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'4)0:) Town of Southold 1/29/2016
P.O. Box 1179
53095 Main Rd
# � Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38073 Date: 1/29/2016
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 730 Rabbit Ln, East Marion
SCTM#: 473889 Sec/Block/Lot: 31.-18-16
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
2/11/2013 pursuant to which Building Permit No. 37797 dated 2/11/2013
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 service replaced due to Hurricane Sandy.
The certificate is issued to Lehmann Wm E&A Trust
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 38027 6/11/2013
PLUMBERS CERTIFICATION DATED
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Authorized Signature
T4 z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
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1 SOUTHOLD, NY
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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 #: 37797 Date: 2/11/2013
Permission is hereby granted to:
Lehmann Wm E &A Trust
120 Corsica Way
Kissimmee, FL 34759
To: electric service replaced due to Hurricane Sandy.
(no fee required)
At premises located at:
730 Rabbit Ln, East Mario
SCTM # 473889
Sec/Block/Lot# 31.-18-16
Pursuant to application dated 2/11/2013 and approved by the Building Inspector.
To expire on 8/13/2014.
Fees:
Total: $0.00
Building Inspector
Jan 28 16 12:09p Lehmann 1863-496-1929 p.1
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Town Hall Annex +/0." coG. Telephone(631) 765-1802
54375 Main Road �v r4 , Fax(631)765-9502
P.O. Box 1179
Southold, NY 11971-0959 ,ptith ��0��'t roc7er.richertat townsouthofd.nv.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Bill Lehmann
Address: 730 Rabbit Lane City: East Marion St: NY Zip: 11939
Building Permit#: - -38027 Section: 31 Block: _ 18 Lot: 16
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor. DBA: Big Blue Electric License No: 35348-me
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only
Commerical Outdoor X 1st Floor X Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 27 Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel NC Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel NC Blower Range Recpt 50a Fluorescent Fixture Pumps
Transformer Appliances dw Dryer Recpt 30a Emergency Fixtures Time Clocks
Disconnect Switches 13 Twist Lock Exit Fixtures TVSS
Other Equipment: 38027-building, storm damage, 3-a/c circuts (a/c units to be repaired or replaced)
2 new water heater circuts,1-20a&1-30a
Notes:
copy
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Inspector Signature: YC471A--4.-..7 . , : ;A;, - Date: June 11 2013
Electrical Certificate.xls
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Town Hall Annex ; /VI Telephone(631)765-1802
54375 Main Road (631) 765- 50�
roger.richertd own.sout?io d.ny.us
P.O.Box 1179 = 0 ,&4•
Southold,NY 11971-0959
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: 3;� 3/(41_ ffed'G z_z_c Date: p{j 7, 2ef3
Company Name: 3� leea'�
Name: ( f�o/yf.•U3€.LSC2
License No.: 3y _ E,
Address: j1 --AD£- kerl'TUC. /ILK /195-z
Phone No.: 376- -6/7 _ 4l3 a 5
JOBSITE INFORMATION: (*Indicates required information)
*Name: ? // iJ AVAI
*Address: 13c) Zilbb-r
*Cross Street: 3,9 C
*Phone No.:
Permit No.:
Tax Map District: 1000 Section: 3 ) Block: g Lot: l(0,
*BRIEF DESCRIPTION OF WORK (Please Print Clearly) eA'!/ P /7fd
u)(Us 441 ;Ea 4.4 l,o&-SSP
(Please Circle All That Apply)
*Is job ready for inspection:
NO Rough In 6„1. Final
*Do you need a Temp Certificate: YES / NO
Temp Information (If needed) A(1L 4
*Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other
*New Service: Re-connect Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
(6T0?-k-i bi9-711/97t)
82-Request for Inspection Form