HomeMy WebLinkAbout49149-Z su�Foc,���r
�o�o coGy Town of Southold 6/2/2023
P.O.Box 1179
y 53095 Main Rd
oy oar Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 44148 Date: 6/2/2023
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 725 Central Dr,Mattituck
SCTM#: 473889 Sec/Block/Lot: 106.-2-24
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
4/19/2023 pursuant to which Building Permit No. 49149 dated 4/21/2023
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 overehead electric service upgrade.
The certificate is issued to O'Reilly,Philip&Mary
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 49149 4/28/2023
PLUMBERS CERTIFICATION DATED
Authorized Signa e
o�SEF to k TOWN OF SOUTHOLD
Gyp BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
o �
RN,
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#: 49149 Date: 4/21/2023
Permission is hereby granted to:
O'Reilly, Philip
75 Magnolia Ave
Floral Park, NY 11001
To: 200A service upgrade.
At premises located at:
725 Central Dr, Mattituck
SCTM #473889
Sec/Block/Lot# 106.-2-24
Pursuant to application dated 4/19/2023 and approved by the Building Inspector.
To expire on 10/20/2024.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
SO(/TyQI .
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road
.P.O.Box 1179 sean.devlinCaD-town.southold.ny.us
Southold,NY 11971-0959 QIyCOU
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Philip O'Reilly
Address: 725 Central Dr city:Mattituck st: NY zip: 11952
Building Permit#: 49149 Section: 106 Block: 2 Lot: 24
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: License No:
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service X
Commerical Outdoor X 1st Floor Pool
New X Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph X Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt 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 UC Lights Dryer Recpt Emergency Strobe Heat Detectors
Disconnect Switches 4'LED Exit Fixtures Sump Pump
Other Equipment: 200A Panel 40 Circuit/23 Used
Notes: Service
Inspector Signature: r Date: April 28, 2023
S.Devlin-Cert Electrical Compliance Form
pE SOUTho�
* # TOWN OF SOUTHOLD BUILDING DEPT.
°ycou631-765-1802
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:
DATE INSPECTOR
11b FOL,tC
pGy� BUILDING DEPARTMENT-Electrical Inspector
< TOWN OF SOUTHOLD
Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959
Telephone(631)765-1802
Temporary Certificate # 1 qs6- Date
Customer Name Ml So a I J Electrician Name ka r ZZ ) eG t"C
Address -IQ,5 O erffr-a,l Ifl r cz �1.t� Phone
e-mail e-mail o l;nea
Phone License#
Size q0t) A Phase I Overhead�_Underground #of Meters
Remarks ci" t
#of Underground Laterals 1 2 New
"H" Frame or Pole H P Fire Reconnect
Was work done on Service? Y/N Flood Reconnect
Old Meter# 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.
This verification is valid 0 days ro a Bove.
Authorized by '
L S F G BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
�` sa
a Town Hall Annex - 54375.Main Road - PO Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
01
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rogerr(cDsoutholdtownny.gov – seand(absoutholdtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORM TION! (All Information Required) Date: ���" 3
an
P Y Name:
Com ��d
Electrician's Name: �zz•°�.` J�.
License No.: 33�j°0—/''4 C' Elec. email: •2 �ofCertificate
eElec. Phone No:(� )) -)- ,4. alclea ❑I request an email co of Compliance
Elec. Address.: n, ✓ ` Lsl
JOB SITE INFORMATION (All Information Required)
Name:
All
Address:
Cross Street:
Phone No.:
Bldg.Permit #: "All 141 email-
Tax Map District: 1000 Section: 10 (a Block- Lot: �
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
r eci- ) �-`
Square Footage:
Circle All That Apply:
Is job ready for inspection?- YES ❑ NO RoughIn ❑ Final
Do you need a Temp Certificate?: YES ❑ NO Issued On
Ternp Information: (All information required)
Service Size 1 Ph❑3 Ph Size: �_A # Meters Old Meter#
Service Size P P h
El New Service❑ Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Undergroun40verhead
n I-1 . . r—�
# Underground Laterals 1 2 Frame Pole Work done on Service! Y N
Additional Information:
C
PAYMENT DUE WITH APPLICATION
APR 19
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BUILDING DEPARTMENT- Electrical Inspector
00 - TOWN OF SOUTHOLD
j Town Hall Annex - 54375 Main Road - PO Box 1179
`n Southold;-New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerrCosoutholdtownny.gov - seand(a�southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: !� 3
Company Name: �(� ZZi1+ �rCTir`�
P y f F�
Electrician's Name: �/ �a'.-�►zz,�; J�,
License No.: 33c/m—m r Elec. email: d Qn /i'•c
Elec. Phone Nob,2)) 1-6L[ �,(olaa ❑1 request an email co y of Certificate of Compliance
Elec. Address.: G KI�T
JOB SITE INFORMATION (All Information Required)
Name:
Address: ®�
Cross Street:
Phone No.:
Bldg.Permit #: Liq 141 email:
Tax Map District: 1000 Section: 10 (a Block:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
LSC«�� rLl�c Square Footage:
Circle All That Apply:
Is job ready for inspection?: YESF-] NO Rough In Final
Do you need a Temp Certificate?: V YES ❑ NO Issued On
Temp Information: (All information required)
Service Size 1 Ph[]3 Ph Size: A # Meters _ Old Meter#
❑New Service Fire ReconnectElFlood ReconnectOService Reconnect❑UndergroungiQverhead
# Underground Laterals 1 2 ZLH Frame r' Pole Work done on Service? Y N
Additional Information:
f7
PAYMENT DUE WITH APPLICATION
APR 19 ?fl2.3