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HomeMy WebLinkAbout41009-Z �UiF01,�Co Town of Southold 10/25/2016 G P.O.Box 1179 a 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38613 Date: 10/25/2016 THIS CERTIFIES that the building ELECTRICAL Location of Property: 475 Youngs Ave, Southold SCTM#: 473889 Sec/Block/Lot: 61.4-28 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/21/2016 pursuant to which Building Permit No. 41009 dated 9/21/2016 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: 3 - 100A ELECTRIC METERS AND MAIN PANELS (OVERHEAD) The certificate is issued to Horton Charles House LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 41009 10-13-2016 PLUMBERS CERTIFICATION DATED Authorized Signature 4�SafFo�X�oTOWN OF SOUTHOLD BUILDING DEPARTMENT ca 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#: 41009 Date: 9/21/2016 Permission is hereby granted to: Horton Charles House LLC 7160 Horton's Ln Southold, NY 11971 To: electric At premises located at: 475 Youngs Ave, Southold SCTM # 473889 Sec/Block/Lot# 61.-4-28 Pursuant to application dated 9/21/2016 and approved by the Building Inspector. To expire on 3/23/2018. Fees: ELECTRIC $85.00 Total: $85.00 Building nspector so Town Hall Annex Telephone(631)765-1802 54375 Main Road 'Ir Ar Fax(631)765-9502 CA P.O.Box 1179 a� roger.riche rt(al-town.southoId.ny.us Southold,NY 11971-0959 coums BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Horton Charles House LLC Address: 475 Youngs Avenue City: Southold St: New York Zip: 11971 Building Permit* 41009 Section- 61 Block- 4 Lot- 28 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: East County Electric License No: 1005-E SITE DETAILS Office Use Only Residential X Indoor X Basement X Service Only X Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph 300A Heat Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel 3-10()A 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 [AA Switches Twist Lock Exit Fixtures TVSS Other Equipment- 3-100A Meters and Main Panels (Over Head) Notes: Inspector Signature: Date: October 13, 2016 0-81-Cert Electrical Compliance Form.xls a � Town Hail Annex Telephone(631)765-1802 1 54375 Main Road g 6�9o2 P.O.Box 1179 G, Q roger richertCotown s)056ld.nv.us Southold,NY 11971-0959 BUILDING DEPARTMENT i TOWN OF SOUMOILD APPLICATION FOR ELECTRICAL INSPECTION i REQUESTED BY: . — R—i1`-��� � �_�T Date: Company Name: Name: License No.: 0 Address: Q 0 G 6 n Y� t d. '5d V t�f�.f+ K) � i - Phone No.: Z i JOBSITE INFORMATION: (*Indicates required information) I II I ! *Name: C kt4rleP S `Jor"jolly V� *Address: .. .'77/75_ ' ©cin QS Z 5&Q77 *Cross Street: ,4y��� - *Phone No.: l Permit No.. - Tax-Map District: 1000 Section: (p I Block: - - - - Lot - - - *BRIEF DESCRIPTION OF WORK(Please Print Clearly) (Please Circle All That Apply) *Is job ready for-inspectfon: YE / NO Rough In Final *Do-you need a Temp Certificate: YES NO Temp Information(if needed) � *Service Size: 1 Phase 3Phase 100 150 200Op 350 ;40,0;ffi---;v0O her_-.-, *New Service: Re-connect Underground Number of Meters Change of Service E ver Fie�cr~~ All Additional Information: PAYMENT DUE WITH APPLICATION; e_r -i 10e -82;-Request for Inspection Form IIj