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Home My WebLink About42729-Z ��p�gUfFO1,�40p, Town of Southold 6/28/2018 3 P.O.Box 1179 0 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39739 Date: 6/28/2018 THIS CERTIFIES that the building ELECTRICAL Location of Property: 1565 Bray Ave, Laurel SCTM#: 473889 See/Block/Lot: 126.-8-9 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/29/2018 pursuant to which Building Permit No. 42729 dated 5/29/2018 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: ELECTRIC WIRING FOR KITCHEN RENOVATION The certificate is issued to Martin, Courtney of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 42729 06-15-2018 PLUMBERS CERTIFICATION DATED Authorized Signature �o�SUFFoc,r�oTOWN 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#: 42729 Date: 5/29/2018 Permission is hereby granted to: Martin, Courtney PO BOX 577 Laurel, NY 11948 To: Kitchen wiring At premises located at: 1565 Bray Ave, Laurel SCTM # 473889 Sec/Block/Lot# 126.-8-9 Pursuant to application dated 5/29/2018 and approved by the Building Inspector. To expire on 11/28/2019. Fees: ELECTRIC $90.00 Total: $90.00 i y Building Inspector pF S®(/r�®! Town Hall Annex Telephone(631)765-1802 54375 Main Road CA Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 ® ® �® roger.rich erKD-town.southoId.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Martin Address: 1565 Bray Avenue city:Laurel st: New York zip: 11948 Building Permit#: 42729 Section. 126 Block: 8 Lot: 9 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: A-OK Electric License No: 44245-ME SITE DETAILS Office Use Only Residential X Indoor X Basement X Service Only Commerical Outdoor 1st Floor X Pool New Renovation X 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 3 Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt 20A Fluorescent Fixture Pumps Transformer Appliances pW Dryer Recpt Emergency Fixture Time Clocks Disconnect Switches Twist Lock Exit Fixtures TVSS Other Equipment: Kitchen Renovation (closed wall) Notes: 2- Combination GFCl/ARC Fault Circuit Breakers, 2-ARC Fault Circuit Breakers. Inspector Signature: - Date: June 15, 2018 0-Cert Electrical Compliance Form xis ho��OF SOUIyo� TOWN OF SOUTHOLD BUILDING DEPT. courm, 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 INSPECTOR � jq - )� D [�C�C�Ob� _ �FOFF�� l I DING DEPARTMENT Electrical inspector �O SAY 2 9 u TOWN OF SOUTHOLD - 201&-own Hall Annex - 54375 Main Road - PO Box 1179 dD Southold, New York 11971-0959 3 .DWG DEP .Telephone (631) 765-1802 - FAX (631) 765-9502 OFSOfTd'HOLD roger.richert(c,town.southold.ny.us APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: ]� - y�- - e�"`5 f� - Date: - Company Name: - �, -9 C., L C. Name: lInct � aiga,, License No.: I/2 y T dhrz:-- email: d1c, -7& ac o Address: Camra( V,-e- �,fr«✓> �lrE?(z (735 Phone No.: 5-i�3 -3f $ JOB SITE INFORMATION: (All Information Required) Name: alrn/ Address: -5� ro r Avc l ct q$ Cross Street: q A -�. Phone No.: '1 Bldg.Permit#: email: Tax Map District: 1000 Section: f Block: Lot: BRIEF, /DESCRIPTION OF WORK (Please Print Clearly) Circle All That Apply: Is job ready for inspection?: YES '4 J Rough In Final Do you need a Temp Certificate?: YES / 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 tervice? Y N Additional Information: PAYMENT DUE WITH APPLICATION Request for Inspection FormAs �' ' 0 _�L z O'"