HomeMy WebLinkAbout43984-Z ��0�rr-2 '
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P.O.Box 1179
53095 Main Rd
Qs ao� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40610 Date: 8/12/2019
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 780 Aquaview Ave., East Marion
SCTM#: 473889 Sec/Block/Lot: 21.-3-10
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/18/2019 pursuant to which Building Permit No. 43984 dated 7/18/2019
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:
cold water ground, meter and panel.
The certificate is issued to Milano, Susan&Timothy
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 43984 8/9/2019
PLUMBERS CERTIFICATION DATED
Authorized Signature
'7. TOWN OF SOUTHOLD
moo o�y BUILDING DEPARTMENT
H TOWN CLERK'S OFFICE
• 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#: 43984 Date: 7/18/2019
Permission is hereby granted to:
Milano, Susan
780 Aquaview Ave
East Marion, NY 11939
To: New electrical service to existing residential property.
At premises located at:
780 Aquaview Ave., East Marion
SCTM # 473889
Sec/Block/Lot# 21.-3-10
Pursuant to application dated 7/18/2019 and approved by the Building Inspector.
To expire on 1/16/2021.
Fees:
ELECTRIC $85.00
Total: $85.00
Bu Spector
tf so
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 sean.devlin(c-town. us
Southold,NY 11971-0959 y'
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Susan Milano
Address: 780 Aquaview Ave city:East Marion st: NY zip: 11939
Building Permit#: 43984 Section: - 21 Block. 3 Lot: 10
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: License No:
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service Only X
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph X Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel X 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 11 TVSS
Other Equipment: cold water ground, meter and panel
Notes:
Inspector Signature: Date: August 9, 2019
S.Devhn-Cert Electrical Compliance Form.xls
'j- - -
UF SOUryo 4 v 7
# TOWN OF SOUTHOLD BUILDING DEPT.
co 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ELECTRICAL (FINAL)
[ ] CODE VIOLATION r ] CAULKING
REMARKS:
IV j?". 7,0A) d
DATE A INSPECTOR
BUILDING DEPARTMENT- Electrical Inspector
OFF
TOWN OF SOUTHOLD
201g Town Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
l ' roger.richertCa�town.southold.ny.us,
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: - - Date: -
Company Name:
Name:
License No.: email:
Address:
Phone No.:
JOB SITE INFORMATION: (Ali Information Required)
Name:
Address:
Cross Street:
Phone No.:
Bldg.Permit#: -- :i�i5L2=_a6 43984 em 0754' i,e`l�Ef
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Ne,uj c52r k1 l ClL, - C-0
Circle All That Apply:
Is job ready for inspection?: YES / NO Rough In Final
Do you need a Temp Certificate?: YES / NO Issued On
Temp Information: (All information required)
Service Size 1 Ph 3 Ph Size: A # Meters Old Meter#
New Service - Fire Reconnect- Flood Reconnect- Service Reconnected - Underground - Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
C-P
Request for Inspection FormAs
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