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Home My WebLink About45879-Z �o"S�fF➢l y Town of Southold 12/11/2021 E, P.O.Box 1179 53095 Main Rd 4,0 Southold,New York 11971 r CERTIFICATE OF OCCUPANCY No: 42615 Date: 12/11/2021 THIS CERTIFIES that the building ELECTRICAL Location of Property: 5625 Aldrich Ln.,Mattituck SCTM#: 473889 Sec/Block/Lot: 120.-3-12 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/4/2021 pursuant to which Building Permit No. 45879 dated 3/4/2021 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: 100 amp overhead electric service. The certificate is issued to 5625 Aldrich Ln LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45879 11/16/2021 PLUMBERS CERTIFICATION DATED Authorized Signature �osUfFa`` I TOWN OF SOUTHOLD BUILDING DEPARTMENT C x TOWN CLERK'S OFFICE Wo . 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#: 45879 Date: 3/4/2021 Permission is hereby granted to: Rivera, Jean 5625 Aldrich Ln Mattituck, NY 11952 To: 100A overhead electric service. At premises located at: 5625 Aldrich Ln., Mattituck SCTM #473889 Sec/Block/Lot# 120.-3-12 Pursuant to application dated 3/4/2021 and approved by the Building Inspector. To expire on 9/3/2022. Fees: DEMOLITION $85.00 Total: $85.00 Building nspector o�*pE-SOUj�ol Town Hall Annex O Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Q sean.devlin(aD-town.southold.ny.us Southold,NY 11971-0959 R` BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: 5625 Aldrich Ln LLC Address: 5625 Aldrich Ln city:Mattituck st: NY zip: 11952 Building Permit#: 45$79 Section: 120 Block: 3 Lot: 12 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE c WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Tuthill Electric License No: 4210ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service X Commerical Outdoor X 1st Floor Pool New X Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph ! Heat Duplec Recpt 4 Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors Main Panel 100A 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 1 4'LED Exit Fixtures Pump F1 Other Equipment: 100A Panel 20 Circuit / 17 Used Notes: New Service Inspector Signature: - Date: November 16, 2021 S. Devlin-Cert Electrical Compliance Form OF SObTyolo }� 5-8 7 5_ Y 2-!5r A4C1 r-rcA 1/ # # TOWN OF SOUTHOLD'SUILDING DEPT: 765-1802 INSPECTION . [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] =1NSULATION/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 ANSPECTOR � C®- o�ogOfFQ�kCo BUILDING DEPARTMENT-Electrical Inspector c < TOWN OF SOUTHOLD Town Hall Annex-54375 Main Road-PO Box 1179-Southold NY 11971-0959 �y �.DO�� Telephone (631) 765-1802-FAX(631) 765-9502 Temporary Certificate #_J_2 Date 3 - 2021 Customer Name "de ra Electrician Name ce Address"� v 5 A 'c� Ct )jPhone 51 _ 3 e-mail e-mailM-EUTd 5j ab 0 AOL Phone Iii 5'16— 6b License# 1fA10s E Size-11)0 - A Phase Overhead _Underground #of Meters Remarks #of Underground Laterals 1 2 New "H" Frame or Pole H P Fire Reconnect Was work done on Service? Y/N Flood Reconnect Old Meter# 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 9 days from the date above. } Authorized by ° s S� EYI'C`�f' t BUILDING DEPARTMENT-Electrical Inspector O CSG & 2021 TOWN OF SOUTHOLD pr54375 Hall Annex- 54375 Main Road - PO Box 1179 t4 '` , 4 tb Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631).765-9502 rogerr(a)-southoldtownny.gov - seand(aD-southoldtownny.9ov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATIO (Au Information Required) Date: 3 - - 2 Company-Name:j—j -� ` =L_T ; C., Name: License No.: 7 I or F -T'lyl�4C. �u . emall"`. 5 4-0 ® A.o - co Phone No:L5-1 (,)'o 01=7-• 81 3 Z lE request an email copy of C tlftcate of Compliance Address.: 15-:3-7 .. -.. Cenc.,,v a1 .... dam rd al N: . . l� 0.-/ JOB .SITE'INFORMATION:"�AII Irif.ormation Required) Name: I�L,:�,CZ t`ti ►�. Address: , . 6�V. : `Cross Street: Phone No.: 3:U ' BIdg_Permit#: Y � +� � email: F. Tax Map District: 4000 Section:: Block Lot: BRIEF DESCRIPTION OF WORK (Please Print Clear-.ly) 1/r SE2U1 CF, , Check All That Apply: 1s job ready for inspection?: YES Q NO Rough In ]Final Do you need a Temp Certificate?: ES DNO Issued On ` - �2 Temp Information: (All information required) 4. as8 ��ti Service Size -[E]fPh 03 Ph, Size: /RU A #Meters Old Meter# /g' 0 New Service Q Service Reconnect,-[] underground %.Overhead Underground Laterals 01, 02 ,=QH Frame Opole Work done on=Service? QY ❑N Additional Information: l I Dyv ACr7S -8ti PAYMENT DUE WITH APPLICATION --- Electrical Inspection+orm 2020.xlsx �: . k. Z_o , yP SVEAt',� BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD tPTown Hall Annex- 54375 Main Road - PO Box 1179 P Southold New York 11971-0959 'y,�j01ap� n L Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr �southoldtownny.gov seandO-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION,(All Information Required) Date: 3 - - z ) Company Name: 1'7- Name: K 2 4_ - L1T-1-0\ No.: D` -License email: &-t'UTkA5 ® Apt- C&tt Phone NoCy �) ag7- 8(O3Ej�equest an email copy of Certificate of Compliance Address.: 3776owo of � 1JRde.4 144N61 . N V q01 JOB SITE INFORMATION (All Information Required) Name: Address: Cross Street: ISO u Phone No.: _ - 3 U Bldg.Permit#: email: Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK (Please Print Clearly) &D-A-W.a 5ela w CIC'. Check All That Apply: Is job ready for inspection?: YES ❑NO ❑Rough In ❑Final Do you need a Temp Certificate?: ES [—]NO Issued On eif'YIaLM ';-11—2- Temp Temp Information: (All information required) Service Size [Df Ph ❑3 Ph Size: /PU A #Meters Old Meter# /Cy -'a?" ❑New Service Q Service Reconnect ❑ Underground Overhead #Underground Laterals 01 ❑2 ❑H Frame❑Pole Work done on Service? ❑Y ON Additional Information: Ql / t = qvtl -Cr7 Al e PAYMENT DUE WITH APPLICATION Electrical Inspection Form 2020.xlsx