HomeMy WebLinkAbout44633-Z �o�SUFFO4��G Town of Southold 2/19/2020
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P.O.Box 1179
C* 53095 Main Rd
oy'yo� �ao� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41091 Date: 2/19/2020
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 205 Pat Ln, Mattituck
SCTM#: 473889 Sec/Block/Lot: 114.40-7
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
1/28/2026 pursuant to which Building Permit No. 44633 dated 1/28/2020
was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for
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which this certificate is issued is:
200 AMP UNDERGROUND ELECTRIC SERVICE UPGRADE
The certificate is issued to Hav2golf LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 4463 02-04-2020
PLUMBERS CERTIFICATION DATED
Authorized a ure
o���FFOE� TOWN OF SOUTHOLD
�� ay BUILDING DEPARTMENT
y x 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#: 44633 Date: 1/28/2020
Permission is hereby granted to:
Hav2golf LLC
50 Pat Ln
Mattituck, NY 11952
To: install new 200a underground service
At premises located at:
205 Pat Ln, Mattituck
SCTM #473889
Sec/Block/Lot# 114.-10-7
Pursuant to application dated 1/28/2020 and approved by the Building Inspector.
To expire on 7/29/2021.
Fees:
ELECTRIC $85.00
Total: $85.00
Building 6pector
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Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
� P.O.Box 1179
Southold,NY 11971-0959 � roper.riche rtltown.south old.ny.us
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Hav2golf LLC
Address: 205 Pat Lane City: Mattituck St: New York Zip 11952
Building Permit# 44633 Section: 114 Block: 10 Lot: 7
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
contractor. DBA- Sabat Electric License No. 4204-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
i
Addition Survey Attic Garage
INVENTORY
Service 1 ph 200a 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 200a Switches ri Twist Lock Exit Fixtures TVSS
Other Equipment. Service up grade, 200a underground
Notes,
Inspector Signature: Date: February 4 2020
81-Cert Electrical Compliance Form.xls
OE SOUTy��
# # -TOWN OF SOUTHOLD BUILDING DEPT.
�ycourm, 765-1802
INSPECTION
[ ] FOUNDATION IST j ] ROUGH PLBG.
[ ] FOUNDATION 2ND` - - [ = ] INSULATIOWCAULKING
[ ] FRAMING-/STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] .FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
�-�- y I s
DATE INSPECTOR t
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BUILDING DEPARTMENT-EIectrIq1,InspectQr- 0,
TOWN OF SOUTHOLD
Town Hall Annex- 54375 Main Road PO Box 1179
Southold, New York 11971-0959 JAN 2 7 2020
Telephone (631) 765-1802- FAX (631) 765-9502
ro-gerr@southoldtownny.gov- seand@southoldtownny.qov,-
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All InTf m ti Required) Date: J-21,7- c-2- o
Company Name:
Name:
OX
License No.: email: 5a 01'-e-
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Address: -r-_0 _j
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L�Phone No.: l-
JOB SITE INFORMATION (All information Required)
Name: A"/ - C, C L4
Address: 4i� a
Cross Street: e-
Phone No.:
Bldg.Permit#: email:
1,
_Tax Map District: 1000 -Section. Block:
Lot:
BRIEF DESCRIPTION OF WORK(Please Print Clearly)
Cf
Circle All That Apply:
Is job ready for inspection?: YES/ NO Rough In Final
Do you need a Temp Certificate?: YES/ NO Issued On
Temp Information: (All information required)
Service Size LPq 3 Ph Size: 2--" -A #Meters Old Meter#,
New Service- Fire Reconnect- Flood Reconnect-Service Reconnected Overhead
1#Underground Laterals a 2 H Frame Pole Work done on Service? Y N
-Additional Information:
-PAYMENT-DUE WITH APPLICATION—
Request for Inspection FormAs