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Home My WebLink About43292-Z Town of Southold 1/10/2019 r,'`'� = _' ='S'; P.O.Box 1179 53095 Main Rd -' Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40160 Date: 1/10/2019 THIS CERTIFIES that the building , ELECTRICAL Location of Property: 805 Donna Dr,Mattituck SCTM#: 473889 Sec/Block/Lot: 115.46-7 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/10/2018 pursuant to which Building Permit No. 43292 dated 12/10/2018 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: Electrical Survey The certificate is issued to Sciacchitano,David&Cynthia of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 43292 12-11-2018 PLUMBERS CERTIFICATION DATED Authorized Signature r, �s``'.'= iU.;•, Town of Southold 2/27/2019 P.O.Box 1179 '} NH 53095 Main Rd r' ;�:,•;f' Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40234 Date: 2/27/2019 THIS CERTIFIES that the building ELECTRICAL Location of Property: 805 Donna Dr, Mattituck SCTM#: 473889 Sec/Block/Lot: 115.-16-7 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/10/2018 pursuant to which Building Permit No. 43292 dated 12/10/2018 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: 200a overhead electric service. The certificate is issued to Sciacchitano,David&Cynthia of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 43292 1/11/2019 PLUMBERS CERTIFICATION DATED _ Authorized Signature TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE 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#: 43292 Date: 12/10/2018 Permission is hereby granted to: Sciacchitano, David 240 Donna Dr Mattituck, NY 11952 To: Electric At premises located at: 805 Donna Dr, Mattituck SCTM # 473889 Sec/Block/Lot# 115.-16-7 Pursuant to application dated 12/10/2018 and approved by the Building Inspector. To expire on 6/10/2020. Fees: ELECTRIC $85.00 Total: $85.00 Building Inspector S 4 tJ;If�r� Town Hall Annex i_ 1,- i Telephone(631)765-1802 54375 Main Road I Fax 631 765-9502 P.O.Box 1179 r`., _c y roper.richert(D-town.southold.ny.us Southold,NY 11971-0959 '�. >��,. � _ -<<«`� �N BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Greg Jerome Address- 805 Donna Dr City: Mattituck St: New York Zip. 11952 Building Permit#• 43292 Section. 115 Block: 16 Lot: 7 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: HOME OWNER DBA: License No: 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 X INVENTORY Service 1 ph 20a Heat Duplec Recpt Ceding Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel 200a A1C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A1C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect 200a Switches Twist Lock Exit Fixtures TVSS Other Equipment. New 200a overhead Service Notes* Inspector Signature: F!PLZ��ADlDate: January 11 2019 81-Cert Electrical Compliance Form(1)As OF 50UjyO� f TOWN OF SOUTHOLD BUILDING DEPT. courm, 765-1802 - INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] 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 INSPECTOR a -� --------------------------------•---------— �o�s�FFO(K�oG ~ y� BUILDING-DEPARTMENT-Electrical Inspector C* ; TOWN OF SOUTHOLD ca o Town Hall Annex-54375 Main Road-PO Box 1179-Southol;d, NY 11971-0959 y'�Ol baa Telephone (631)765-1802-FAX(631)765-9502 Temporary Certificate # 1`11 Date lb 2018 Customer Name &P,6q,e� Electrician Name iir.-0400E--. Address �b �JG�c4c ��• � Phone 3! Z ZZ_ e-mail e-mail Phone License# Size A Phase Overhead Underground #of Meters Remarks er, 4Af2 #of Underground Lateralsi 1 2 New "H" Frame or Polel H P Fire Reconnect Was work done on Service? Y/N Flood Reconnect Old Meter# 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 v 'tication_is valid for _days trom the_date above. Authorized by �, •+ �- w U = _ ; �+ Cd Cd 0 0 Z °' >~ � 3 v °' c a> ♦ Z O U a W O i O W U ^ ^ ^ -- ^ ^ 0 i U o � ° V W i--i Q � i � "� � ILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD �:. Town Hall Annex - 54375 Main Road - PO Box 1179 ,��, ,._ _ •�: Southold, New York 11971-0959 ;' -1'elephone (631) 765-1802 - FAX (631) 765-9502 ' `07J roger-richertJ .town.southold:hV,,us ,rows®F s _ . . __. APPLICATION FOR ELECTRICAL INSPECTION, REQUESTED BY: Date:; Company Name: - Name: License No.: email: - - Address: - Phone No.,: —_ JOB SITE INFORMATION: (All Information Required) Name: Address: T l M-S Cross Street: �(/� w _ 5�,d�i �G i- Phone No.: ,v - Bldg.Permit#: email: Tax Map District: 1000 Section: S Block: Lot:, BRIEF DESCRIPTION OF WORK(Please Print Clearly) 2c>6 4Aa S ovaLe tic Circle All That Apply: Is job ready for inspection?: YES / NO Rough In Final Do you need a Temp Certificate?: YES NO Issued On Temp Information: (All information required) l _ Service Size .1 Ph 3 Ph Size: _ ."—A y A #Meters -- L- Old Meter# 5 3 �� New Service - Fire Reconnect- Flood Reconnect- Service Reconnected - Underground - Overhead #-Underground Laterals_ 1 2 H Frame Pole Work done on Service?* N Additional Information: PAYMENT DUE WITH APPLICATION T 82-Request for Inspectlon FormAs �X— T ZYe6P-T