HomeMy WebLinkAbout44955-Z ®tiOS�EF�I'�co�. Town of Southold 8/6/2020
m y� P.O.Bog 1179
53095 Main Rd
Southold,New York 11971
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CERTIFICATE OF OCCUPANCY
No: 41328 Date: 8/6/2020
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 560 Pacific St,Mattituck -
SCTM#: 473889 Sec/Block/Lot: 141.4-22
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/8/2020 pursuant to which Building Permit No. 44955 dated 7/8/2020
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:
"as built"electrical upgrade in an existing cottage.
The certificate is issued to Radiant Gems Ltd
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 44955 8/5/2020
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y TOWN CLERK'S OFFICE
d . 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#: 44955 Date: 7/8/2020
Permission is hereby granted to:
Radiant Gems Ltd
PO BOX 366
Laurel, NY 11948
To: as built" electrical upgrade in an existing cottage
At premises located at:
560 Pacific St, Mattituck
SCTM # 473889
Sec/Block/Lot# 141.-4-22
Pursuant to application dated 7/8/2020 and approved by the Building Inspector.
To expire on 1/7/2022.
Fees:
ELECTRIC $150.00
Total: $150.00
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Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G sean.devlina-town.southold.nv.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Radiant Gems Ltd
Address: 560 Pacific St city Mattituck st: NY zip: 11952
Building Permit# 44955 Section. 141 Block: 4 Lot 22
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: AS BUILT License No:
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service
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 8 Ceiling Fixtures 4 Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt 3 Wall Fixtures 1 Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors
Sub Panel X A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO
Transformer UC Lights Dryer Recpt 30A Emergency Fixtures Time Clocks
Disconnect Switches 4'LED Exit Fixtures Ll Pump
Other Equipment
Notes: " AS BUILT, NO VISUAL DEFECTS " Cottage Wiring
Inspector Signature: ,� Date: August 5, 2020
S.Devlin-Cert Electrical Compliance Form.xls
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# # TO N OF SOUTHOLD BUILDING DEPT.
`ycourm,��' 765-1802
'1 NSPEOTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] -FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ f FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) Co
[ ] CODE VIOLATION [ ] PRE C/O It
REMARKS: zol
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DATE 7toZd INSPECTOR
BUILDNa.DEPARTtOAENT-EkCtri
flown Hall-Annex- 43 ` iiaif"Koe DD
Southold, New York 1197 59 J"l1L 6
�'� etephnne�(£.3��785-1-802 - FAX r �-95f)2 2020
10A SP, 77
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LEOTRIC'IANIOMAION (AltlnformationRequired) Date:
Company Name:
Name:
'License No.: email: 5
JOS SITE iNFOWATION (All Information Required)
Name: Radiant Gems Ltd
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i?tione fro.. ;7t Eileen Wingate
BJdg:P'ermit#: ---4 1
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,Tax-nll� Qistrict; 10QQ Se�tiort� 141 Block: � ,0 _ __ " 22.00
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Circle Ali That Apply: `
Is jab ready for inspection?: YES / NO Rough[ri- Finals/
a-Temp Certific'ate?:-- - YES t{ -- - -- ---- -n-,-- - - --- - -- - - -- - - -- - r
y Issued: - - -
"
Service Size 1 Ph , 3 Ph Size: MetersOld Meter# ..._
New Service- Fire Reconnect- Flood Reconnect-Service Reconnected- Underground -Overhead
Underground Laterals- 1 2 H Frame Pole Work done on Service? Y N
� -k t r t�,
PAYMENT DIVE WITH,APPLICATION
-�f�eque�st�r�ns�i�tivn�orm:�ts
PERMIT# Address:
Switches
Outlets
Surface
Sconces
HH's
UC Lts
Fans Fridge r HW
Exhaust Oven Dryer Or
Smokes DW Service
Carbon t Micro Generator nerator
Combo Cooktop Transfer
AC AH Mini
Special:
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