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Home My WebLink About42947-Z Town of Southold 1/15/2019 -� P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40167 Date: 1/15/2019 THIS CERTIFIES that the building ELECTRICAL Location of Property: 1330 Saltaire Way,Mattituck SCTM#: 473889 See/Block/Lot: 100.-1-27 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/15/2018 pursuant to which Building Permit No. 42947 dated 8/15/2018 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: ELECTRIC SERVICE CHANGE TO 200A UNDERGROUND The certificate is issued to Ambookan,Marianne of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 42947 01-07-2019 PLUMBERS CERTIFICATION DATED Authorized Signature TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE oy • SOUTHOLD, NY dol � Sao 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#: 42947 Date: 8/15/2018 Permission is hereby granted to: Ambookan, Marianne 20 Spruce Park Syossett, NY 11791 To: 200 Amp Underground Electric Service At premises located at: 1330 Saltaire Way, Mattituck SCTM #473889 Sec/Block/Lot# 100.-1-27 Pursuant to application dated 8/15/2018 and approved by the Building Inspector. To expire on 2/14/2020. Fees: ELECTRIC $85.00 Total: $85.00 uilding Inspector pF SOU��®C 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road y Fax(631)765-9502 P.O.Box 1179 Q Southold,NY 11971-0959 ®l�® � �® roger.richerte-town.southold.ny.us ®LINTY, BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To* Marianne Ambookan Address: 1330 Saltaire Way City: Mattituck St. New York Zip: 11952 Budding Permit#. 42947 Section: 100 Block: 1 Lot: 27 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: GPN Electric License No: 43710-ME SITE DETAILS Office Use Only Residential X Indoor X Basement X 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 Fixtures Time Clocks Disconnect 200a Switches Twist Lock Exit Fixtures TVSS Other Equipment. Service change to 200a underground Notes. Inspector Signature: Date: January 7 2019 81-Cert Electrical Compliance Form.xls SOUTy�� # * TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 . INSPECTION . [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: DATE 1 ? C l INSPECTOR �o�SufFot,��oG BUILDING DEPARTMENT-Electrical Inspector co = TOWN OF SOUTHOLD W_ Eft • Town Hall Annex-54375 Main Road-PO Box 1179-Southol;d, NY 11971-0959 Telephone (631) 765-1802-FAX(631) 765-9502 �� f�' Temporary Certificate # ` --3 ( Date- -J K),( —2GI-8- Customer Name d1,wj doe gjJ Electrician Name Address /330 3•+C_R'L2_ IJRY /j(TUU (C-'- Phone ,</6-67,'-8720 e-mail e-mail Awa (�PR1ELc'GFlZ{�, �t� Phone License# D- C Size A Phase Overhead Underground 'P4> #of Meters Remarks '3C-eU)e Q -a LQC77 #of Underground Laterals 2 New "H" Frame or Pole H P Fire Reconnect Was work done on Service? Y/N Flood Reconnect Old Meter#1 Service Reconnected Application for electrical service equipment is on file with the town of Southold.On the applicant's notification that this installation is complete,the town will conduct a premises inspection of the service equipment. — This verification is valid for qq days t e date above. Authorized by Z�� ING DEPARTMENT-Electrical Inspector o� TOWN OF SOUTHOLD AUG 1 2N@wn t Annex - 54375 Main Road - PO Box 1179 r, Southold, New York 11971-0959 lephone (631) 765-1802 - FAX(631) 765-9502 DEH. roger rlchert�a?town southold.n .us D TOVr�`� c, av ®IL APPLICATION FOR ELECTRICAL INSPECTION Date: REQUESTED Bl : Company Name:44 (U C C Name: em il: C License,No.: Address: Phone No.: S�(� �� Q 2 JOB SITE INFORMATION: (All Information Required) Name: c C7l(� J I'�� - Avymo �v Address: 1 air M ��i-4U Cross Street: Phone No.: _ �D � -" 5 221 email: Bldg.Permit#: Lot: 2'a Tax Map District: 1000 Section: Block: � BRIEF DESCRIPTION OF WORK(Please Print Clearly) Circle All That Apply: ► 1 � . YES 1� Rough In final Is job ready for inspection?: Do you need a Temp Certificate?: ffE-J& NO Issued Orr Temp Information: (All information required) #Meters Service Size .1 Ph 3 Ph Size:J�_AOld Meter#t New Service - Fire Reconnect- Flood Reconnect-Service Reconnecte -Undund-Overhead #Underground Laterals 2 H Frame o Work done on Service? Y N Additional Information: r J l c va 0 PAYMENT DUE WITH APPLICATION 82-Request for Inspecdon Form As 0\