HomeMy WebLinkAbout49627-Z 4192n.' Town of Southold 9/24/2023
P.O.Box 1179
o 53095 Main Rd '
.1jol dao A Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 44588 Date: 9/24/2023
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 2300 Grand Ave,Mattituck
SCTM#: 473889 Sec/Block/Lot: 107.-2-9.2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/30/2023 pursuant to which Building Permit No. 49627 dated 8/30/2023
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:
200 amp overhead electric service.
The certificate is issued to Mercurio,Nicole
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 49627 9/1/2023
PLUMBERS CERTIFICATION DATED
Authorize4Sgnature
j. TOWN OF SOUTHOLD
SOotM4Qo� BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
CA
oy • o�wk 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#: 49627 Date: 8/30/2023
Permission is hereby granted to:
Mercurio, Nicole
2300 Grand Ave
Mattituck, NY 11952
To: Service upgrade from 100 amp to 200 amp
At premises located at:
2300 Grand Ave, Mattituck
SCTM #473889
Sec/Block/Lot# 107.-2-9.2
Pursuant to application dated 8/30/2023 and approved by the Building Inspector.
v
To expire on 2/28/2025.
Fees:
ELECTRIC $85.00
Total: $85.00
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Building Inspector
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 �Q sean.devlin(-town.southold.ny.us
Southold,NY 11971-0959 Q�yOUN'f`1,��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Nicole Mercurio
Address: 2300 Grand Ave city:Mattituck st: NY zip: 11952
Building Permit#: 49627 Section: 107 Block: 2 Lot: 9.2
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: Sabat Electric License No: 4204ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service X
Commerical Outdoor X 1st Floor X Pool
New X Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph X Heat Duplec Recpt 1 Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt 1 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/26 Used
Notes: Service Upgrade
Inspector Signature: Date: September 1, 2023
S. Devlin-Cert Electrical Compliance Form
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# # TOWN �0; SOUTHOLD BUILDING DEPT.
co 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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F (�. BUILDING DEPARTMENT- Electrical Inspector
COG TOWN OF SOUTHOLD
=` Town Hall Annex - 54375 Main Road - PO Box 1179
�,y _ ,a�rr►ent Southold, New York 11971-0959
Telephone
outhold rogerr(Dsouthold owlnny6g v80 seand(cD-sou ho dtownOny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All information Required) Date: 8-21-23
Company Name: Sabat Electric
Electrician's Name: Mark Sabat
License No.: 4204-ME Elec. email:sabatelectric@gmail.com
Elec. Phone No: 631-774-5485 0 I request an email copy of Certificate of Compliance
Elec. Address.: 50 Pat lane Mattituck, NY 11952
JOB SITE INFORMATION (All Information Required)
Name: Nicole Mercurio
1
Address: 2300 Grand Ave tAin
Cross Street: Westview Dr.
Phone No.: 631-375-0188
Bldg.Permit#: LAR1-1 email:
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Service upgrade from 100 amp to 200 amp
Square Footage:
Circle All That Apply:
Is job ready for inspection?: YES ❑ NO ❑Rough In ❑ Final
Do you need a Temp Certificate?: ❑ YES ❑V NO Issued On
Temp Information: (All information required)
Service SizeFV-11 Ph❑3 Ph Size: 200 A # Meters 1 Old Meter#
❑New service[:]Fire Reconnect[:]Flood Reconnect[:]Service Reconnect❑Underground❑✓Overhead
# Underground Laterals 1 R2 H Frame Pole Work done on Service? Y F1N
Additional Information:
PAYMENT DUE WITH APPLICATION
BUILDING DEPARTMENT- Electrical Inspector
6 ® i 023 TOWN OF SOUTHOLD
{ Town Hall Annex - 54375 Main Road - PO Box 1179
��sa �ent Southold, New York 11971-0959
t� �d ,outhold Telephone (631) 765-1802 - FAX (631) 765-9502
rogerrp_southoldtownny.gov — seand@southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: 8-21-23
Company Name: Sabat Electric
Electrician's Name: Mark Sabat
License No.: 4204-ME Elec. email:sabatelectric@gmail.com
Elec. Phone No: 631-774-5485 0 I request an email copy of Certificate of Compliance
Elec. Address.: 50 Pat lane Mattituck, NY 11952
JOB SITE INFORMATION (All Information Required)
Name: Nicole Mercurio 1
Address: 2300 Grand Ave r G )
Cross Street: Westview Dr.
Phone No.: 631-375-0188
Bldg.Permit#: LAW�l email:
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Service upgrade from 100 amp to 200 amp
Square Footage:
Circle AII,That Apply:
Is job ready for inspection?: YES ❑ NO ❑Rough In ❑ Final
Do you need a Temp Certificate?: ❑ YES F&7/ NO Issued On
Temp Information: (All information required)
Service SizeFv]1 PhF—]3 Ph Size: 200 A # Meters 1 Old Meter#
❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑UndergroundOOverhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
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