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����UfFOd, cDy Town of Southold 10/8/2019
- P.O.Box 1179
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T 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40757 Date: 10/8/2019
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 905 Harbor Ln., Cutchogue
SCTM#: 473889 Sec/Block/Lot: 97.-6-11
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/27/2019 pursuant to which Building Permit No. 44231 dated 9/27/2019
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:
200 AMP OVERHEAD ELECTRIC SERVICE UPGRADE
The certificate is issued to Viggiano,Michael&Mindy
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 44231 10-08-2019
PLUMBERS CERTIFICATION DATED
Authorized Signature
j TOWN OF SOUTHOLD
�gQFfOj,�cOG
��o y BUILDING DEPARTMENT
g TOWN CLERK'S OFFICE
SOUTHOLD,, NY
BUILDING PERMIT
(THISPERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) _
Permit#: 44231 Date: 9/27/2019
Permission is hereby granted to:
Viggiano, Michael -
905 Harbor Ln
a
Cutchogue, NY 11935
To: New 200A overhead electric service.
At premises located at: ;
905 Harbor Ln., Cutchogue
SCTM #473889
Sec/Block/Lot# 97.-6-11
Pursuant to application dated 9/27/2019 and approved by the Building Inspector.
To expire on 3/28/2021. , .
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
'a^e soUry®�
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G @ sean.devlinCcD-town.southold.n us
Southold,NY 11971-0959 y'
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Michael Viggiano
Address: 905 Harbor Ln city Cutchogue sr NY zip. 11935
Building Permit# 44231 section 97 Block 6 Lot- 11
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
contractor: DBA: Direct Connection Const. License No: 44943-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X 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 Ceding Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 200A 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 LI Combo SD/CO
Other Equipment Ground Rods and Coldwater Ground
Notes: Overhead Service Upgrade
Inspector Signature: Date: October 8, 2019
S Devlin-Cert Electrical Compliance Form.xls
OF SOUIyo� 0
# TOWN OF SOUTHOLD BUILDING DEPT.
coulm, 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)",�Vl�p
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
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G
DATE 10/ 7 ` INSPECTOR
�oSyfFO�,t-`o BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
C* Town Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr(c-southoldtownny.gov - seand(D_southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name:
Name: - Dig UZv Coti,PD_rivE
License No:: ME - !/ygy,3 email: z6,b AJFie J &&--r
Address:
Phone No.:
JOB SITE INFORMATION (All Information Required)
Name: tKr-LH46Z v'J6,6Z4A)0 ke---,VT&6 1/yo f1#166v0r-/t
Address: 9K- Il-*19302
Cross Street: MArAV Ab,
Phone No.: 631 -a9ff-L/.5 91
Bldg.Permit#: email: Mx/co V U661-ANoe yW 40,60pK
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK (Please Print Clearly) SEQVice
Circle All That Apply:
Is job ready for inspection?: YES ALD Rough In Final
Do you need a Temp Certificate?: YES NO Issued On
Temp Information: (All information required) ,
Service SizOh 3 Ph Size: —1.0-0 A # Meters Old Metenf-
New Service - Fire Reconnect- Flood Reconnec - Service Reconnecte Underground - Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
?ZAWO :3tYUnC' uPq"At-1 946 c-v
PAYMENT DUE WITH APPLICATION
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Request for Inspection FormAs
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