HomeMy WebLinkAbout49115-Z �O�Qg�EF01 � Town of Southold 4/22/2023
a P.O.Box 1179
o ` JIM 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 44049 Date: 4/22/2023
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
4/23/2018 pursuant to which Building Permit No. 49115 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:
electric service upgrade.
The certificate is issued to Harbes May D Trust#1
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 42598 4/10/2023
PLUMBERS CERTIFICATION DATED
Au or ed i ature
FQtKTOWN OF SOUTHOLD
gUfcoy
moo BUILDING DEPARTMENT
C* z TOWN CLERK'S OFFICE
"o • g 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#: 49115 Date: 4/12/2023
Permission is hereby granted to:
Harbes May D Trust#1
PO BOX 1524
Mattituck, NY 11952
To: Electric Service Upgrade.
Replaces BP #42598.
At premises located at:
555 Sound Ave, Mattituck
SCTM # 473889
Sec/Block/Lot# 120.-1-3
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
1
Building Inspector
o 044 TOWN OF SOUTHOLD
�y BUILDING DEPARTMENT
y TOWN CLERK'S OFFICE
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#: 42598 Date: 4/23/2018
Permission is hereby granted to:
Harbes May D Trust#1
PO BOX 1524
Mattituck, NY 11952
To: Electric Service Upgrade
At premises located at:
555 Sound Ave, Mattituck
SCTM # 473889
Sec/Block/Lot# 120.-1-3
Pursuant to application dated 4/23/2018 and approved by the Building Inspector.
To expire on 10/23/2019.
Fees:
ELECTRIC $125.00
Total: $125.00
Bui nspector
pF SOUTyOIo
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 �Q sean.devlin(Qtown.southold.ny.us
Southold,NY 11971-0959 Q�yCDUNTV,��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Harbes May D Trust#1
Address: 555 Sound Ave city:Mattituck st: NY zip: 11952
Building Permit#: 42598 Section: 120 Block: 1 Lot: 3
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 Heat Duplec Recpt 1 Ceiling Fixtures Bath Exhaust Fan
Service 3 ph X Hot Water GFCI Recpt 3 Wall Fixtures Smoke Detectors
Main Panel 200X2 A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors
Sub Panel 100X1 A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO
Transfer Switch UC Lights Dryer Recpt Emergency StrobeHeat Detectors
Disconnect Switches 4'LED Exit Fixtures Sump Pump
Other Equipment: 3 Phase 3 Meterbank, 2 200A panels 42 Circuits / 16 Used, 1 100A Panel
30 Circuits / 13 Used
Notes: AS BUILT NO BVISUAL DEFECTS " Service
Inspector Signature: Date: April 10, 2023
S.Devlin-Cert Electrical Compliance Form
so Ave
h0
* * 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) ELECTRICAL (FINAL)
[ ] CODE VIOLATION ] PRE C/O [ ] RENTAL
REMARKS: &- actt �
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DATE G 2 INSPECTOR
2 /Vi,
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L Cor C, vJ� '
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���Of sOUry��
Town Hall Annex 1r Telephone(631)765-1802
54375 M;Cln Road !
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P.O.Box 1179 ro erricher-t
Southold,IVY 11971-0959
APR 202018
BUILDING DEPARTMENT i
TOWN OF SOUTFfOLD !!�
APPLICATION FOR ELECTRICAL INSPECTION TOWN oFSOUTgOLD I
REQUESTED BY: Date:
Company Name:
Name:
License.No.: S`zV M
Address: ' -F0 0 D U
Phone.No.. (Zr
JOBSITE INFORMATION: (*Indibates required information)
*Name: I\./ Ca el f/Vl
*Addr bss:
*Cross Street:
*Phone No_: 3 7 ct 8 0 700
Permit No.:
Tax-Map District: 1000 Section: Block: Lot:.
*BRIEF DESCRIPTION OF WORK(Please Print Clearly) `
(Please Circle All That Apply)
Is job ready for inspection: / NO Rough In Final
*Do-you need a Temp Certificate:
&/ NO
Temp Information.(if needed)
*Service Size: 1 Phase CVhasP100 150 200 300 350 400 Other _
*New Service: Re-connect Underground Number of Meters hange of Service Overhead '
Additional Information: PAYMENT DUE WITH APPLICATION n
gl71
.82-Request for Inspection Form