HomeMy WebLinkAbout41350-Z SOFat Ir40p, Town of Southold 3/23/2017
g P.O.Box 1179
53095 Main Rd
o'j7jo� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38872 Date: 3/23/2017
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 7785 Horton Ln, Southold
SCTM#: 473889 Sec/Block/Lot: 54.-5-49.3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
2/7/2017 pursuant to which Building Permit No. 41350 dated 2/7/2017
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 SURVEY
The certificate is issued to Santacroce,Henry
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 41350 03-02-2017
PLUMBERS CERTIFICATION DATED
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Authorized Signature
�SufFocx�oTOWN OF SOUTHOLD
moo BUILDING DEPARTMENT
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#: 41350 Date: 2/7/2017
Permission is hereby granted to:
Danowski, Shirley
539 Howell Ct
Riverhead, NY 11901
To: electric
At premises located at:
7785 Horton Ln, Southold
SCTM #473889
Sec/Block/Lot# 54.-5-49.3
Pursuant to application dated 2/7/2017 and approved by the Building Inspector.
To expire on 8/9/2018.
Fees:
ELECTRIC $125.00
Total: $125.00
Buil 'ng Inspector
pF SOUr�®l
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Town Hall Annex Telephone(631)765-1802
54375 Main Road cn_ Fax(631)765-9502
P.O.Box 1179 �Q roper.richert(ab-town.southold.ny.us
Southold,NY 11971-0959
Cum
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Danowski(Santacroce)
Address:7785 Horton Lane City;Southold St: New York Zip: 11971
Building Permit#: 41350 Section: 54 Block: 5 Lot: 49.3
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: "AS BUILT" DBA: Tucker Electric License No: 4926-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service Only
Commerical Outdoor X 1st Floor X Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph 100A Heat Duplec Recpt 20 Ceiling Fixtures 2 HID Fixtures
Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures 4 Smoke Detectors 2
Main Panel 100A A/C Condenser Single Recpt Recessed Fixtures 8 CO Detectors 1
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks
Disconnect 100A Switches 9 Twist Lock El Exit Fixtures �] TVSS
Other Equipment: "AS BUILT" - "ELECTRICAL SURVEY' - " NO VISUAL DEFECTS"
Notes:
Inspector Signature: Date: March 2, 2017
0-Cert Electrical Compliance Formas
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Town Hall Annex 41 Telephone(631)765-1842
54375 Main Road �r�ax11076g Q2
P.O.Box 1179 Gt ' ronerAche_doWll UlOtf1 ny us
Southold,NY 11971-0959 e.
s:
BUILDING DEPARTMENT
TOWN OF SOUMOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY' FmaoL RaYaa o,r Tg Date: F ls &0117
Company Name:
ju�1�E� �1�'r�rr✓ lac_ �..
Name:
License No.: 14
Address: O &� 1 OG15-) c -rc o o v /V /If3Is-
Phone No.: 0 I
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JOBSITE INFORMATION: (*Indicates required information)
*Name: H ew�� S n��rACP c
*Address: `yl'��S ® �� �..�,►�, ,,, i 1 r
*Cross Street: _S oL-*&j Q :e w Av F'.
*Phone No.:
Permit No.:
Tax-Map District: 1000 Section:-� . Block: 'S' Lot: ,
*BRIEF DESCRIPTION OF WORK(Please Print Clearly) 70 V N
(Please Circle All That Apply)
Is job ready for inspection: YE NO. Rough In Final
*Do-you need a Temp Certificate: YES X
Temp h €emiation(if-needed)
*Service Size: as 312hase < 150 200 300 350 400 Other
*New Service: Re-connect Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
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82-Request for Inspection Farm C(&
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