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37198-Z
r Town of Southold Annex 8/16/2012 ��o�suFFot,�i P.O.Box 1179 54375 Main Road � z Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 35886 Date: 8/16/2012 THIS CERTIFIES that the building ELECTRICAL Location of Property: 4325 Stars Rd, East Marion, SCTM#: 473889 Sec/Block/Lot: 22.-2-31 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 5/8/2012 pursuant to which Building Permit No. 37198 dated 5/8/2012 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: LipQrade overhead electric service. The certificate is issued to Vukas, Stanko&Vukas,Tonica (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37198 08/15/2012 PLUMBERS CERTIFICATION DATED Authorized Signature ��oSOFFn�,r�oG TOWN OF SOUTHOLD BUILDING DEPARTMENT w x TOWN CLERK'S OFFICE o . 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#: 37198 Date: 5/8/2012 Permission is hereby granted to: Vukas, Stanko & Vukas, Tonica 24-39 Murray St Whitestone, NY 11357 To: upgrade overhead electric service. At premises located at: 4325 Stars Rd, East Marion SCTM # 473889 Sec/Block/Lot# 22.-2-31 Pursuant to application dated 5/8/2012 and approved by the Building Inspector. To expire on 11/7/2013. Fees: ELECTRIC $85.00 Total: $85.00 Building Inspector jf SO(/r�o Town Hall Annex �O l� Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G Q roger.richert(a)town.southold.ny.us Southold,NY 11971-0959 COUNTY,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Joseph Vukas Address: 4325 Stars Rd City: East Marion St: NY. Zip: 11939 Building Permit#: Section: Block: Lot: 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 150a Heat Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel 150a 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 150a Switches F- Twist Lock Exit Fixtures TVSS Other Equipment: 150a overhead service Notes: Inspector Signature: ,vl Date: 15 2012Aug 81-Cert Electrical Compliance Form.xls �0v SQ�j�yo Town Hall Annex 1 Telephone(631)765-1802 54375 Main Road N m�ax(631)765-9g5QZ P.O.Box 1179 ' OQ rOQer.richertt(Y]town.southO nv us Southold,NY 11971-0959 COUIf['I, BUILDING DEPARTMENT TOWN OF SOUMoLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: © � L4 On _/ �� Date: Company Name: Name: License No.: �3 o A^, Address: Phone No.: JOBSITE INFORMATION: (*Indicates required information). *Name: Ste" *Address: S�o9'Z S- ��5�. *Cross Street: *Phone No.: LeT Permit No.: Tax Map District: 1000 Section: ._ Block: _ Lot: *BRIEF DESCRIPTION OF WORK (Please Print Clearly) Please Circle All That Apply) *Is job ready for inspection: YES O Rough In Final *Do-you need a Temp Certificate: Temp Information (if needed) *Service Size: Phase 3Phase 100 200 300 350 400 Other *New Service: Re-connect Underground Number of Meters age of Servic ,verhead Additional Information: PAYMENT DUE WITH APPLICATION DO .82=Request for Inspection Form