HomeMy WebLinkAbout40318-Z ¢ g�ff0[oar,
0 Town of Southold 4/12/2023
a P.O.Box 1179
W 53095 Main Rd
o ,fi Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40634 Date: 8/20/2019
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 915 Bungalow Ln,Mattituck
SCTM#: 473889 Sec/Block/Lot: 123.-3-11.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
12/3/2015 pursuant to which Building Permit No. 40318 dated 12/3/2015
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:
200 AMP ELECTRIC SERVICE(COTTAGE)
The certificate is issued to Austin,Christopher&Elizabeth
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 40318 08-13-2019
PLUMBERS CERTIFICATION DATED
Authoriz Signature
z
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
CO
TOWN CLERK'S OFFICE
oy • 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#: 40318 Date: \12/3/2015
Permission is hereby granted to:
Duffner Family Trust
98 Deepdale Dr
Monhasset, NY 11030
To: 100a overhead electric service.
At premises located at:
915 Bungalow Ln, Mattituck
SCTM # 473889
Sec/Block/Lot# 123.-3-11.1
Pursuant to application dated 12/3/2015 and approved by the Building Inspector.
To expire on 6/3/2017.
Fees:
ELECTRIC $85.00
Total: $85.00
Buil ing Ins or
rjv so
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 • �� sean.devlin(ED-town.Southold.ny.us
��COUIdTI,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Christopher Austin
Address: 915 Bungalow Ln city Mattituck st: NY zip: 11952
Building Permit#: 40318 Section- 123 Block. 3 Lot- 11.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: C-Cat Company License No: 953-ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only X
Commerical Outdoor 1st Floor X 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:
Notes-
Inspector Signature: Date: August 13, 2019
S.Devlin-Cert Electrical Compliance Form.xls
* # TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] 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:
s OK
4
DATE INSPECTOR
OF SOUryo!
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Town Hall Annex Telephone(631)7865-11802
54375 Main Road en roger.richertCa o�un180UI o d.C1V.US
P_O.Box 1179 G •
Southold,NY 11971-0959 ��c� �a
BU LDING DEPARTMENT
TOWN OF SOUTHOI D
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY:--D 0-,.) Date:
Company Name: _
-- -- - - ------ - -
- - Name: -
License No.:
Address:
Phone No.: all _ L4 L
JOSSITE INFORMATION: (*Indicates required information)
*Name:
*Address:
*Cross Street
*Phone No.: �'�\_ -� _ H H
Permit No.:
Tax Map District 1000 Section: d"�, Block. Lot:
*BRIEFD SCR/I/PTION OF W RIC(Please P ' CI arty)
(Please-Circle All That Apply)
*Is job ready for inspection: 19/
NO Rough in Final
*Do you need a Temp Cerpficate: NO
Temp Information(If d)
*Service Size: 1 Phase 313hase 100 150 200 300 350 400 Other
*New Service: Re-connect Underground Number of MetersChange of Service Overhead
Additional information: PAYMENT DUE WITH A LI
Additional
82-Request for Inspection Form