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Home My WebLink About37655-Z FFOLIr G Town of Southold Annex 12/11/2012 P.O.Box 1179 54375 Main Road oy � ti� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 36080 Date: 12/ri/2012 THIS CERTIFIES that the building ELECTRICAL Location of Property: 985 Monsell Ln, Cutchogue, SCTM#: 473889 See/Block/Lot: 138.4-6 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 11/28/2012 pursuant to which Building Permit No. 37655 dated 11/28/2012 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: Electrical Service Upgrade. The certificate is issued to Monsell,Jacqueline (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37655 12/5/12 PLUMBERS CERTIFICATION DATED Authorized Signature TOWN OF SOUTHOLD BUILDING DEPARTMENT y 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#: 37655 Date: 11/28/2012 Permission is hereby granted to: Monsell, Jacqueline 509 First St Greenport, NY 11944 To: Electrical Service Upgrade At premises located at: 985 Monsell Ln, Cutchogue SCTM # 473889 Sec/Block/Lot# 138.-1-6 Pursuant to application dated 11/28/2012 and approved by the Building Inspector. To expire on 5/30/2014. Fees: ELECTRIC $85.00 Total: $85.00 Building Inspector pF SO!/Tyolo Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 roger.riche rKED-town.so utho Id.ny.us Southold,NY 11971-0959 o�yCOU ,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Jacqueline Monsell Address: 985 Monsell Lane City: Cutchogue St: NY Zip: 11935 Building Permit#: `>Z L'Sc 5 Section: Block: Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Custom Lighting of Suffolk License No: 38893-me SITE DETAILS Office Use Only Residential X Indoor Basement Service Only Commerical Outdoor X 1st 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 Fixtures Time Clocks Disconnect 200a Switches Twist Lock Exit Fixtures TVSS Other Equipment: 200a underground service Notes: Inspector Signature: Date: Dec 5 2012 81-Cert Electrical Compliance Form.xls o��oF so�r� . Town Hall Annex 41 l Telephone(631)755-1802 54375 Main Road CO- (6ut9M5 P.O.Box 1179 roger.rlCherttOwn31).so76 o .nv.us Southold,NY 11971-0959 O � BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY:' O Date: Company Name: ' Sj L�` Name: S�tt License No.: 0417 Address: Phone No.: L w Zq� JOBSITE INFORMATION: (*Indicates. required information) *Name:. cudc�.s (Ll©✓L *Address: — LA *Cross Street: V_ *phone No.: r -( (P L(91 Permit No.: Tax Map District: 1000 Section: 75 j Block: 13 Lot: /(�, *BRIEF DESCRIPTION OF WORK(Please Print Clearly) (Please Circle All That Apply) *Is.job ready for inspection: (fE9! NO Rough In ina! *Do you need a Temp Certificate: E NO Temp Information (If needed} *Service Size: hase 313hase 100 150 200 3W 350 400 Other *Nevi Service: Re-connect Cn d3ground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION 82-Request for Inspection Form \�Q