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Home My WebLink About47117-Z �oyDS0FfO1klpG, Town of Southold 1/8/2022 P.O.Box 1179 N x 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42675 Date: 1/8/2022 THIS CERTIFIES that the building ELECTRICAL Location of Property: 4500 Westphalia Rd., Mattituck SCTM#: 473889 Sec/Block/Lot: 113.-11-13 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 11/17/2021 pursuant to which Building Permit No. 47117 dated 11/17/2021 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: electrical survey for single family dwelling, The certificate is issued to Schmidt,Rita of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47117 12/16/2021 PLUMBERS CERTIFICATION DATED Authorize ignature �o�OStlfFOl�coG Town of Southold 1/8/2022 y� P.O.Box 1179 m. 53095 Main Rd G4; Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42674 Date: 1/8/2022 THIS CERTIFIES that the building ELECTRICAL Location of Property: 4500 Westphalia Rd.,Mattituck SCTM#: 473889 Sec/Block/Lot: 113.-11-13 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 11/17/2021 pursuant to which Building Permit No. 47117 dated 11/17/2021 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 survey and"as built"panel in accessojy garage. The certificate is issued to Schmidt,Rita of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47117 12/16/2021 PLUMBERS CERTIFICATION DATED Authorized Signature offo o TOWN OF SOUTHOLD �y BUILDING DEPARTMENT y x TOWN CLERK'S OFFICE 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#: 47117 Date: 11/17/2021 Permission is hereby granted to: Schmidt, Rita 1460 Westview Dr Mattituck, NY 11952 To: Electrical survey for main house and garage. At premises located at: 4500 Westphalia Rd., Mattituck SCTM #473889 Sec/Block/Lot# 111-11-13 Pursuant to application dated 11/17/2021 and approved by the Building Inspector. To expire on 5/19/2023. Fees: ELECTRIC $170.00 Total: $170.00 ilding Inspector pF SO(/lyol Town Hall Annex ~ Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Q ro-ger.richert(cD-town.southold.ny.us Southold,NY 11971-0959 o�yComm BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Rita Schmidt Address: 4500 Westphalia Rd City: Mattituck St: New York Zip: 11952 Building Permit#: 47117 Section: 113 Block: 11 Lot: 13 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: AS BUILT DBA: License No: SITE DETAILS Office Use Only Residential X Indoor X Basement X Service Only Commerical Outdoor X 1st Floor X Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage X INVENTORY Service 1 ph 100a Heat oil Duplec Recpt 21 Ceiling Fixtures 4 HID Fixtures Service 3 ph Hot Water oil GFCI Recpt 1 Wall Fixtures 3 Smoke Detectors Main Panel 100a A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency FixturesTime Clocks Disconnect 100a Switches 9 Twist Lock Exit Fixtures TVSS Other Equipment: "AS BUILT" "ELECTRICAL SURVEY" "NO VISUAL DEFECTS" Notes: Certificate includes main house and detached garage. 3-feet of lighting track, 1-well pump,2-30a recpticles. Inspector Signature: Date: December 16 2021 81-Cert Electrical Compliance Form.xls NOV 12 2021 � I FOL BUILDING c• >: BUILDING DEPARTMENT-,Electrical Inspector BUILDING of sou rHOLD TOWN OF SOUTHOLD C* Town Hall Annex - 54375 Main Road - PO Box 1179 . CIO • Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(aD-southoldtownny.gov- seandO-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (Ail Information Required) Date: Company Name: Electrician's Name: License No.': Elec. email: Elec. Phone No: 0 L request an.email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) HOME Name: l4Wam Sc.6rntar R i 'a, c rn r Owner Address: 4500 Wes aot-LiOL, cLcafltuc NY. l 5� Cross Street: Ben efl` PO d_ I e. Phone No.: (6-30- 24$ - Y&115 Bldg.Permit# email: W6ma.itituck@ yahoo..co w �-r Tax Map.District: 1000 Sectio 11.3. Block: (l Lot: 13 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): NeecL' E7Leeflj=L-In s Pe ion -06 M-Li n House+ Ga raij a as pc Wt o'�p o u I Reon�'a.l. Yn8pecfioti '7- e properrtY (ARE- Ex=s-rsNG Square Footage: Circle All 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 T Ph 3 Ph Size: -A # Meters. Old.Meter# New Service- Fire Reconnect- Flood,Reconnect-.Service Reconnected-Underground - Overhead # Underground Laterals 1 2 H Frame Pole Work done_ on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION X\ .. b