HomeMy WebLinkAbout38524-Z
ypp f Town of Southold Annex 2/11/2014
P.O. Box 1179
54375 ® Main Road
Southold, ~q Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 36764 Date: 2/11/2014
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 425 Fawn Ln, Cutchogue,
SCTM 473889 Sec/Block/Lot: 103.4-20
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore fled in this officed dated
11/25/2013 pursuant to which Building Permit No. 38524 dated 11/25/2013
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 and lighting only for existing basement
The certificate is issued to Pearsall, Kenneth & Pearsall, Catherine
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 38524 1/31/14
PLUMBERS CERTIFICATION DATED
Authorized Signature
°s TOWN OF SOUTHOLD
BUILDING DEPARTMENT
$ TOWN CLERK'S OFFICE
SOUTHOLD, NY
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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 38524 Date: 11/25/2013
Permission is hereby granted to:
Pearsall, Kenneth & Pearsall, Catherine
425 Fawn Ln
Cutchogue, NY 11935
To: new electric for basement.
At premises located at:
425 Fawn Ln, Cutchogue
SCTM # 473889
Sec/Block/Lot # 101-4-20
Pursuant to application dated _ 11/25/2013 and approved by the Building Inspector.
To expire on 5/27/2015.
Fees:
ELECTRIC $90.00
Total: $90.00
Building Inspector
pF S0
Town Hall Annex Telephone (631) 765-1802
54375 Main Road Fax (631) 765-9502
P.O. Box 1179 •
Southold, NY 11971-0959 roper. richert(a town. Southold. ny. us
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Pearsall
Address: 425 Fawn Lane City: Cutchogue St: NY Zip: 11935
Building Permit 38524 Section: 1 03 Block: 4 Lot: 20
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Double-Pole Electric Inc License NO: 3913-me
SITE DETAILS
Office Use Only
Residential X Indoor Basement X Service Only
Commerical Outdoor tat Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X 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 18 CO Detectors
Sub Panel 1 A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks
Disconnect Switches Twist Lock Exit Fixtures TVSS
Other Equipment: lighting only, 2-ARC fault circuit breakers
Notes:
Inspector Signature: \ Date: Jan 31 2014
81-Cert Electrical Compliance Form.xls
of SO4lyy6
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
REMARKS:
DATE j 1f4 -INSPECTOR r
T wn of Southold
Town Hall Annex Telephone (631) 765-1802
54375 Main Road Fax (631) 765-9502
P.O. Box 1179 roger. richertotown_southalri ny.us
Southold NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: DATE: NOVEMBER 141 2013
COMPANY NAME: DOUBLE-POLE ELECTRIC INC
NAME: STEVE NEGRI
LICENSE NUMBER 3913-ME
ADDRESS P.O. BOX 130 NESCONSET NY 11767
PHONE # 361-6440 CELL # 672-0241
3OBSITE INFORMATION
NAME: PEARSALL RESIDENCE
ADDRESS: 425 FAWN LANE
CROSS STREET: CUTCHOGUE NY 11935
PHONE NUMBER: CELL # (516) 903-2110
PERMIT NUMBER: l O3 L+ QID
TAX MAP DISTRICT: 1000 Section: -4963- Block: 103--Lot: *.-2-
BRIEF DESCRIPTION OF WORK: BASEMENT
Is job ready for inspection: YES
Do you need a Temp Certificate: YES N PLEASE SEND
TEMP INFORMATION (if needed)
Service Size 200 amp
New Service
Additional Information READY FOR SERVICE & BOUGH INSPECTION
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