HomeMy WebLinkAbout45064-Z rr'
Town of Southold
8/29/2020
y P.O.Box 1179
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53095 Main Rd
Southold,New York 11971
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CERTIFICATE OF OCCUPANCY
No: 43196 Date: 8/29/2020
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 1355 Marys Rd, Mattituck
SCTM#: 473889 Sec/Block/Lot: 139.4-13
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/4/2020 pursuant to which Building Permit No. 45064 dated 8/4/2020
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:
200a overhead electrical service.
The certificate is issued to Jablonski,Margaret
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 45064 8/11/2020
PLUMBERS CERTIFICATION DATED
a
Authorized Signature
0"J TOWN OF SOUTHOLD
fi�o� �oay 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#: 45064 Date: 8/4/2020
Permission is hereby granted to:
Jablonski, Margaret
PO BOX 442
Mattituck, NY 11952
To: 200a overhead electrical service updgrade
At premises located at:
1355 Marys Rd, Mattituck
SCTM # 473889
Sec/Block/Lot# 139.4-13
Pursuant to application dated 8/4/2020 and approved by the Building Inspector.
To expire on 2/3/2022.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
®�'aOF SOU��®�
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G sean.devlin(a-)town.southold.ny.us
Southold,NY 11971-0959 ® �®
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Margaret Jablonski
Address: 1355 Marys Rd city,Mattituck St: NY Zip: 11952
Building Permit#: 45064 Section. 139 Block: 4 Lot: 13
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: All Wright Electric Corp License No: 43457ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service X
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph X Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 200A 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 4'LED Exit Fixtures Pump
Other Equipment. 30 Circuit Panel - 17 Used
Notes: Service
Inspector Signature: Date: August 11, 2020
S.Devlin-Cert Electrical Compliance Form.xls
�aOF SOUTyo V
* lag,-
TOWN .OF SOUTHOLD�BUILDING DEPT
765.1802
A NS P ECT I O N
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND- _ [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE-RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
[ ] CODE VIOLATION ] PRE C/O
REMARKS:
DATE INSPECTOR '�
DIO,�, Ell
J U L 2 8 2020 -
BUILDING DEPA ITIVIENT.-Electrical Inspector
TON IN OF SOUTHOLD
Annex- 1 4315,Mein Road•- PO Box 1179
Southold, New York 11971-0959
Telephone(63 1) 65-1602 - FAX(631)765-9502
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