HomeMy WebLinkAbout48013-Z T,G
��o�ogllEFa(p Town of Southold 8/2/2022
P.O.Box 1179
o • 53095 Main Rd
tysj oo�. Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43302 Date: 8/2/2022
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 2200 Wickham Ave.,Mattituck
SCTM#: 473889 Sec/Block/Lot: 139.-3-25
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
6/27/2022 pursuant to which Building Permit No. 48013 dated 6/27/2022
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:
"as built"basement electric to unfinished basement as applied for.
The certificate is issued to Rieger,Nicolas&Son,Teressa
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 48013 7/8/2022
PLUMBERS CERTIFICATION DATED
Authorized igkrature
gUFfQL,� TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y TOWN CLERK'S OFFICE
SOUTHOLD, NY
~ �f 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#: 48013 Date: 6/27/2022
Permission is hereby granted to:
Rieger, Nicolas
72 Berry St Apt 3E
Brooklyn, NY 11249
To: As built basement electric as applied for.
At premises located at:
2200 Wickham Ave., Mattituck
SCTM # 473889
Sec/Block/Lot# 139.-3-25
,Pursuant to application dated 6/27/2022 and approved by the Building Inspector.
To expire on 12/27/2023.
Fees:
ELECTRIC $180.00
Total: $180.00
Building Inspector
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179G Q
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Southold,NY 11971-0959 CpUNTI,�c�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Nicolas Rieger
Address: 2200 Wickham Ave city:Mattituck st: NY zip: 11952
Building Permit#: 48013 Section: 139 Block: 3 Lot: 25
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: AS BUILT License No:
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service
Commerical Outdoor 1 st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 10 Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water Gas GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures 9 CO Detectors 1
Sub Panel A/C Blower 1 Range Recpt Ceiling Fan Combo Smoke/CO 1
Transformer UC Lights Dryer Recpt 30A Emergency Fixtures Time Clocks
Disconnect Switches 3 4'LED Exit Fixtures 11 Pump
Other Equipment:
Notes: " AS BUILT NO VISUAL DEFECTS " Unfinished Basement
Inspector Signature: Date: July 8, 2022
S. Devlin-Cert Electrical Compliance Form
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# TOWN OF SOUTHOLD BUILDING DEPT.
`youm, 631-765-1802
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 [ ] RENTAL
REMARKS: /� ,�'� y t
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DATE INSPECTOR
S0UlyO� ( �3 t��I
* # TOWN OF SOUTHOLD BUILDI G DEPT.
cou631-765-1802
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 [ ] RENTAL
REMARKS: kPir-1 Ill 1 cUj
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DATE 7 INSPECTOR
SuffOL,� BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
o-*A Telephone (631) 765-1802 - FAX (631) 765-9502-
rogerrna southoldtownny.gov — seand(a)southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All information Required) Date:
Company Name:
Electrician's Name:
License No.: Elec. email:
Elec. Phone No: ❑I request an email copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATION (All Information Red)
Name: {�.QSSOL �6Kquir tr✓ot a-� -' ep-
Address: v,Z
Cross Street: PA q P-/y
Phone No.: s sq — 0
Bldg.Permit#: email: nolyl11100
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
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 F11 Ph❑3 Ph Size: A # Meters Old Meter#
F]New Service❑Fire Reconnect❑Flood Reconnect[:]Service Reconnect❑Underground❑Overhead
# Underground Laterals D 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
I$
to �;
PERMIT# Address:
Switches
J1
Outlets
G F I's
Surface
Sconces
HH's I l
UC Lts
Fans Fridge HW
Exhaust Oven W/D %ip 04,
Smokes DW Mini
Carbon f Micro Generator
Combo Cooktop Transfer
AC AH I Hood Service
Amps Have Used
Special:
Comments
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