HomeMy WebLinkAbout48959-Z ¢ �SUFFOLh Town of Southold 8/5/2023
P.O.Box 1179
C*
• 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 44408 Date: 8/5/2023
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 4375 Mill Ln.,Mattituck
SCTM#: 473889 Sec/Block/Lot: 107.4-2.5
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
2/24/2023 pursuant to which Building Permit No. 48959 dated 2/24/2023
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 to existing 24 x 30 accessory building
The certificate is issued to Piacente,Keith&Christine
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 48959 6/30/2023
PLUMBERS CERTIFICATION DATED
Authorized S6nature
�SUFFat TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y TOWN CLERK'S OFFICE
SOUTHOLD, NY
dol # Sao
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#: 48959 Date: 2/24/2023
Permission is hereby granted to:
Piacente, Keith
4375 Mill Ln
Mattituck, NY 11952
To: Legalize "as built" 110 Amp service and electric to existing accessory building.
2J4>�U
At premises located at:
4375 Mill Ln., Mattituck
SCTM #473889
Sec/Block/Lot# 107.-4-2.5
Pursuant to application dated 1/1/1900 and approved by the Building Inspector.
To expire on 8/25/2024.
Fees:
ELECTRIC $350.00
Total: $350.00
Building Inspector
SO�ryolo
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 �Q sean.devlina-town.southold.ny.us
Southold,NY 11971-0959 OIyCQU�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Keith Piacente
Address: 4375 Mill Ln . city,Mattituck st: NY zip: 11952
Building Permit#: 48959 Section: 107 Block: 4 Lot: 2.5
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: Home Owner License No:
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service
Commerical Outdoor X 1st Floor X Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage X
INVENTORY
Service 1 ph Heat Duplec Recpt 5 Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures Smoke Detectors
Main Panel 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 6 4'LED 5 Exit Fixtures Sump Pump
Other Equipment: Sub Panel 2 Circuit/4 Used
Notes: Bldg. 2
Inspector Signature: Date: June 30, 2023
S.Devlin-Cert Electrical Compliance Form
SOUTy�� '13 7 S' /v
TOWN OF SOUTH LD BUILDING DEPT.
°ycouMv�� 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) N.DELECTRICAL (FINAL)
[ ] CODE VIOLATION �] PRE C/O [ ] RENTAL
REMARKS: 1
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DATE Z INSPECTOR
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# TOW OF SOUTHOLD BUD? G 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) �-wLECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS:
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DATE INSPECTOR
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INSPECTION
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[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
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[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS: O
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2 OF 3
Z BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex- 54375 Main Road - PO Box 1179
ocl�
.0- Southold, New York 11971-0959
-1802 - FAX (631) 765-
Telephone (631) 765 9502
rogerr(a_southoldtownny.gov - seandCc_Dsoutholdtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All information Required) Daf6:
Company Name:
Electrician's Name:
License No.: Elec. email:
Elec. Phone No: ❑I request an email copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATION (All Information Required)
Name: 7)
Address: j
Cross Street: lk
Phone No.: 47i7
� 1,3L-// email: r-e
Bldg.Permit#: � ecI tion:' Block: LL- Lot:Map District: 1000
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
C4C(Y . bi_a9 Y X3o
(�J r
Square Footage:
Circle All That Apply:
Is job ready for inspection?: F-1 YES ONO [:]Rough In Final
Do you need a Temp Certificate?: O YESF-1 NO Issued On
Temp Information: (All information required)
Service Size01 Ph03Ph Size: A # Meters Old'Mete.r#
D New Service[]Fire Reconnectr-1 Flood Reconnect Oservice Reconnect Elunderground[Overhead
# Underground Laterals E]1 F-12F] H Frame M Pole Work done on Service? F]Y F]N
Additional Information:
PAYMENT DUE WITH APPLICATION
'elA
ZA/
Electrical Inspector
BUILDING DEPARTMENT U
/Vy
TOWN OF SOUTHOLD
-r 4 Town Hall Annex- 54375 Main Road - PO Box 1179
C=
Southold, New York 11971-0959 11
Telephone (631) 765-1802 - FAX (631) 765_9502 L-
rog rrasoutholdtownny.gov - seand(opsoutholdtownnV.qov
APPLICATION FOR ELECTRICAL INSPECTION
L
ELECTRICIAN INFORMATION.(All information Required) Dat6: /i�
0 A
Company Name:
Electrician's Name:
License No.: Elec. email:
Elec. Phone No: request an email copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATION (All Information Required)
Name:
Address:
Cross Street: +-h ILL
Phone No.:: q,)-k! ii
em
Bldg.Permit
4-�;2 Lot:
Tax Map District: 1000 ection: Block:L Compliance
Elec.
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGEft
(Please Print-Clearly):
Square Footage:
Circle A1111 That*App y: ONO Rough In Final
Is job ready.for inspection?
YES: 0 4F
Do you need a Temp Certificate?: '❑ YES [-] NO issued On
Ternp Information: - (All information required) Old Meter#
Service SizeF11 PhD 3 Ph Size: A # Meters❑ -
New Servicef--1 Fire ReconnectF1 Flood Reconnect[]Service Reconnect[]UndergroundE]Overhead
# Underground Laterals n 1 2 F-1 H Frame F1 Pole work done on service? Fy EIN
A Information:
Additional Inf-rmation:
pAyRN TnlllF: W1TlJ APPLICATION
PERMIT q Address: p '
Switches I
Outlets
G FI's
Surface
Sconces
H H's
UC Lts lily/
Fans Fridge HW
Exhaust Oven W/D
Smokes DW Mini
Carbon Micro Generator
Combo Cooktop Transfer
AC AH Hood Service
Amps Haye Used
special:
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