HomeMy WebLinkAbout48302-Z � g�FFOi��oGZ Town of Southold 12/2/2022
o P.O.Box 1179
53095 Main Rd
W�4% �ao�,' Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43639 Date: 12/2/2022
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 2080 Elijahs Ln,Mattituck
SCTM#: 473889 Sec/Block/Lot: 108.-3-5.15
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
1/1/1900 pursuant to which Building Permit No. 48302 dated 9/16/2022
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:
150 Amp underground electric service
The certificate is issued to Wickham,Jay&Cindy
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 48302 11/28/2022
PLUMBERS CERTIFICATION DATED
Authorized Signature
SUFFa" TOWN OF SOUTHOLD
BUILDING DEPARTMENT
� TOWN CLERK'S OFFICE
"o • �. SOUTHOLD, NY
a 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#: 48302 Date: 9/16/2022
Permission is hereby granted to:
Wickham, Jay
2080 Elijahs Ln
Mattituck, NY 11952
To: Electric Service replaces-42061
At premises located at:
2080 Elijahs Ln, Mattituck
SCTM #473889
Sec/Block/Lot# 108.-3-5.15
Pursuant to application dated 1/1/1900 and approved by the Building Inspector.
To expire on 3/17/2024.
Fees:
ELECTRIC $42.50
Total: $42.50
Building Inspector
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
ZL
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#: 42061 Date: 10/19/2017
Permission is hereby granted to:
Wickham, Jay
50 Park Ave
Mattituck, NY 11952
To: Electric Service
At premises located at:
2080 Elijahs Ln, Mattituck
SCTM # 473889
Sec/Block/Lot# 108.-3-5.15
Pursuant to application dated 10/19/2017 and approved by the Building Inspector.
To expire on 4/20/2019.
Fees:
ELECTRIC $85.00
Total: $85.00
Bui Spector
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 �Q sean.devlin(EL-)town.southold.ny.us
Southold,NY 11971-0959 Q�yCOU�s��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION -
Issued To: Jay Wickham
Address: 2080 Elijahs Ln city:Mattituck st: NY zip: 11952
Building Permit#: 48302 Section: 108 Block: 3 Lot: 5.15
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Elec Tec Inc License No: 4814ME
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 Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 150A 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 11 Pump
Other Equipment: 150 A Panel 30 Circuit/ 30 Used
Notes: Service
Inspector Signature: Date: November 28, 2022
S.Devlin-Cert Electrical Compliance Form
T
OF SOU yob ,- ��� ^1� I/ A'�+'F-"� ��; ',
# TOWN OF SOUTHOLD BUILDfND
G E .
�yco 631-765-1802
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:
DATE INSPECTOR r.
pF SOUIyo�
# # TOWN OF SOUTHOLD BUILDING DEPT.v
cou765-1802
NSECTIONP
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] 'INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY " [ -I FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION' [ ] FIRE RESISTANT PENETRATION-,
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ]CPRE C/O
REMARKS:
o / I to 1
DATE INSPECTOR
tl
* TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
j (FOUNDATION IST [ ] ROUGH PLBG_
] FOUNDATION 2ND [ ] INSULATION/CAULKING
j FRAMING/ STRAPPING [ ] FINAL
FIREPLACE & CHIMNEY ( ] FIRE SAFETY INSPECTION
] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ [ ELECTRICAL (FINAL)
j CODE VIOLATION ( ] PRE C/O
t
REMARKS: _ - .._._ - -- -
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54375 Main Road
P.O.Box 1179 G ro enrich ovimsou�fio .n .uS D
Southold,NY 11971-0959 y®
OCT 1 9 2017
9
BUILDING DEPARTMENTBUI DING DEPT.
TOWN
TOWN OF SOUTHOLD ®� ®trr���.�
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY.- r.--br-i Date: ! -
Company Name: �( �-
Name: ��<
License No:: ry�0 °wf
Address: c�� uO -
Phone No.:
JOBSITE INFORMATION: ('Indicatea required information)
-Name:= - -
*Address: ,`s Y-0 36tCvp
`Cross-Street: -
*Phone No.:
Permit No.:
Tax Map District: 1000 Section: Block:- Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
Cyy CC- C\,.r
(Please Circle All That Apply)- -
*Is job ready for inspection:. ! NO Rough In Final
*Do you need a Temp Certificate: YE 1 NO
Temp-Information (If needed} -
*Service Size: 1 Phase 3Phase 100 150 200 30Q 350- 40.0 Other
*New Service: Re-connect Underground Number of Meters Change of Service %Overhead
Additional Int n: PAYMENT DUE WITH'APPLICATION
� 9
82-Request for Inspection Form
L6 .
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Town Hall Annex aLon- (631)176-5-._54375 Main Roadc� 1)"7 ,P.O.Box 1179 Gro er.riche�rt ` .sou o n .us
Southold,NY 11971-0959 Y ti _
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OCT
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�4 O f I g CJ 1
BUILDING DEPARTMENT T® ' OF
��1 SGUI'I1D
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: S Date:
Company Name:
Name: �7m d!s 2a v-n
-License No.: 1-k ry L
Address: -
Phone No.: C ,
JOBSITE INFORMATION: (*Indicates required information)
*Name:- - °t
*Address: n-Y. q--
*Cross-Street:
*Phone No.:
Permit No.:
Tax Map District: 1000 Section:� Block: Lot:
*BRIEF DESCRIPTION OF WORK (Please-Print Clearly) e M
�C_C_Q( ce Cspn rn�
(Please Circle All That Apply)
*Is job ready for inspection: 1 NO Rough In Final
*Do you need a Temp Certificate: YE / NO
Temp-Information (if needed} -
*Service Size: 1 Phase 3Phase 100 150 200 300E 3§0 400 Other
*New Service: Re-connect Underground Number of Meters Change of Service Overhead
Additional lnll it 1 jfbn: \� PAYMENT DUE WITH APPLICATION
/V/lj \ 4
82-Request for Inspection Form
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PERMIT # Address:
Switches
Outlets
G FI'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
cps Have Use
Special:
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