HomeMy WebLinkAbout38189-Z f Town of Southold Annex 8/6/2013
P.O. Box 1179
~e 54375 Main Road
* ~4F' Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 36434 Date: 8/6/2013
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 3495 Albertson Ln, Greenport,
SCTM 473889 Sec/Block/Lot: 44.-3-5
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
7/19/2013 pursuant to which Building Permit No. 38189 dated 7/22/2013
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 Survey
The certificate is issued to Verity, David & Verity, Barbara
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 38189 07-22-2013
PLUMBERS CERTIFICATION DATED
Authorized Signature
'oga1FF0(,~
Town Hall Annex ~~p~ copy Telephone (631) 765-1802
54375 Main Road ~ ? Fax (631) 765-9502
P.O. Box 1179 ~ -
Southold, NY 11971-0959 * ~,DO~ roaer.richert(a town.southold.nv.us
BUILDING DEPARTMENT
TOWN OF SOUTHO~D
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued TO: Doroski (Verity)
Address: 3495 Albertson La City: Greenport St: NY Zip: 11944
Building Permit 38189 Section: 44 Block: 3 Lot: 5
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: as built oBA: Doroski Electric Inc License No: 2941-e
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only X
Commedcal Outdoor X 1st Floor pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph 200a Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot W ater GFCI Recpl Wall Fixtures Smoke Detectors
Main Panel 200a A/C Condenser Single Recpt Recessed Fi~RUres CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect 200a Switches Twist Lock Exit FiMUres TVSS
otner EGUipment: 200a underground service
Notes:
Inspector Signature: `~I~-~~~ Date: July 22 2013
Electrical Certificate.xls
TOWN OF SOUTHOLD
s~~ BUILDING DEPARTMENT
~ ~ ~ TOWN CLERK'S OFFICE
,'e~~,~ 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 38189 Date: 7/22/2013
Permission is hereby granted to:
Verity, David 8~ Verity, Barbara _ _
13620 Pintail Dr
Fort Myers, FL 339085807
To: Electrical Survey
At premises located at:
3495 Albertson Ln, Greenport
SCTM # 473889
SeclBlock/Lot # 44.-3-5
Pursuant to application dated 7/19/2013 and approved by the Building Inspector.
To expire on 1/21/2015.
Fees:
ELECTRIC $85.00
Total: $85.00
' Building Inspector
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