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39026-Z
Town of Southold P.O. Box 1179 53095 Main Rd Southold, New York 11971 631-765-1981 CERTIFICATE OF OCCUPANCY No: 37439 Date: THIS CERTIFIES that the building ELECTRICAL Location of Property: 485 Gillette Dr, East Marion, SCTM #: 473889 Sec/Block/Lot: 38.4-1 2/17/2015 2/17/2015 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/14/2014 pursuant to which Building Permit No. 39026 dated 7/14/2014 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: ELECTRIC The certificate is issued to Cervone, David & Cervone, Barbara (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 39026 02-12-2015 7� Authorized Signature (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 39026 Date: 7/14/2014 Permission is hereby granted to: Cervone, David & Cervone, Barbara 485 Gillette Dr East Marion. NY 11939 To: Temporary electric after fire damage. At premises located at: 485 Gillette Dr, East Marion SCTM # 473889 Sec/Block/Lot # 38.-4-1 Pursuant to application dated To expire on 1/13/2016. Fees: 7/14/2014 and approved by the Building Inspector. ELECTRIC $90.00 Total: $90.00 Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE w'ay. a 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 #: 39026 Date: 7/14/2014 Permission is hereby granted to: Cervone, David & Cervone, Barbara 485 Gillette Dr East Marion. NY 11939 To: Temporary electric after fire damage. At premises located at: 485 Gillette Dr, East Marion SCTM # 473889 Sec/Block/Lot # 38.-4-1 Pursuant to application dated To expire on 1/13/2016. Fees: 7/14/2014 and approved by the Building Inspector. ELECTRIC $90.00 Total: $90.00 Building Inspector Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 SOUjyo � o CAI y�4AV,� BUILDING DEPARTMENT TOWN OF SOUTHOLD Telephone(631)765-1802 Fax(631)765-9502 roper.riche rt(cD-town.southold.ny.us CERTIFICATE OF ELECTRICIAL CnMPI IANr-F SITE LOCATION Issued To: David Cervone Address: 485 Gillette Dr City: East Marion St: NY Zip: 11939 Building Permit #: 39204----39026 Section: 38 Block: 4 Lot: 1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Darling Electric License No: 38041 -me b11 L UtTAIL5 Office Use Only Residential X Indoor X Basement X Service Only Commerical Outdoor X 1st Floor X Pool New Renovation X 2nd Floor Hot Tub Addition Survey Attic Garage X INVENTORY Service 1 ph 200a Heat Duplec Recpt 41 Ceiling Fixtures 7 HID Fixtures Service 3 ph Hot Water GFCI Recpt 8 Wall Fixtures 3 Smoke Detectors Main Panel 200a A/C Condenser 1 Single Recpt Recessed Fixtures 8 CO Detectors Sub Panel A/C Blower 1 Range Recpt Fluorescent Fixture 8 Pumps Transformer Appliances f -dw Dryer Recpt Emergency Fixture Time Clocks Disconnect 200a Switches 25 Twist Lock Exit Fixtures TVSS Ll Other Equipment: 1 -combination smoke/co detector, 2 -ovens, 1 -cook top, 5 -paddle fans, 2 -exhaust f 6 -ARC fault circuit breakers, 1 -generator transfer switch -10 circuit. Notes: Inspector Signature: Date: Feb 12 2015 81 -Cert Electrical Compliance Form.xls pf SOUI�OIo I�CU� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ J FOUNDATION 2ND [ ] FRAMING /STRAPPING [ ] FIREPLACE A CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION [ ] ELECTRICAL (ROUGH) [ J CODE VIOLATION REMARKS: [ ] ROUGH PLUMBING [ J INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION ELECTRICAL (FINAL) [ ]CAULKING r DATE �/ S INSPECTOR �7-30-10;12 2% 66604; # 1; 2 Town Hall Annex 54375 Main Road P.O. Box 1179 Soudiold, MY 11971.0959 Tdcphonc (631) 765.1802 x 681) 7651g roQer.richert(_(oSyn.sout�o�d.ny_.us BUILDING DEPAKIMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL. INSPECTION REQUESTED BY: Date: b kL— Company Name: Name: License No.: Address: I a© CC!.,) T Phone No.: JOBSITE INFORMATION: (*Indicates required information) *Name: e� ,c " 1 r�k o 1<:�,v i A -�-ti—wv� *Address: *Cross Street: *Phone No.: Permit No.: Tax Map District: tec-v-a-n -e� 1000 Section: Block: q— Lot: *BRIEF DESCRIPTION OF WORK (Please Print Clearly) (Please Circle All That Apply) *Is job ready for inspection: *Do you need a Temp Certificate: Temp Information (if needed) V tO\VS t�%,,) 0011 e5 (6/ NO Rough In YES /& Final *Service Size: 1 Phase Whase 100 150 200 300 350 400 Other *New Service: Re. -connect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATIONjj A 82 -Request for Inspection Form F) -1 q "1 �