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HomeMy WebLinkAbout46446-Z I i YR7� ~oo�0g1SFFO1KlpGy Town of Southold 7/30/2021 P.O.Box 1179 co Ze 53095 Main Rd �'✓ oma ,¢ Southold,New York 11971 i i CERTIFICATE OF OCCUPANCY No: 42208 Date: 7/30/2021 i THIS CERTIFIES that the building ELECTRICAL I Location of Property: 10095 Route 25,Mattituck SCTM#: 473889 Sec/Block/Lot: 142.-1-26 i Subdivision: Filed Map No. Lot No. i conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/18/2021 pursuant to which Building Permit No. 46446 dated 6/18/2021 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for I which this certificate is issued is: I electric for sign channel letters at Stony Brook Medical. I I i i i I The certificate is issued to Mattituck Plaza LLC I i i of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 46446 7/9/2021 PLUMBERS CERTIFICATION DATED uthorize Signature i �rr v � SUFFoc�c TOWN OF SOUTHOLD �o� gay BUILDING DEPARTMENT vii x TOWN CLERK'S OFFICE SOUTHOLD, NY t 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) I Permit#: 46446 Date: 6/18/2021 i Permission is hereby granted to: Mattituck Plaza LLC PO BOX 77 Mattituck, NY 11952 i ! To: Electric for sign channel letters at Stony Brook Medical. i i I i i i At premises located at: 10095 Route 25, Mattituck SCTM #473889 I i Sec/Block/Lot# 142.-1-26 Pursuant to application dated 6/18/2021 and approved by the Building Inspector. To expire on 12/18/2022. Fees: ELECTRIC $125.00 Total: $125.00 Buil g OF SOUPy®l Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 • COQ sean.devlin(-town.southold.ny.us Comm, BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Mattituck Plaza LLC Address: 10095 Route 25 City,Mattituck st: NY zip: 11952 Building Permit# 46446 section- 142 Block: 1 Lot 26 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Luminaire Electric License No: 37665ME SITE DETAILS Office Use Only i Residential Indoor X Basement Service i Commerical X Outdoor X 1st Floor Pool New X Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage I I INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel 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 1 Disconnect Switches 4'LED Exit Fixtures [] Pump Other Equipment. 2- 15OW Drivers Notes: Front of Building Lit Sign Inspector Signature: Date: July 9, 2021 S.Devlin-Cert Electrical Compliance Form As L4 h � v # # TOWN OF SOUTHOLD BUILDING DEPT. co 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [' ]` 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/Oj REMARKS: smy Y- /44z9D• ® i DATE INSPECTOR �o��pE SO//Tyo6 � # # TO NOF SOUTHOLD BUILDING DEPT. �nuxn ' 765-1802 : INSPECTI.ON- I FOUNDATION 1ST - [ ] ROUGH PL13G. [ ] 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 �� F '0 p6k gIIJILDll11613EPARTMENT--Electrical InspeCtor ry TOWN OF SOUT"OLD ' 6 2021 Town Hall Annex - 54375 Main Road - PO Box 1? 16 " F 8outhoid, New York 11971-0969 �42� ' xr � 631 765-1802 - FAX 631 76�-, 5d2 `rr� - T 1_` xsrr.? ,�,. Telephone ) F{rr7southoldtownnu.poy-,seand(&_southoldtownnyg APPLICATION FOR ELECTRICAL INSPECTION, ELECTRICIAN INFORMATIM (All lnform#pn RemA01) ACO , Company Name:Name:License No.: 3705 �-MK email: Ircz,L e Address: v✓ /i i i , Phone No.: o JOB SITE INFORMATION (All Infoffiiation Required) sCTY,rt.4�-4716881 Name: o L� - Address: Cross Street: m Rue- Phone No:: - -aa3 0 Bldg.Rermit email: �t .t(�ct � bus. sc.G Block:_ Lot,: — Tax Map District: 1000 Section: Z(p ;RIFF CERIPT 1V OF WOR '(Pleiis , Fria#Qlear(y) s�, CL�',a C�rnr✓.✓�L .�� � � �✓- - - circle All that Apply: r Is jab ready for inspection?: YES NO, Rough In Final Do you need a Temp Certificate?: YES Issued On Ten IdfOrrnetl011 (All inf6fTna0©h fequirdd) P Service Size 1 Ph 3 Ph Size: . A #Meters _ - Old Meter# i New Service - Fire Reconnect- Flood Reconnect- Service Reconnected- Underground -Overhead f H Frame Pole Work done on Service? Y N #Underground Laterals 1 2 � .... .........,........ _w.-_w n_.,_ ....,..., _-_. -- �_w. .-.,.� _ " �i�ionaTlnforma ion�"�" _-.�.T!�.. PAYMENT DUE WITH APPLICATION. - j i Request for Inspection Form.xis '�" PERMIT# Address: Switches - ------------- ------------------------- --------- GFI's Surface Sconces HH's r uC Lis Fans Fridge i HW Exhaust , Oven Dryer Smokes- DW Service Q --- - -- - - - _ - - - ------ - - - r - -- _�ti�r�r" •����=�� -C;erre ator, Combo Cooltop Trinsfer AC AH Mini Special: Comments