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Home My WebLink About48158-Z FF01 oy Town of Southold 8/5/2023 P.O.Box 1179 0 .0 x 53095 Main Rd WO � Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44416 Date: 8/5/2023 THIS CERTIFIES that the building ELECTRICAL Location of Property: 13200 Route 25,Mattituck SCTM#: 473889 Sec/Block/Lot: 114.41-9.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/4/2022 pursuant to which Building Permit No. 48158 dated 8/9/2022 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 for existing accessorygarage. The certificate is issued to 13200 Main Road Corp of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 48158 8/29/2022 PLUMBERS CERTIFICATION DATED uthorized Sign e IffFULFFO(�' TOWN OF SOUTHOLD S,�O�gH PP BUILDING DEPARTMENT TOWN CLERK'S OFFICE �y • 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#: 48158 Date: 8/9/2022 Permission is hereby granted to: 13200 Main Road Corp PO BOX 132 Mattituck, NY 11952 To: electric for existing accessory garage. At premises located at: 13200 Route 25, Mattituck SCTM #473889 Sec/Block/Lot# 114.-11-9.1 Pursuant to application dated 8/4/2022 and approved by the Building Inspector. To expire on 2/8/2024. Fees: ELECTRIC $90.00 Total: $90.00 Building Inspector so�ryol 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 �Q sean.devlinCcD-town.southold.ny.us Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: 13200 Main Rd Corp Address: 13200 Route 25 City:Mattituck st: NY zip: 11952 Building Permit#: 48158 section: 114 Block: 11 Lot: 9.1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Two Gang Electric License No: 48158ME SITE DETAILS Office Use Only Residential X Indoor Basement Service X Commerical Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage X INVENTORY Service 1 ph X Heat Duplec Recpt 3 Ceiling Fixtures 3 Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures 1 Smoke Detectors Main Panel 150A A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 2 4'LED Exit Fixtures Pump Other Equipment: 150A panel 30 circuit/ 3 used Notes: Garage Wiring Inspector Signature: Date: August 29, 2022 S.Devlin-Cert Electrical Compliance Form oF soulyO y b /56 f-2 T-<� h * # TOWN OF SOUTHOLD BUILDING DEPT. courm,��' 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: CA-e-AeWily MT DATE &/ ZZ INSPECTOR ` oF soulyolo Ll 1713 13 ,60 M " I � f 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: t -QK DATE INSPECTOR BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD { Town Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11.971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(5�southoldtownny.gov - sea nd(D-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: 16410 Electrician's Name: License No.: Elec. email: Elec. Phone No: 3 Ste- _ I E) ❑1 request an email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (AII Inform " ion Required) Name: �,, v�r �.)l Address: Zagoo/ Cross Street: L p - Phone No.: BIdg.Permit#: email: Tax Map District: 1000 Section: &Y Block: & Lot: �. BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Square Footage: Circle All That Apply: Is job ready for inspection?: 'ES ❑ NO ❑Rough In F incl Do you need a Temp Certificate?: ❑ YES [E-N6 Issued On Temp Information: (All information required) Service Size❑1 PhF—]3 Ph Size: A # Meters Old Meter# ❑New Service❑Fire Reconnect[—]Flood Reconnect❑Service Reconnect[:]Underground❑Overhead # Underground Laterals 1. 2 H Frame r Pole Work done on Service? Y N Additional Information: D IECLIEDvEn 20 PAYMENT DUE WITH APPLICATION AUG 7- 4 20n BUILDING DEFT. /6 TOWN OF SOUTHOLD BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 •y t` Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 M rogerr(aDsoutholdtownny.gov seand(u�southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION `S ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: 164/0 rC Electrician's Name: License No.: Lf� �' , jm Elec. email: Elec. Phone No: 0 -�sT _ Pb,,) ❑1 request an email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Inform ion Required) Name: Address: Cross Street: Phone No.: v Bldg.Permit#: �� email: Tax Map District: 1000 Section: Y Block: & Lot: , BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): 0/ s�r,a Square Footage: Circle All That Apply: Is job ready for inspection?: 'ES ❑ NO ❑Rough In F anal Do you need a Temp Certificate?: ❑ YES Issued On Temp Information: (All information required) Service Size❑1 PhF—]3 Ph Size: A # Meters Old Meter# ❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect[:]Underground❑Overhead # Underground Laterals 1 2 H Frame M Pole Work done on Service? Y N Additional Information: D ��LFE D PAYMENT DUE WITH APPLICATION AUm - 4 2022 �Q IBiJ1 DING DEPT. TOWN OF SOUTHOLD PERMIT # Address: Switche�� Outlets 1 1' G FI's Surface 11 Sconces I H H's UC Lts Fans Fridge HW Exhaust Oven W/D Smokes DW Mini Carbon Micro Generator Combo Cooktop Transfer AC AH Hood Service Amps Have Used Special: Comments l