HomeMy WebLinkAbout49114-Z ao�Og1�FF0IKlpGys Town of Southold 4/22/2023
P.O.Box 1179
N 53095 Main Rd
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y'�j4 ao� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 44048 Date: 4/22/2023
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 715 Sound Ave,Mattituck
SCTM#: 473889 Sec/Block/Lot: 120.-1-4
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
3/10/2017 pursuant to which Building Permit No. 49114 dated 4/12/2023
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 underground electric service.
The certificate is issued to Harbes Family Mattituck LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 41410 4/10/2023
PLUMBERS CERTIFICATION DATED
Authorized Si tore
,�SUFFa TOWN OF SOUTHOLD
�a BUILDING DEPARTMENT
C4 2 ' TOWN CLERK'S OFFICE
"oy • o� 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#: 49114 Date: 4/12/2023
Permission is hereby granted to:
Harbes Family Mattituck LLC
PO BOX 1524
Mattituck, NY 11952
To: New Electric Service.
Replaces BP #41410.
At premises located at:
715 Sound Ave, Mattituck
SCTM.#473889
Sec/Block/Lot# 120.-1-4
Pursuant to application dated 4/12/2023 and approved by the Building Inspector.
To expire on 10/11/2024.
Fees:
PERMIT RENEWAL $42.50
Total: $42.50
r
Building Inspector
2*":,* TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y z 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#: 41410 Date: 3/10/2017
Permission is hereby granted to:
Harbes Family Mattituck LLC
PO BOX 1524
Mattituck, NY 11952
To: New Electric Service
At premises located at:
715 Sound Ave, Mattituck
SCTM # 473889
Sec/Block/Lot# 120.-1-4
Pursuant to application dated 3/10/2017 and approved by the Building Inspector.
To expire on 9/9/2018.
Fees:
ELECTRIC $85.00
Total: $85.00
Bul laiWinspector
pF SO�Tyolo
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 �Q sean.deviin(aD-town.southold.ny.us
Southold,NY 11971-0959 Q
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Harbes Family Mattituck LLC
Address: 715 Sound Ave city:Mattituck st: NY zip: 11952
Building Permit#: 41410 section: 120 Block: 1 Lot: 4
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: DAK Electric License No:
SITE DETAILS
Office Use Only
Residential Indoor X Basement Service X
Commerical X Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph X Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures Smoke Detectors
Main Panel 200A A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors
Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO
Transfer Switch LIC Lights Dryer Recpt Emergency Strobe Heat Detectors
Disconnect Switches 4'LED Exit Fixtures Sump Pump
Other Equipment: 200A Panel 42 Circuit/ 13 Used
Notes: AS BUILT NO VISUAL DEFECTS " Service
Inspector Signature: Date: April 10, 2023
S.Devlin-Cert Electrical Compliance Form
OF soOIyO� L41 l 10 4w
# # TOWN OF SOUTHOLD BUILDING DEPT.
cou631-765-1802
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) NA ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS: icr
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DATE 010
/S-27 INSPECTOR f000l
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Town Hall Annex �ti
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54375 Ma Road D
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P.O.Box 1179 �. ro er.riche wn_sout�io`�d.n .us i
Southold,NY 11971-0959 O� • YO MAO 1 0 2017 '
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BUILDING DEPARTMENT TOWN OF SOUTHOLD
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date: '
`3 l0 1-7
Company Name: '!-, C,-�-r`i C,
Name: l t=
License No.:
Address: 00 1,05-0
w `�P�
-Phone-No.: 3 e 4
JOBSITE WFORMATIO1N:- (Indicates required information)
*Nam: �� C� `rC�f'V✓L 1�
*Addrdss: 15 $ 0 V h. A-kd 'e-
*Cross Street: {�� v}�, L�
*Phone No_:
Permit No.:
Tax-Map District: • 100Section: o Block:�_ Lot: r
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
(Please Circle All That Apply)
Is job ready for inspection: YES/ NO. Rough In Final
*Do-you need a Temp Certificate: NO
Temp Information-(ff nee d)
*Service Size: Pha 3Phase 150 900 0 300 350 400 Other
- ih r
*New Service: Re-.connect ndergroun 1 Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
f l I D GtNf• �o @ . — `r-C U!'1, - e Mu ed 3-1010
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.82=f2-equest for Inspection Form
5114