HomeMy WebLinkAbout45023-Z �o�gUFfO(,�c Town of Southold 8/3/2020
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P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41313 Date: 8/3/2020
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 230 Lesters Rd., Mattituck
SCTM#: 473889 Sec/Block/Lot: 114.-7-5.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/24/2020 pursuant to which Building Permit No. 45023 dated 7/24/2020
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 service to accessory shed.
The certificate is issued to White,Jarrett&Warren,Emily
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 45023 7/24/2020
PLUMBERS CERTIFICATION DATED
Authorized Signature
suFFai TOWN OF SOUTHOLD
BUILDING DEPARTMENT
H 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#: 45023 Date: 7/24/2020
Permission is hereby granted to:
White, Jarrett
100 Jay St#10C
Brooklyn, NY 11201
To: Electric service to accessory shed.
At premises located at:
230 Lesters Rd., Mattituck
SCTM # 473889
Sec/Block/Lot# 114.-7-5.1
Pursuant to application dated 7/24/2020 and approved by the Building Inspector.
To expire on 1/23/2022.
Fees:
ELECTRIC $90.00
Total: $90.00
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Building Inspector
oF so�,�y®l
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 • iQ Sean.devlin(a�town.Southold.ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Jarrett White
Address: 230 Lesters Rd city Mattituck st: NY zip: 11952
Building Permit#. 45023 Section: 114 Block: 7 Lot 5.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA:!JES Electrical Contr. License No: 4483ME
SITE DETAILS
,Office Use Only
Residential X Indoor X Basement Service
Commerical Outdoor 1st Floor Pool
New X Renovation 2nd Floor Hot Tub
Addition Survey X Attic Shed X
INVENTORY
Service 1 ph Heat Duplec Recpt 4 Ceiling Fixtures Bath Exhaust Fan
i
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures 2 Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors
Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO
Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 2 4'LED 1 Exit Fixtures 11 Pump
Other Equipment,
Notes. Wiring of Shed
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Inspector Signature: Date: July 24, 2020
S.Devlin-Cert Electrical Compliance Form.xls
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BUILDING DEPA.RTmy *Q
TOWN OF SO
. UTHOLD �
APPLICATION FOR ELECTRIGAWINSPECTitJ1�J � '�w : �jy•` JI
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REQUESTED BY: p f- c� f y Dafen ► "• 's
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Company Name: j S P��r•Go+ / (�,� ,s ,..: .r :�, ,.>
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Name:
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Llcense No.:
Address: 'ZCo`-E arlL. � ,,•� /v� f I�d Z � .
Phone No.:
JOSSITE INFORMATION: (*Indicates requirednformation) , .,r•,_.
I"---*Address:— —Z— —��Tz�=- , — -- --- ---- ---- --- ---
*Cuss Street:
*Phone No.:
Permit No..
Tac Map District: 1000 Section:^� Block-
:j?- Lot: 5 I
*BRIEF DESCRIPTION OF WORk(Please Print Clearly) - -
(Please Circle All That Apply)
*Is job ready for inspection:
NO Rough In Final '
*Do•you need a Temp Certificate: YES/ NO
Temp Information (If.needed) +
*Service Size: 1 Phas 3Phase 100 150 200 .300 350 400 Other
*New Service: Re-connect. Underground Number of Meters Change of Service Overhead .�
Additional Information: PAYMENT DUE WITH APPLlCATlON
82-Request forinspecGon Form