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44062-Z
T ZI'lJ,� Town of Southold 8/20/2019 P.O.Box 1179 y 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40636 Date: 8/20/2019 THIS CERTIFIES that the building ELECTRICAL Location of Property: 915 Sound Rd., Greenport SCTM#: 473889 Sec/Block/Lot: 33.4-72 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/12/2019 - pursuant to which Building Permit No. 44062 dated 8/13/2019 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 ELECTRIC SERVICE UPGRADE o The certificate is issued to Sheiffer,Kathleen&ors of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 44062 08-13-2019 PLUMBERS CERTIFICATION DATED Authorized Signature �p-1=11i,r TOWN OF SOUTHOLD moo c�ay BUILDING DEPARTMENT ' TOWN CLERK'S OFFICE oy � 4jS 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#: 44062 Date: 8/13/2019 Permission is hereby granted to: Sheiffer, Kathleen PO BOX 736 Quogue, NY 11959 To: Installation of a new electric meter pan and service panel. At premises located at: 915 Sound Rd., Greenport SCTM # 473889 Sec/Block/Lot# 33.4-72 Pursuant to application dated 8/12/2019 and approved by the Building Inspector. To expire on 2/11/2021. Fees: ELECTRIC $85.00 Total: $85.00 Building Inspector rif so Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 ® �®� sean.deviin(a-town.southold.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Kathleen Sheiffer Address: 915 Sound Rd city Greenport st: NY zip: 11944 Budding Permit#: 44062 Section. 33 Block: 4 Lot: 72 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Pre C O License No: SITE DETAILS Office Use Only Residential X Indoor X Basement X Service Only X Commerical Outdoor X 1 st 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 100A A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks Disconnect Switches Twist Lock Exit Fixtures TVSS Other Equipment: 100A Main Panel, Meterpan, 2-Groundrods Notes, 1 Inspector Signature: Date: August 13, 2019 S.Devlin-Cert Electrical Compliance Form.xls OF SOUlyO �06 Z TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION_ [ ] CAULKING REMARKS: TINA/ DATE INSPECTOR tV '. oFFDL f; ,I 'L' rUILDING DEPARTMENT- Electrical Inspector .--� TOWN OF SOUTHOLD AUG 1 2 2019Town Hall Annex - 54375 Main Road -' PO Box 1179 0 Southold, New York 11971-0959 w�' • Tr iprrTelephone (631) 765-1802 - FAX (631) 765-9502 o� r�..,W.TT�_ l c �i ,WN OF S o 101D roger.richert(@.town.south old.n .us APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY:- t1�1�� S r 12-► r Date: Company Name: , Name: License No.: email: Address: Phone No.: JOB SITE INFORMATION: (All information Required) Name: Address: ® " Cross Street: Phone No.: BIdg.Permit#: �— _ email: Fax Map District: 1000 ection: Block: Lot: BRIEF DESCRIPTION OF WORK (Please Print Clearly) Circle All That Apply: Is job ready for inspection?: ©E / 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 ,1°� a0 Request for Inspection Form As