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Home My WebLink About43191-Z �l1�FMIt Town of Southold 11/13/2018 a4pi" Box 1179 1 53095 Main Rd #p ? Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40035 Date: 11/9/2018 THIS CERTIFIES that the building ELECTRICAL Location of Property: 1785 Custer Ave, Southold SCTM#: 473889 Sec/Block/Lot: 70.-9-11 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 11/2/2018 pursuant to which Building Permit No. 43191 dated 11/2/2018 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 UPGRADE The certificate is issued to Faulkner, Elizabeth of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 43191 11-08-2018 PLUMBERS CERTIFICATION DATED oc Authorized Signature TOWN OF SOUTHOLD � a BUILDING DEPARTMENT bb TOWN CLERK'S OFFICE tis SOUTHOLD, NY s 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#: 43191 Date: 11/2/2018 Permission is hereby granted to: Faulkner, Elizabeth 1785 Custer Ave PO BOX 1827 Southold, NY 11971 To: Electric Service Upgrade At premises located at: 1785 Custer Ave, Southold SCTM # 473889 Sec/Block/Lot# 70.-9-11 Pursuant to application dated 11/2/2018 and approved by the Building Inspector. To expire on 5/3/2020. Fees: ELECTRIC $85.00 Total: $85.00 Building Inspector TOWN 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#: 43191 Date: 11/2/2018 Permission is hereby granted to: Faulkner, Elizabeth 1785 Custer Ave PO BOX 1827 Southold, NY 11971 To: Electric Service Upgrade At premises located at: 1785 Custer Ave, Southold SCTM # 473889 Sec/Block/Lot# 70.-9-11 Pursuant to application dated 11/2/2018 and approved by the Building Inspector. To expire on 5/3/2020. Fees: ELECTRIC $85.00 Total: $85.00 Building Inspector pF SOUlyolo Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O. ox 1179 Southoldd,,NY 11971-0959 . • �Q roper.richertCa)town.SouthoId.ny.us Q ��4UNT'I,Nc� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To- Faulkner Address: 1785 Custer Ave City- Southold St: New York Zip 11971 Building Permit#' 43191 Section. 70 Block: 9 Lot: 11 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor DBA. Paul Burns Electric License No 3897-ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only X Commerical Outdoor X 1 st 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 Fixturesp Time Clocks Disconnect 200a Switches Twist Lock Exit Fixtures TVSS Other Equipment: Service upgrade, 200a overhead Notes: Inspector Signature: Date: November 8 2018 81-Cert Electrical Compliance Form.xls pF SOUTyo� * # TOWN OF SOUTHOLD BUILDING DEPT. 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: i DATE INSPECTO�i t FOl O I � K U LDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 09G hone(631) 765-1802- FAX(631) 765-9502 pt g SOt0 roger.richert&_town.southold.ny.us APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Bob Burns Date: 10/31/18 Company Name: Paul Burns Electrical Contractors Inc. Name: Paul R Burns Jr License No.: 3897-ME email: pburnsjr@optonline.net Address: PO Box 1061 Sou old,NY 11971 Phone No.: 631-365-4735 JOB SITE INFORMATION: (AII Irfformavon Required) e Name: Faulkner Address: 1785 Custer Ave.Southold Cross Street: Oaklawn Ave Ext Phone No.: 631-765-3410 Bldg.Permit#: ff2l q email: Tax Map District 10 0 action: r]) Block: CY Lot: BRIEF DESCRIPTION OF WORK(Please Print Clearly) Service upgrade Circle All That Apply: Is job ready for inspection?: =�Re In eFinal) Do you need a Temp Certificate?: (OS 7NO . Issued On Temp Informations (All information requ Service Sipe ( 1 PO Meters 3 Ph Size: 200 A # Oid Meter# New Service- Fire Reconnect-Flood Reconnect-Service Reconnected -Underground Ove ;�:� # Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION 6) �\ 82-ReW t for Mapeodw Fam ift 0'j Va It- 5-1�