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HomeMy WebLinkAbout43474-Z �O�og�rtFol,fcoG Town of Southold 4/10/2023 P.O.Box 1179 C4 ►x i 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40541 Date: 7/24/2019 THIS CERTIFIES that the building ELECTRICAL Location of Property: 6130 Sound Ave,Mattituck SCTM#: 473889 Sec/Block/Lot: 121.-4-5 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 2/14/2019 pursuant to which Building Permit No. 43474 dated 2/14/2019 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 UNDERGROUND UPGRADE The certificate is issued to Dantes,Julia Schulz&Christopher of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 43474 07-19-2019 PLUMBERS CERTIFICATION DATED Authorize Signature TOWN OF SOUTHOLD moo. 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#: 43474 Date: 2/14/2019 Permission is hereby granted to: Dantes, Julia Schulz 6130 Sound Ave Mattituck, NY 11952 To: Electric Service Upgrade At premises located at: 6130 Sound Ave, Mattituck SCTM # 473889 Sec/Block/Lot# 121.-4-5 Pursuant to application dated 2/14/2019 and approved by the Building Inspector. To expire on 8/15/2020. Fees: ELECTRIC $85.00 Total: $85.00 Buil ng nspector Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 sean.deviinCD-town.southold.ny.us �` � BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Julia Dantes Address: 6130 Sound Ave city:Mattituck st: NY zip: 11952 Building Permit* 43474 Section: 121 Block. 4 Lot: 5 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: FM Electric Inc. License No: 4099-ME 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 X Attic Garage INVENTORY Service 1 ph X 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 Switches Twist Lock Exit Fixtures 11 TVSS Other Equipment: Meterpan, groundrods Notes. Inspector Signature: Date: July 19, 2019 S.Devlin-Cert Electrical Compliance Form.xls # * TOWN OF SOUTHOLD BUILDING DEPT. °ycou765-1802 INSPECTION - FOUNDATION 'IST [ ] ROUGH PLSG. [ ] 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 �c,UffO(,tr�o BUILDING DEPARTMENT-Electrical Inspector =moo Gym TOWN OF SOUTHOL y g Town Hall Annex - 54375 Main Roa - . ox 1179 ED Southold, New York 1197 9 Telephone (631) 765-1802 - FAX(631) 76R9102 8 2019 roper.richert0c to_wn.southold.ny.us APPLICATION FOR ELECTRICAL INSPECTION TOWN OF SO OLD REQUESTED BY: Date: C3 2 c Company Name: - Name: License No.: 1099 email: V ,' Address: �,� t i Phone No.: JOB SITE INFORMATION: (All Information Required) Name: Address: G Cross Street: o, ' -v_ NV Phone No.: ✓� 7 �� Bldg.Permit#: email: Tax Map District: 1000 Section: Block: Lot:-- BRIEF ot:_BRIEF DESCRIPTION OF WORK(Please Print Clearly) SCprd,-Ire cog! 740 C1f'1(.��154U d� v Circle All That Apply: Is job ready for inspection?: YESNO Rough In Final - o you need a Temp Certificate?: YES /NO Issued On Temp Information' (All information required) Service Size 1 Ph"N 3 Ph Size: ?_caC�—A #Meters_ Old Meter# New Service- Fire Reconnect- Flood Reconnect-Service Reconnected -Underground-Overhead #Underground Laterals(9- 2 H Fram Pole Work done_on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION �OLIv� 82-Request for Inspection FormAs P"