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Home My WebLink About47562-Z Town of Southold 11/16/2022 a P.O.Box 1179 o • 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43600 Date: 11/16/2022 THIS CERTIFIES that the building ELECTRICAL Location of Property: 6900 Wickham Ave.,Mattituck SCTM#: 473889 Sec/Block/Lot: 107.-10-10.3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/17/2022 pursuant to which Building Permit No. 47562 dated 3/17/2022 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: 400A underground electric service. The certificate is issued to MCB 6900 LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47562 11/10/2022 PLUMBERS CERTIFICATION DATED Authorized Signature TOWN OF SOUTHOLD �O�g�FfQ1 0 , BUILDING DEPARTMENT a TOWN CLERK'S OFFICE 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 #: 47562 Date: 3/17/2022 Permission is hereby granted to: MCB 6900 LLC 675 Halls Creek Dr Mattituck, NY 11952 To: 400A underground electric service. At premises located at: 6900 Wickham Ave., Mattituck SCTM # 473889 Sec/Block/Lot# 107.-10-10.3 Pursuant to application dated 3/17/2022 and approved by the Building Inspector. To expire on 9/16/2023. Fees: ELECTRIC $85.00 Total: $85.00 Building Inspector �o'*pF SOUlypl 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 • sean.devlinO—town.southold.ny.us Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: MCB 6900 LLC Address: 690 Wickham Ave city:Mattituck st: NY zip: 11952 Building Permit* 47562 Section: 107 Block: 10 Lot: 10.3 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: GJS Electric License No: . 4839ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service X Commerical Outdoor X 1 st Floor Pool New X Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph X Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel 200X2 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 400A Switches 4'LED Exit Fixtures Pump Other Equipment: Notes: New 400A 3Phase Service Date: November 10, 2022 Inspector Signature: S.Devlin-Cert Electrical Compliance Form Gyp BUILDING DEPARTMENT-Electrical Inspector N a TOWN OF SOUTHOLD o- �� Town Hall Annex-54375 Main Road-PO Box 1179-Southol;d, NY 11971-0959 Telephone (631)765-1802 Temporary Certificate # S Date Ll 7 2022 Customer Name L LG Electrician Name r AddressWickj�awQ / CY Phone ro 2q qS 1-fS e-mail e-mail 0jcq1V , C0 Phone License# 96-31174 Size H00 A Phase Overhead Underground #of Meters Remarks #of Underground Laterals 1 2 New "H" Frame or Pole P Fire Reconnect Was work done on Service? Y/N Flood Reconnect Old Meter#F 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 v 0 days fr m the date above. Authorized by SUFFA( a 1 ING DEPARTMENT-Electrical Inspector O`o � 9l TOWN OF SOUTHOLD o� BAR 1 ��Town Hall Annexo 4375 Main Road - PO Box 1179 co oy,r • �� 0 �OF S UTNO�D Southold, New York 11971-0959 . ao Telephone (631) 765-1802 - FAX (631) 765-9502 rogerlD-southoldtownny.4ov- seand(aD-southoldtownny.aov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 3- a� Company Name: GJS Electric, LLC Electrician's Name: Gary Salice License No.: 4839ME Elec. email:gary@nfay.com Elec. Phone No: 631-298-4545 01 request an email copy of Certificate of Compliance Elec. Address.: 6615 Main Rd., Mattituck, NY 11952 JOB SITE INFORMATION (All Information Required) Name: MCB (o ob L1-C- Address: p a_ Cross Street: - a n-e- Phone No.: Bldg.Permit#: email: Tax Map District: 1000 Section: /61 Block: f p Lot: 10- 3 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): 1 660 44vr SVC . -- - Square Footage: Circle All That Apply: Is job ready for inspection?: ElYESRNO ❑Rough In ❑ Final Do you need a Temp Certificate?: YES❑NO Issued On Temp Information: (All information required) i Service Size❑1 Ph�Ph Size: yO A #Meters ( Old Meter# ❑New Service❑Fire Reconnect[—]Flood Reconnect�R$ervice Reconnectl2Gnderground❑Overhead # Underground Laterals 1 2 Frame Pole Work done on Service? XY DN Additional Information: PAYMENT DUE WITH APPLICATION .�� `tP ��: 0 `Deal . . nuc; jBUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town HallAnnex - 54375 Main Road - PO Box 1179 3;;�L 1^3,.,c L �. , Southold, New York 11971-0959 r Telephone (631) 765-1802 - FAX (631) 765-9502 _ rogerr(@,southoldtownny.gov - seand(a southoldtownny.aov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 3 Company Name: GJS Electric, LLC Electrician's Name: Gary Salice License No.: 4839ME Elec. email:gary@nfay.com Elec. Phone No: 631-298-4545 D I request an email copy of Certificate of Compliance Elec. Address.: 661,5 Main Rd., Mattituck, NY 11952 JOS SITE INFORMATION (All Information Required) Name: i'116 (-/c,CD c� Address: i6i - , Ale Cross Street: Phone No.: Bldg.Permit#: email: Tax Map District: 1000 Section: 16-7 Block: 0® Lot: 10^ 3 BRIEF DESCRIPTION,OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): s Square Footage: Circle All That Apply: Is job ready for inspection?: ❑ YES2NO 0 Rough In ❑ Final Do you need a Temp Certificate?: e'S' YES❑ NO "issued' On Temp Information: (All information required) Service Size❑1 Ph& Ph Size: �-r0A #Meters Old Meter# ❑New Service❑Fire Reconnect[]Flood Reconnect D�ervice ReconnectUOnderground[]Overhead # Underground Laterals 1 2 Frame Pole Work done on Service? Y DN Additional Information: PAYMENT DUE WITH APPLICATION PERMIT# Address: Switches Outlets G FI's Surface Sconces H H's UC Lts Fans Fridge HW Exhaust Oven Dryer Smokes DW Service Carbon Micro Generator Combo Cooktop Transfer AC AH Mini Special: Comments ' '\