HomeMy WebLinkAbout40655-Z ,,��gVFPQI,ICO. Town of Southold 6/24/2016
y P.O.Box 1179
{ 53095 Main Rd
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\-.15*01 `dap i3 Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38359 Date: 6/24/2016
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 1895 Aldrich Ln, Laurel
SCTM#: 473889 Sec/Block/Lot: 125.-2-1.18
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
4/28/2016 pursuant to which Building Permit No. 40655 dated 4/28/2016
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:
LIGHTING CIRCUIT IN HORSE BARN
The certificate is issued to O'Daly,Terence
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
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Authorized Signature
•r- TOWN OF SOUTHOLD
,a�,s'atutee; BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
t 51 oy o�F 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#: 40655 Date: 4/28/2016
Permission is hereby granted to:
O'Daly, Terence
1895 Aldrich Ln
Laurel, NY 11948
To: Electric Service
At premises located at:
1895 Aldrich Ln, Laurel
SCTM # 473889
Sec/Block/Lot# 125.-2-1.18
Pursuant to application dated 4/28/2016 and approved by the Building Inspector.
To expire on 10/28/2017.
Fees:
ELECTRIC $85.00
Total: $85.00
40 ' ...
Building Inspector
o„ow soft-
. Town Hall Annex l0 ~® l0 : Telephone(631)765-1802
54375 Main Road ; 4 * % Fax(631)765-9502
P.O.Box 1179 2 Q
Southold,NY 11971-0959 �`4O�y .®,���� roger.richert(cr7town.southold.ny,us
i
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: O'Daly
Address: 1895 Aldrich Lane City: Laurel St: New York Zip: 11948
Building Permit#: 40655 Section: 125 Block. 2 Lot: 1.18
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: AS BUILT DBA: License No:
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 1 Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures 4 Smoke Detectors
Main Panel NC 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 1 Twist Lock Exit Fixtures TVSS
Other Equipment: "AS BUILT” - "ELECTRICAL SURVEY" - "NO VISUAL DEFECTS"
Notes- Install Lighting Circuit in Horse Barn
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Inspector Signature: #' _h Date: June 14, 2016
Electrical 81 Compliance Form.xls
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TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLUMBING
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
, [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) K ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
L -- 73/6v-Le.—(1
DATE i/*/)Gs. INSPECTO
ii ,`o " E. 'Town Hall Annac n • .i6 D54375 Main Road 7` 4164.1=15.n
xg pgP.O.Dox 1179 :G • ' ro*er-piaGE02
• LUW 1 SOUItIOId.n .us
Southold,NY 11971-0959 ; Qi A,‘. 1 Ill
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BUILDING DEPARTMENT BUILDING DEPT. '
TOWN OF SOUTHOLD TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date: ,
Company Name:
Name:
License No.: '
Address: •
Phone No.: I ,
JOBSITE INFORMATION: (*Indicates required information)
*Name: /-P (p a Gefi j f'e Q ► )a /c/
*Address: 1 2 Ca j— /-/cf TI C_It Let CL-42
`Cross Street: . of,-) KIi,- yr I
*Phone No.: (p 3 / - 4 0 - 7 7 4-(S.--
Permit No.: _ 9()".)
Tax Map District: 1000 Section: I a 5 Block: Lot: / , ii
'BRIEF DESCRIPTION OF WORK(Please Print Clearly)
FOr 0.)eVi•-nl • _ ._ __ . ___ ,
Please Circle AU That Apply)
Is job ready for inspection: Cr NO Rough In Final `
Do you need a Temp Certificate: YES/ O - -e
'env Information(If needed) �/
Service Size: 1 Phase 3Phase 100 150 200 300 350 . 400 Other
New Service: Re-connect Underground Number of Meters Change of Service Overhead
►dditional Infgrmafion: PAYMENT DUE WITH APPLICATION
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