HomeMy WebLinkAbout38369-Z gufFad�c Town of Southold Annex 10/10/2013
P.O.Box 1179
cm 54375 Main Road
o -V Southold,New York 11971
O
ti
CERTIFICATE OF OCCUPANCY
No: 36562 Date: 10/10/2013
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 845 Sunset Ln, Greenport,
SCTM#: 473889 Sec/Block/Lot: 33.4-57
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. 38369 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:
overhead electric service.
The certificate is issued to Demarest,Jeffrey&Demarest,Kara
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 38369 10/3/13
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y 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 #: 38369 Date: 9/30/2013
Permission is hereby granted to:
Demarest, Jeffrey & Demarest, Kara
29335 Main Rd
Orient, NY 11957
To: Electric Service Upgrade
At premises located at:
845 Sunset Ln, Greenport
SCTM # 473889
Sec/Block/Lot# 33.-4-57
Pursuant to application dated 9/30/2013 and approved by the Building Inspector.
To expire on 4/1/2015.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
pF SO�Tyolo
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
roger.riche rt(aD-town.southo Id.ny.us
Southold,NY 11971-0959
coulm,Nc�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Jeff Demarest
Address: 55 Sunset Ln AKA 845 City: Greenport St: NY Zip: 11944
Building Permit#: 38369 Section: 33 Block: 4 Lot: 57
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
contractor: DBA: Stephen M Albertson License No: 3494-e
SITE DETAILS
Office Use Only
Residential X Indoor Basement X Service Only X
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph 100a Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 100a 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 100a Switches Twist Lock Exit Fixtures TVSS
Other Equipment: 100a overhead service
Notes:
Inspector Signature: Date: Oct 3 2013
81-Cert Electrical Compliance Form.xls
j
aF s. ,ryo -
�o '
Town Hall hex Telephone(681)765-1802
54375 Main Roa01015.
(631)7
P.O.Box 1179 Q ro er.riche OWr1.5 rl .IIS
Southold,NY 1197I-4959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: '
Company Name.-
Name:
License No.:
Address.
Phone No.: 2.1 G
JOBSITE INFORMATION: (*Indicates required information)
*Name:
*Address:
Cross Street: :!�C, co in P L.
*Phone No..
Permit No.:
Tax-Map District: 1000 Section:- Block: Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
(Please Circle All That Apply)
*Is job ready for inspection: ES NO_ Rough In Final
*Do.you need a Temp Certificate: ES/ NO
Temp Information(If needed)
*Service Size: Phase 3Phase 100 150 200 300 350 . 400 Other
*New Service: Re-connect Underground Number of Meters ha a of Servi ve
Additional In#ormation: PAYMENT DUE WITH APPLICATION
.824Request for Inspection Form