HomeMy WebLinkAbout45984-Z QyDWF a1 Town of Southold 3/13/2022
P.O.Box 1179
0
co 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42918 Date: 3/13/2022
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 3775 Wickham Ave,Mattittuck
SCTM#: 473889 Sec/Block/Lot: 107.-9-6
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
3/25/2021 pursuant to which Building Permit No. 45984 dated 3/25/2021
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 for accessory non-habitable finished shed as applied for. 01)
The certificate is issued to Marcus Mattituck Rev Trt
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 45984 2/11/2022
PLUMBERS CERTIFICATION DATED
Authorized Signature
gpFfQ( TOWN OF SOUTHOLD
'55 BUILDING BUILDING DEPARTMENT
N s TOWN CLERK'S OFFICE
oy • �' � 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#: 45984 Date: 3/25/2021
Permission is hereby granted to:
Marcus Mattituck Rev Trt
42 Heron St
Long Beach, NY 11561
To: electric for workshop
At premises located at:
3775 Wickham Ave, Mattittuck
SCTM #473889
Sec/Block/Lot# 107.-9-6
Pursuant to application dated 3/25/2021 and approved by the Building Inspector.
To expire on 9/24/2022.
Fees:
ELECTRIC $90.00
Total: $90.00
Building Inspector
O��pE SOUjyol
� o
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 �Q sean.deviinO-town.southold.nv.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Marcus Mattituck Rev Trt
Address: 3775 Wickham Ave city:Mattituck st: NY zip: 11952
Building Permit#: 45984 Section: 107 Block: 9 Lot: 6
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Alan Hubbard Electric License No: 4285ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service
Commerical Outdoor X 1st Floor X Pool
New X Renovation 2nd Floor Hot Tub
Addition Survey Attic Shed X
INVENTORY
Service 1 ph Heat Duplec Recpt 5 Ceiling Fixtures 1 Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt Wall Fixtures 1 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
Disconnect Switches 3 4'LED Exit Fixtures Pump
Other Equipment: AC Outlet-1
Notes: Finished Shed
Inspector Signature: �� Date: February 11, 2022
S. Devlin-Cert Electrical Compliance Form
�o��pESOI/Ty06 L450190 4 5779 WiEs Am
# # TOWN OF SOUTHOLD-BUILDING DEPT. -.
765-1802
INSPECTION .
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] 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:
C u -F r� -
DATE INSPECTOR
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SOUtyo6 L4 5-O V LA 7 75"
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# # TOWN OFSOUTHOLD BUILDING DEPT.
�y�ourm ' 765-1802
" .. --iANSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION21SID :. [:° ] .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:
MCI"
DATE �/ I ��i INSPECTOR
�g11FFQ1,� BUILDING DEPARTMENT-Electrical nspfeJl
tcr; F F
�p TOWN OF SOUTHOLD
F•
- Town Hall Annex - 54375 Main Road - hb\Box 1 9
wP • Southold, New York 11971-0959 OCT 4 2020
Telephone (631) 765-1802 - FAX (631) 765- 02
roger.riche rttown.southoId.n
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APPLICATION FOR ELECTRICAL INSPECTION
REQUESTEUBY - --tn— .J .._.{°_- } ....... ..__.. Date: ..�p . �... _._. -- . .. .
Company Name: " /-/ 6 �0rfra c
Name: a-"t- t4L-6 6a, c(
License No.: Ya s- {t t email: k, I-ot na ds (,Dab
Address: ��(� !3 a x Z2 7 o c.� ti
Phone No.: �,3/ 647 / 7/_5
JOB SITE INFORMATION: (All Information Required)
Name:
barbaro'Nai-eus
Address: 3�� :S ( (�l AC/��? Gt .•� �V`2 /�(Gt f S-2
Cross Street: r A v-e- .
Phone No:: 90 ( 3 O
Bldg.Permit#: email:
Tax Map District: 1000 Section: /v -7 Block: y' Lot: (z,
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
W I,RI ck C>F h o rJA 5TO AA q ie U 1`.y 14-
S (.4CODAa
Circle All That Apply:
Is job ready for inspection?: YE / NO Rough In Final
Do you need a Temp Certificate?: YES / NO Issued On
Temp Information: (All information required).
Service Size I.-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
MAR 1 8 2021
Request for Inspection Form_xls
PERMIT# Address:
Switches
Outlets
G F I's
Surface
Sconces
H H's
UC Lis
Fans Fridge HW
Exhaust iOven W/D
Smokes DW. =
Mimi
Car4o'rf IVlicro, Generator
Combo . Cooktop, Transfer
AC AH: Hoo-d.. Service
Amps : . Have,Usetl::
Special:
Corhmeats: