HomeMy WebLinkAbout36677-ZTown of Southold Annex
54375 Main Road
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
9/13/2011
No: 35214
Date: 9/13/2011
THIS CERTIFIES that the building ELECTRICAL
Location of Property:
SCTM #: 473889
1665 Bray Ave, Laurel,
Sec/Block/Lot:
126.-8-11
Subdivision: Filed Map No.
conforms substantially to the Application for Building Permit heretofore
9/9/2011 pursuant to which Building Permit No.
Lot No.
filed in this officed dated
36677 dated 9/9/2011
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:
New Electric Service
The certificate is issued to
Kayton, Charles
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
36677
9/2/11
TOWN OF SOUTHOLD
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 #: 36677
Permission is hereby granted to:
Kayton, Charles
1665 Bray Ave
Laurel, NY 11948
Date: 919/2011
To:
New Electric Service
At premises located at:
1665 Bray Ave, Laurel
SCTM # 473889
Sec/Block/Lot St 126.-8-11
Pursuant to application dated
To expire on 311012013.
Fees:
9/9/2011
and approved by the Building Inspector.
ELECTRIC
Total:
$85.00
$85.00
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY I 1971-0959
Telephone (631) 765-1802
Fax (63 I) 765-9502
ro.qer, richert~,town.southold.ny, us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
ssued To: Charles Kay[on
Address: 1665 BrayAve City: Laurel St: NY Zip: 1194E
~uilding Permit #: -72~ ~,~ (~ '7 '~ Section: t r_~.~,:~ - Block: ~ Lot: /I
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
3ontractor: DBA: Pumillo Electric License No: 2300-me
SITE DETAILS
Office Use Only
Residential ~ Indoor ~] Basement ~ Service Only ~]
Commedcal Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Aitic Garage
INVENTORY
Service 3 ph Hot Water GFCI Recpt
Main Panel A/C Condenser Single Recpt
Sub Panel NC Blower Range Recpt
Transformer Appliances Dryer Recpt
Disconnect Switches Twist Lock
Other Equipment: 100a overhead service
Ceiling Fixtures ]~] HID Fixtures
Wall Fixtures I I Smoke Detectors
Recessed Fixtures[~ CO Detectors
Fluorescent Fixture ].~ Pumps
Emergency Fixtures~ Time Clocks
Exit Fixtures [~] TVSS
Notes:
Inspector Signature:
Date: Sept 2 2011
81-Cert Electrical Compliance Form
*~RIEF DEBCRIPTION OF WORK (Pleaee Print. Clea'~j)