HomeMy WebLinkAbout44851-Z Q' Town of Southold
O� oG 2/25/2021
P.O.Box 1179
o + 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41838 Date: 2/25/2021
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 2405 Marratooka Rd.,Mattituck
SCTM#: 473889 Sec/Block/Lot: 123.-2-6
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
6/9/2020 pursuant to which Building Permit No. 44851 dated 6/9/2020
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 electrical underground service.
The certificate is issued to Hardman,Dale&Rebecca
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 44851 1/15/2021
PLUMBERS CERTIFICATION DATED
Authorized Signature
o�gUEFa(,y�aG TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
o • 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#: 44851 Date: 6/9/2020
Permission is hereby granted to:
D'Anna, Robert
2405 Marratooka Rd
Mattituck, NY 11952
To: Change of electrical service from 200 amp overhead to 200 amp underground service.
At premises located at:
2405 Marratooka Rd., Mattituck
SCTM # 473889
Sec/Block/Lot# 123.-2-6
Pursuant to application dated 6/9/2020 and approved by the Building Inspector.
To expire on 12/9/2021.
Fees:
ELECTRIC $85.00
Total: $85.00
.A
Building Inspector
®��OF SO(/��,®�
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road '" Fax(631)765-9502
P.O.Box 1179 G Q
Southold,NY 11971-0959 �► ® �® sear.devlin(c�town.southold.ny.us
® ®UNTY 9�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Dale Hardman
Address: 2405 Maratooka Rd city Mattituck sr NY zip: 11952
Building Permit#• 44851 Section 123 Block: 2 Lot. 6
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Puccio Electric License No: 4806ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service X
Commerical Outdoor X 1st Floor Pool
New X Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph X Heat Duplec Recpt Ceding 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 11 Pump
Other Equipment. 42 Circuit Panel- 7 Used, 200A Meter Main Disconnect
Notes: New Service
Inspector Signature: Date: January 15, 2021
S. Devlin-Cert Electrical Compliance Form.xls
2021-01-13 12:30 Puccio 6318785555 >> P 2/2
f:.7irk+r
Soo
BUILDING DEPARTMENT-Electrical Inspector
TOWN OF SOUTHOLD
Town Hail Annex-54375 Maln Road-PO Box 1179-Southold,NY 11971-0959
Telephone(631)7651802-FAX(631)7659502
Temporary Certificate#-12±-- Date 0(2-0q 2020
Customer Name Electrician Name Mak -Purcla
Address n., Phone ,
e-mail
Phone 753 Z License# ,
Size A Phase overhead Underground X #of Meters
Remarks
#of Underground Laterals 1 2 New X
"H"Frame or Pole M P Fire Reconnect
Was work done on Service? Y/NY Flood Reconnect
Old Meter#1 Service Reconnected
AppllePtlon for eleCtrlcal servlce equlPment IS on file with the town of Southold,on the applicant's notification thatthls installetlon
Is complete,the town will condue a gr Ise$inspection of the service equipment.
This veriticatlon I valid tar dfro the date e.
Authorized by
50Ulyo —
# # TOWN OF SOUTHOLD BUILDING DEPT.
couem, 765-1802
t
INSPECTION
[ ] 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: �G?
DATE `'li� INSPECTOR
2021 -01-13 12:30 Puccio 6318785555 >> P 1/2
BUILDING DEPARTMENT-Electrical Inspector
;' y1 TOelly'N OF SOUTHOLD
Town Hail Annex- 54375 Main Road - PO Box 1179
•off Southold, New York 11971-0959
Telephone (631) 7651302 - FAX (631) 765-9502
ro err southoldtownny.gov— seand southoidtownni,
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (Ali Information Required) Date:
.I--- 6;X
Company Name. Z Eice � . -%
Name: I
License No.: � �- E- email.
Address:• Gerix
Phone No.:
JOB SITE INFORMATION (All Information Required)
Name:
Address: ' A'� •,
Cross Street:
Phone No.:
BIdg.Permit#: YL-1 S I email;
Tax Map District; 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK(Please Print Cieariy) � ; . 1;
Circle All That Apply:
Is job read for inspection?:� y p YES )'0 Rough In Final
Do you need a Temp Certificate?: 1 Nd Issued On
Temp Information: (All information squired)
Service Size 1 P 3 Ph Size: A #Meters _ Old Meter#
New Service-Fire Reconnect-Flood Reconnect-Uvice Reconnected-Underground -Overhead
.,.
#underground Laterals 1 i Work done on Service?2 H Frame PoY N
Additional Information;
PAYMENT DUE WITH APPLICATION
Requeatfor lnapedlon FormAs 35•
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