HomeMy WebLinkAbout40256-Z �Qg�EEOiK�ort Town of Southold 4/17/2023
P.O.Box 1179
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53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 44026 Date: 4/17/2023
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 555 Sound Ave,Mattituck
SCTM#: 473889 Sec/Block/Lot: 120.4-3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
11/10/2015 pursuant to which Building Permit No. 40256 dated 11/10/2015
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:
200a electric service to accessory barn.
The certificate is issued to Harbes May D Trust#I
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of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 40256 11/10/2015
PLUMBERS CERTIFICATION DATED
Authorized 81irrature
T TOWN OF SOUTHOLD
a�S�FFo���p BUILDING DEPARTMENT
y x TOWN CLERK'S OFFICE
�Vo 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 #: 40256 Date: 11/10/2015
Permission is hereby granted to:
Harbes May D Trust#1
PO BOX 1524
Mattituck, NY 11952
To 200a electric service to accessory barn
At premises located at:
555 Sound Ave, Mattituck
SCTM # 473889
Sec/Block/Lot# 120.-1-3
Pursuant to application dated 11/10/2015 and approved by the Building Inspector.
To expire on 5/11/2017.
Fees:
ELECTRIC $100.00
Total: $100.00
Building Inspector
SO(/l�ol
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 iQ roger.riche rKED-town.southoId.ny.us
Southold,NY 11971-0959
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Harbes Farm
Address: 555 Sound Avenue City: Mattituck St: New York Zip: 11952
Building Permit#: 40256 Section: 120 Block: 1 Lot: 3
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Piscatelli License No: 5120-E
SITE DETAILS
Office Use Only
Residential Indoor Basement Service Only X
Commerical X Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph 200A Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect 20 AA Switches Twist Lock Exit Fixtures TVSS
Other Equipment: 200A 3-Phase Overhead Service
Notes:
Inspector Signature: Date: November 10, 2015
Electrical 81 Compliance Form.xls
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
vi ax(6s i)765- 5Q2
P_O. sox 1179 roger.richert(7a`dfown.souff c)d-w.us
Southold,NY 11971-0959 Q ��
BUILDING DEP RT V ENT
TOWN OF SOU.THOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: ` ,�� tJ C( -� 1( Date:
i
100mpany Name:
i
Name:
License No.: 's ` 2
Address: r e( `W-1 G -H- 1 -(u C I
Phone-No.:
JOBSITE INFORIVIATI'ON: (*Ind=icates required information) J
*Nance: 1
*Address: _ J .e
*Cross Street:
*Phone No_: Q110 0 I
Permit No.:
Tax-Map District: 1000 Section:-12wo_ Block: Lot
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
(Please Circle All That Apply)
*Is jots ready for inspection: YES/ NO. Rough in Final
*Do-you need a Temp Certificate: YES/ NO
Temp Information(If needed
*Service Size: 1 Phase 3Phase 100 150 C20JO 300 350 400 Other I .
*New Service: Re-connect Underground [dumber of Meters Change of Servic Overfi '
Additional Int tion:/ PAYMENT DUE WITH APPLICATION
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.82=Request for Inspection Form 76/)
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