HomeMy WebLinkAbout38302-Z ��gUFFO Town of Southold Annex 1/8/2014
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Gym P.O.Box 1179
54375 Main Road
of Southold,New York 11971
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CERTIFICATE OF OCCUPANCY
No: 37792 Date: 1/8/2014
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 350 Lakeside Dr, Southold,
SCTM#: 473889 Sec/Block/Lot: 90.-3-16
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
9/3/2013 pursuant to which Building Permit No. 38302 dated 9/4/2013
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 service.
The certificate is issued to Sokol,Marc&Sokol,Deirdre
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 38302 1/6/14
PLUMBERS CERTIFICATION DATED
Authorized Signature
�SUFFot� TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y z 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#: 38302 Date: 9/4/2013
Permission is hereby granted to:
Sokol, Marc & Sokol, Deirdre
965 E Cedar Point Dr
Southold, NY 11971
To: Change 200 AMP Overhead Service to Underground Service
At premises located at:
350 Lakeside Dr, Southold
SCTM # 473889
Sec/Block/Lot#90.-3-16
Pursuant to application dated 9/3/2013 and approved by the Building Inspector.
To expire on 3/6/2015.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
*pF SOUjyolo
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 • iQ roper.riche rt(d-)town.southo Id.ny.us
Southold,NY 11971-0959
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Marc Sokol
Address: 965 Cedar Point Dr E. (350 Lakeside Dr) City: Southold St: NY Zip: 11971
Building Permit* 38302 Section: 90 Block: 3 Lot: 16
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: GJS Electric License No: 4839-me
SITE DETAILS
Office Use Only
Residential X Indoor 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 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 Switches Twist Lock 11 Exit Fixtures TVSS
Other Equipment: existing 200a overhead service changed to underground
Notes:
Inspector Signature: Date: Jan 6 2014
81-Cert Electrical Compliance Form.xls
05-26-10; 12:46 29,82174 # 1/ 2
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Town Hall Atrnex / 4 Telephone(631)765-1802
54375 Maui Road � �ax(631)765- 5
P.O.Box 1179 G Q roger.richertt`cy_town.soutlio1A_ny.us
Southold,NY 11971.0959
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BUILDING DEPAIUMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: S�Q,i(� Date:
- -- C-ompany--Name ------ -------�-. c,--�'i2--_��=_L-__ .--------- --- ----- -- - -- ------ ---
Name;
License No.: 3
Address: (ploI -_5 MaAA t A-G. W+- +c. I/ L ( OS ;I-
-Phone No.: 3 L _ S
JOBSITE INFORMATION: ('Indicates required information)
*Name: m a rC Soko
*Address:
*Cross Street: r
CPS Poi(X� bf:
*Phone No.: 31 a -.9 �a -_- �73 �1_
Permit No..
Tax Map District: 1000 Section: Block: Lot:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
�00 �lelV.2 wol cQ —� �n U �nd s I��,
(Please Circle All That Apply)
*Is job ready for inspection: S NO Rough In Final
*Do you need a Temp Certificate: NO
Temp Information (If needed)
*Service Size: 1 Phase 3Phase 100 150 00 300 , 350 400 Other
*New Service: Re-connect Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
a2-Request for Inspection Form Gi �