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HomeMy WebLinkAbout42717-Z O5 1lfFOtIfCpGy Town of Southold 7/27/2021 a P.O.Box 1179 o - �' 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 ®��oF so�j�®� 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