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Home My WebLink About42567-Z 3®�SUFFOt,��oGy Town of Southold 6/21/2018 P.O.Box 1179 53095 Main Rd oy'yol ��4��F Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39720 Date: 6/21/2018 THIS CERTIFIES that the building ELECTRICAL Location of Property: 225 Goldin Ln, Southold SCTM#: 473889 Sec/Block/Lot: 135.-2-15 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/12/2018 pursuant to which Building Permit No. 42567 dated 4/12/2018 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 OVERHEAD ELECTRIC SERVICE The certificate is issued to Kelly,Henry&Nell of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 42567 06-18-2018 PLUMBERS CERTIFICATION DATED A�� Authorized Signature TOWN OF SOUTHOLD BUILDING DEPARTMENT co TOWN CLERK'S OFFICE py.• ; 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#: 42567 Date: 4/12/2018 Permission is hereby granted to: Kelly, Henry 52 Ridgeview Ave Trumbull, CT 06611 To: Electric Service Upgrade At premises located at: 225 Goldin Ln, Southold SCTM # 473889 Sec/Block/Lot# 135.-2-15 Pursuant to application dated 4/12/2018 and approved by the Building Inspector. To expire on 10/12/2019. Fees: ELECTRIC $85.00 Total: $85.00 Buil pector pF SOl IO Town Hall Annex Telephone(631)765-1802 54375 Main Road C Fax(631)765-9502 P.O.Box 1179 G Q roger.richert(aD-town.Southold.ny.us Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Dunne (Kelly) Address: 225 Goldin Lane city;Southold st: New York zip: 11971 Building Permit#: 42567 Section: 135 Block: 2 Lot: 18 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: John McKeon Electric License No: 4147-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 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: 200A Overhead Service, Rain Proof Main Panel Outside. Notes: Inspector Signature: Date: June 18, 2018 0-Cert Electrical Compliance Form.xls q SOUIyOIo # * TOWN OF SOUTHOLD BUILDING DEPT. couff", 765-1802 INSPECTION . [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: DATE Y / INSPECTOR � : U ® � FOtk BUI 4 G DEPARTMENT-Electrical Inspector `~ JUN 1 3 2018 TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 ' B�'DRqG� � a (631) 765-1802- FAX (631) 765-9502 '>!'®VAN OF S® roger richerttc" town�s6 th0d.ny.us APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Date; , i Company Name: Name: Yy\"C-KQ-'Or License No.: q L4-7 m E email: I rA �- Address: Rd - Phone No.: 516 ®9 JOB SITE INFORMATION: (All Information Required) Name: �.y ,,—,-0— r Address: "2- Cross 2-Cross Street: Phone No.: �'f 6 °z.z0 7 Bldg.Permit#: Yj�p� email: Tax Map. District: 1000 Section: rj Block: Lot: BRIEF DESCRIPTION OF WORK(Please Print Clearly) A,\,i> Circle All That Apply: , Is job ready for inspection?: Y NO Rough In Fina Do you need a Teiiip-Cerbficate?: -rYES NO issued On - - Temp Information' (All information required) Service Size '1 Ph 3 Ph Size: �� - A #Meters Old Meter# New Service- Fire Reconnect- Flood Reconnect-Service Reconnected -Underground Overhead #Underground Laterals 1 2 H Frame Pole Work done on Service? N Additional Information: ;PAYMENT DUE WITH APPLICATION. �� 62-Request for Inspectlon Fomi.xls o e Y 1 � J