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Home My WebLink About43164-Z �oyOSHFFO Town of Southold 1/10/2022 o P.O.Box 1179 ry x� 53095 Main Rd oy� ti Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42677 Date: 1/10/2022 THIS CERTIFIES that the building ELECTRICAL Location of Property: 285 Inlet View E,Mattituck SCTM#: 473889 Sec/Block/Lot: 100.-3-10.7 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/24/2018 pursuant to which Building Permit No. 43164 dated 10/24/2018 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 amp underground electric service. The certificate is issued to Orlowsky,Jacy&Ross Jr,Joseph of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 43164 12/16/2021 PLUMBERS CERTIFICATION DATED Authorized 9 fgnature SuFnc�c TOWN OF SOUTHOLD god oG BUILDING DEPARTMENT TOWN CLERK'S OFFICE oy. s 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#: 43164 Date: 10/24/2018 Permission is hereby granted to: Harders, Mary 428 Puritan Dr Shirley, NY 11967 To: 200a underground electric service At premises located at: 285 Inlet View E, Mattituck SCTM # 473889 Sec/Block/Lot# 100.-3-10.7 Pursuant to application dated 10/24/2018 and approved by the Building Inspector. To expire on 4/24/2020. Fees: ELECTRIC $85.00 Total: $85.00 B ector OF SO(/rgol Town Hall Annex ~ Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 Box 117 Southoldold,,NY 11971-0959 Q sean.deviin(cD-town.southold.ny.us .c` � �IyMUNT`I,�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Jacy Orlowski Address: 285 Inlet View E city:Mattituck st: NY zip: 11952 Building Permit#: 43164 Section: Block: Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Hubbard Electric License No: 4709ME SITE DETAILS Office Use Only Residential X Indoor Basement Service X Commerical Outdoor 1 st Floor Pool New X Renovation 2nd Floor Hot Tub Addition Survey 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 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: 200A 42 Circuit Panel / 36 Used Notes: New Service Inspector Signature: r Date: December 16, 2021 S.Devlin-Cert Electrical Compliance Form �g�FF01��0 �p Gy BUILDING DEPARTMENT-Electrical Inspector C* TOWN OF SOUTHOLD o� • !M Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959 �j01 dao Telephone (631)765-1802-FAX(631)765-9 Temporary Certificate # O/r Date 00 r 2018 Customer Name��£ dgg� f1j�2D�g Electrician Name A60ACIT71 � Address 2SS�.11✓�a�1J�ClJijy. U�,�i Phone e-mail e-mail�fus�s ��G lr�� Phone License# Size 1,0o A Phase Overhead Underground #of Meters Remarks (�Glsk/�,Er L3,rriy2> 19� '� (1�,��s'2Cau #of Underground Laterals 2 New "H" Frame or Pole P Fire Reconnect Was work done on Service? Y/N Flood Reconnect Old Meter#143- FC-1V Service Reconnected Application for electrical service equipment is on file with the town of Southold.On the applicant's notification that this inst lotion is complete,the town will conduct a premises inspection of the service equipment. This verification is valid for 90 days from the date above. Authorized by OF SOUTyolo � TO N °OF: SOUTHOLD BUILDING DEPT. courm, 765.1802 'INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG: [ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] 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 �_ �S,11FF04co BUILDING DEPARTMENT- Electrical Inspector( �tr)a TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 y Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 roger.richertAtown.southold.ny.us APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: vj ` Date: Company Name: = Name: �. License No.: �( - email: �`tC_� v� e nem Address: Phone No.: Cr l Ce- JOB SITE INFORMATION: (All Information Required) Name: Address: E i ..` 2 Cross Street: Phone No.: _ .. BIdg.Permit#: qemail: ,Tax Map District: 1000 Section: o o Block: Lot: �a BRIEF,DESCRIPTION OF WORK (Please Print Clearly) Circle All That Apply: Isjob ready for inspection?: YESNO Rough In Final Do you need a Temp Certificate?: YE / NO Issued On Temp Information: (Ail information required) C13 I�7 Service Size1 Ph 3 Ph Size: DQ�_A # Meters. I Old Meter# New Servi Fire Reconnect- Flood Reconnect- Service Reconnecte - Underground - Overhead nderaround Laterals 1 2 rH Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION C/ 82-Request for Inspection FormAs PERMIT# Address:- Switches ddress:Switches Outlets G F I's Surface Sconces H H's UC Lts Fans Exhaust. Oven Wip Smokes . DW Mini ...Micro' Combo Co0ktop AC AH Hood Service . Amps' Have Used Special:.. Comments: