HomeMy WebLinkAbout49148-Z yO�aSUffOIKcoG Town of Southold
5/12/2023
y� P.O.Box 1179
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ag� }i, Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 44095 Date: 5/12/2023
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 200 Soundview Ave,Mattituck
SCTM#: 473889 Sec/Block/Lot: 100.-1-25
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. 49148 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 electric service upgrade.
The certificate is issued to Grodin,Jaclyn&Mendelson,Claude
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 49148 5/11/2023
PLUMBERS CERTIFICATION DATED
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Authorize Signature
fF-1 TOWN OF SOUTHOLD
FFO(� BUILDING-DEPARTMENT
y
TOWN CLERK'S OFFICE
y z SOUTHOLD NY
cot 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#: 49148 Date: 4/21/2023
Permission is hereby granted to:
Grodin, Jaclyn
200 Soundview Ave
Mattituck, NY 11952
To: 200A service upgrade.
At premises located at:
200 Soundview Ave, Mattituck
SCTM # 473889
Sec/Block/Lot# 100.-1-25
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
Buil ing Inspector
ho��pF SOUjyo!
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 sean.devlinl-town.southold.ny.us
Southold,NY 11971-0959 �Qly
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Jaclyn Grodin
Address: 200 Soundview Ave city:Mattituck st: NY zip: 11952
Building Permit#: 49148 Section: 100 Block: 1 Lot: 25
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: RJ Corazzini Electric License No: 33419ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service X
Commerical Outdoor X 1st Floor Pool
New X Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage X
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 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 StrobeHeat Detectors
Disconnect Switches 4'LED Exit Fixtures Sump Pump
Other Equipment: 200A Panel 42 Circuits /23 Used
Notes: Service
Inspector Signature: Date: May 11, 2023
S. Devlin-Cert Electrical Compliance Form
Pontino, Susan
From: Claude Mendelson <claude.mendelson@gmail.com>
Sent: Thursday, May 11, 2023 10:09 AM
To: Pontino, Susan .
Subject: Follow Up: Electrical Permit#49148 200 Soundview Ave Mattituck
Attachments: Before.png;After.png
1
Hi,
You asked me to remediate a spliced wire attached to lighting on a pole. It turns out it wasn't plugged in to anything so I
just demod it. I'm attaching before/after pictures.
Thanks!
Claude
Claude Mendelson
617-851-7408
claude.mendelson@gmail.com
ATTENTION:This email came from an external source. Do not open attachments or click on links from unknown senders
or unexpected emails.
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BUILDING DEPARTMENT-Electrical Inspector
o .e TOWN OF SOUTHOLD
o Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959
4-A �a0� Telephone (631) 765-1802
Temporary Certificate # I qsq Date `-0ao a5
Customer Name CJau ,,j, n Electrician Name �IT (Drc22q •
Address aoo �p dv� , f} p m Phone (OZJ- "71LI_ �
e-mail e-mail 79. 6v
Phone License# (q-ME
Size OO A Phase Overhead X Underground #of Meters
Remarks (.til. r4 6i GQG
#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 f s f o the dat above.
Authorized by
pE 50UlyOlo q vv t ct o re
f # TOWN OF SOUTHOLD BUILDING DEPT.
631-765-1802
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: -
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DATE INSPECTOR
BUILDING DEPARTMENT- Electrical Inspector
Otidq`�
LAG TOWN OF SOUTHOLD
-` Town Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
y, Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr(@southoldtownny qov seand(cpsoutholdtownny._ ov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: �—
Company Name: FAZZIn`
Electrician's Name.
License No.: Elec. email:
Elec. Phone No: ❑I request an email copy of Certificate of Compliance
Elec. Address.: as �M „ �►. /�
JOB SITE INFORMATION (All Information Required)
Name:
Address: ja
Cross Street:
Phone No.:
Bldg.Permit #: Liq g email:
Tax Map District: 1000 Section: 100 Block: I Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Square Footage:
Circle All That Appl
Is job ready for inspection?: YESF-] NO F—] Rough In E Final
Do you need a Temp Certificate?: YES O NO Issued On
Temp Information: (All information required)
Service Size1 Ph 03 Ph Size: Ut _A # Meters Old Meter#
❑New service[—] Fire ReconnectOFlood ReconnectOService Reconnect OUnderground,[Overhead
# Underground Laterals EL1
2 H Frame r� Pole Work done on Service! Y Iv
Additional Information:
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PAYMENT DUE WITH APPLICATION`"
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BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
-1802 - -9502
Telephone (631) 765 FAX (631) 765
rogerrCa-southoldtownny.gov - seancl6a�southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All information Required) Date:
Company Name: 6rA221,A,,
Electrician's Name'.
License No.: —/41 C-
Elec. email: (2,-7 Ivi
Elec. Phone N o:
I request an email copy of ertificate of Compliance
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Elec. Address.: L,,. I l
JOB SITE INFORMATION (All Information Required)_
Name: N211del
Address:
.
Cross Street:
Phone No.:
Bldg.Permit #: — email:
Tax Map District- 1000 Section- jC>C) Block- Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
�41-1116, ag cZmiarp Footage:
Circle All That ApPIV/
Is job ready for inspection?- YES F] NO, [—]Rough in ❑ Final
Do you need a Temp Certificate?: YES ❑ NO Issued On
Ternp Information. (All information required) f
Service Size 1 Ph[—]3 Ph Size: 91�t A # Meters Old Meter#
❑New service[-] Fire ReconnectF]Flood Reconnect F-]Service Reconnect E]Underground�verhead
IF Underground Laterals r2FrameH �Pole Work done on�Service Y N
Additional Information:
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F-171 --T TJ
PAYMENT DUE WITH APPLICATION%-
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