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HomeMy WebLinkAbout45990-Z g11FFOLi. o, , Town of Southold �o pG 3/13/2022 P.O.Box 1179 0 ti, = 53095 Main Rd �yfj�1 `tao� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42917 Date: 3/13/2022 THIS CERTIFIES that the building ELECTRICAL Location of Property: 3775 Wickham Ave, Mattituck 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 3/26/2021 pursuant to which Building Permit No. 45990 dated 3/26/2021 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 storage shed.hed. 02) The certificate is issued to Marcus Mattituck Rev Trt of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45990 2/11/2022 PLUMBERS CERTIFICATION DATED _ C Authorized Signature ��o�OgUFfOlk TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY h 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#: 45990 Date: 3/26/2021 Permission is hereby granted to: Marcus Mattituck Rev Trt 42 Heron St Long Beach, NY 11561 To: electric for storage shed At premises located at: 3775 Wickham Ave, Mattituck SCTM # 473889 Sec/Block/Lot# 107.-9-6 Pursuant to application dated 3/26/2021 and approved by the Building Inspector. To expire on 9/25/2022. Fees: ELECTRIC $90.00 Total: $90.00 Builds g Inspector SOUry®l 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 ® ,e sean.devlin(-town.southold.ny.us Southold,NY 11971-0959 Qlyc®UNS�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Marcus Mattituck Rev Trt Address: 3775 Wickham Ave city:Mattituck st: NY zip: 11952 Building Permit#: 45990 Section: 107 Block: 9 Lot: 6 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Allan Hubbard Electrical License No: 4285ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service Commerical Outdoor X 1st Floor X Pool New X Renovation 2nd Floor Hot Tub Addition Survey Attic Shed X INVENTORY Service 1 ph X Heat Duplec Recpt 6 Ceiling Fixtures 1 Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures 2 Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel 50A A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 4 4'LED Exit Fixtures Pump Other Equipment: 50A Subpanel 6 Circuit/ 5 Used Notes: Finished Shed Inspector Signature: ,- � Date: February 11, 2022 S.Devlin-Cert Electrical Compliance Form �� � l [1�,� 1 }- {. �,�� '�� ..�` .. ���� _ a �. � d _.. r. ._ '� , �t F � t ..._., - M '"t� il.. �� .f— � � - � � y e `a71Yyy ,, 4 � ::. a_� 1'�� 1 i y�L _ P 1•rcl• � �V �� S �$h I' ��E a �I V- n "4 `t _ � �� a,yam �/ , 1._ t- o--► i es F a �,: �. a ) � � � »# ^ ` . �1 ` ~ » <^ �©« } < � \� \ � � � § y�»° 1 :�\ \ « : �� :ww . : �';�, ;.,r !�,' �,� �e� �z t: f oF soulyo6 L4 5019 0 4 —l 5 57 79 # # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION . [ ] FOUNDATION 1ST [ ] ROUGH PL13G.. :. [ ] .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: ul Vq ov\ g Aoj UA z 4 o L/ Foy F-& (.-:,L t? DATE P21 177 . .INSPECTOR F y. �9'() ho��,oF souryO� J 7,7 / 7 'TOWN: OF SOUTHO'LD BUILDING DEPT. 765-1802 _ 1 NSPECTION [ ] FOUNDATION 1ST j ] 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: , . s DATE `� ( �� INSPECTOR �oS�fFIR BUILDING DEPARTMENT- Electrical Inspector �O Gym TOWN OF SOUTHOLD y = Town Hall Annex - 54375 Main Road - PO Box 1179 ^+ Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(c-),southoldtownny.gov — sea ndccD-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: A 1.aAt. 6k' Name: License No.: S - r email: 6L..`s- L` a6 ,C#Y1A Address: Pb I3o k 2-2 013-1 Phone No.: �l ( '� � '� j� JOB SITE INFORMATION (All Information Required) Name:,-60,V-6,ax-o.- ko-1' Address: S . "+u-e4- Cross i L4.Cross Street: Phone No.: Bldg.Permit#: �j q.;� email: u.>rbm.�G 6tb[-CA-M Tax Map District: 1000 Section: 10-1 Block: Lot: Co. BRIEF DESCRIPTION OF WORK (Please Print Clearly) N rv� O-P w bre o it sfi r.a Q� I n , 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 1 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 � 9� Request for Inspection Formals �/ PERMIT# Address: Switches Outlets, GFI's Surface Sconces H H's OC Lis' Fans Fridge HW Exhaust Oven W/D Smokes DW Mini Carboni . IVlicro Generator Combo Cooktop Transfer . AC -AH Hood Service Amps Have- '. Used Special; Comments: