HomeMy WebLinkAbout42717-Z O5
1lfFOtIfCpGy Town of Southold 7/27/2021
a P.O.Box 1179
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�' 53095 Main Rd
�Xo� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42188 Date: 7/27/2021
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 190 Woodcliff Dr,Mattituck
SCTM#: 473889 Sec/Block/Lot: 107.-8-16
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/24/2018 pursuant to which Building Permit No. 42717 dated 5/24/2018
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:
200 Electric Service Upgrade
The certificate is issued to Allar,Karen
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 42717 05/01/2018
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
c TOWN CLERK'S OFFICE
oy . 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#: 42717 Date: 5/24/2018
Permission is hereby granted to:
Allar, Karen
190 Woodcliff Dr
Mattituck, NY 11952
To: 200 Amp Electric Service Upgrade
At premises located at:
190 Woodcliff Dr, Mattituck
SCTM # 473889
Sec/Block/Lot# 107.-8-16
Pursuant to application dated 5/24/2018 and approved by the Building Inspector.
To expire on 11/23/2019.
Fees:
ELECTRIC $85.00
Total: $85.00
B i pector
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Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G ® roper.richerta-town.south old.ny.us
Southold,NY 11971-0959 .�`
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To. Karen Allar
Address: 190 Woodcliff Drive City: Mattituck St: New York Zip: 11952
Building Permit#: 42717 Section 107 Block: 8 Lot 16
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Glens Electric License No: 4770-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only X
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph 200a Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 200a A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect 200a Switches F1 Twist Lock Exit Fixtures TVSS
Other Equipment: 200a overhead service upgrade
Notes:
Inspector Signature: bd Date: May 1, 2018
81-Cert Electrical Compliance Form.xls
---------------------------
BUILDING
fif- i:- =iiii=s " -----i -- -
BUILDING DEPARTMENT-Electrical Inspector
c„ TOWN OF SOUTHOLD
W_ • Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959
4-1�l Telephone (631)765-1802-FAX(631)765-9502 /
Temporary Certificate # 7 Date j??4f l Z 2018
Customer Name Rk&glLL Electrician Name glzr 1S
Address b Phone 6�f- ZZ - 0-;-4/3
e-mail e-mail e�,L«/' ,Ql�° Gd G
Phone License#
Size ZZ& A Phase Overhead=Underground #of Meters
Remarks �3&eoc"_- uhoiIF
( 7�
#of Underground Laterals 1 2 New
"H" Frame or Polel H P Fire Reconnect
Was work done on Service? Y/N Flood Reconnect
Old Meter#F Service Reconnected
Application for electrical service equipment is on file with the town of Southold.On the applicant's notification that this installation
is complete,the town will conduct a premises inspection of the service equipment.
This verification is valid for 90 da date above.
Authorized by
a _ e
100TOWN
I L ING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
MAY 2 4 2DT8)w II Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959�elephone (631) 765-1802 - FAX (631) 765-9502®FS®LT'1'�®LD roger.richert crcDtown.southold.ny.us �I
APPLICATION FOR ELECTRICAL INSPECTION
REQU-ESTED BY: - -� - Date: l -
Company Name: �. .
Name: rN
License No.: —kA F, email: URI&
Address:
Wit: �30V __TAk4VQAL�-
JPhone No.:
JOB SITE INFORMATION: (All Information Required)
Address: ten/
Cross Street:
Phone No.: _C9 —
Bldg.Permit#: f) 1 '? email:
Tax Map District: 1000 Section: Block: Lot:
41
BRIEF DES RIPTION OF WORK (Please Print Clearly)
Circle AII That Apply:
Is job ready for inspection?: YES / NO Rough In Final
Do you need a Temp Certificate?: YES NO Issued On
Temp Information: (All information required)
Service Size 1 Ph)
h 3 Ph Size: A # M rs C Old Meter#
New Service - Fire Reconnect- Flood Reconnect- Service Reconnecte - Underground Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
0 PAYMENT DUE WITH APPLICATION ���� � �� GJ
Request for Inspection FormAs