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�O�g�FFO(,fc Town of Southold 9/5/2019
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40670 Date: 9/5/2019
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 3785 Oregon Rd,Mattituck
SCTM#: 473889 See/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. 44068 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:
electrical service for barn
The certificate is issued to Menger,Jorg
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL _
ELECTRICAL CERTIFICATE NO. 44068 8/26/2019
PLUMBERS CERTIFICATION DATED
u orized Signature
TOWN OF SOUTHOLD
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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#: 44068 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 barn
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
O ( TL. $85.010
Building Inspector
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Town Hall Annex ~ ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G • sean.deviin(atown.southold.ny.us
Southold,NY 11971-0959
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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#: 44068 Section: 94 Block 3 Lot: 2
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: R.J. Corazzini License No- 33419-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only X
Commerical Outdoor X 1st Floor X Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph X Heat Duplec Recpt Ceding Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel X A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks
Disconnect Switches Twist Lock Exit Fixtures Combo SD/CO
Other Equipment 2-Ground Rods
Notes
Inspector Signature: Date: August 26, 2019
S Devlin-Cert Electrical Compliance Form As
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# # TOWN OF SOUTHOLD BUILDING DEPT.
courm, 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 [r ]' CAULKING
REMARKS:
DATE INSPECTOR
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e�1fFOL�c BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631)-765-9502
roger.richert(a.fiown.southold.ny.us
APPLICATION FOR ELECTRICAL INSPECTION
9 g
REQUESTED BY:
Jor 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#: 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
on May 14, 2007. 1 e emporary certificate is attached. No changes or upgrades were made since 2007.
Circle All That Apply:
Is job ready for inspection?: YES / NO Rough InFinal
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 by-cell phone or email to set up an inspection date.
PAYMENT DUE WITH APPLICATION
82-Request for Inspection Form As