HomeMy WebLinkAbout49805-Z z
�O��gOFFOty Town of Southold 10/19/2023
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P.O.Box 1179
53095 Main Rd
,�j41 � �aoisr, Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 44664 Date: 10/19/2023
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 4835 Oregon Rd,Mattituck
SCTM#: 473889 Sec/Block/Lot: 95.-1-1.2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/29/2023 pursuant to which Building Permit No. 49805 dated 9/29/2023
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 for existing swimming pooI and pool equipment replacement.
The certificate is issued to Sachs,Richard
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 49805 10/10/2023
PLUMBERS CERTIFICATION DATED
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V - Authorized Signature
TOWN OF SOUTHOLD
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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#: 49805 Date: 9/29/2023
Permission is hereby granted to:
Sachs, Richard
PO BOX 1261
Mattituck,�NY 11952
To: Electric - Rewiring & Replacement of Pool Equipment
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At premises located at:
4835 Oregon Rd, Mattituck
SCTM #473889
Sec/Block/Lot# 95.-1-1.2
Pursuant to application dated 9/29/2023 and approved by the Building Inspector.
To expire on 3/30/2025.
Fees:
ELECTRIC $125.00
Total: $125.00
Building Inspector
OF SOUTyoI
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 Jamesh(Dsoutholdtownny.gov
Southold,NY 11971-0959
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Richard Sachs
Address: 4835 Oregon Road city:Mattituck st: New York zip: 11952
Building Permit#: 49805 Section: 95 Block: 1 Lot: 1.2
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Wlldwood Electric INC. Electrician: Ralph Passantino Jr. License No: ME-4836
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service
Commerical Outdoor X 1st Floor Pool X
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt 1 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 StrobeHeat Detectors
Disconnect Switches 4'LED Exit Fixtures Sump Pump
Other Equipment: 1 240v pool pump,1 240v time clock,1 electric pool heater, 1 gas heater,1 salt gen
2 pool lights , 1 pool panel 160amp dp breaker gfi, 1 15amp sp breaker gfi,2 20amp dp breaker gfi
Notes: POOL
Inspector Signature: Date: October 10, 2023
Copy of 4835 oregon rd pool
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# # TOWN OF SOUTHOLD BUILD G DEPT.
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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) [X] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS: P4m
DATE /0' �- 3
INSPECTOR
; `S FirOt�j-�`4 BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex- 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr(@-southoldtownny.gov — seand(a�southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: September 29,2023
Company Name: Wildwood Electric Inc.
Electrician's Name: Ralph Passantino Jr.
License No.: ME-4836 Elec, email:ralphjr@wildwoodelectric.com
Elec. Phone No: 631-929-4219 OI request an email copy of Certificate of Compliance
Elec. Address.: P.O. Box 373, Rocky Point, NY. 11778
JOB SITE INFORMATION (All Information Required)
Name: Richard Sach
Address: 4835 Oregon Road
Cross Street: Alvah's Lane
Phone No.: 646-642-7551
Bldg.Permit#: q-q email:
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Existing Swimming Pool Reconnect.
Square Footage:
Circle All That Apply:
Is job ready for inspection?: YES ❑ NO F_]Rough In Final
Do you need a Temp Certificate?: F—] YES ❑ 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[7]1 2 H Frame D Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION 2q 11.5 � � , 12_V'-0--
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BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
c, Town Hall Annex- 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr _southoldtownny.gov - seandasoutholdtownny.aov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (Ail information Required) Date: September 29,2023
Company Name: Wildwood Electric Inc.
Electrician's Name: Ralph Passantino Jr.
License No.: ME-4836 Elea email:ralphjr@wildwoodelectric.com
Elec. Phone No: 631-929-4219 01
request an email copy of Certificate of Compliance
Elec. Address.: P.O. Box 373, Rocky Point, NY.. 11778
JOB SITE INFORMATION (All Information Required)
Name: Richard Sach
Address: 4835 Oregon Road
Cross Street: Alvah's Lane
Phone No.: 646-642-7551
Bldg.Permit#: L4ky
email:
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Existing Swimming Pool Reconnect.
Square Footage:
Circle All That Apply:
Is job ready for inspection?: 'YES❑ NO -]Rough In Final
Do you need a Temp Certificate?: ❑ YES ❑NO Issued On
Temp Information: (All information required)
Service Size❑1 PhF_13 Ph Size: A # Meters Old Meter#
❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead
# Underground Laterals 1 R2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION NA J W5
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