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Home My WebLink About45651-Z �suF ice` 0,10 K�oG, Town of Southold 9/24/2022 a P.O.Box 1179 y �{ 53095 Main Rd A Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43433 Date: 9/24/2022 THIS CERTIFIES that the building ELECTRICAL Location of Property: 2905 Arbor Ln,Mattituck SCTM#: 473889 Sec/Block/Lot: 113.-7-25 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 1/6/2021 pursuant to which Building Permit No. 45651 dated 1/6/2021 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: "as built"electric panel and gate wiring. The certificate is issued to Nasary,Veronica of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45651 9/7/2022 PLUMBERS CERTIFICATION DATED Authori ignature 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT y i TOWN CLERK'S OFFICE "� • SOUTHOLD, NY t� 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#: 45651 Date: 1/6/2021 Permission is hereby granted to: Nasary, Veronica 2905 Arbor Ln Mattituck, NY 11952 To: as built" electric panel & gate operation At premises located at: 2905 Arbor Ln, Mattituck SCTM # 473889 Sec/Block/Lot# 113.-7-25 Pursuant to application dated 1/6/2021 and approved by the Building Inspector. To expire on 7/8/2022. Fees: ELECTRIC $180.00 Zota $180.00 Building Inspector �o��oF so�ryQl 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 sean.devline-town.southold.ny.us Southold,NY 11971-0959 Q �yCOU(►!T` 1 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Veronica Nasary Address: 2905 Arbor Ln city:Mattituck st: NY zip: 11952 Building Permit#: 45651 Section: 113 Block: 7 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 Basement Service Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel X 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 11 Pump Other Equipment: 6 Circuit Sub Panel / 2 Used, Gat Motor Notes: Gate Wiring Inspector Signature: Date: September 7, 2022 S.Devlin-Cert Electrical Compliance Form �oy��OFSOUTHp� TOWN OF-SOUTHOLD BUILDING DEPT. courm, 765-1802 - INSPECTION [ ] FOUNDATION 1 ST [ ] 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: ��1'T 6�/ •r I�fFN�t/y Cl DATE INSPECTOR o BUILDING DEPARTMENT- Electrical inspector ectrnsp TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 ,y ^, Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 .+ rog rr .southoldtownny.gov seand(a��outholdtownny.gov . �.. APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (Au Information Required) - Date: Z A,-M& Company Name: Name: License No.: 3_ email: Ice l Address: Phone No.: 3 / _ Z 4... 6 - JOB SITE INFORMATION, (All Information Required) Address: GI �_ :� _� Cross Street: Ca. 3 Phone No.: Bldg.Permit#: 11 JA email: Tax Map District: 1000 Section: 1 Block: Loll BRIEF DESCRIPTION OF WORK (Please Print Clearly) � 1 _ _Y"n,-✓P" ..__ cZ ' _ter ��ze� 9-t/ Circle All That Apply: Is job ready for inspection?: YES / Rough In Final Do you need a Temp Certificate?: YES / 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 # Undergrou aterals 1 2 H Frame Pole Work done on Service? Y N Additi alanfme f JAN 5 2021 -1 - .PAYMENT_ E WITH APPLICATION - Request for`Inspecfibn Fo" /61� BUILDING DEPARTMENT- Electrical Inspector Gym TOWN OF SOUTHOLD o =` Town Hall Annex - 54375 Main Road - PO Box 1179 + n a ^* ' Southold, New York 11971-0959 y� �pN.`f Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(a-southoldtownny.gov — seand ccDsoutholdtownny.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 Required) Name: Address: k7L Cross Street: Phone No.: Bldg.Permit#: 4,g451 email: Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOT GE (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❑1 Ph❑3 Ph - Size: A # Meters Old Meter# ❑New Service❑Fire Reconnect[—]Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals D 1 2 R H Frame Pole Work done on Service? M Y N Additional Information: PAYMENT DUE WITH APPLICATION PERMIT # Address: Switches Outlets GFI's Surface Sconces H H's UC Lts Fans Fridge HW Exhaust Oven W/D Smokes DW : ' Mini Carbon Micro Generator Combo Cooktop Transfer AC AH Hood Service Amps Have Used Special: Comments (fL fir "