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HomeMy WebLinkAbout38168-Z �oo�SUFFU6 A, Town of Southold 9/28/2018 o - . P.O.Box 1179 W T 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39920 Date: 9/28/2018 THIS CERTIFIES that the building ELECTRICAL Location of Property: Route 25, Cutchogue SCTM#: 473889 Sec/Block/Lot: 102.-246.3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/11/2013 pursuant to which Building Permit No. 38168 dated 7/11/2013 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: H frame service and underground 100a service. The certificate is issued to Edson,Lewis of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 38168 7/9/2013 PLUMBERS CERTIFICATION DATED Authorized Signature TOWN OF SOUTHOLD BUILDING DEPARTMENT y TOWN CLERK'S OFFICE SOUTHOLD, NY y©1 *ao0ys 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#: 38168 Date: 7/11/2013 Permission is hereby granted to: Edson, Lewis 30105 Route 25 PO BOX 939 Cutchogue, NY 11935 To: underground electric service. At premises located at: Route 25 SCTM # 473889 Sec/Block/Lot# 102.-2-16.3 Pursuant to application dated 7/11/2013 and approved by the Building Inspector. To expire on 1/10/2015. Fees: ELECTRIC $85.00 Total: $85.00 Building Inspector Town Hall Annex o�QSUFFQ1k�oGy Telephone(631) 765-1802 54375 Main Road o Fax (631) 765-9502 C/2 2 P.O. Box 1179 G • Southold, NY 11971-0959 y�fj�� �,�D!` roger.richert(c)-town.southol d.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To Lewis Edison Address: Rt 25(Main Rd) City: Cutchogue St: NY Zip: 11935 Budding Permit# 38168 Section: 102 Block: 2 Lot 163 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Ice Electric Inc License No: 4586-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 100a Heat Duplec Recpt Ceding Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel 100a A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect 100a Switches Twist Lock Exit Fixtures TVSS Other Equipment: H frame service, 100a underground service, (on Depot Ln) Notes: Inspector Signature: _ - Date: July 9 2013 Electrical Certificate As 2911 ICE L IRIC- ClTINC.- `- 16 P•E RGREEN,DR`� CU H UE,_NY�1'1935- % 50-54 4 DATE PAY TO THE : ORDEROF 77CAS: DOLE.,.., ff�� �' ;SUFFOLK-COUNTY "NAiIONAI BANK MAIN RO •CUTCHO UE,NEW tDRK 1 5 - www 9cnB,com FOR 000 2-9 7 10 11:0 2 L 40 S' _ G 4V- 9 L `00 3 13 L 2111 REQUESTED BY- I �— Date: Company Name: Name: License No.: �— � Address: f Phone No.: 3 JOBSITE INFORMATION: (*Indicates required information) *Name: Zee G✓ 1,r 1, i *Address: G�yArenrl I *Cross Street: �� P ``Phone No_: I Permit No.: Tax Map District: 1100 Section: Block: Lot: l *BRIEF DESCRIPTION OF WORK(Please Print Clearly) f ra SS -rd (Please Circle All That Apply) Is job ready for inspection: DES NO Rough In Final *riayou need a Temp Certificate; YES NO b' Temp Information (lf nee ed) *Servi Ge Size: Phas ;3Phagse150 200 300 350 400 Other *New Service: Re-connectergumber of Meters Change of g Service Overhead � Additional Information: PAYMENT DUE WITH APPLICATION i 1 82-Request for Inspection Form I