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HomeMy WebLinkAbout46628-Z �11fFUli� ` Town of Southold 12/20/2022 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE-OF OCCUPANCY No: 43692 Date: 12/15/2022 THIS CERTIFIES that the building ELECTRICAL Location of Property: 1625 Naugles.Dr.,Mattituck SCTM#: 473889 Sec/Block/Lot: 99.4-18 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/28/2021 pursuant to which Building Permit No. 46628 dated 7/28/2021 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 wiring for non-habitable cottage#1. The certificate is issued to 622 Church Ln LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 46628 9/16/2021 PLUMBERS CERTIFICATION DATED Au 0ri ed ig ature rY` TOWN OF SOUTHOLD �o��QfFUIk y BUILDING DEPARTMENT co 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#: 46628 Date: 7/28/2021 Permission is hereby granted to: 2 Peconic Rd LLC c/o Lupovici 225 Fifth Ave Apt 9J New York, NY 10010 To: Cottage #1 - Electric wiring and baseboards. At premises located at: 1625 Naugles Dr., Mattituck SCTM # 473889 Sec/Block/Lot# 99.-4-18 Pursuant to application dated 7/28/2021 and approved by the Building Inspector. To expire on 1/27/2023. Fees: ELECTRIC $180.00 Total: $180.00 Building Inspector Town Hall Anne " fr' ( 7' Annex - `r Telephone(631)765-1802 54375 Main Road z-,' Fax(63 1)765-9502 ., P.O.Box 1179 '�� `'=' ''� `I I q-" ~�; ;1P'-' sean.devlin(cD-town.southold.nv.us Southold,NY 11971-0959 '*,,Ta` 'IY�i`17I1I` Ill�,i qq ('�• BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: 2 Peconic Rd LLC Address: 1625 Naugles Dr Cottage # 1 city,Mattituck st: NY zip: 11952 Building Permit#: 46628 Section: 99 Block: 4 Lot: 1$ 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 Service X Commerical Outdoor X 1st Floor X Pool New Renovation 2nd Floor X Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph X Heat Duplec Recpt 5 Ceiling Fixtures 4 Bath Exhaust Fan Service 3 ph Hot Water Elec. GFCI Recpt 2 Wall Fixtures 2 Smoke Detectors 1 Main Panel 200A A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower Range Recpt Elec. Ceiling Fan Combo Smoke/CO 1 Transformer UC Lights Dryer Recpt Emergency FixturesTime Clocks Disconnect Switches 4 4'LED Exit Fixtures Pump Other Equipment: Fridge, Elec. Oven, 200A Panel 30 Circuit/7 Used Notes: " AS BUILT NO VISUAL DEFECTS " Inspector Signature: Date: September 16, 2021 S.Devlin-Cert Electrical Compliance Form o��OE SOUTyO L4 6&96 # TOWN OF SOUTHOLD BUILDING DEPT. 765-1$02 INSPECTION [ ] FOUNDATION 1ST j ] -ROUGH PL13G. [ ]--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: DATE INSPECTOR of SOUT�ayo ✓ (,F� �0 � * TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE'SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [\/I\ ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: soil f s "Ile T—GAeOrke 40t t DATE INSPECTOR IL 130!p�OS.fFl1t, JUL 2 6 2021 l DING DEPARTMENT-Electrical Inspector TOWN OF jSOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 'z U[t .D0 Southold, New York 11971-0959 Telepflone (631) 765-1802 - FAX (631) 765-9502 1 ' rogerr(cDsoutholdtownny.aov —seand(&_southoldtownnygov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: `7, If Z I Company Name: Name: License No.: email: Phone No: DI request an email copy of Certificate of Compliance Address.: JOB SITE INFORMATION (All Information Required) cs�w�• Name: C? eeco►1('C'P45,08 zz � LSC Address: Cross Street: Phone No.: Bldg.Permit#: (oa email:_pcM Tax Map District: 1000 Section:/ Block: t4r . Lot: BRIEF DESCRIPTION OF WORK (Please Print Clearly) �D1 GE Wf 1 m _L4V n o 10aA_fr-QS Check All That Apply: Is job ready for inspection?: DYES D NO [:]Rough In ❑Final Do.you need a Temp Certificate?: DYES [:]No Issued On; Temp Information: (All information required_ ) Service Size 01 Ph 03 Ph- Size: A -#Meters Old Meter# Ne" Service . E]Service Reconnect [] Underground 0Overhead #.Underground Laterals 01 []2 ❑H Frame OPole Work done on Service? Ely ❑N Additional Information: PAYMENT DUE WITH APPLICATION ��o Electrical Inspection Form 2020.xlsx ` \ PERMIT# Address: Switches Outlets GFI's I Surface Sconces H H's UC L#s Fans Fridge HWJ ( P/ Exhaust 10ven W/D 5:mokes. V1W . IVlini,::- ;:..: ., _IVlicro.:.: :. .. ... .. : ..:. ,::.. ::=; `:.: •:,';Gerie:rator ComboCooktop.. Trarisfer ACqH : Hood Service Amps. Mave > :_Used:. Special: '0'l H _ Corhments:.. L �cwf111x419, f BUILDING DEPARTMENT- Electrical Inspector �� L 2 � TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 CIO o sSouthold, New York 11971-0959 70Y�j Telephone (631) 765-1802 - FAX (631) 765-9502 rogerrO-southoldtownny.gov-seandO-southoldtownny gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (AII Information Required) Date: y. lrZ I Company Name: Name: License No.: �erriail: Phone No: ❑I request an email copy of Certificate of Compliance Address.: JOB SITE INFORMATION (AII Information Required) amu_ ��'"" Name: ZZ Chu(& ru LZG Address: (-(, — • �5� Cross Street: Phone No.: ¢i Bldg.Permit M q (ooh email: s•Ca Tax Map District: 1000 Section: c Block: Lot: BRIEF DESCRIPTION OF WORK (Please Print Clearly) t c ns s hive nu(�rx�,a-rQs Check All That Apply: Is job ready for inspection?: [-]YES ❑NO [-]Rough In OFinal 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 ❑ Service Reconnect ❑ Underground []overhead # Underground Laterals ❑1 ❑2 ❑H Frame❑Pole Work done on Service? ❑Y ❑N Additional Information: PAYMENT DUE WITH APPLICATION Electrical Inspection Form 2020.xlsx �/