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43845-Z
�p`gsuFFnt,�COG�� Town of Southold 7/3/2019 P.O.Box 1179 0 C* 53095 Main Rd �yayC1 �ap�� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40476 Date: 7/3/2019 THIS CERTIFIES that the building ELECTRICAL Location of Property: 710 Shepard Dr, Southold SCTM#: 473889 Sec/Block/Lot: 78.-2-5 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/10/2019 pursuant to which Building Permit No. 43845 dated 6/10/2019 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: 100 AMP OVERHEAD ELECTRIC SERVICE REPAIR The certificate is issued to Weinfeld,Mitchell&Minutaglio,Aubrey of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 43845 06-18-2019 PLUMBERS CERTIFICATION DATED Authorized Signature TOWN OF SOUTHOLD o�°�oFFol��oa. BUILDING DEPARTMENT 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#: 43845 Date: 6/10/2019 Permission is hereby granted to: Weinfeld, Mitchell & Minutaglio, Aubrey 92 Beechknoll Rd Forest Hills, NY 11375 To: 100a service reconnection At premises located at: 710 Shepard Dr, Southold SCTM # 473889 Sec/Block/Lot# 78.-2-5 Pursuant to application dated 6/10/2019 and approved by the Building Inspector. To expire on 12/9/2020. Fees: ELECTRIC $85.00 Total: $85.00 Building Inspector Town Hall Annex ® Telephone(631)765-1802 54375 Main Road CO- Fax(631)765-9502 P.O.Box 1179 G Q Southold,NY 11971-0959 Al roger.richertl D-town.southold.ny.us co I BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Weinfield Address: 710 Shepard Dr City: Southold St: New York Zip. 11971 Building Permit#. 43845 Section: 78 Block: 2 Lot, 5 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Hildebrandt Electric License No: 38496-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 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 FixturesTime Clocks Disconnect Switches Twist Lock Exit Fixtures TVSS Other Equipment: 100a overhead service repair Notes: Inspector Signature: Date: June 18 2019 81-Cert Electrical Compliance Form.xls FFaLKc BUILDING DEPARTMENT- Electrical Inspector o� TOWN OF SOUTHOLD x Town Hall Annex - 54375 Main Road - PO Box 117 Southold, New York 11971-0959 41 Telephone (631) 765-1802 - FAX (631) 765-9502 roger.richert@town.southold.ny.us APPLICATION FOR ELECTRICAL INSPECTION t,o!�T 6 REQUESTED BY: �Ai^`�N� Date: - Company Name: 06, kT0 c C Name: email: ; i a ac'ecT(L ' c a P?a.'I,y�. r✓�'( License No.: Address: S 7S r► �:.� 5 v, �, So Jrd o Phone No.: 631 2 - X169 JOB SITE INFORMATION: (All Information Required) Name: Address: Cross Street: Phone No.: emai(� Bidg.Permit#: ��J g Block: Lot: Tax Map District: 1000 Section.- BRIEF DESCRIPTION OF WORK(Please Print Clearly) Circle All That ApPIY= Final Is job ready for-inspection?: NO Rough,In Do you need a Temp Certificate?: (� NO Issued On Temp Information:^-� (All information required) - - Service Size 1 P 3 Ph Size: //C_QA Meters. Old Mefer# � New Service- Fire Reconnect- Flood Reconnect- ervice Reconne - Underground -Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional information: PAYMENT DUE WITH APPLICATION / ©-! 82-Request for Inspection Form As