HomeMy WebLinkAbout43556-Z cuFfD(,f Town of Southold 10/17/2019
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CERTIFICATE OF OCCUPANCY
No: 40781 Date: 10/17/2019
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 3265 Elijahs Ln, Mattituck
SCTM#: 473889 See/Block/Lot: 108.-4-7.19
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
3/13/2019 pursuant to which Building Permit No. 43556 dated 3/13/2019
i
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 IN KITCHEN
The certificate is issued to Power Cnsultnts Intl Inc
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 43556 10-07-2019
PLUMBERS CERTIFICATION DATED
Authoriz Signature
OF SO(/T�®l
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 O • �O� Sean.devlin(ED-town.Southold.ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To. Power Consultants Intl. Inc.
Address. 3265 Elijahs Ln city Mattituck st: NY zip. 11952
Building Permit#: 43556 Section: 10$ Block 4 Lot. 7.19
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA A-OK Electric License No: 44245-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only
Commerical Outdoor 1st Floor X- Pool
New Renovation X 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph X Heat Duplec Recpt 6 Ceding Fixtures 1 HID Fixtures
Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt 2 Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt 50A Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 2 Twist Lock Exit Fixtures Combo SD/CO El
Other Equipment, Micro, DW, Oven, Fridge
Notes Kitchen Renovation
Inspector Signature: Date: October 7, 2019
S.Devlin-Cert Electrical Compliance Form As
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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
oy 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#: 43556 Date: 3/13/2019
Permission is hereby granted to:
Power Cnsultnts Intl Inc
146 Broad Ave
Leonia, NJ 07605
To: Electric in Kitchen
At premises located at:
3265 Elijahs Ln, Mattituck
SCTM # 473889
Sec/Block/Lot# 108.-4-7.19
Pursuant to application dated 3/13/2019 and approved by the Building Inspector.
To expire on 9/11/2020.
Fees:
ELECTRIC $90.00
Total: $90.00
Bui Inspector
pF SOUTy��
# TOWN OF SOUTHOLD BUILDING DEPT.
�ycouMve�' 765-1802
INSPECTION--
[ ] FOUNDATION 1ST [ ] ROUGH PLBG. 4
[ ] 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 1 NSPECTOR T(
r
ho��pE SO(/lyo� ! S-r6
# # TOWN OF SOUTHOLD BUILDING DEPT.
`ycou765-1802
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) kA4m
[ ] CODE VIOLATION ] CAULKING
REMARKS:
-rJ AIA-f— ;tL A)
DATE INSPECTOR
as
rO DEPARTMENT- Electrical Inspector
BUILDING DEPAR P
TOWN OF SOUTHOLD
�pR Town Hall Annex - 54375 Main Road - PO Box 1179
'� • ,. s� Southold, New York 11971-0959
� ao�- ��t�jiv
15�p��® 100 elephone (631) 765-1802 - FAX (631) 765-9502
10* roger.richert(a-)town.southold.ny.us
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: / Date:
Company Name: c
Name:
License-No.: `/��/�!til - email:
Address: ,� -7
Phone No.: l� I
JOB SITE INFORMATION: (All Information Required)
Name:
d G s p0ox cm -��
Address: 3 2-cs- `,A S �°�`� ��Avg
Cross Street: ,, �
Phone No.: '
---- •,
Bldg.Permit#: email; 43_
Tax Map District: 1000 Section: Block: Lot: . l
BRIEF DESCRIPTION OF WORK (Please Print Clearly ,C/e��
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Circle All That Apply:
Is job ready for inspection?., I aE NO Rough In Fina
Do you need a Temp Certificate?: YES 1C?J Issued On
Temp Information: (All information required)
Service Size 1 Ph 3 Ph Size: A # Meters Old Mefer#
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:
PAYMENT DUE WITH APPLICATION
82-Request for Inspection Foan.xis