TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) /ELECTRICAL (FINAL)
REMARKS:
DATE INSPECTOR
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Town Hall Annex O Teleph �tstic��
54375 Main Road
P.O.Box 1179 • O ro erAchert o 7U1AOt s
Southold,NY 11971-0959
SEP 3 0 2013
Bua.DING DEPARTMENT
TOWN OF SOUT$OLD BLDG. DEPT.
APPLICATION FOR ELECTRICAL INSPECTION TOWN OF SOUTHOLD
REQUESTED BY: Date:
Company Name: _
• Name:
License No.:
Address:
Phone No.:
JOBSITE INFORMATION: (*Indicates required information)
*Name:
*Address:
*Cross Street:
*Phone No.: r
Permit No.:
Tax-Map District: 1000 Section: Block: Lot: ,
*BRIEF DESCRIPTION OF WORK(Please Print Clearly) r
(Please Circle All That Apply)
*Is job ready for inspection: NO. Rough In Final
*Do-you need a Temp Certificate: YES/(D r
I
Temp Information (lf needed)
*Service Size: 1 Phase 313hase 100 150 200 300 350 400 Other 0 0
*New Service: Re-connect Underground Number of Meters Change of Service Overhead �
Additional Information: PAYMENT DUE WITH APPLICATION
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LJ ce
.824Request for Inspection Form