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Town of Southold Annex
P.O.Box 1179
co 54375 Main Road
oy Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 36093 Date: 12/19/2012
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 300 Haywaters Dr, Cutchogue,
SCTM#: 473889 Sec/Block/Lot: 104.-5-20.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
12/5/2012 pursuant to which Building Permit No. 37668 dated 12/5/2012
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:
Overhead Electric Service
The certificate is issued to Murray,Donna
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 37668 12/19/2012
PLUMBERS CERTIFICATION DATED
Authorized Signature
.Ty TOWN OF SOUTHOLD
o�gOFFD(p-o
�o goy BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
oy • � �4 SOUTHOLD, NY
l 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#: 37668 Date: 121512012
Permission is hereby granted to:
Murray, Donna
6 Toll Gate Ct
Lynbrook, NY 11563
To: Overhead Electric Service
At premises located at:
300 Haywaters Dr, Cutchogue
SCTM # 473889
Sec/Block/Lot# 104.-5-20.1
Pursuant to application dated 12/5/2012 and approved by the Building Inspector.
To expire on 7/2/2014.
Fees:
ELECTRIC $90.00
Total: $90.00
Building Inspector
OF SOUTyo
Town Hall Annex ~� l0 Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 117
Southold,NY 11971-0959 G e roger.richert cDtown.southold.ny.us
�` � YO
coupm,Nc�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Tom Murray
Address: 300 Haywaters Dr City: Cutchogue St: NY Zip: 11935
Building Permit#: Section: ,p Block: 5 Lot: 0 i
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Brian Brooks Electrical Inc License No: 3613-me
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only X
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 Fixture Time Clocks
Disconnect 2001 Switches Twist Lock Exit Fixtures TVSS
Other Equipment: 200a overhead service
Notes:
Inspector Signature: Date: Dec 18 2012
81-Cert Electrical Compliance Form.xls