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HomeMy WebLinkAbout48383-Z �o�S�FFrrQ o Town of Southold 2/27/2023 o � P.O. Box 1179 co 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43 870 Date: 2/27/2023 THIS CERTIFIES that the building ELECTRICAL Location of Property: 780 Deep Hole Dr,Mattituck SCTM#: 473889 Sec/Block/Lot: 115.42-11 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/7/2022 pursuant to which Building Permit No. 48383 dated 10/7/2022 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: 200 amp underground electric service. The certificate is issued to Burke,Thomas&Kathleen of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 48383 2/8/2023 PLUMBERS CERTIFICATION DATED Au orized Signature ��SUF v TOWN OF SOUTHOLD aye BUILDING DEPARTMENT x TOWN CLERK'S OFFICE o ,n SOUTHOLD, NY y,�/pl .dap ijf �f 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#: 48383 Date: 10/7/2022 Permission is hereby granted to: Burke, Thomas 780 Deep Hole Dr Mattituck, NY 11952 To: 400 AMP 2 meter service upgrade At premises located at: 780 Deep Hole Dr, Mattituck SCTM # 473889 Sec/Block/Lot# 115.-12-11 Pursuant to application dated 10/7/2022 and approved by the Building Inspector. To expire on 417/2024. Fees: ELECTRIC $85.00 Total: $85.00 Building Inspector OF SO!/jyQlo Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 a� sean.devlin(aD_town.Southold.ny.us Southold,NY 11971-0959 'Q BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Thomas Burke Address: 780 Deep Hole Dr city:Mattituck st: NY zip: 11952 Building Permit#: 48383 Section: 115 Block: 12 Lot: 11 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: Platinum East Electric License No: 34091 ME SITE DETAILS Office Use Only Residential X Indoor Basement Service X Commerical Outdoor 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 A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors Disconnect Switches 4'LED Exit Fixtures 11 Sump Pump Other Equipment: 200A Panel 42 Circuits / 35 Used Notes: Service Inspector Signature: Date. February 8, 2023 bo S.Devlin-Cert Electrical Compliance Form ho�aq4F SOGTyO� pea �t' f TOWN OF SOUTHOLD BUILDING DEPT. uNr+,N�' 631-765-1802 f 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) LECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: DATE INSPECTOR ` gt: di * � BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD CD Town Hall Annex- 54375 Main Road - PO Box 1179 Southol&, New York 11971-0959 *4 ,q'� Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(&-southoldtownny.gov- sea nd0-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) JDate: 10--6•-2, Company Name: P A crc 1 AJC . Electrician's Name: K 7-+- License No.: MLS- 3 y091 Elec. email: ihvM eaSk I • yAhcwOAIA Elec. Phone No: (5,31- &E fty request An email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (Ail information Required) Name: t1 ZZ 0 4,V-e Address: '- oC D(,-' V(;" 4,tAA4 OC( Cross Street: Phone No.: - BIdg.Permit#: 493 email: vel 4S- �. .cd Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (P 'nt Clearly): r.�Op SMA ho't'IL St''nV(C�'� Q� Square ootage: Circle All That Apply: Is job ready for inspection?- YES&0 F�Rough In Final Do you need a Temp Certificate?: YES❑ NO Issued On Jo I& l�7-7_ & gLI Cf Temp Information: (All information required) Service SizeMl Ph❑3 Ph Size: 06 A # Meters C9, Old Meter#193 0 2,4 Of3 New Service[]Fire ReconnectOFlood Reconnect Nervice Reconnectnderground DOverhead #Underground Laterals 1 2 7 H Frame Poie Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION 'Vec'+- 10-2-8(,0 llnsp . (0 122 iliice..SMiiiiiiiiiiiiiS=iiiiii �o�oSUFFoc,��o Gy�c BUILDING DEPARTMENT-Electrical Inspector CO = TOWN OF SOUTHOLD oy �� Town Hall Annex-54375 Main Road-PO Box 1179-Southol;d, NY 11971-0959 Telephone (631) 765-1802 n Temporary Certificate # 33 Dated 2022 Customer Name Tur2 Electrician Name Address-7p)() Phone 04 7&6— e-mail e-mail Phone (D3 —a55 — f 5 License 4 ME -- 3 D Size Lf UO A Phase I Overhead Underground X _ #of Meters oZ Remarks #of Underground Laterals 1 2 New X "H" Frame or Pole H P Fire Reconnect Was work done on Service? Y N Flood Reconnect Old Meter# �)6 d,(q03 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. Thi rification is valid for 90 a s f m the date above. r Authorized by SUirf�� � BUILDING DEPARTMENT- Electrical Inspector t TOWN OF SOUTHOLD - Town Hail Annex-54375 Main Road -PO Box 1179 Southol", ew York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(a-southoldtownny.ggv- seandO-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (Ail Information Required) Date: Company Name: P A cer— �Ut . Electrician's Name: Kc m-1- License No.: eft; - 3 Voll Elec. email: lqvm eccsf YA 1100, oAn Elec. Phone No: x.31- &E 9 Va V request 6n email copy of Cer0ca a of Compliance Elec. Address.: JOB SITE INFORMATION (Ail Information Required) Name: M 9,'1 4-r-' e'ICS, Address: - 0 C C-P 40C IL L7r I Vii-. t Cross Street: Phone No.: j—A T �— � BIdg.Permit#: .mA-__r i-� 493email: ,� "{ co Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (P 'nt Clearly): y A MP C2 P10VL- 5&1 tic(C ��, 6kA �'� Square ootage: Circle All That Apply: Is job ready for inspection?: YES&0 F�Rough In 0 Final Do you need a Temp Certificate?: YES 0 NO Issued On lo Temp Information: (AII information required) Service Sizeal Ph 73 Ph Size: v6 A # Meters ( _ Old Meter#I e3 0 03 New Service[]Fire Reconnect[]Flood Reconnect Nervice Reconnect underground DOverhead #Underground Laterals i 2 7 H Frame Pole Work done on Se-rvice? Y VN Additional Information: PAYMENT DUE WITH APPLICATIONe e rc 1028 4,0 IF—Cec [ K1; icl-11Z2