HomeMy WebLinkAbout50444-Z �o�g�FF0z1�� Town of Southold 4/11/2024
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P.O.Box 1179
o _ i 53095 Main Rd
�41 Sao Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 45104 Date: 4/6/2024
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 10095 Route 25,Mattituck
SCTM#: 473889 Sec/Block/Lot: 142.-1-26
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
3/18/2024 pursuant to which Building Permit No. 50444 dated 3/18/2024
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:
electrical outlets for commercial kitchen(Jan's Chinese Food).
The certificate is issued to Mattituck Plaza LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 50444 3/22/2024
PLUMBERS CERTIFICATION DATED
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Authorized Signature
�o�S�FFo1�co TOWN OF SOUTHOLD
aye BUILDING DEPARTMENT
y x TOWN CLERK'S OFFICE
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#: 50444 Date: 3/18/2024
Permission is hereby granted to:
Mattituck Plaza LLC
PO BOX 77
Mattituck, NY 11952
To: electrical work for Jans Chinese Food.
1
At premises located at:
10095 Route 25, Mattituck
SCTM #473889
Sec/Block/Lot# 142.-1-26
Pursuant to application dated 3/18/2024 and approved by the Building Inspector.
To expire on 9/17/2025.
Fees:
ELECTRIC $150.00
Total: $150.00
Building Inspector
pF SO!/j�,ol
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 G Q
Southold,NY 11971-0959 � ,O sean.devlinCcD-town.southold.ny.us
�y�OUNT`I,Nc�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Mattituck Plaza LLC
Address: 10095 Route 25 city:Mattituck st: NY zip: 11952
Building Permit* 50444 Section: 142 Block: 1 Lot: 26
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: DAK Electric License No: 5120ME
SITE DETAILS
Office Use Only
Residential Indoor X Basement Service
Commerical X Outdoor 1st Floor X Pool
New X Renovation 2nd Floor Hot Tub
Addition Survey X Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 4 Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt 4 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 Sump Pump
Other Equipment:
Notes: Added Outlets In Commercial Kitchen
Inspector Signature: Date: March 22, 2024
S.Devlin-Cert Electrical Compliance Form
OF SOUTyolo CIO
� # 11
y TOWN.:O�F SOUTHOLD BUILDIN DEPT.
�Ty000Ni1��'�0 631-765-1802
I NSPECTION
[ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG:
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] .FINAL
[ ] ' FIREPLACE & CHIMNEY [ ] FIRE SAFETY-INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) >_ _aLECTRICAL (FINAL)
[ ] CODE VIOLATION PRE C/O [ ] RENTAL
REMARKS: 01 dr 6
_DATE. INSPECTOR .
FEtlt'
BUILDING DEPARTMENT- Electrical Insl' tio'r`"t
TOWN OF SOUTHOLD ,
Town Hall Annex - 54375 Main Road - PO Box 1N 1 '3 2024
Southold, New York 11971-0959
per` Telephone (631) 765-1802 - FAX (631) 765-95DZs..t
_ . .
amesh(@,southoldtownny.gov - seand(a-southoldfdli nM,:gov"�."
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: ,
Company Name:-D,6 ,�&, L—�cc4--rk'
Electrician's Name:
License No.: 17 Elec. email:
Elec. Phone No:631 70 ( ❑1 request'an email copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATION (All Information Required)
Name: JAN`S CHINES'E Rol) �
Address loo9L17 �'oj, 'zS' AA77,T,Ck N Y OS-7
Cross Street: FA i O 0 AV
Phone No.: 6 L S 20 6"-
Bldg.Permit #: •"---- email: YIN(,?ZLI9(S-OYAHov,('077
Tax Map District: 1000 Section: ?- Block: j Lot: •Z$
BRIEF DESCRIPTION OF WORK, JNCLUDpE SQUARE FOOTAGE (Please Print Clearly):
�L/Ll O �✓L �--�C'f-PdN 5��� C®�+'S 1i� ��-6i�Sl� �li�( /9�
ooklef� �f 3 o�
Square Footage: /cam
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 Ph❑3 Ph Size: A , # Meters Old Meter#
❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead
# Underground Laterals 0 1 2 H Frame Pole Work done on Service? Y EIN
Additional Information:
PAYMENT DUE WITH APPLICATION
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