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Town of Southold Annex 4/3/2014
P.O. Box 1179
54375 Main o
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 36843 Date: 4/3/2014
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 425 Rabbit Ln, East Marion,
SCTM 473889 Sec/Block/Lot: 31.-17-12
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
1/28/2014 pursuant to which Building Permit No. 38650 dated 1/28/2014
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:
100a overhead service and meter.
The certificate is issued to Patinella, Marisa
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 38650 3/26/14
PLUMBERS CERTIFICATION DATED
VAuthorized Signature
TOWN OF SOUTHOLD
a BUILDING DEPARTMENT
A® TOWN CLERK'S OFFICE
a SOUTHOLD, NY
+~s nrd
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 38650 Date: 1/2812014
Permission is hereby granted to:
Patinella, Marisa
45 Peale Rd
Manhasset, NY 110302803
To: Change Electric Meter
At premises located at:
425 Rabbit Ln, East Marion
SCTM # 473889
Sec/Block/Lot # 31.-17-12
Pursuant to application dated 1/28/2014 and approved by the Building Inspector.
To expire on 7/30/2015.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
r3f so
Town Hall Annex Telephone (631) 765-1802
54375 Main Road Fax (631) 765-9502
P.O. Box 1179 CA
Southold, NY 11971-0959 roge r. riche rt(a)town. so uthold. ny. us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Pafinella
Address: 425 Rabbit Ln City: East Marion St: NY Zip: 11939
Building Permit 38650 Section: 31 Block 17 Lot: 12
1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
lContractor: DBA: Rocky Point Electric License No: 32644-me
SITE DETAILS
Office Use Only
Residential Indoor Basement Service Only
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor HotTub
Addition Survey H Affic Garage
INVENTORY
Service 1 ph 1 00a Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 1 00a A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recot Emergency Fixtures Time Clocks
Disconnect 1 00a Switches TWst Lock Exit Fixtures TVSS
Other Equipment: 100a overhead service-change meter
Notes:
Inspector Signature: Date: March 26 2014
V
81-Cert Electrical Compliance Form.xis
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Jan.20.2014 04:47 PM PAGE. 2
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Tows I3a!! Anaac *aa11t Jx1 Telephone (631) 7651802 .
Main 79 P.O. Bar 11 ro-q or.riche Nu
SowhoK NY 11971-0959
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HUMDING DEPARTN3M
TOWN OF SOUMOLD
I
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY. ~rX95 Date: ~ ao i y
Company Name: o r v r F_ Lh , f
Name: JOHMSOJ
Ucense No.: 3 _ y m F
Address: o $0 54~F 3 ~o crc ~r ,u•, l
Phone No.: - (e3 J 514 - y(e59
i
JOBSITE INFORMATION: (*indicates required information)
*Name: ~j=~T F_ IZ ~AT 2 V F_ 1J
*Address: `f r1 r -i!Pr zi!sZT 7-+N r= t=gST M,'+lizoa
*Cross Street.A
*Phone No.: to3~l 514 - 4c, 59
Permit No.:
Tax-Map District: 1000 Section: _ Block: 1-7 Lot: 9 c
*BRIEF DESCRIPTION OF WORK (Please Print Clearly) t Z
C 19,16-F' 1W t 7-6-K Z,4 6-m
(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 Whase 100 150 200 300 350 400 Other
*New Service: Re-connect Underground Number of Meters Change of Service
Additional Information: PAYMENT DUE WITH APPLICATION J
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