HomeMy WebLinkAbout37473-Z 0�p,f� Town of Southold Annex 11/21/2013
P.O.Box 1179
y 54375 Main Road
oy Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 36616 Date: 11/21/2013
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 805 West Rd, Cutchogue,
SCTM#: 473889 See/Block/Lot: 110.-7-4
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
8/27/2012 pursuant to which Building Permit No. 37473 dated 8/27/2012
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 wiring for beach house.
The certificate is issued to Ridini Jr,Leonard&Ridini,Jill
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 37473 11/19/13
PLUMBERS CERTIFICATION DATED
Authorized Signature
,.rnz TOWN OF SOUTHOLD
�o�SVFEoc�-c
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
y 2 ' 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#: 37473 Date: 8/27/2012
Permission is hereby granted to:
Ridini Jr, Leonard & Ridini, Jill
18 Harriet Dr
Syosset, NY 11791
To: Wiring of bath house
At premises located at:
805 West Rd, Cutchogue
SCTM # 473889
Sec/Block/Lot# 110.4-4
Pursuant to application dated 8/27/2012 and approved by the Building Inspector.
To expire on 2/26/2014.
Fees:
ELECTRIC $90.00
Total: $90.00
Building Inspector
O��pF SO�Tyol
Town Hall Annex ~ Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 roger.riche rtR-town.southo Id.ny.us
Southold,NY 11971-0959 X`
o�yCOU�,��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Leonard Ridini Jr
Address: 805 West Rd City: Cutchogue St: NY Zip: 11935
Building Permit#: 37473 Section: 110 Block: 7 Lot: 4
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: as built DBA: License No:
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures 1 HID Fixtures
Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures 2 Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel 1-60 A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 2 Twist Lock Exit Fixtures 11 TVSS
Other Equipment: BEACH HOUSE
Notes:
Inspector Signature: Date: Nov 19 2013
81-Cert Electrical Compliance Form.xls
- aF sttti
Tom Ha Annex Telephone(631)765-1802
Sws Main Road �.ggp2
P.U.Box 1179 ► Mge ri ch B r Wa `vim 1sOUthOltl.nY.l,B .. 1
Southold,NY 11971-0959
s .
BUILDING DEPARTAHW
TOWN OF SOUMOLD '
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY J t a.t l «�!G!� Date:
Company Name: 1 S T I�► % c G rL i L 60
!..
R l S.
License No.: 4/3 13 F.
Lddress: O /3aX_ Z,2-7 G���T Ll H-r / !�
Phone No.:. R 15 77 6A f f C,G 6 6 f e fe 1 _
JOBSITE INFORMATION: (*Indicates.required information) I_ � I
*Name: R �� 7/AJ
*Address: Vim, �.. .
*Cross Sheet: {
*Phone No.:
Permit No.: 7
Tax-Map District: - 1000 Section: /1 - Block:_-?__ Lot: Z/ .__.
*BRIEF DESCRIPTION OF WORK-(Please Print Clearly)
(.J,2 rLj5 a F- hfl y P
(Please Circle All That Apply)
*Is job ready for inspection: YES i NO. Rough In Final
*Do-you need a Temp Certificate:. YES NO
Temp Formation Qf-needed)
*Service Size: 1 Phase Whose 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
FF
824Request for lweMcm Form!
IJ AUGOSOUTHOLD
B
TOWN
11-18-13;09:28 15167941277 # 1/ 1
'*pf SOUjy� / ,2r-
Town Hall Annex /� Telephone(631)765-1802
S�i375 Main Road631)soutflo a.n 765:95�2�
y.us
P.O.Box 1179 coG roger.richert(aitown.
Southold,NY 11971.0959 ��,• ��
ovum,
BUILDING DEPA rMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date:
Company Name: L - � ---
Name:
License No.:
Address:
Phone No.:
JOBSITE INFORMATION: (*Indicates required information)
*Name: � Q
*Address: gar /i(/e
"Cross Street: 5i l/G4,S
*Phone No.:
Permit No.: 7
Tax Map District: 1000 Section— f Block: Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
/!`/.1 ®v
(Please Circle All That Apply)
*Is job- ready for inspection: DESNO Rough In Final
To you need a Temp Certificate: YES / NO
Temp Information-(If needed)
*Service Size: 1 Phase 3Phase 100 1'50 200 300 350 400 Other
*New Service: Re-connect Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
82-Request for Inspection Form
>Z'
r
4/w//6r7 7�0,,AJ 4�L-,C:�7
Iq