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Town of Southold Annex 2/25/2014
P.O. Box 1179
54375 Main Road
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 36783 Date: 2/25/2014
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 750 Paradise Point Rd, Southold,
SCTM 473889 Sec/Block/Lot: 81.-3-26
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
6/4/2012 pursuant to which Building Permit No. 37269 dated 6/4/2012
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 ELECTRICAL SERVICE
The certificate is issued to Scharf, Charles
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 37269 08-22-2012
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
if .10mi
BUILDING DEPARTMENT
" TOWN CLERK'S OFFICE
$ SOUTHOLD, NY
1®r,.
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 37269 Date: 6/4/2012
Permission is hereby granted to:
Scharf, Charles
45 Cushman Rd
Scarsdale, NY 10583
To: new electric service.
At premises located at:
750 Paradise Point Rd, Southold
SCTM # 473889
Sec/Block/Lot # 81.-3-26
Pursuant to application dated 6/4/2012 and approved by the Building Inspector.
To expire on 12/4/2013.
Fees:
ELECTRIC $85.00
Total: $85.00
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Building Inspector
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Town Hall Annex yy Telephone (631) 765-1802
54375 Main Road T Fax (631) 765-9502
P sox 117 c
Southold, ld, NY 11971-0959 ~ Q roger. richert(cDtown.southold.nv.us
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Edwards Ave Corp
Address: 750 Paradise Pt Road City: Cutchogue St: NY Zip: 11935
Building Permit Section: Block: Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: License No:
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 X Attic Garage
INVENTORY
Service 1 ph 200a Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 200a 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 200a Switches Twist Lock Exit Fixtures TVSS
Other Equipment: 200a underground service to H frame
Notes:
Inspector Signature: 7-4Q Date: Aug 222012
81-Cert Electrical Compliance Form.xls
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Town Hall Annex # T Telephone (631) 7651802
54375 Main Road coo 2 az (631) 765-X9512,
.e roger richert titown sou o .nv.us
P.O. Box 1179
Southold, NY 11971-0959 l~C
BUILDING DEPARTMEN'T'
TOWN OF SOUMOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date:
Company Name: C Q S 4.6crrz4 C-
Name: i2c gig e,- 0 A26t aL(-c
License No.: 8 - ,G
Address: lp u . 6! 00 Y, Z-t S" Sou o (A N~ Lq 7z
Phone No.: 1'. / - 6S 14 V/
JOBSITE INFORMATION: (`Indicates required information)
*Name: 25J QAkDS S
/4LI46. eo 2P ~
*Address: 7,1: ' D any Q j s E P7 ROAD - Pow ad z
*Cross Street: .919 X f14 00 lw
*Phone No.: 79 7- 58 20
Permit No.:
Tax Map District: 1000 Section: X 1 Block: Lot:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly) CVQp 41A-1z S wrlc~ -
IfAl-&Y5 &A w7 E~ .~it=~~1 ,Cdr c~ J L~
14 F
(Please Circle All That Apply)
*Is job ready for inspection: BYES NO Rough In Final
*Do you need a Temp Certificate: NO
Temp Information (If needed)
*Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other
*New Service: Re-connect ndergroun Number of Meters Change of service overhead
Additional Information: PAYMENT DUE WITH APPLICATION
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E. LJ^ tZ CLE
82-Request for inspection Form \~~/F