HomeMy WebLinkAbout39752-ZTown of Southold
P.O. Box 1179
53095 Main Rd
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
6/8/2015
No: 37594 Date: 6/8/2015
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 1680 Harbor Ln, Cutchogue
SCTM #: 473889 Sec/Block/Lot: 103.4-24
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/11/2015 pursuant to which Building Permit No. 39752 dated 5/11/2015
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:
100 AMP OVERHEAD ELECTRIC SERVICE
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The certificate is issued to Nolan, Terrance & Nolan, Irene
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 39752 05-14-2015
PLUMBERS CERTIFICATION DATED
Authorized Signature
Permit #: 39752
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
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)
Permission is hereby granted to:
Nolan, Terrance & Nolan, Irene
41 Russell St
Lvnbrook, NY 11563
To: Electric Service
At premises located at:
1680 Harbor Ln, Cutchogue
SCTM # 473889
Sec/Block/Lot # 103.-1-24
Pursuant to application dated 5/11/2015
To expire on 11/9/2016.
Fees:
Date: 5/11/2015
and approved by the Building Inspector.
ELECTRIC $85.00
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Telephone (631) 765-1802
Fax(631)765-9502
roger. richert(a-town.southold.ny.us
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Nolan
Address: 1680 Harbor Lane City: Cutchogue St: New York Zip: 11935
Building Permit #: 39752 Section: 103 Block: 1 Lot: 24
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Call Brite Electric License No: 4801 -ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only X
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph 100A Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 100A A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency FixturesTime Clocks
Disconnect 10 AA Switches 11 Twist Lock Exit Fixtures TVSS
Other Equipment: 100A Over Head Service
Notes:
Inspector Signature:T=:�=;Date: May 14, 2015
Electrical 81 Compliance Form.xls
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Town Hill Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Telephone (631) 765-1802
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BUMDINGDEPARTNMNT
TOWNOFSOUTHOLD
APPLICATION FOR ELECTRICAL JNSP�CTIQN
REQUESTED BY -
Date:
CompanyName:
Name:
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Phone No.:
JOBSITE INFORMATION: (Indicates required information)
*Name:
*Address:
*Cross Street:
*Phone No.:
Permit No.:
Tax -Map District:
117VO
_f0_0_0.- Section:
JO 0 Block.
- _aj2 00 Lot: __2 oo
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
(Please Circle All That Apply)
*Is job ready for inspection: YESNO, Rough in
*Do. you need a Temp Certificate: NO
Tamp Information (if needed)
*Service Size- Phase D 3Phase 100 150 200 300 350 400 Other
*New Service: e �-c o r i—n ec
1) Underground Number of Meters Change of Service
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PAYMENT DUE WITH APPLICATION
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PAYMENT DUE WITH APPLICATION