HomeMy WebLinkAbout37805-Z �gtlFFQj/r Town of Southold Annex 3/22/2013
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y 54375 Main Road
D Southold, New York 11971
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CERTIFICATE OF OCCUPANCY
No: 36142 Date: 3/22/2013
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 1345 E Gillette Dr, East Marion,
SCTM#: 473889 Sec/Block/Lot: 38.4-21
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this otficed dated
2/12/2013 pursuant to which Building Permit No. 37805 dated 2/12/2013
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:
REPAIR OF ELECTRICAL SERVICE
The certificate is issued to Sgarlato, Santa
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 37805 03/11/2013
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
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TOWN CLERK'S OFFICE
py • 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#: 37805 Date: 2/12/2013
Permission is hereby granted to:
Sgarlato, Santa
1 Irving PI
New York, NY 10003
To: re-attach electric service
At premises located at:
1345 E Gillette Dr, East Marion
SCTM # 473889
Sec/Block/Lot# 38.-4-21
Pursuant to application dated 2/12/2013 and approved by the Building Inspector.
To expire on 8/14/2014.
Fees:
ELECTRIC $85.00
Total: $85.00
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Building Inspector
Town Hall Annex p�QSUFFO�kC-9, Telephone(631) 765-1802
54375 Main Road c Fax(631)765-9502
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P.O. Box 1179 0 -
Southold, NY 11971-0959 'y�fj�� �a0 roper.richert(cD-town.southold.ny.us
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Santa Sgarlato
Address: 1345 E Gillette Dr City: East Marion St: NY Zip: 11939
Building Permit#: 37805 Section: 38 Block: 4 Lot: 21
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: C-Cat CO License No: 953-e
SITE DETAILS
Office Use Only
Residential Indoor Basement Service Only
Commerical Outdoor 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 Exit Fixtures TVSS
Other Equipment: repair storm damage to overhead service, out side only, replace meter pan and
riser,interior remained as is.200a overhead service
Notes:
Inspector Signature: ,cam Date: March 11 2013
Electrical Certificate.xls
O��OF SOUl�,O
Town Hall Annex Telephone(631)7g654802
54375 Main Road ds roger.richertCa) OF
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P.O.Box 1179 G aC
Southold,NY 11971-0959. 0� �
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY.< � � Date: 2-
Company Name: T- c--G.r-rz4'vAL-
License No.:
Address:
Phone No.: L&71Czm- Q1 14-11
JOBSITE INFORMATION: (*Indicates required information)
*Name: AJ i -k bA TV
*Address: _1 A `f E
*Cross Street
*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: YE NO Rough In Final
*Do you need a Temp Certificate: YES/ NO
Temp Information (If needed)
*Service Size: 1 Phase Whase 100 150 20 300 350 400 Other
*New Service: �pnect Underground Number of Meters Change of Service Overhea
Additional Information: PAYMENT DUE WITH APPLICATION
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82-Request for Inspection Form
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