HomeMy WebLinkAbout50858-Z �S11ff�(o Town of Southold 6/30/2024
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a P.O.Box 1179
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CERTIFICATE OF OCCUPANCY
No: 45316 Date: 6/30/2024
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 3075 Oregon Rd, Mattituck
SCTM#: 473889 Sec/Block/Lot: 100.-2-7
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/4/2020 pursuant to which Building Permit No. 50858 dated 6/24/2024
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:
"as built"electric wiring to existing barn.
The certificate is issued to Badagliacca,Raphael
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 50858 6/26/2024
PLUMBERS CERTIFICATION DATED
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TOWN OF SOUTHOLD
�o BUILDING DEPARTMENT
y TOWN.CLERK'S OFFICE
oy • 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#: 50858 Date: 6/24/2024
Permission is hereby granted to:
Badagliacca, Raphael
3075.Oregon Rd
Mattituck, NY 11952
To: -file is with pending outdoor shower application "as blV electric in accy barn Replaces
BP#45182
At premises located at:
3075 Oregon Rd, Mattituck
SCTM #473889
Sec/Block/Lot# 100.-2-7
Pursuant to application dated 9/4/2020 and approved by the Building Inspector.
To expire on 12/24/2026.
Fees:
PERMIT RENEWAL $90.00
Total: $90.00
Building Inspector
° TOWN OF SOUTHOLD
BUILDING DEPARTMENT
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#: 45182 Date: 9/9/2020
Permission is hereby.granted to:
RPMS Inc LLC
4 Madsen Ct
Mt Sinai, NY 11766
°' at bit" electric in accy barn:.: ..
At premises located at:
3075 Oregon'Rd, Mattituck
SCTM # 473889
Sec/Block/Lot# 100.-2-7
Pursuant to application dated 9/9/2020 and approved by the Building Inspector.
To expire on 3/11/2022.
Fees:
ELECTRIC $180.00
Total: $180.00
Building Inspector
. oF so�ryol
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 G Q
�. • �o sean.devlinCaD-town.southold.ny.us
Southold,NY 11971-0959 0
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Raphael Badagliacca -
Address: 3075 Oregon Rd city:Mattituck st: NY zip: 11952
Building Permit#: 50858 Section: 100 Block: 2 Lot: 7
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: AS BUILT License No:
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service
Commerical Outdoor X 1 st Floor X Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Barn X
INVENTORY
Service 1 ph Heat Duplec Recpt 10 Ceiling Fixtures 10 Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt 4 Wall Fixtures 2 Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel 50A A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO
Transfer Switch UC Lights Dryer Recpt Emergency Strobe R Heat Detectors
Disconnect 50A Switches 2 4'LED Exit Fixtures Sump Pump
Other Equipment: 50A Sub Panel 8 Circuit/ 8 Used
Notes: " AS BUILT NO VISUAL DEFECTS " Barn Wiring
Inspector Signature: Date: June 26, 2024
S.Devlin-Cert Electrical Compliance Form
OE SOLI
# TOWN OF SOUTHOLD. BUILDIN Da T.
631-765-1802
1NSPECT[ON
[ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG._
[ . ] FOUNDATION 2ND . [ ] -INSULATIOWCAULKING .
[ ] 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: A
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DATE ' // ;�V24__- IINSPECTCIR �
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DEPT.
765-1802
I FOUNDATION.IST -ROUGH.PLBG.
j, I fOUNDATION 2ND f*j'.lNSUL TIOWCAULKING
FRAMING./STRAPPING FINAL-:
FIRE.-SAFIETY INSPECTION
'
FIREPLACE& CHIMNEY,-
FIREAESISTANT CONSTRUCTION` J: FIRE*RESISTANT PENETRATION:
ELECTRICAL (ROUGH)'
CTRICAL(FINAL)
] CODE PRE C/O
OD -VIOLATION'
REMARKS: It i �r
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DATE INSPECTOR
o��SUFFO !r �t� / BUILDING DEPARTMENT- Electrical Inspector
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TOWN OF SOUTHOLD
Hall Annex - 54375 Main Road - PO Box 1179
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EP 4 2020 - Southold, New York 11971-0959
y p! Telephone (631) 765-1802 - FAX (631) 765-9502
Ti T#f' D�"rr(a southoldtownny.gov — seand6d�southoldtownnV-gov
TO
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name:
Name:
License No.: email:
Address:
Phone No.:
JOB SITE INFORMATION (All Information Required)
Name:
Address:
Cross Street: �—
Phone No.:
Bldg.Permit#: email:
Tax Map District: 1000 Section: 00 Block: Lot:
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
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 Reconnected - Underground - Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
� 6 U
Request for Inspection Form.xis
e
PERMIT# Address:
Switches 1
Outlets
GFI's
Surface
Sconces
H H's
UC Lts Fridge HW POOL
Panel
Fans Mini Fr. W/D Pump
Exhaust Oven Sump Heater
Trnsfmr
Smokes DW Generator Salt Gen.
Water Bond
Carbon Micro GrbDis Lights
Heat Pucks ERV HOT TUB/SPA
Inst Hot DeHum Transfer Disc
Combo %- I%%.COOL- on �!!inisp lit Blower
AC AH Hood Blower
Service Amps Have<�j Used Cb
Sub Amps Have Used
Comments
�SUFFO BUILDING DEPARTMENT- Electrical Inspector
DTOWN OF SOUTHOLD
Hall Annex - 54375 Main Road - PO Box 1179
oEP 4 2020 - Southold, New York 11071-0959
y p� Telephone (631) 765-1802 - FAX (631) 765-9502
1�UmD�CD err(cr�southoldtownny.gov --seand(a_southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name:
Name:
License No.: email:
Address:
Phone No.:
JOB SITE INFORMATION (All Information Required)
Name: `
Address: (41
Cross Street: .
Phone No.:
Bldg.Permit email:
Tax Map District: 1000 Section: pb Block: Lot:
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Circle A(I That Apply:
Is job ready for inspection?: YES / NO Rough In- I 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 Reconnected - Underground - Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
Request for Inspection Formals