HomeMy WebLinkAbout41814-Z ��Qc�uFFOt��aG Town of Southold 9/1/2017
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39189 Date: 9/1/2017
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 1410 Tucker Ln, Southold
SCTM#: 473889 See/Block/Lot: 59.-4-5.3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/14/2017 pursuant to which Building Permit No. 41814 dated 7/14/2017
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:
200a overhead electrical service.
The certificate is issued to Rabbitt,Thomas&Maryanne
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 41814 8/29/2017
PLUMBERS CERTIFICATION DATED
uthorized Signature
TOWN OF SOUTHOLD
nt,� � BUILDING DEPARTMENT
cz
ca c 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#: 41814 Date: 7/14/2017
Permission is hereby granted to:
Rabbitt, Thomas
1410 Tuckers Ln
Southold, NY 11971
To: Upgrad Electrical Service
At premises located at:
1410 Tucker Ln, Southold
SCTM # 473889
Sec/Block/Lot# 59.4-5.3
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Pursuant to application dated 7/14/2017 and approved by the Building Inspector.
To expire on 1/13/2019.
Fees:
ELECTRIC $85.00
Lotal: $85.00
Buildin Inspector
pF SO!/ry®�o
Town Hall Annex Telephone(631)765-1802
54375 Main Road css Fax(631)765-9502
P.O.Box 1179 G Q
Southold,NY 11971-0959 ® ��pA�� y® roger.rich ert(a�town.southoId.ny.us
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Rabbitt
Address: 1410 Tucker Lane city:Southold st: New York zip: 11971
Budding Permit#. 41814 Section: 59 Block: 4 Lot- 5.3
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: RJ Corazzini Electric License No: 33419-ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only
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 Fixture Time Clocks
Disconnect 200A Switches Twist Lock Exit Fixtures TVSS
Other Equipment: SERVICE UP GRADE - 200A OVERHEAD
Notes:
Inspector Signature: Date: August 29, 2017
0-Cert Electrical Compliance Form.xls
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Town Hall Amexlephone(631)765-1802
�C54375 Main Road r_
P.O.Box 1179 , Q roger.ri !,us
Southold,NY 11971-0959
BUMDING DST. i
TOWN OF SOUTHOLD
BUIMING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION '
REQUESTED BY: Date:
Company Name:
Name:
License No.:
Address: ZA ,
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Phone No.:
f
JOBSITE INFORMATIOIndicates required information)
*Name:
ft d ��
*Address:
*Cross Street:
*Phone No.:
Permit No.:
Tax-Map District: 1000 Section: Block:_ �—
*BRIEF DESCRIPTION OF WORK(Please Print Clearly) -200
(Please Circle All That Apply)
*Is job ready for inspection: j
Y NO Rough In Fina! I
*Do you need emp C_rtifrcafic&_1 E / NO '
Temp information (if-needed)
*Service Size: 1 Phase 3Phase 100 150200 300 350 400 Other -
*New Service: Re-connect Underground Number of Meters Change of Servic Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
82=Request for Inspection Form ��2`/ - A
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