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
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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"