HomeMy WebLinkAbout37074-Z Town of Southold Annex
SUFFaL,� 3/28/2012
SO; P.O.Box 1179
C 54375 Main Road
Southold,New York 11971
r�
CERTIFICATE OF OCCUPANCY
No: 35515 Date: 3/28/2012
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 325 Sigsbee Rd, Laurel,
SCTM#: 473889 See/Block/Lot: 143.-2-7
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
3/19/2012 pursuant to which Building Permit No. 37074 dated 3/19/2012
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:
storm damage repair to outside portion of 100a overhead service.
The certificate is issued to Biegler,Jean
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 37074 3/26/12
PLUMBERS CERTIFICATION DATED
Authorized Signature
°�SFF t�-cp TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y a 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#: 37074 Date: 3/19/2012
Permission is hereby granted to:
Biegler, Jean
180 Horton Ave
Valley Stream, NY 11580
To: Storm Damage Repair to outside 100 Amp Service
At premises located at:
325 Sigsbee Rd, Laurel
SCTM # 473889
Sec/Block/Lot# 143.-2-7
Pursuant to application dated 3/19/2012 and approved by the Building Inspector.
To expire on 9/18/2013.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
pF SOUryolo
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
roger.riche rKED-town.Southold.ny.us
Southold,NY 11971-0959
cOUNTY,�c�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Biegler
Address: 325 Sigsbee Rd City: Mattituck St: NY Zip: 11952
Building Permit#: Section: 14.3 Block: 2 Lot: 7
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: All Ways Electric Corp License No: 764-e
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only X
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic. Garage
INVENTORY
Service 1 ph 100a Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches Twist Lock H 'Exit Fixtures TVSS
Other Equipment: storm damage repair to outside portion of 100a overhead service
Notes:,
Inspector Signature: Date: March 26 2012
81-Cert Electrical Compliance FormAs
07-30-10; 12: 27 6660479 # 1/ 2
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Town Ha11 Annc-x Tclr-phone.(631)765-1802
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Soudiold,NY 11971.0959 ' �4
BUILDING DEPAKI'MEN1'
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: pate: 3
Company Name:
Name:
License No_:
Address: Q q
Phone No.: � `� LD �-v�(� U.
JOBSITE INFORMATION: (*Indicates. required information)
*Narne:
*Address:
*Cross Street:
*Phone No.: (P
Permit No.:
Tax Map District: 1000 Section: Block: — Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly) SJ
_04�a cu (2d
(Please Circle All That Apply)
*Is job ready for inspection: CYES-�N/ NO Rough In 'inat
Do you need a Temp Certificate: YE$ NO
Temp Information 1 dad)
*'Service Size: 1 Phase T 3Phase d6o 150 200 300 350 400. Other
*New Service: Re--connect Underground Number of Meters Chanrvi, rineadz
Additional Information: PAYMENT DUE W_ITH AP Q 7 l�ro_ U LC
MAR
BLDG.DEPT.
82-R®quest for Inspection Form TOWN OF SOUTHOLD