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Home My WebLink About41544-Z ;Z=� og�ff0i ori Town of Southold 4/10/2023 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39061 Date: 7/19/2017 THIS CERTIFIES that the building ELECTRICAL Location of Property: 800 Horton Ln, Southold SCTM#: 473889 Sec/Block/Lot: 63.-1-9 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/21/2017 pursuant to which Building Permit No. 41544 dated 4/21/2017 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: 200 AMP UNDERGROUND ELECTRIC SERVICE The certificate is issued to Grant,Roland of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 41544 06-20-2017 PLUMBERS CERTIFICATION DATED Authorized Signature gu�nc��oTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE oy,• 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#: 41544 Date: 4/21/2017 Permission is hereby granted to: Grant, Roland 800 Hortons Ln Southold, NY 11971 To: Electric Service At premises located at: 800 Horton Ln, Southold SCTM # 473889 Sec/Block/Lot# 63.-1-9 Pursuant to application dated 4/21/2017 and approved by the Building Inspector. To expire on 10/21/2018. Fees: ELECTRIC $85.00 Total: $85.00 Building Inspector oFsobryD�oSUILDaNG,DEPARTMENT TOWN OFSOUTHOLD ` Town Ha11.Ann6x•'54375 Main Road P.O.Box 1179•Southold,NY 11971-0959 Telephone(631)765 1802 Fax(631)765-9502 .. ., Date �j— ,20 1 Number ofnMeters :Temporary Certificate — Size, n . R Phase 1 In :O"verhead'•❑ Underground -N Service ' Change off Service• r❑'• ;Reconnec_ U t(Exxisttinpg S/e�rvice ❑ location" .° „"1 C: . t71%1,-'f'''Zvi— -Issued to I�D O�n Cily ,^ Installed by k `�- G Lic.# •� k�`l rReference Dt _ '� 7 ' ,Lj'�}"cl:�✓ Application for,etectrical•seryice equipment=is on file with the Town,of Southold.On applicant's notification that,this.installation'is complete;the town will coriduct a premises inspection of the service equipment. This'Jerif` "tion,is vali- d r above date. Authorised tiy. ; pF SO!/T�®lo Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 • roger.richertOD-town.Southold.ny.us Southold,NY 11971-0959 Q BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Roland Grant Address: 800 Horton Lane City:Southold St: New York Zip: 11971 Building Permit#: 41544 Section: 63 Block: 1 Lot: 9 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE contractor: DBA: Sabat Electric License No: 4204-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 FixtureTime Clocks Disconnect 200A Switches Twist Lock Exit Fixtures TVSS Other Equipment. 200A UNDERGROUND SERVICE TO H- FRAME Notes: Inspector Signature: Date: June 20, 2017 0-Cert Electrical Compliance Form.xls ads � D no 11 0f SSP V� y®� Town Hall Ann 4/ Telephone(631)765-1802 ;��! v4r G� • ronenrichert (631?7 t101�. I a ownsouF f!ny us 1 -0959 Ol� ! BUMDING DEPARTMENT TOWN OF SOUTHOLD ' APPLICATION FOR ELECTRICAL INSPECTION . i REQUESTED BY:, fn,4 YgZ A Date: 1( 21-0 Company Name: SA 6h q ' d' L c CO ryk— Name: License No.: 2 Address: L,jd 6r. f7407r!IV G 4 1 /'9gL Phone No.:- �,3 1-7 7 q .-,�-q JOBSITE INFORMATION: (*Indicates required informatlon) *Name: 61--,4 AJ b 6-1 A N�' ! *Address: 6 ® )-1 A) *Cross Street: )d L.E-2-S (L��-' I *Phone No.: �/�-I 6 G 12 -7 Permit No.: S Tax-Map District: 1000 Section: Block:_ Lot: *BRIEF DESCRIPTION OF WOK Please Print Clearly)i0 14 '-4,6 PA- L (Please Circle Ali That Apply) Is job ready for inspection: ! NO Rough In Final Vo you need a Temp Certificate: � i ES NO i Temp Information(if.needed) *Service Size: ha 3Phase 100 150 20 300 350 400 Other *New Service: Re-conn ct Underg unro Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION kc 22-Request for Inspection Form (f 1