HomeMy WebLinkAbout43367-Z St1FFOL,r�a Town of Southold 4/15/2019
a P.O.Box 1179
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® 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40311 Date: 4/12/2019
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 445 Bay Ave, Mattituck
SCTM#: 473889 Sec/Block/Lot: 143.4-1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
12/31/2018 pursuant to which Building Permit No. 43367 dated 12/31/2018
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 for"as built"electrical work.
The certificate is issued to Aiello,Marie
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 43367 4/5/2019
PLUMBERS CERTIFICATION DATED
Authorized Signature
�SiiFFoi TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y TOWN CLERK'S OFFICE
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#: 43367 Date: 12/31/2018
Permission is hereby granted to:
Aiello, Marie
445 E Legion Ave
Mattituck, NY 11952
To: electric in basement
At premises located at:
445 Bay Ave, Mattituck
SCTM # 473889
Sec/Block/Lot# 143.4-1
Pursuant to application dated 12/31/2018 and approved by the Building Inspector.
To expire on 7/1/2020.
Fees:
ELECTRIC $85.00
Total: $85.00
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Town Hall Annex Telephone(631)765-1802
54375 Main Road y Fax(631)765-9502
P.O.Box 1179 Q
Southold,NY 11971-0959
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To Marie Aiello
Address: 445 Bay Ave City: Mattituck St: New York Zip: 11952
Building Permit#: 43367 Section. 143 Block: 4 Lot 1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: AS BUILT DBA- License No:
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service Only
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X 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 FixtureTime Clocks
Disconnect 100a Switches Twist Lock Exit Fixtures TVSS
Other Equipment "AS BUILT" "ELECTRICAL SURVEY" "NO VISUAL DEFECTS"
Notes: existing 100a overhead service including main electrical panel
Inspector Signature: Date: April 5 2019
81-Cert Electrical Compliance Form As
*pF SOUTyO6
* # TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION ,
[ ] FOUNDATION 1ST [ ] ROUGH PLBG. : -;�(O
[ ] 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'P
Town Hall Annex Teleplo 765-7$02" 1
P.O.Box4375 79d cG Mger dched ."b
Souffiold,NY 11971.0959
DEC 31 201
BUILDING DEPARTMENT j1T r
TOWN OF SOUT HOLD t ,, ,- T
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: -- - -- --- — -- - -- --- -
Date: i
Company Name:
Name:
License No.:
Address:
Phone No.:
JOBSITE INFORMATION: (*Indicates equire information) i
*Name: IWY T, �!'
*Address: o V y
*Cross Street
*Phone No.: fl6j
F
Permit No.:
Tax-Map District: 1000Section: I Lt 6 Block: Lot
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
My Si!Vl11e1_F:_
wz&,� d_6z�L 1-M,Z,541e &IF lkme.
(Please Circle Ali That Apply)
*Is job ready for inspection: �NO Rough In Fina
*Do-you need a Temp Certificate: YES/ NO
Temp Information ed)
*Service Size: 1 Pha 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 APPLICATION
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