HomeMy WebLinkAbout47810-Z �O�OSOF p Town of Southold 6/11/2022
P.O.Box 1179
- 53095 Main Rd
$dol �oo�r Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43154 Date: 6/11/2022
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 3180 Duck Pond Rd., Cutchogue
SCTM#: 473889 Sec/Block/Lot: 83.-2-19.7
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/13/2022 pursuant to which Building Permit No. 47810 dated 5/13/2022
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:
200 amp underground electric service.
The certificate is issued to Mangiamele,Thomas&Kathleen
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 47810 5/24/2022
PLUMBERS CERTIFICATION DATED
Authorized Signature
ff o � TOWN OF SOUTHOLD
o
GyK BUILDING DEPARTMENT
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#: 47810 Date: 5/13/2022
Permission is hereby granted to:
Mangiamele, Thomas
3180 Duck Pond Rd
Cutchogue, NY 11935.
To: 200A underground electric service.
At premises located at:
3180 Duck Pond Rd., Cutchogue
SCTM #473889
Sec/Block/Lot# 83.-2-19.7
Pursuant to application dated 5/13/2022 and approved by the Building Inspector.
To expire on 11/12/2023.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
O��OF SO�ryol
� o
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 aQ sean.devlin(a-town.southold.ny.us
Southold,NY 11971-0959
c4U1►fT`I,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Thomas Mangiamele
Address: 3180 Duck Pond Rd city:Cutchogue st: NY zip: 11935
Building Permit#: 47810 Section: 83 Block: 2 Lot: 19.7
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: DC Electric License No: 4076ME
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 X Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 200A 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 4'LED Exit Fixtures Pump
Other Equipment: 200A Panel 42 Circuits /40 Used
Notes: New Service
Inspector Signature: Date: May 24, 2022
S.Devlin-Cert Electrical Compliance Form
sgFOL/COGy BUILDING DEPARTMENT-Electrical Inspector
00 <= TOWN OF SOUTHOLD
Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959
�y!!0� �•a0�� Telephone (631) 765-1802
. Temporary Certificate # ' Date 6—A-3 2022
Customer Name j / Electrician Name ALjedllc G
Address It V e Phone 6 S
e-mail e-mail Me/, g pr - c e IQ o/t !✓lei d-
[Phone
License# 11076 /Vl
Size_ICld 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 90 da from the date above.
Authorized by
OF SOUTyo L4
# TOWN OF SOUTHOLD BUILDING DE T.
631-765-1802
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 [ ] RENTAL
REMARKS: .� r/
T�:JAIA-to-` - (I
DATE S 2i INSPECTOR
FO i l P BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
Bu��p�Nc ocF;; Town Hall Annex - 54375 Main Road - PO Box 1179
® ®WN of SOUTHoLD Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
ropers-southoldtownny.aov - seand(@-southoldtownnV.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name: -) L /e c4 r i L C
Electrician's Name:
License No.: O 76 -,M LC7 Elec. email: tlqeJ1' SCS .,�G c ���� �-
Elec. Phone No: 6- ( � � 3&)(( [D If request an email copy of Certificate of Compliance
Elec. Address.: Z7. OU p U e
JOB SITE INFORMATION I(AII Information Required)
Name: D W\ c:�i 1 , Ci VI(' ) CA AlI P�
Address: J � C C _ oc
Ute- �S
Cross Street: 0 `
Phone No.: (7? J — S
BIdg.Permit#: email: pkA.rl(r - //Pu �Nc�
Tax Map District: 1000 Section- Block: Lot: rt�,
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (please Print Clearly):
Can ,e- o� ,service-Prole overhe&d- -10 Qiider3 rDQJ,1 1
Circle All That Apply: Square Footage:
Is job ready for inspection?: [EYES E] NO F-]Rough In F Final
Do you need a Temp Certificate?: YES E] NO Issued On Q &,Nd ��-
Temp Information: (All information required)
Service Size r/1 Ph❑3 Ph Size: 'a yU A # Meters Old Meter#
E-1 New ServiceQFire ReconnectOFlood ReconnectOService Reconnect QUndergroundQOverhead
# Underground Laterals F1 1 F12 H Frame Pole Work done on Service? Y F1N
Additional Information:
- �\ PAYMENT DUE WITH APPLICATION
V , ;a
172