HomeMy WebLinkAbout45892-Z 2�•z��y
��O�Og11FFat�coGy� Town of Southold 6/6/2021
,t P.O.Box 1179
o _ 53095 Main Rd
ly��l Sao ' ` Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42071 Date: 6/6/2021
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 1745 Ole Jule Ln.,Mattituck
SCTM#: 473889 Sec/Block/Lot: 122.-5-2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
3/8/2021 pursuant to which Building Permit No. 45892 dated 3/8/2021
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 electric service in dwelling with 100a sub panel in accessory garage.
The certificate is issued to Levy,Dylan
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 45892 5/29/2021
PLUMBERS CERTIFICATION DATED
Authorize ignature
�ofF01-tzo TOWN OF SOUTHOLD
a BUILDING DEPARTMENT
c TOWN CLERK'S OFFICE
S, • ��, SOUTHOLD, NY
dol� Sao
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 #: 45892 Date: 3/8/2021
Permission is hereby granted to:
Levy, Dylan
386 Carpenter Ave
Sea Cliff, NY 11579
To: 200A electric service with 100A garage sub-panel.
At premises located at:
1745 Ole Jule Ln., Mattituck
SCTM # 473889
Sec/Block/Lot# 122.-5-2
Pursuant to application dated 3/8/2021 and approved by the Building Inspector.
To expire on 9/7/2022.
Fees:
ELECTRIC $85.00
Total: $85.00
Bui ding Inspector
SOU��®�
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.sox 1179 sean.devlin(D-town.southold.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Dylan Levy
Address: 1745 Ole Jule Ln city,Mattituck st: ny zip: 11952
Building Permit#• 45892 Section: 122 Block: 5 Lot: 2
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Prime Electric License No: 52402ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service X
Commerical Outdoor X 1 st Floor Pool
New X Renovation 2nd Floor Hot Tub
Addition Survey X 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 100A A/C Blower Range Recpt Ceding Fan Combo Smoke/CO
Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 4'LED Exit Fixtures Pump
Other Equipment-
Notes* New 200A Service in House with 100A Sub Panel in Acc. Garage
Inspector Signature: C��' Date: May 28, 2021
S.Devlin-Cert Electrical Compliance Form.xls
J
OfSOUIy�� �& 41 O'L_ l � Ju
TOWN OF SOUTHOLD BUILDING-DEPT.
765-1802
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) [d ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
DATE INSPECTOR
77
LI V
BUILDING DEPARTMENT- Electrical' In
S134M&
2021
TOWN OF SOUTHOLD
bf -7, 'T
Town Hall Annex - 54375 Main Road - PG-'B,o -4-1 9 -PT.
'ok Southold, New York 11971-09
Telephone (631) 765-1802 - FAX (631) 765-9502
seandasoutholdtownny..qov
roqerr6�southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION.,(Ali information Required) Date: 02-- 22-Z
Company Name: r 1mt si�--Accw v L )n L
Name: j\Lf— "\)10+(-r
License No.: DoEz. 5� 2AO-2- email: M Y--t (0� Drl MO'1 b)-
Phone No --2
[:]I request an email cop of Certificate of Compliance
Address.:
, W0, fb6y_ Kq Jn14
JOB SITE INFORMATION (All information Required)
Name: W) --V C-X-1 114
Addres 214 5 6A 2 k U- 1-0 11
Cross Street:
Phone No.:
Bidg.Permit#: email: A- YIMO, -'Q Q
1 Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
ft"S 2-(3
Check All That Apply:
Is job ready for inspection?: E2YES E]NO E]Rough In r-]Final
Do you need a Temp Certificate?: [:]YES �WO Issued On
Temp Information: (All information required)
Service Size F-11 Ph F-13 Ph Size: A # Meters Old Meter#
FlNew Service ❑ Service Reconnect F] underground F1 Overhead
1# Underground Laterals F11 E]2 E]HFrame Opole Work done on Service? El
Additional Information:
PAYMENT DUE WITH APPLICATION
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Electrical Inspection Form 2020 xlsx