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No: 37546
Town of Southold
P.O. Box 1179
53095 Main Rd
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 780 Ole Jule Ln, Mattituck
SCTM #: 473889
See/Block/Lot: 114. -12-13.6
Date:
5/8/2015
5/8/2015
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/8/2015 pursuant to which Building Permit No. 39746 dated 5/8/2015
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:
300a electrical service.
The certificate is issued to Young, Fred
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 38162 1/2/2014
PLUMBERS CERTIFICATION DATED
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 #: 39746 Date: 5/8/2015
Permission is hereby granted to:
Young, Fred
780 Ole Jule Ln
Mattituck, NY 11952
To: 300a electrical service
At premises located at:
780 Ole Jule Ln. Mattituck
SCTM # 473889
Sec/Block/Lot # 114.-12-13.6
Pursuant to application dated 5/8/2015
To expire on
Fees
11/6/2016.
and approved by the Building Inspector.
ELECTRIC $85.00
Total: $85.00
Building Inspector
OF SOUTHOLD
�o�SUFFn���oTOWN
BUILDING DEPARTMENT
a
TOWN CLERK'S OFFICE
14,1 .
010-
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 #: 39746 Date: 5/8/2015
Permission is hereby granted to:
Young, Fred
780 Ole Jule Ln
Mattituck, NY 11952
To: 300a electrical service
At premises located at:
780 Ole Jule Ln. Mattituck
SCTM # 473889
Sec/Block/Lot # 114.-12-13.6
Pursuant to application dated 5/8/2015
To expire on
Fees
11/6/2016.
and approved by the Building Inspector.
ELECTRIC $85.00
Total: $85.00
Building Inspector
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Telephone (631) 765-1802
Fax(631)765-9502
roger. riche rt(a)-town.southoId. ny.us
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Fred Young
Address: 780 Ole Jule Ln City: Mattituck St: NY Zip: 11952
Building Permit #: 38162 Section: 114 Block: 12 Lot: 13.6
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: East County Electric License No: 1005 -me
Residential
Commerical
New
Addition
Service 1 ph
Service 3 ph
Main Panel
Sub Panel
Transformer
Disconnect
Other Equipment:
Notes:
X Indoor
Outdoor
Renovation
Survey
SITE DETAILS
Office Use Only
Basement
X 1st Floor
2nd Floor
Attic
Service Only X
Pool
Hot Tub
Garage
HID Fixtures
Smoke Detectors.
CO Detectors
Pumps
Time Clocks
TVSS
Inspector Signature: Date: Jan 2 2014
81 -Cert Electrical Compliance Form.xis
.INVENTORY
300
Heat
Duplec Recpt
Ceiling Fixtures
Hot Water
GFCI Recpt
Wall Fixtures
A/C Condenser
Single Recpt
Recessed Fixtures
A/C Blower
Range Recpt
Fluorescent Fixture
Appliances
Dryer Recpt
Emergency Fixtures
2-15
Switches
Twist Lock
Exit Fixtures
300a overhead service with 2-150a disconnects
HID Fixtures
Smoke Detectors.
CO Detectors
Pumps
Time Clocks
TVSS
Inspector Signature: Date: Jan 2 2014
81 -Cert Electrical Compliance Form.xis
Tdwa Fbff Anhex
54875 Main Road;
P.O.Am 1179
..Southold, NY 119714959
S
Telephone (631) 70-1802:
roger .r1ahert&ow(%n OUAG &.nV'.Us
BUMDINGDEPARTAffNT
TOWN OF SO OLD
APPLICATION FOR ELECTRICAL INSPECTION,
REQUESTED `7
BY., -6 Date:
Company
.Name:
Name: I C, C-
&—IfFRJ
tjoens-e. No.:
Address--`
6UT �A a. k8l t
Phone -Ma.:
JOBSITE INFORMATION: (*fnd1Qates_ required information)
em
*Address:
780 .9.4 77-r,
*Dross Street.:
W,�w MieFmx 4var—
*Phone No..:
PL -Milt Nw.:
Tax Map 91strict:
.1000 Secffo.n:' Block:
et
Lot I
BRIEF DES ON OF WORK (-lease, Pant Clearly)
-(#Tease Citele
ig ny)-Vlease0rele AIS That Apply)
1ajolt' ready for -InspecHon:eFj- al
-
*Da
f NO. Rough In:
*bd you need a Temp Certificate:
Yqs&�,
Temp -Information (If needed)
*Service Size: 1 h Whase 400 150 20030 -350, 400 Other
-
*New Service: Re -connect Underground- Number of Melersls.nge of Service Overhea
Additional'Itifbrmotion: PAYMENT DUE WITH APPLICATION �S,