HomeMy WebLinkAbout36677-Z q�s�FFpl,fcdG Town of Southold Annex 9/13/2011
y 54375 Main Road
y x Southold,New York 11971
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CERTIFICATE OF OCCUPANCY
No: 35214 Date:. 9/13/2011
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 1665 Bray Ave, Laurel,
SCTM#: 473889 Sec/Block/Lot: 126.-8-11
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
9/9/2011 pursuant to which Building Permit No. 36677 dated 9/9/2011
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:
New Electric Service
The certificate is issued to Kayton,Charles
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 36677 9/2/11
PLUMBERS CERTIFICATION DATED
uthorized Signature
so�ryolo
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G • Q roger.richert(C7town.southo Id.ny.us
Southold,NY 11971-0959
COUNTY,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Charles Kayton
Address: 1665 Bray Ave City: Laurel St: NY Zip: 11948
Building Permit#: -�) I,o (o-7'I Section: _ Block: Lot: I I
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Pumillo Electric License No: 2300-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 Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 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 F1 Twist Lock Exit Fixtures TVSS
Other Equipment: 100a overhead service
Notes:
Inspector Signature: Date: Sept 2 2011
81-Cert Electrical Compliance Form
TOWN OF SOUTHOLD
o�g�FFBI/( G
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
y x 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#: 36677 Date: 9/9/2011
Permission is hereby granted to:
Kayton, Charles
1665 Bray Ave
Laurel, NY 11948
To: New Electric Service
At premises located at:
1665 Bray Ave, Laurel
SCTM # 473889
Sec/Block/Lot# 126.-8-11
Pursuant to application dated 9/9/2011 and approved by the Building Inspector.
To expire on 3/10/2013.
Fees:
ELECTRIC $85.00
Total: $85.00
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Building Inspector
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54875 Main Road
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St Aold,NY 11971.09A
BUILDIMDEPARTIVIF a
TOWN OF SOUTHOLD
ICATION� ,, 0� ELECAP TRC AL INSP�CTIO(�i
REE E:tESTED SY.- _J to ��w,� � � � I
_ Date:
Corneal r +i�lame: ' .
t►1at�te:
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Address:
Phone No.: 51 L� L N 0
JOBSiTE INFORMATION.: Nndicates required information)
(4-44
*Address:
•*Cross Stree
Tax IUIMap Qlstact: 1000 Seddon: .` Uodc. �
*BRIEF DESCRIPTION OF WORK(Please Print C ee.r1y). let
(D y(c
Please.ewe a All That Apply) '
I&Jc br ready for-Insped,pri: NO Rough In . =F(ne(l-
*bb you need a Temp Ceriflicate:
S NO
Ump•Infonnadon(If ae ded)
''service Size: 1 Phase 31'hase 100 15a 304 ; 350 400 Other
New.Service: e-connec Undergroun Number of Meters/ ange of Service Overhead
Additia�nat Information: -_.- 1NITIfiAPPLiCA `IC1N