HomeMy WebLinkAbout47639-Z �SUF a�L��.
0 CpGy� Town of Southold 9/28/2022
P.O.Box 1179
W 53095 Main Rd
Southold,New York 11971
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CERTIFICATE OF OCCUPANCY
No: 43434 Date: 9/24/2022
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 1470 Central Dr,Mattituck
SCTM#: 473889 Sec/Block/Lot: 106.-2-12
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
4/2/2022 pursuant to which Building Permit No. 47639 dated 4/2/2022
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"200 amp electric service.
The certificate is issued to Lang,William&Rita
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 47639 9/7/2022
PLUMBERS CERTIFICATION DATED
Authorized Signature
oSUEFoc c TOWN OF SOUTHOLD
BUILDING DEPARTMENT
z 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#: 47639 Date: 4/2/2022
Permission is hereby granted to:
Lang , William
1470 Central Dr
Mattituck, NY 11952
To: electric service upgrade
At premises located at:
1470 Central Dr, Lang
SCTM #473889
Sec/Block/Lot# 106.-2-12
Pursuant to application dated 4/2/2022 and approved by the Building Inspector.
To expire on 10/2/2023.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 Q sean.devlinCaD-town.southold.ny.us
Southold,NY 11971-0959 Q
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: William Lang
Address: 1470 Central Dr city:Mattituck st: NY zip: 11952
Building Permit#: 47639 Section: 106 Block: 2 Lot: 12
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Element Energy License No: 52689ME
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 X 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:
Notes: "AS BUILT NO VISUAL DEFECTS " Service
Inspector Signature: Date:
September 7, 2022
S.Devlin-Cert Electrical Compliance Form
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# # TOWN OF SOUTHOLD BUILDING DEPT.
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NSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
•] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[
-] -ELECTRICAL (ROUGH) j�y ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
DATE ZZ INSPECTOR `
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F BUILDING DEPARTMENT-Electric�i e Ct
R 4 2022
TOWN OF SOUTHOLD
ca Town Hall Annex- 54375 Main Road - PO Box 1179
Southold, New York 11971-0959 T..,ID,F,P D E 1;DT.
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Telephone (631) 765-1802 - FAX (631)
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APPLIC A-T-10NIOR.IELECTRIC AL INSPECTION
ELECTRICIAN INFORMATION (All information Required) Date,
Company Name:
Electrician's Name:
License No.: Ste. jots Elec. email*:
Elec. Phone No: request a—n email copy of Certificate of Compliance
Elec. Address.: r
JOB SITE INFORMATION (AJI Information Required)
Name:
Address: Z'476, fd�
Cross Street:' -W
Phone No.:.
Bldg.Permit
email:
Tax Mpg District: 1000 Section: di;c).(7 Lot: 0/,;2
Block:
BRIEF DESCRIPTION OF WORK,INCI.,.UDE SQUARE FOOTAGE(Pldaite--Print Clead--
y):
V/ 1,-r SIZ, � .. --$Iuare Footage:
Circle . - -
J_
All That Apply:
-
Is job ready for inspection?: YESX] NO Rough In Final
Do you need a Temp Certificate?: YES NO Issued On
Temp Information: (AJI information required)
Service Size M1 Ph03 Ph Size: A #Meters Old Meter#
New ServiceE]Fire Reconnect[]Flood Reconnect E]Service Reconnect Ounderground 0Overhead
01u,nootgrouno Lateralsn., ng Pole Work done on Service?rl.,H Frame 'F 1Y R-
TJ ice?
AdOW048lil"Information:
5- 7V 2,00 3-wvfc,-
:PAYMENT DUE-WITH APPLICATION
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