HomeMy WebLinkAbout36489-Z r %OfF064 Town of Southold Annex 7/31/2011
�a� CdG 54375 Main Road
Southold,New York 11971
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CERTIFICATE OF OCCUPANCY
No: 35097 Date: 7/31/2011
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 24260 Route 25, Orient,
SCTM#: 473889 Sec/Block/Lot: 18.-5-18.3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
6/10/2011 pursuant to which Building Permit No. 36489 dated 6/20/2011
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 change for barn.
The certificate is issued to Caufield,Edward&Janice,Newman
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL'CERTIFICATE NO. 36489 6/13/11
PLUMBERS CERTIFICATION DATED
Authorized Signature
SO!/ryolo
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G Q
Southold,New York 11971-0959 '� roger.riche rt(-town.Southold.ny.us
�y�DUNTY,��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Ed Caufied
Address: 24+NMain Rd aq;k&D) City: Orient St: NY Zip: 11957
Building Permit#: G 4 8 9 Section: 18 Block: Lot: 3
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Arthur Ruroede Elec License No: 2334-e
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only X
Commerical Outdoor 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: service change to barn-100a overhead
Notes:
i
Inspector Signature: Date: June 13 2011
81-Cert Electrical Compliance Form
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y = ' TOWN CLERK'S OFFICE
oy . 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#: 36489 Date: 6/20/2011
Permission is hereby granted to:
Caufield, Edward & Janice, Newman
205 Willets Ave
West Hempstead, NY 11552
To: Electric service change in barn.
At premises located at:
24260 Route 25, Orient
SCTM # 473889
Sec/Block/Lot# 18.-5-18.3
Pursuant to application dated 6/10/2011 and approved by the Building Inspector.
To expire on 12/19/2012.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
- TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION,
REC. UES.TEl3 BY. Date:
Company tame:
Namd:
License..Noy,: 3 (t
Address: V i h
Phone-No.:
JOSSITE INFORMATION.: (*indicates. required inform.ativn) .
*Xddress: ��1 1�-�ray ci t l'► +o ��
*Cross Street:
*Phone No.: ,. . �L 3 IQ
Tax Map District: .1000 Section: Mock:- Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly
1^ I ,
V1
' (#Tease Circle Alt That Apply.) '�
*Is lab ready for Inspection: Np Rough In Ftnal:.
to you need a Temp Certificate: YER NO
Temp Information (If needed}
*Service Size: as . 3Phase 00 150 200 300 35 400 Other
*New Service: Re-connect Undergroun Number of Meters `change of Service Overhead
Additional Information: PAYMENT DU`E WITH A ION
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Town Hall Annex Telephone(630 765,4802:
54875 Main Road Far
P.O..Box 1179 roger.richert(t77t0 n.sout�i0 6.ny us.
Southold,NY 11971-0959 0 .
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BUILDING DEPAR714i NT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION- _
REQUESTED BY: ` ' �a r Lea e� Date: I
Company Name: kZA_r . o eS G
i ti
'Na,
'c;ense.No,: 3 *4-
a►ddress: 3 96
y Phone No.:
JORSITE INFORMATION.- (*I'ndicates required. information) .
*Address: L"-of' � f1 A.i�► $ �`
*Cross Street: p la f �4C
*Phone No.:
-
Permit No.:
Tax Map District: .1000 Section: .1 , Stock: Lot: m;
*BRIEF DESCRIPTION OF WORK(Please Print..Clearly
.SSA r a c e CGS a� � ! 10CL r h ,
(Please Circle Alf That Apply)
*Is job ready for inspection: NO Rough In- Final..
*boo you need a Temp Certificate: -ER/ NO
Temp-Information (if needed) -
*Service Size.` as . 3Phase 'l00 1 S0 200 300, 35 400 Other
*New Service: Re-connect Undergroun Number o€Meters change of Service Overhead
Additional information: PAYMENT DUE WITH A ION
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