HomeMy WebLinkAbout43270-Z ��Q�SI1EFUj,� ;;44 Town of Southold 12/23/2018
g 4 P.O.Box 1179
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53095 Main Rd
Southold,New York 11971
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CERTIFICATE OF OCCUPANCY
No: 40133 Date: 12/24/2018
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 845 Old Orchard Ln, East Marion
SCTM#: 473889 Sec/Block/Lot: 31.-7-18.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
12/4/2018 pursuant to which Building Permit No. 43270 dated 12/4/2018
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 electric service upgrade.
The certificate is issued to Foote,Walter
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 43270 12/10/2018
PLUMBERS CERTIFICATION DATED
Authorized Signatur
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
R, - 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#: 43270 Date: 12/4/2018
Permission is hereby granted to:
Chait, Mark
935 Pacific St Apt 201
Brooklyn, NY 11238
To: Electric Service
At premises located at:
845 Old Orchard Ln, East Marion
SCTM # 473889
Sec/Block/Lot# 31.-7-18.1
Pursuant to application dated 12/4/2018 and approved by the Building Inspector.
To expire on 6/4/2020.
Fees:
ELECTRIC $85.00
Total: $85.00
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uildi -Inspector
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Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 ®��C � �® roger.richert(W-town.south old.ny.us
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Chait
Address: 845 Old Orchard Ln City- East Marion St. New York Zip: 11939
Budding Permit# 43270 Section. 31 Block. 7 Lot , 18.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
contractor: DBA: Mariner Electric License No: 45056-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 200a Switches Twist Lock Exit Fixtures TVSS
Other Equipment. 200a service up grade
Notes:
Inspector Signature: Date: December 10 2018
81-Cert Electrical Compliance Form As
Ffixt; , BUILDING DEPARTMENT-Electrical r,
TOWN OF SOUTHOLD �H01YR
Town Hall Annex - 54375 Main RoadBox 1179 D
Southold, New York 11971420nnFFrr
Telephone (631) 765-1802 - FAX(631) 765-JbD2- 3 2018
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APPLICATION FOR ELECTRICAL INSPECTION TOWN®Fso> o
REQUESTED'BY: JA/,1 lir f—oo�-— Date:: 13 f j ,
Company Name:
Name: o6-ee4 S�'ov,�rtL
License No.: - �-/��� _ email: S /An rL� -7 q 0 A ,00 o
Attclress: A rrv-R_
Phone No:: /� -. - _►.`I.-7 19 I_
JOB SITE INFORMATION: (All Information Require o
Name: -
Address: t" Lam. 0C 1
Cross Street: o u
Phone No.: (o`I-7 0
Bldg.Permit#: email:."W�/.jy �oo¢e �-E-
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK(Please Print Clearly)
Circle All That Apply:
Is job ready for inspection?: Y S NO Rough In Final
Do you need a Temp Certificate?: ES NO Issued On ,
`l'emp Information: _ (Ail information required)
Servrae_Size 1 P 3 Ph Size: .o`�O 0 A #Meters _ Old Meter#
New Service Fire Reconnect- Flood Reconnect- Service Reconnected - Underground - Overhead
#`.UndergrroLq d Laterals _(1) '2 H Frame Pole Work done on Service? Y -N-
-Additional
-Additional Information:
PAYMENT DUEVVITH APPLICATION
82-Request for Inspection Form As q�o 11