HomeMy WebLinkAbout40702-Z ��p�gUFFQI,��oGy Town of Southold 9/21/2017
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P.O.Box 1179
a' 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39225 Date: 9/21/2017
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 25335 Route 25, Orient
SCTM#: 473889 Sec/Block/Lot: 18.-3-13
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/18/2016 pursuant to which Building Permit No. 40702 dated 5/18/2016
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:
ELECTRIC SERVICE UPGRADE
The certificate is issued to Sellis,Zane
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 40702 09-06-2017
PLUMBERS CERTIFICATION DATED
Authorized Signature
o�gafFot��o TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
y, 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#: 40702 Date: 5/18/2016
Permission is hereby granted to:
Sellis, Zane
292 Vista Dr
Jericho, NY 11753
To: Electric Service
At premises located at:
25335 Route 25, Orient
SCTM # 473889
Sec/Block/Lot# 18.-3-13
Pursuant to application dated 5/18/2016 and approved by the Building Inspector.
To expire on 11/17/2017.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
SO!/r�®l
Town Hall Annex Telephone(631)765-1802
54375 Main Road � Fax(631)765-9502
P.O.Box 1179 �, �o roper.rich ert(aD-town.Southold.ny.us
Southold,NY 11971-0959 Q
cOUNTY,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Zane Sell Is
Address: 25335 Route 25 city,Orient st: New York zip: 11957
Building Permit#: 40702 Section: 1$ Block: 3 Lot 13
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Brian Brooks Electric License No: 3613-E
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X 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 Ceiling 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: Upgrade Service - 200A Overhead.
Notes,
Inspector Signature: Date: September 5, 2017
0-Cert Electrical Compliance Form.xls
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that this.installation is complete;the'.town-will=conduct a;premise' inspectioh ohhe'' ser6ice equipment. ,"
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pE SOUp�ol
Town Hall Annex Telephone(631)765-1802
54375 Main Road c� Fax(631)765-9502
P.O.Box 1179 ® �� roger.richert cni town.southold.ny.us
Southold,NY 11971-0959 Q
�ycOUNTY,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Sellls
Address: 25335 Route 25 city:Orient st: New York zip: 11957
Building Permit#: 41654 Section: 18 Block: 3 Lot: 13
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor. DBA: L & L Lighting License No: 37285-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 5 Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors 2
Main Panel A/C Condenser Single Recpt Recessed Fixtures 25 CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt 30A Emergency Fixture Time Clocks
Disconnect Switches 5 Twist Lock Exit Fixtures TVSS
Other Equipment: "AS BUILT" - "ELECTRIC SURVEY" - "NO VISUAL DEFECTS"
Notes: Laundry and Wall Receptacles - Existing.
1- Paddle Fan
Inspector Signature: Date: July 19, 2017
0-Cert Electrical Compliance Form.xls