HomeMy WebLinkAbout43594-Z Town of Southold 4/9/2019
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P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40304 Date: 4/9/2019
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 1000 Saltaire Way, Mattituck
SCTM#: 473889 Sec/Block/Lot: 100.4-31
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
3/28/2019 pursuant to which Building Permit No. 43594 dated 3/28/2019
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:
REPLACED ELECTRIC METER PAN
The certificate is issued to Digons,Alma
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 43594 04-03-2019
PLUMBERS CERTIFICATION DATED
Authorized Signature
s� Fat TOWN OF SOUTHOLD
IA BUILDING DEPARTMENT
y TOWN CLERIC'S OFFICE
oy . SOUTHOLD, NY
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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#: 43594 Date: 3/28/2019
Permission is hereby granted to:
Digons, Alma
PO BOX 531
Mattituck, NY 11952
To: Electric Meter Pan change
At premises located at:
1000 Saltaire Way, Mattituck
SCTM # 473889
Sec/Block/Lot# 100.-1-31
Pursuant to application dated 3/28/2019 and approved by the Building Inspector.
To expire on 9/26/2020.
Fees:
ELECTRIC $85.00
Total: $85.00
Building,I pector
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Town Hall Annex ® Telephone(631)765-1802
54375 Main Road � Fax(631)765-9502
P.O.Box 1179 G
Southold,NY 11971-0959 ® a® roger.riche rtCd)-town.south old.ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Digons
Address: 1000 Saltair Way City: Mattituck St: New York Zip: 11952
Budding Permit#. 43594 Section: 100 Block- 1 Lot* 31
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor- DBA: Lademann Electric License No: 4141-E
SITE DETAILS
Office Use Only
Residential X Indoor Basement 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 Ceding Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency FixturesTime Clocks
Disconnect Switches Twist Lock Exit Fixtures TVSS
Other Equipment: Replace deteriorated meter pan, existing 100a service
Notes:
Inspector Signature: Date: April 3 2019
81-Cert Electrical Compliance Form xls
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BUa DING DEPARTAHM
TOWN OF SOUTHOLD !
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date: r
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Company Name: .
Name: ;r►-,qw �_
License No.:
Address: - -- d
Phone No.:
JOBSITE INFORMATION: (*Indicates required information)
*Address: J00 �
*Cross Street:
*Phone No.:
Pen-nit No.:
Tax-Map District: 1000 Sec ion: Block: Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
(Please Circle All That Apply)
Is job ready for inspection: YES! NO. Rough In Final
*Do-you need a Temp Certificate: C:
YES! NO
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Temp Information (if needed)
*Service Size: 1 P 3Phase 100 150 200 300 350 400 Other
*New Service: Re-connect Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATIONIt :
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82=Request for Inspection Form