HomeMy WebLinkAbout43373-Z Town of Southold 1/15/2019
P.O.Box 1179
y 53095 Main Rd
�qj®- o�j9 Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40169 Date: 1/15/2019
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 200 Maple Ave, Mattituck
SCTM#: 473889 Sec/Block/Lot: 107.-3-6
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
1/4/2019 pursuant to which Building Permit No. 43373 dated 1/4/2019
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
The certificate is issued to Kramer,Lucretia
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 43373 01-08-2019
PLUMBERS CERTIFICATION DATED
Authorized Signature
Q�goFFac,r�oTOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
'�y_• 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#: 43373 Date: 1/4/2019
Permission is hereby granted to:
1
Kramer, Lucretia
200 Maple Ln
PO BOX 1246
Mattituck, NY 11952
To: Electric Service
At premises located at:
200 Maple Ave, Mattituck
SCTM # 473889
Sec/Block/Lot# 107.-3-6
Pursuant to application dated 1/4/2019 and approved by the Building Inspector.
To expire on 7/5/2020:
Fees:
ELECTRIC $85.00
Total: $85.00
B nspector
pF SO!/��®!
Town Hall Annex Telephone(631)765-1802
54375 Main Road c� Fax(631)765-9502
P.O.Box 1179 G Q
Southold,NY 11971-0959 Rp • �® roger.riche rtCaD-town.Southold.ny.us
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Lucretia Kramer
Address- 200 Maple Ave City: Mattituck St: New York Zip: 11952
Budding Permit#. 43373 Section. 107 Block- 3 Lot 6
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 X Service Only X
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph 100a Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 100a 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 100a Switches Twist Lock ri Exit Fixtures TVSS
Other Equipment: Replaced deteriorated overhead service, new meter pan, main panel, and mast.
Notes
Inspector Signature: Date: January 8 2019
81-Cert Electrical Compliance Form As
OP SOGIyo{o
# f TOWN OF SOUTHOLD BUILDING DEPT.
`yCo 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) ELECTRICALS(FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
DATE INSPECTOR �- '
'9BUILDING DEPARTMENT- Electrica r � 5V�
TOWN OF SOUTHOLD [ � D
Town Hall Annex - 54375 Main Road Box
x11794 2019
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
roger.richerttown.southold.ny.u�ssWN® Via® OL
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: ('6 14 1'1 Date:
Company Name: —C�6c �C pec:!-rte
Name: c ri W4a
License No.: Gj�;-5 M C email: W,[Oc> y"2'6• Gam•
Address: >C) �aX S �� ��s� fir- 'Cxh lif /(q-3-7
Phone No.: &3l
JOB SITE INFORMATION: (All Information Required)
Name: C Iry l
Address: AN M5-2—
Cross Street:
Phone No.: '
Bldg.Permit#: Lt email:
Tax Map District: 1000 Section: Block: Lot:
BR EF DESCRIPTION OF WORK (Please Print Clearly) 5 ��G-26%c; ej
yA e. - c^-, '1" cl
Circle All That Apply:
Is job ready for inspection?: / NO Rough In Final
Do you need a Temp Certificate?: YES I NO Issued On
Temp Information: (Ali information required)
Service Size1 Ph 3 Ph Size: 0U A #Meters Old Meter#
New S::DFire Reconnect- Flood Reconnect- Service Reconnected - Underground rh
Oveead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
82-Request for inspection FormAs4 VI
4
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