HomeMy WebLinkAbout43263-Z 10 FOt�co� Town of Southold 1/3/2019
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P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40146 Date: 1/3/2019
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 605 Saltaire Way, Mattituck
SCTM#: 473889 Sec/Block/Lot: 100.4-19
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
12/3/2018 pursuant to which Building Permit No. 43263 dated 12/3/2018
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:
200 AMP ELECTRIC METER PAN AND PANEL
The certificate is issued to Kahch,Richard&Motto,Mary
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 43263 12-12-2018
PLUMBERS CERTIFICATION DATED
Authorized Signature
SUFFot�, TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
oy.• 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#: 43263 Date: 12/3/2018
Permission is hereby granted to:
Kalich, Richard
605 Saltaire Way
Mattituck, NY 11952
To: Electric Service Upgrade
At premises located at: _
605 Saltaire Way, Mattituck
SCTM # 473889
Sec/Block/Lot# 100.-1-19
Pursuant to application dated 12/3/2018 and approved by the Building Inspector. ;
To expire on 6/3/2020.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
®��OF S0�/r�®l
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Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G Q
Southold,NY 11971-0959 ® ® �o roger.riche rtCaD-town.south old.ny.us
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Richard Kalich
Address: 605 Saltaire Way City: Mattituck St: New York Zip. 11952
Building Permit#: 43263 Section: 100 Block. 1 Lot: 19
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: C-Cat Electric License No: 953-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only X
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph 200a Heat Duplec Recpt Ceding 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 200. Switches P1 Twist Lock Exit Fixtures TVSS
Other Equipment. Install new 200a meter pan and main electrical panel
Notes,
Inspector Signature: 1 Date: December 12 2018
81-Cert Electrical Compliance Form As
$�fFQLk A n BUILDING DEPARTMENT - Electrical Inspector
�' \\V►/� TOWN OF SOUTHOLD
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_ Ttodh Hall Annex - 54375 Main Road - PO Box 1179
a_ ° 2 8 2018 Southold, New York 11971-0959
L4. • NOV Telephone (631) 765-1802 - FAX (631) 765-9502
mal , c � roger.richert(atown.southold.ny.us
A '[CATION FOR ELECTRICAL INSPECTION
- -- - Date:
REQUESTED BY` -i5-
Company Name' G- +
Name:
License No.: �'�3- email: W e t c)o7 0*0, cd—
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Address: P 0 13ox
Phone No.:
JOB SITE INFORMATION: (All Informa'on Required)
Name:
Address: CODS
Cross Street:
Phone No-:
Bldg.Permit#: email:
Tax Map District: 100 Section: j Block: Lot:
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
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Circle All That Apply:
Is job ready for inspection?: ES NO Rough In Final '
Do you need a Temp Certificate?: YES / NO Issued On
Temp Information: (All information required).
Service Size 1 P 3 Ph Size:),00 A # Meters Old Meter#
New Service - Fire Reconnect- Flood Reconnect- Service Reconnected - Underground - Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
C0
Request for Inspection FormAs W