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Home My WebLink About41106-Z 4�g�FFU(�-�oG Town of Southold 11/28/2016 P.O.Box 1179 � , 53095 Main Rd �'✓d �0� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38674 Date: 11/28/2016 THIS CERTIFIES that the building ELECTRICAL Location of Property: 1295 Custer Ave, Southold SCTM#: 473889 Sec/Block/Lot: 70.-9-15 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/25/2016 pursuant to which Building Permit No. 41106 dated 10/25/2016 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: "AS BUILT"ELECTRIC WIRING AS APPLIED FOR The certificate is issued to Albertson, Stephen of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 41106 11-10-2016 PLUMBERS CERTIFICATION DATED Authorized Signature SUEEn(K TOWN OF SOUTHOLD BUILDING DEPARTMENT y TOWN CLERK'S OFFICE o . SOUTHOLD, NY y�Ql 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#: 41106 Date: 10/25/2016 Permission is hereby granted to: Albertson, Stephen 56125 Main Rd PO BOX 1208 Southold, NY 11971 To: As Built Electric Wiring At premises located at: 1295 Custer Ave, Southold SCTM #473889 Sec/Block/Lot# 70.-9-15 Pursuant to application dated 10/25/2016 and approved by the Building Inspector. To expire on 4/26/2018. Fees: ELECTRIC $125.00 Total: $125.00 Buil i s r *0 SOUr�®� Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 ® �� roger.riche rt(-town.southoId.ny.us Southold,NY 11971-0959 ®l�C®I/NTV,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Stephen Albertson Address: 1295 Custer Avenue City: Southold St: New York Zip: 11971 Building Permit#. 41106 Section: 70 Block: 9 Lot: 15 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Stephen Albertson License No: 3494-ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic X Garage INVENTORY Service 1 ph Heat Duplec Recpt 13 Ceiling Fixtures 4 HID Fixtures Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures 2 Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures 4 CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture 2 Pumps Transformer Appliances Dryer Recpt Emergency FixturesTime Clocks Disconnect Switches 12 Twist Lock Exit Fixtures TVSS Other Equipment: Third Floor- 1- Paddle Fan, 1- Exhaust Fan Notes: Inspector Signature: Date: November 10, 2016 0-81-Cert Electrical Compliance Form.xls OF SOUT�olo cou TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) REMARKS: DATE �� INSPECTOR J c �� af st�iryolo i Town HO Annex � � D � 8 54375 Main Road' P.O.Box 1179 Q r .riche O"-sIx o O so,�old,NY 11971-059 0l� � � OCT 2 5 2016 I I, BUILDING-DEPARTMENT BUILDING DEPT. 'DOWN OF SOUTHOLD TOWN OF SOUMOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Date: 10 110 Company Name: Name: �� _ License No.: LK a E Address: U11L®� Phone No.: s e JOBSITE INFORMATION: (*Indicates required information) *Name: *Address: - LYe . C? 1 *Cross Street: Bc-fi � *Phone No.. _ B0 4 Permit No.: Tax-Map District: 1000 Section:_�^ Block: Lot: *BRIEF DESCRIPTION OF WORK(Please Print Clearly) n 1-3 (Please Circle All That Apply) Is job ready for inspection: YES/ NO Rough In Final *Do-you need a Temp Certificate: YES XNO Temp Information Qf.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 Additional Information: PAYMENT DUE WITH APPLICATION S Request for Inspection Form ` N 1 V