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Home My WebLink About40246-Z SqfFOt4,��G{ Town of Southold 11/19/2015 -� P.O.Box 1179 co - ! 53095 Main Rd y,4g�� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39708 Date: 11/19/2015 THIS CERTIFIES that the building ELECTRICAL Location of Property: 1345 Old Main Rd, Laurel SCTM#: 473889 See/Block/Lot: 122-7-71 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 11/5/2015 pursuant to which Building Permit No. 40246 dated 11/5/2015 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 ELECTRIC PANEL AND WIRE REPLACEMENT TO DUE TO FIRE The certificate is issued to Hickey,James of the aforesaid building SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 40246 11-10-2015 PLUMBERS CERTIFICATION DATED --- tb nzed Signature Q�SUF of i�,co TOWN OF SOUTHOLD �� Gy BUILDING DEPARTMENT a TOWN CLERK'S OFFICE "o • 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# 40246 Date 11/5/2015 Permission is hereby granted to Hickey, James 535 Old Main Rd PO BOX 654 Laurel, NY 11948 To electric panel and wire replacement due to fire damage. At premises located at 1345 Old Main Rd, Laurel SCTM # 473889 Sec/Block/Lot# 122.-7-7.1 Pursuant to application dated 11/5/2015 and approved by the Building Inspector To expire on 5/6/2017. Fees ELECTRIC $8500 tal $8500 Building Inspec rsf so Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 PO Box 1179 CA ® a� roper nchert(a_town southold ny us Southold,NY 11971-0959 Q` ®lyc®U ,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To Hickey Address 1345 Old Main Road City Laurel St New York Zip 11948 Building Permit# 40246 Section 122 Block 7 Lot 71 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 X Basement X Service Only X Commerical Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceding Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches Twist Lock Exit Fixtures TVSS Other Equipment "Install New 200A Main Service Panel Due to Fire Damage" Notes Inspector Signature Date November 10, 2015 Electrical 81 Compliance Form As 3�\ -i;c Nut lug pf SO�ryo! o Toxin Hall Annex Telephone(631)765-1802 54375 Mam Road G oWLUt0P O.Box 1179 roger.nchertn 15 ny us Southold,NY 11971-0959 MOM BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION i REQUESTED BY: � p p Date. / Company Name: Name- License No.: Address: o� � V-,\ Phone No : i i JOBSITE INFORMATION- (*Indicates required information) *Name: V� es *Address- l O k *Cross Street: 5�� *Phone No.. Permit No - Tax Map District. 1000 Section: [Z�, Block �_ Lot- *BRIEF DESCRIPTION OF WORK(Please Print Clearly) �CJfl 7o Cr f i -9 (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) I *Service Size: 1 Phase 3Phase 100 150200 300 400 Other *New Service. Re-connect Underground Number of Meters Change of S ' e Overhead Additional Information: PAYMENT DUE WITH APPLICATION .Wo-V-V== q •— l� �S 82-Request for lnspechon Form f 7