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
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�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