HomeMy WebLinkAbout50330-Z �o�S11FFOLIr G Town of Southold 3/29/2024
a y� P.O.Box 1179
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co 53095 Main Rd
4- �ao Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 45078 Date: 3/29/2024
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 2155 Mill Ln,Mattituck
SCTM#: 473889 Sec/Block/Lot: 107.40-8
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
2/12/2024 pursuant to which Building Permit No. 50330 dated 2/12/2024
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:
200 amp underground electric service for a pump.
The certificate is issued to Quantuck Properties LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 50330 3/18/2024
PLUMBERS CERTIFICATION DATED
Authorized Wignature
�o�SUFFet�,co TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y TOWN CLERK'S OFFICE
oy • SOUTHOLD, NY
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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#: 50330 Date: 2/12/2024
Permission is hereby granted to:
Quantuck Properties LLC
PO BOX 1045
Quogue, NY 11959
To: . Electric - 200amp UG Service for Pump
At premises located at:
2155 Mill Ln, Mattituck
SCTM #473889
Sec/Block/Lot# 107.-10-8
Pursuant to application dated 2/12/2024 and approved by the Building Inspector.
To expire on 8/13/2026.
Fees:
ELECTRIC $150.00
Total: $150.00
Building Inspector
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 .
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Southold,NY 11971-0959 �� �O sean.devlin(cD-town.southold.nv.us
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Quantuck Properties LLC
Address: 2155 Mill Ln City:Mattituck st: NY zip: 11952
Building Permit#: 50330 Section: 107 Block: 10 Lot: 8
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: CELI Electric License No: 1022ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service X
Commerical Outdoor X 1st Floor 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 MA 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: 200A Panel 40 Circuits /4 Used , (2) 120GFI Breakers, (1) 22013reaker
Notes: Service
Inspector Signature: Date: March 18, 2024
S.Devlin-Cert Electrical Compliance Form
So�lyo �rs1 l�
# # TOWN OF SOUTHOLD BUILDING. DEPT.
coum, 631-765-1802
INSPECTIO.N
[ ] 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) ELECTRICAL (FINAL) _
[ ] CODE VIOLATION [ ] PRE C/O [ ] 'RENTAL
REMARKS:
VA L1
DATE l -INSPECTOR
�o��g�ffO1,��OG
y� BUILDING DEPARTMENT-Electrical Inspector
y = TOWN OF SOUTHOLD
Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959
Telephone (631) 765-1802
Temporary Certificate # /62, Date 2 2021
Customer NameOltat,-hto is LLC Electrician Name l&-
Address? )1/ 14me Phone
e-mail e-mail
Phone License# 0 22. 6_
Size a o o A Phase_ Overhead Underground #of Meters !
Remarks
#of Underground Laterals 1 2 New
"H" Frame or Pole H - P Fire Reconnect
Was work done,on Service. I�`F > g S 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 verificatio fo s from the d above.
Authorized by
V,staf F Of IrCap BUILDING DEPARTMENT- Electrical In a Kertor 99 24
-4
22 TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road -
ce
o Southold, New York 1197 1�`-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
a mesh Rsoutholdtown ny.gov - sean6nsouthoIdtownnV.q v
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All information Required) Date: 2/5/24
Company Name: CELI ELECTRIC LTG INC.
Electrician's Name: GREGORY CELI 46
License No.: 1022-ME Elec. email:CATHERIN*CELIELECTRIC.COM
Elec. Phone No: 631-288-2227 01 request an.email copy of Certificate of Compliance
Elec. Address.: 255 RIVERHEAD ROAD, WESTHAMPTON BEACH, NY 11978
JOB SITE INFORMATION (All Information Required)
Name: QUANTUCK PROPERTIES LLC
Address: 2155 MILL LANE, MATTITUCK
Cross Street:
Phone No.:
Bldg.Permit#: 5-0 530 email:
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
200 AMP U/G SERVICE FOR A PUMP.
Square Footage:
Circle All That Apply: /b 2-
Is job ready for inspection?: ❑ YES 2] NO F-]Rough in Final
Do you need a Temp Certificate?: YES E] NO Issued On
. Fv /d2/d�
Temp Information: (All information required)
Service SizeFv-11 PhF-13 Ph Size: v�00 A # Meters I Old Meter#
2]New serviceE]Fire Rec nnectE]Fl d Reconnect E]Service Reconnect 2Underground ElOverhead
F� �T/y E
# Underground Laterals 71 2 gHoFrame F� Pole Work done on Service? N
Additional Information:
PAYMENT DUE WITH APPLICATION 2 12 ( 2y �p,��,( 1 s(��`�
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