HomeMy WebLinkAbout44067-Z �4�D�FF�I'�CpG Town of Southold 9/5/2019
P.O.Box 1179
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53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40671 Date: 9/5/2019
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 3785 Oregon Rd,Mattituck
SCTM#: 473889 Sec/Block/Lot: 94.-3-2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/14/2019 pursuant to which Building Permit No. 44067 dated 8/14/2019
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:
200a electrical service for a one family dwelling_
The certificate is issued to Menger,Jorg
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 44067 8/13/19
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
���t�gUFFO(,�coy BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
o • 3�a 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#: 44067 Date: 8/14/2019
Permission is hereby granted to:
Menger, Jorg
91 Central Park W Apt 11A
New York, NY 10023
To: electric service for house
At premises located at:
3785 Oregon Rd, Mattituck
SCTM # 473889
Sec/Block/Lot# 94.-3-2
Pursuant to application dated 8/14/2019 and approved by the Building Inspector.
To expire on 2/12/2021.
Fees:
ELECTRIC $85.00
1: $85.00
Building Inspector
OF SOU��®l
Town Hall Annex ~ Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 • CoQ sean.devlinl@town.southold.ny.us
com,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To. Jorg Menger
Address: 3785 Oregon Rd city Mattituck st: NY zip: 11952
Building Permit#: 44067 Section: 94 Block 3 Lot 2
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: R.J. Corazzini Electric LLC License No: 33419-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X 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 Ll TVSS
Other Equipment: Meterpan, 2 Ground rods and a Coldwater Ground
Notes:
Inspector Signature: Date: August 13, 2019
S Devlin-Cert Electrical Compliance Form.xls
OF SOUIyO�
# # TOWN OF SOUTHOLD BUILDING DEPT. Lt�06?
couto, 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:
G�
DATE INSPECTOR
BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
= Town Hall Annex -
54375 Main Road PO Box 1179
�y�o• a Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
roper.richert(a)town.southold.ny.us
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Jorg Menger Date: August 12, 2019
Company Name: R.J. Corazzini Electric LLC
Name: Robert J. Corazzini
License No.: 33419 email: rjc72@optonline.net
Address: 320 Richmond Lane, Peconic, NY 11958
Phone No.: 631-734-2662
JOB SITE INFORMATION: (All Information Required)
Name: Jorg Menger
Address: 3785 Oregon Road, Cutchogue, NY 11935
Cross Street: Elijahs Lane, white farm house with barn in back
Phone No.: cell 917 775 1313
Bldg.Permit#: -rd Ll 10(01 email: jorgl3@gmail.com
Tax Map District: 1000 Section: 473889 Block: 94 Lot: 3-2
BRIEF DESCRIPTION OF WORK(Please Print Clearly) Bob Corazzini installed new
underground services to the farm house and barn in May 2007. A temporary certificate#3031565 was issued
He Temporary certitica a is attached. No changes or upgrades were made since 2007.
Circle All That Apply:
Is job ready for inspection?: YES / NO Rough In Final
Do you need a Temp Certificate?: YES NO Issued On May 14, 2007
Temp Information: (All information required)
Service Size 1 Ph 3 Ph Size: A # Meters Old Meter#
New Service- Fire Reconnect- Flood Reconnect- Service Reconnected - Underground - Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information: Application for the inspection and final certificate for the new underground electrical
service to the farm house. I can be reached y cell phone or email to set up an inspection date.
PAYMENT DUE WITH APPLICATION
82-Request for Inspection Form.xts