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HomeMy WebLinkAbout49850-Z ��o�g�FfOlKcpGy� Town of Southold 10/17/2023 P.O.Box 1179 o _ 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44652 Date: 10/17/2023 THIS CERTIFIES that the building ELECTRICAL Location of Property: 4255 Mill Rd,Mattituck SCTM#: 473889 Sec/Block/Lot: 106.-9-3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/6/2023 pursuant to which Building Permit No. 49850 dated 10/6/2023 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: meter pan replacement. The certificate is issued to Leogrande Family Irry Trt of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 49850 10/12/2023 PLUMBERS CERTIFICATION DATED Authorized ignature TOWN OF SOUTHOLD aye BUILDING DEPARTMENT TOWN CLERK'S OFFICE o • 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#: 49850 Date: 10/6/2023 Permission is hereby granted to: Leogrande, Donald 80 Windsor Ave Mineola, NY 111501 To: new meter pan to replace faulty original. At premises located at: 4900 Mill Rd, Mattituck SCTM # 473889 Sec/Block/Lot# 106.-6-8 Pursuant to application dated 10/6/2023 and approved by the Building Inspector. To expire on 4/6/2025. Fees: ELECTRIC $100.00 Total: $100.00 Building Inspector r *oF so�ryOlo Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 sean.devlinl5-town.southold.ny.us Southold,NY 11971-0959 �QIyC�U BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Leogrande Family Irrevocable Trust Address: 4255 Mill Rd city:Mattituck st: NY zip: 11952 Building Permit#: 49850 Section: 106 Block: 9 Lot: 3 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: B J Electric License No: 2670ME SITE DETAILS Office Use Only Residential X Indoor X Basement 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 Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt 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 4'LED Exit Fixtures 11 Sump Pump Other Equipment: Meterpan (2) Double Notes: Replaced Meterpan Inspector Signature: n Date: October 12, 2023 S.Devlin-Cert Electrical Compliance Form OF 50UT w 11] � 25.� Ll ff # * TOWN O 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: M0 DATE INSPECTOR C) 5 7 BUILDING DEPARTMENT- Electrical Inspector byo0 C T 42 2023 TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 d17,—,Da 41 f P, 7F T- Southold, New York 11971-0959 r""O'k7Ti T616phone (631) 765-1802 - FAX (631) 765-9502 ,-tY rogerr(cDsoutholdtownny.gov - seand(cD-southoldtownny.-gov APPLICATION FOR ELECTRICAL INSPECTI-ON ELECTRICIAN INFORMATION (All information Required) Date: Company Name: Electrician's Name: f ZQ /9&A-77 4) License No.: Elec. email: ;4 �O Elec. Phone No: 5,7& &V"LI Elki6quest an email cop, of Certifi ate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) Oki Name: --N'e) T eO Address: Aez-e, A &4:e�et-7-1 e- Cross Street: &�LA go Phone No.: Bldg.Permit#: email: Tax Map District: 1000 Section: J()tv Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAG�Please Print Clearly): 015- Nw---ry F—Square Footage: -F— Circle All That Apply: Is job ready for inspection?: F-] NO F-]Rough In ❑ Final Do you need a Temp Certificate?: rESFINO Issued On Temp Information: (All information required) Service SizeF]l PhFJ3 Ph Size: A # Meters Old Meter# ❑New ServiceF-1 Fire ReconnectE]Flood Reconnect ElService Reconnect Elunderground 00verhead # Underground Laterals E]l =2 H Frame [] Pole work done on service? DY [7]N Additional Information: PAYMENT DUE WITH APPLICATION IAC C- I v 5-6 10 L-0C y�c��1FE�LkC BU6ING DEPARTMENT- Electrical Inspector OCT 5 2023 TOWN OF SOUTHOLD =` Town Hall Annex- 54375 Main Road - PO Box 1179 j UrLDING DEPT. Southold, New York 11971-0959 g a hone (631) 765-1802 - FAX (631) 765-9502 rogerr southoldtownny.aov- seandCaD-southoldtownny.clov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: ��- Company Name: Electrician's Name: A) License No.: t�6 Elec. email: Elec. Phone No: E:LI-request an email copy of Certifi ate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) qOb �1rv1 Oki 01 Lr Name: --N--e) IrLeAVV Address: p,� �� A &-06 z Cross Street: "elC E?AA OIJ �c�� Sr1s� Gout Phone No.: Bldg.Permit#: email: Tax Map District: 1000 Section: t D p Block: 40 Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAG�Please Print Clearly): A) Fw «CP Vn U Gam. ©A t ��� Square Footage: Circle All That Apply: Is job ready for inspection?: �YE ❑ NO F-]Rough In ❑ Final Do you need a Temp Certificate?: ES ❑NO Issued On Temp Information: (All information required) Service Size❑1 Ph❑3 Ph Size: A #Meters Old Meter# ❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect[]Underground[-]overhead # Underground Laterals 1 2 H Frame 0 Pole Work done on Service? Y N Additional Information: t� PAYMENT DUE WITH APPLICATION