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Home My WebLink About46814-Z S11f t - Town of Southold 12/11/2021 P.O.Box 1179 V' 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42601 Date: 12/11/2021 THIS CERTIFIES that the building ELECTRICAL Location of Property: 205 Knollwood Ln.,Mattituck SCTM#: 473889 Sec/Block/Lot: 107.-6-11 Subdivision:_ Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/14/2021 pursuant to which Building Permit No. 46814 dated 9/14/2021 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: electric wiring for existing in..r�pool. The certificate is issued to Kubetz,Jacob&Jill of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 46814 11/9/2021 PLUMBERS CERTIFICATION DATED Or4,4C41 pa�.Ojzw— Authorized Signature OsufFo TOWN OF SOUTHOLD Gyp . BUILDING DEPARTMENT C47 TOWN CLERK'S OFFICE SOUTHOLD, NY x 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#: 46814 Date: 9/14/2021 Permission is hereby granted to: Kubetz, Jacob 255 Knollwood Ln Mattituck, NY 11952 To: Electric wiring for existing inground pool. At premises located at: 205 Knollwood Ln., Mattituck SCTM # 473889 Sec/Block/Lot# 107.-6-11 Pursuant to application dated 9/1.4/2021 and approved by the Building Inspector. To expire on 3/16/2023. Fees: ELECTRIC $100.00 Total: $100.00 Buil Inspec - pF SOUIy�� Town Hall Annex ~ Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 CPQ roger.richertCc� y' town.southold.n us Southold,NY 11971-0959 UNT`I,�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Jacob Kubetz Address: 205 Knollwood Ln City: Mattituck St: New York Zip: 11952 Building Permit#: 46814 Section: 107 Block: 6 Lot: 11 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Lowell Electrical Cont. License No: 3211-E SITE DETAILS Office Use Only Residential X Indoor Basement Service Only Commerical Outdoor X 1st Floor Pool X New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 1 Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt X Wall Fixtures Smoke Detectors Main Panel 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 Switches Twist Lock Exit Fixtures TVSS Other Equipment: In ground swimming pool to include, bonding, 1-pool light, 1-pump, Notes: Inspector Signature: Date: November 9 2021 81-Cert Electrical Compliance Form.xls OF SOUIHp # TOWN OF SOUTHOLD BUILDING DEPT. 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: f Q r DATE INSPECTOR nD nD gAi", t. ILDING DEPARTMENT-Electrical Inspector "'' '` . SEP 1 0 2021 TOWN OF SOUTHOLD - , n Hall Annex- 54375 Main Road - PO Box 1179 G I3El •w ,:. F 50UTIT OLD Southold, New York 11971-0959 cv::::... _.....-: O Telephone (631) 765-1802- FAX (631) 765-9502 ..':::. - rogerr(a�southoldtownnygov--seand(a)southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (al information Required) Date: -- —�/ Company Name: �� ewz Name: 0 l� License No.: &,0—// Phone [„ Pequest an email copy of Certificate of Compliance Address.: 1,TP . JOB SITE INFORMATION (AII Info//rmN/ation Required) Name: Address: Cross Street: Phone No.: Bldg.Permit#: 1_ email: Tax Map District: 1000 Section: A911 Block: Lot: j BRIEF FSCRIPTION OF W K(Please int Clearly) Pea L Check All That Apply: Is job ready for inspection?: dYESDRough❑N In ❑Final Y Do ott need a Temp Certificate?: ❑YES ao Issued On Temp'Information: (All information required) Service Size ❑1 Ph ❑3 Ph Size: A #Meters Old Meter# ❑New Service ❑ Service Reconnect ❑ Underground ❑Overhead #Underground Laterals ❑1 ❑2 ❑H Frame❑Pole Work done on Service? ❑1( ❑N Additional Information: PAYMENT DUE WITH APPLICATION Electrical Inspection Form 2020.)dsx Q ��` 60