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HomeMy WebLinkAbout50027-Z l� Town of Southold 1/14/2024 o P.O.Box 1179 o _ 53095 Main Rd WE Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44848 Date: 1/14/2024 THIS CERTIFIES that the building ELECTRICAL Location of Property: 1865 Bay Ave,Mattituck SCTM#: 473889 Sec/Block/Lot: 144.-4-1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 11/15/2023 pursuant to which Building Permit No. 50027 dated 11/15/2023 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 underground electrical service. The certificate is issued to Mattituck Park Dist of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 50027 1/2/2024 PLUMBERS CERTIFICATION DATED ;f WWI J" - - V Authorized Signature o�Suf nFaF t TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE o • l 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#: 50027 Date: 11/15/2023 Permission is hereby granted to: Mattituck Park Dist PO BOX 1413 Mattituck, NY 11952 To: 200 amp underground service At premises located at: 1865 Bay Ave, Mattituck SCTM # 473889 Sec/Block/Lot# 144.4-1 Pursuant to application dated 11/15/2023 and approved by the Building Inspector. To expire on 6/16/2025. Fees: ELECTRIC $150.00 Total: $150.00 �Bb Building Inspector hO��pF SOUr��l Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G Q Southold,NY 11971-0959 �� • �o Jamesh southoldtownny.gov �y�OUNT`I,N� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Mattituck Park District Sabat Field Address: 1865 Bay Avenue city:Mattituck st: New York zip: 11952 Building Permit#: 50027 Section: 144 Block: 4 Lot: 1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Custom Lighting of Suff Electrician: Benjamin Doroski License No: 38893-ME SITE DETAILS Office Use Only Residential Indoor Basement Service Commerical X Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey 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 200 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: 2 20amp gfi breakers Notes: Inspector Signature: Date: January 2, 2024 1865 bay ave * # TOWN OF SOUTHOLD BUILDING DEPT. • �o °`ycourm��' 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: Lai DATE o�' �� INSPECTOR o�osufFoe��®� BUILDING DEPARTMENT Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex-54375 Main Road-PO Box 1179-Southol;d, NY 11971-0959 Telephone (631) 765-1802 Temporary Certificate # 1��rl Date �1 � (5 �� 2023 Customer Name _ �- Electrician Name S S Address p\ " Phone L- 5 e-mail S ,0,6M e-mail M Phone License# 3 Size A Phase Overhead Underground .✓ #of Meters 1 Remarks #of Underground Laterals 1 2 New "H" Frame or Pole H P Fire Reconnect Was work done on Service? Y/N N Flood Reconnect Old Meter# Service Reconnected Application for electrical service equipment is on file with the town of Southold.on the applicant's notification that this installation is complete,the town will conduct a premises inspection of the service equipment. This verification is valid for 90 days from the date above. Authorized by S�FFOj,� BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD �I co _ Town Hall Annex - 54375 Main Road - Box 1179 ^ Southold, New York 11971-0 oy� �pZV Telephone (631) 765-1802 - FAX (631 5-99k 1 5 2023 1 �ameshasoutholdtownny.aov — seandCaD-southoldtownny.aov Building Department APPLICATION FOR ELECTRICAL INSPECTION gown pf"0uthold ELECTRICIAN INFORMATION (All Information Required) Date: November 2023 Company Name: 0S+) oyn Electrician's Name (1 License No.:���,(.��—�.�' Elec. email: p Elec. Phone No: a C`_l I request an email copy of Certific a of Compliance Elec. Address.: q J� JOB SITE INFORMATION (All Information Required) Name: Mattituck Park District - Sabat Field Address: 1865 Bay Avenue, Mattituck Cross Street: Riley Avenue Phone No.: 631-298-9103 Bldg.Permit#: email:cshashkin@mattituckparks.com Tax Map District: 1000 Section:144 Block: 4 Lot:1 B EF DESCRIPTION OF WORK, INCLUDE SQUAR OOTAGE (Please Print Clearly): g 61©O Camp und&- Square Footage: Circle All That Apply: Is job ready for inspection?: ❑ YES 0 NO 0 Rough In Final M\cAb Do you need a Temp Certificate?: 14 YES ❑ NO Issued On eMwIt6 Temp Information: (All information required) Service Size®1 Ph❑3 Ph Size: LA # Meters Old Meter# ❑New Service❑Fire Reconnect❑Flood Reconnect[Service Reconnectj:6�derground❑Overhead # Underground Laterals X 1 2 FAH Frame D Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION �1 f 15I $� ki 0o gad