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41516-Z
o�OSUFFQIKCOri Town of Southold 5/12/2017 y� P.O.Box 1179 d' ! 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38939 Date: 5/12/2017 THIS CERTIFIES that the building ELECTRICAL Location of Property: 725 Holden Ave, Cutchogue SCTM#: 473889 Sec/Block/Lot: 110.-5-50 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/10/2017 pursuant to which Building Permit No. 41516 dated 4/10/2017 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: UPGRADE TO 200A ELECTRIC SERVICE The certificate is issued to Sheehan,Dennis of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 41516 05-09-2017 PLUMBERS CERTIFICATION DATED Authorized Signature SUFEoc TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE 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#: 41516 Date: 4/10/2017 Permission is hereby granted to: Sheehan, Dennis 61 Fieldstone Dr Scott Township, PA 18411 To: Electric Service Upgrade At premises located at: 725 Holden Ave, Cutchogue SCTM # 473889 Sec/Block/Lot# 110.-5-50 Pursuant to,application dated 4/10/2017 and approved by the Building Inspector. To expire on 10/10/2018. Fees: ELECTRIC $85.00 Total: $85.00 i Buil g In pector SOUry®� Town Hall Annex OIL Telephone(631)765-1802 54375 Main Road OW Fax(631)765-9502 tw P.O.Box 1179 Southold,NY 11971-0959 0 ® �® roger.richert(a�-town.southold.ny.us '�C®uNTV,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To- Dennis Sheehan Address: 725 Holden Avenue City: Cutchogue St: New York Zip: 11935 Budding Permit# 41516 Section: 110 Block: 5 Lot- 50 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: T Best Electric Inc. License No: 49446-ME SITE DETAILS Office Use Only Residential X Indoor Basement Service 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 Ceding 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 Other Equipment 200A OVERHEAD SERVICE Notes: Inspector Signature: _ Date: May 9, 2017 0-Cert Electrical Compliance Form.xls pE 50UTy�lo . cOUN(`I,� TOWN OF SOUTHOLD BUILDING DEPT., 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE, & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) REMARKS: 51-7 DATE INSPECTOR L nD IECIEOVUE S SOF Oily �o� Flo SPR l�JAnne 5 X 2017 Telephone(631)765-1802 SLR 54375 Main Road N m�ax(631)765- SQ2 1 G e roger.richert(a�town.soggl d.ny.us B TO'W�i b LD BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: �.d; M ��ST Date: Company Name: r e n-i- T Name: AA S License No.: Address: 9 eC' KcsKtcMSl�Y l l ot 3 Phone No.: , I - JOBSITE INFORMATION: (*Indicates required information) *Name: -D C-�:-r� �—� *Address: 7oZSr *Cross Street: *Phone No.: Permit No.: Ll 15 (® Tax-Map District: 1000 Section: Block: Lot: *BRIEF DESCRIPTION OF WORK(Please Print Clearly) 5C- \) Lce- uPG e �zveK-V%_ea_6 ao© ,At'kP QL/ © C u (Please Circle All That Apply) *Is job ready for inspection: ES / NO Rough In Inal *Do you need a Temp Certificate: YES / Temp Information (If needed) *Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other *New Service: Reconnect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION Ta L C 82-Request for Inspection Form