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Town of Southold Annex 12/26/2013
P.O. Box 1179
54375 Main Road
Southold, New York 11971
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CERTIFICATE OF OCCUPANCY
No: 36674 Date: 12/26/2013
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 63745 Route 25, Southold,
SCTM 473889 .Sec/Block/Lot: 56.4-17.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
9/27/2013 pursuant to which Building Permit No. 38362 dated 9/27/2013
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:
300amn underground electrical service.
The certificate is issued to Harroun, Ned W.
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Authorized Signature
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 38362 Date: 9/27/2013
Permission is hereby granted to:
Harroun, Ned
63745 Main Rd
Southold, NY 11971
To: New 300 Amp Underground Electrical Service
At premises located at:
63745 Route 25, Southold
SCTM # 473889
Sec/Block/Lot # 56.-4-17.1
Pursuant to application dated 9/27/2013 and approved by the Building Inspector.
To expire on 3/29/2015.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
pF SOUTyOIo
Town Hall Annex Telephone (631) 765-1802
54375 Main Road Fax (631) 765-9502
P.O. Box 1179 c Q roger. riche rt(aNown.soLitho Id.nY.us
Southold, NY 11971-0959
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Ned Harroun
Address: 63745 Fit 25 City: Southold St: NY Zip: 11971
Building Permit 38362 Section: 56 Block: 4 Lot: 17.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
contractor: DBA: RJ Corazzini Electric License No: 33419-me
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only X
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey H Attic Garage
INVENTORY
Service 1 ph 300a Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 2-15 A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks
Disconnect 2-15 Switches Twist Lock Exit Fixtures TVSS
Other Equipment: 300a undergroud service with 2-150 a disconnects
Notes:
Inspector Signature: p¢ _ Date: Dec 26 2013
81-Cert Electrical Compliance Form.xls
SOUIyD~
Town Hall Annex i f Telephone (631) 7651802
54375 Main Road px
P.O. Box 1179 rogenriche t0NRI 80 5 nV us
Southold, NY 11971-0959
BUILDING DEPART'MEENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: ~ 7 J- ~.~aez Date: _a 9_/3
Company Name:
Name:
9 ,<y~
License No.: 3 1//
Address:
Phone No.: 3
JOBSITE INFORMATION: (*Indicates required information)
*Name: _ / Iza? zz!n //OVA
*Address: 1r37~S
*Cross Street:
*Phone No.:
Permit No.:
Tax Map District: 1000 Section:` Block: Lot: / -7, 1
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
OO fli r/l / ?1' ~ "0"1 /A9 ~4&u
(Please Circle All That Apply)
*Is job ready for inspection: ES NO Rough In Final
*Do you need a Temp Certificate: ES NO
Temp Information (If needed)
*Service Size: 1 Phase 313ha 100 150 200 30 350 .400 Other
*New Service: Re-connect Underground umber of Meters Change of Service Overhead
Additional Information: PAYMENT
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Awe ,?2 St
App 27 2013
82-Request for Inspection Form
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