HomeMy WebLinkAbout36112-Z �� _
4,�0�'��F�t�C�� , Town of Southold 7/7/2016
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CERTIFICATE OF OCCUPANCY .
No: 38384 Date: 7/7/2016
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 510 Holden Ave, Cutchogue
SCTM#: 473889 SecBlock/Lot: 110.-5-21.1
Subdivision: Filed 1VIap No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
12/29/2010 pursuant to which Building Permit 1�To. 36112 dated 12/29/2010
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 UPGRADE TO 200 AMP OVERHEAD
The certificate is issued to Louttit,Robert ,
of the aforesaid building. '
SUFFOLK COUNTY DEPARTMENT OF AEALTH APPROVAL
ELECTRICAL CEIZTIFICATE NO. 36112 06-28-2016
PLUMBERS CERTIFICATION DATED
� Authorized Signature
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PPRMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 36112 Z Date DECEMBER 29, 2010
Permission is hereby granted to:
ROBERT J & BRIDGET M LOUTTIT
PO BOX 1054
CUTCHOGUE,NY 11935
for :
ELECTRIC SERVICE CHANGE AS APPLIED FOR.
at premises located at 510 HOLDEN AVE CUTCHOGUE
County Tax Map No. 473889 Section 110 Block 0005 Lot No_ 021 . 001
pursuant to application dated DECEMBER 29, 2010 and approved by the
Building Inspector to expire on JUNE 29, 2012 .
Fee $ 85 . 00
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f Authorized Signature
COPY
Rev. 5/8/02
���,OF 50Ur�,�!
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Town Hall Annex Telephone(631)765-1802
54375 Main Road � � F�(631)765-9502
P.o.BoX 11�9 �., � �� roqer.richertC�town.southold.ny.us
Southold,NY 11971-0959 O
l�C4UN�i 9��
BUILDING DEPARTMENT
TOWN OF SOiJTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: LOUttlt
Address: 510 Holden Avenue City: Cutchogue St: New York Zip: 11935
Building Permit#' 36112 Sec6on. 110 Block: 5 Lot: 21.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
contractor: �BA: Bobs Electrical Contracting�icense tvo� 694-E
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Serwce Only X
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph 200A Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 200A 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 200A Switches Twist Lock Exit Fixtures TVSS
otne�Eq��pme�r Service Up Grade to 200A Over Head
Notes:
Inspector Signature: Date: June 28, 2016
z Electncal 81 Compliance Form.xls
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Additio�al informafior�: PAYM�NT DI�E iNITH�APPUCA�'lON �,���
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