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37985-Z
o�sU L,f�OG Town of Southold Annex 5/3/2013 y P.O.Box 1179 y z 54375 Main Road zo • �� Southold,New York 11971 . CERTIFICATE OF OCCUPANCY No: 36225 Date: 5/3/2013 THIS CERTIFIES that the building ELECTRICAL Location of Property: 2350 Clearview Ave, Southold, SCTM#: 473889 Sec/Block/Lot: 70.-10-28.3 Subdivision: A.. Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 4/29/2013 pursuant to which Building Permit No. 37985 dated 4/29/2013 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: underground electric service. The certificate is issued to Southold LLC (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37985 4/18/13 PLUMBERS CERTIFICATION DATED loop A)44LR77�) Authorized ig&ture o�ofFOL-t�o TOWN OF SOUTHOLD �� ay BUILDING DEPARTMENT y z TOWN CLERK'S OFFICE SOUTHOLD, NY 0' 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 #: 37985 Date: 4/29/2013 Permission is hereby granted to: Southold LLC 15439 Milan Way Naples, FL 34110 To: underground electric service. At premises located at: 2350 Clearview Ave, Southold SCTM # 473889 Sec/Block/Lot# 70.-10-28.3 Pursuant to application dated 4/29/2013 and approved by the Building Inspector. To expire on 10/29/2014. Fees: ELECTRIC $85.00 Total: $85.00 Building Inspector Town Hall Annex �QguEFf7(,��0 O Gy Telephone(631) 765-1802 54375 Main Road o Fax (631) 765-9502 at P.O. Box 1179 oy • o� Southold, NY 11971-0959 4j�� �.a roper.rlchert(a)-town.southold.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Michael Lloyd Address: 2350 Clearview Ave City:Southold St: NY Zip: 11971 Building Permit#: 37985 Section: 70 Block: 10 Lot: 28.3 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: G&S Electric License No: 578-e SITE DETAILS Office Use Only Residential x Indoor 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 Fixtures Time Clocks Disconnect 200a Switches Twist Lock Exit Fixtures TVSS Other Equipment: 200a underground service Notes: Inspector Signature: Dater April 18 2013 Electrical Certificate.xls o��pF SOUjy�lo Telephone(631)765-1802 Town Hall Annex ax(631)765�-9 50022 54375 Main Road G Q roger richert own southoI nV-us P.O.Box 1179 Southold,NY 11971-0959 OI�CQU NTI, BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION FREQUESTED BY: Date: ame: S Name: � License No.: S'79 Address D. (3© - �� otJ f�ii�c-fl f1J [ ! Phone No.: JOBSITE INFORMATION: (`Indicates required information) ! *Name: *Address: 02 3 U A Loco *Cross Street: ��C °``I ��(Jiaf G 626 *Phone No.: f7 2 0 Permit No.: Lot: 3 Tax Map District: 1000 Section: `Z� Block:�_ — *BRIEF DESCRIPTION OF WORK (Please Print Clearly) (Please Circie All That Apply) *Is job ready for inspection: A NO Rough In Final *Do you need a Temp Certificate: / NO Temp Information (If needed) *Service Size: �1P se 3Phase 100 150 200 300 350 400 Other *New Service: Re-connect Under round Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION 82-Request for Inspection Form 1 b' v