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44096-Z
FFOj'fC©G. Town of Southold 9/5/2019 s P.O.Box 1179 0 ;Y 53095 Main Rd oyNo® Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44096 Date: 9/5/2019 THIS CERTIFIES that the building ELECTRICAL Location of Property: 1560 Orchard St, Orient SCTM#: 473889 Sec/Block/Lot: 25.-5-1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/23/2019 pursuant to which Building Permit No. 44096 dated 8/23/2019 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: electrical metgrpan rgplacment. The certificate is issued to Smilow,Margaret&Yao of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 44096 8/30/2019 PLUMBERS CERTIFICATION DATED Authorized Signature rSUFfot� TOWN OF SOUTHOLD �aa� coot' BUILDING DEPARTMENT 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#: 44096 Date: 8/23/2019 Permission is hereby granted to: Smilow, Margaret 100 U N Piz Apt 8-A New York, NY 10017 To: Replace meter pan only At premises located at: 1560 Orchard St, Orient SCTM # 473889 Sec/Block/Lot# 25.-5-1 Pursuant to application dated 8/23/2019 and approved by the Building Inspector. To expire on 2/21/2021. Fees: ELECTRIC $85.00 Total: $85.00 Building Inspector of S10ri®� Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 ® a sean.devlin@town.southold.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Margaret Smilow Address: 1560 Orchard St city Orient st: NY zip. 11957 Budding Permit#- 44096 Section 25 Block 5 Lot 1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE contractor- DBA: Grattan Electric LLC License No: 43643-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 X 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 Combo SD/CO 11 Other Equipment Notes Meterpan Replacement Inspector Signature: Date: August 30, 2019 S Devlin-Cert Electrical Compliance Form.xls OF SOUTy�Io # TOWN OF S UTHOLD, BUILDING DEPT. `ycourm, '' 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) Mdy ,r- [ ] CODE VIOLATION [ ] CAULKING REMARKS:- DATE EMARKS:-DATEFl ;?011qINSPECTOR rz, +rratk t—������LJ W �f I DING DEPARTMENT- Electrical Inspector _ TOWN OF SOUTHOLD AUG 2 2 -261&na�ll�Annex - 54375 Main Road - PO Box 1179 o _ Southold, New York 11971-0959 1Ti7"WC Dfl-1eIgphone (631) 765-1802 - FAX (631) 765-9502 roger.richert(cbtown.southold.ny.us APPLICATION FOR ELECTRICAL INSPECTION REQUESTED-BY: Dater Company Name: Gi L C Name: License No.: '�y3 _ email: TGRftv"10 Address: E4 Ve Phone No.: / , G JOB SITE INFORMATION: (All Information Required) Name: ILV- (L&Q � Sn, A aw Address: DaCh&Aj Cross Street: Phone No.: Bldg.Permit#: email:, Tax Map District: 1000 Section: S Block- Lot: BRIEF DESCRIPTION OF WORK (Please Print Clearly) !),A-0- ems Circle All That Apply: Is job ready for inspection?: YES / NO Rough In Final Do you need a Temp Certificate?.: YES / NOIssued On 9 Ul Temp Information: (All information required) Service Size 1 P 3 Ph Size: GU A # Meters Old Meter# New Service - Fire Reconnect- Flood ReconnectServiceReconnected Underground -Overhead # Underground Laterals 1 2 H Frame Pole Work done,on Service? Y N Additional Information. P &/ /c,5, o/1 F/c,mc PAYMENT DUE WITH APPLICATION Request for Inspection FormAs