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Town of Southold Annex 10/31/2013
P.O. Box 1179
r~ 54375 Main Road
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 36593 Date: 10/31/2013
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 460 Island View Lane, Greenport,
SCTM 473889 Sec/Block/Lot: 51-6-29
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building permit heretofore filed in this officed dated
10/29/2013 pursuant to which Building Permit No. 38464 dated 10/29/2013
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:
electric heat.
The certificate is issued to Patane, Giovanni & Patane, Maria
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 38464 10/28/13
PLUMBERS CERTIFICATION DATED
Authorized Signature
` TOWN OF SOUTHOLD
BUILDING DEPARTMENT
®
44 TOWN CLERK'S OFFICE
e SOUTHOLD,NY
a
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 38464 Date: 10/29/2013
Permission is hereby granted to:
Patane, Giovanni & Patane, Maria
24 Covert Ave
New Hyde Park, NY 11040
To: electric heat.
At premises located at:
460 Island View Lane, Greenport
SCTM # 473889
Sec/Block/Lot # 51-6-29
Pursuant to application dated 10/29/2013 and approved by the Building Inspector.
To expire on 4/30/2015.
Fees:
SINGLE FAMILY DWELLING - ADDITION OR ALTERATION $90.00
Total: $90.00
Ciuii'l
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Town Hall Annex Telephone (631) 765-1802
54375 Main Road 41 Fax (631) 765-9502
P.O. Box 1179 C1*
rog
Southold, NY 11971-0959 er.richert(a)town.southold.nv.us
coum
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Giovanni Patane
Address: 460 Island View Lane City: Greenport St: NY Zip: 11944
Building Permit#: 38464 Section: 53 Block: 6 Lot: 29
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
lContractor: as built DBA: License No:
SITE DETAILS
Office Use Only
Residential Indoor Basement Service Only
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition N Survey NX Attic Garage
INVENTORY
Service 1 ph 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 TVSS
Other Equipment: installation of baseboard electric heat-5 units
Notes:
Inspector Signature: Date:.Oct 28 2013
Cr
81-Cert Electrical Compliance Form.xIs
of SO4ryo
TOWN OF SOUTHOLD BUILDING D
~ 5 Ste(
765-1 802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ j FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPE TION
[ ] FIRE RESISTANT CONSTRUCTION [ FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [?iFl ELECTRICAL (FINAL)
REMARKS:
DATE ~G INSPECTOR
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Town Hall Annex
54375 Main Road 411 411 Telephone (631) 765-1802
P.O. Box 1179 roger. richerdfOx w(6-n")s'066AWoFd.ny.us
Southold, NTY 11971-0959
BUILDING DEPARTmENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date:
Company Name: -6>1 o
Name: 1,4
License No.:
Address:
1Phone No.: a S2-2-1,
JOBSITE INFORMATION: (*Indicates required information)
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*Name: VAI\A\J I
*Address: !+/'60 =ZLC4'1,NH>
*Cross Street: t
*Phone No.:
Permit No.: L1 \=,q
Tax Map District: 1000 Section: Block: Lot:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
f
(Please Circle All That Apply)
*Is job ready for inspection: YES / NO Rough In Final
*Do you need a Temp Certificate: YES / NO
Temp Information (if needed)
*Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other
*New Service: Re-connect Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION r,
klt-sr~ 6&0~ L
82-Request for Inspection Form