HomeMy WebLinkAbout51044-Z �o�Og11EFOt,fcoGy Town of Southold 8/31/2024
o ,� P.O.Box 1179
o _ 53095 Main Rd
�j01 �ao� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 45497 Date: 8/31/2024
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 7650 Wickham Ave,Mattituck
SCTM#: 473889 Sec/Block/Lot: 108.-1-1.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/7/2024 pursuant to which Building Permit No. 51044 dated 8/7/2024
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:
electric service reconnection.
The certificate is issued to North Side Main Road LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 51044 8/28/2024
PLUMBERS CERTIFICATION DATED
Authorized Sign ,
o�Su FE ai,��o TOWN OF SOUTHOLD
a aye BUILDING DEPARTMENT
H i TOWN CLERK'S OFFICE
?y • SOUTHOLD, NY
0
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#: 61044 Date: 8/7/2024
Permission is hereby granted to:
Craft Master Hops LLC
PO BOX 965
Remsenburg, NY 11960
To: electric service reconnect
At premises located at:
7650 Wickham Ave, Mattituck
SCTM #473889
Sec/Block/Lot# 108.-1-1.1
Pursuant to application dated 8/7/2024 and approved by the Building Inspector.
To expire on 216/2026.
Fees:
ELECTRIC $100.00
Total: $100.00
Building Inspector
pf SOUT�o
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 G Q
Southold,NY 11971-0959 sean.devlinCaD-town.southold.ny.us
4UNTY,
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: North Side Main Rd LLC
Address: 7650 Wickham Ave city:Mattituck st: NY zip: 11952
Building Permit* 51044 Section: 108 Block: 1 Lot: 1.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: Express Electric License No: 3653ME
SITE DETAILS
Office Use Only
Residential Indoor Basement Service X
Commerical X Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
Service 3 ph X Hot Water GFCI Recpt 2 Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors.
Sub Panel 100A 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: 400A Main Distribution Panel w/ 100A 3 Phase Sub Panel 20 Circuits / 9 Used
Notes: Survey of Existing MDP in Farm Field to Re-energize & New Panel
" NO VISUAL DEFECTS " OK TO RE-ENERGIZE
Inspector Signature: Date: August 28, 2024
S. Devlin-Cert Electrical Compliance Form
,.O�apf 50Ulyo6 I V�r I �C>
# TOWN OF-SOUTHOLZCo BUILDING DEPT.
631-765-1802
INSPECTION
[ ] 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: �o Z�
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DATE ° = INSPECTOR- o
OF SOGTyO� ' v L-f Ly 7 Kb 5-0 ��NAIP7
* TOWN OF SOUTHO.LD BUILDING DEPT.
M 631-765-1802
INSPECTION ,
[ ] 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) f _ ELECTRICAL (FINAL)
[ ] CODE VIOLATION ] PRE C/O [ ] RENTAL
REMARKS: cml-611LZ 4 al
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DATE INSPECTOR
E C E u V E 0
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BUILDING DEPARTMENT- Electri I spkc or Z024
TOWN OF SOUTHOLD
�. plain De artrnent
Town Hall Annex - 54375 Main Road - P�`- �,; uthold
,,- Southold, New York 11971-0959
o Telephone (631) 765-1802 - FAX (631) 765-9502
jamesh southoldtownny.gov seand(a�southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name:
Electrician's Name:
License No.: (� S� Elec. email:
Elec. Phone No: ❑I request an email copy of Certificate of Compliance
Elec. Address..A. " a5' k-0-u
JOB SITE INFORMATION (All Information Required)
Name: ®c, _h 'm R-o A-D kC
Address: _ ,o /\ v
Cross Street:
Phone No.:
Bldg.Permit#: email:
Tax Map District: 1000 Section: Block: 1 Lot: ,
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
,CY%ct (t C()W%V,ll-
i Square Footage:
Circle All That Apply: --, ,
Is job ready for inspection?: �ES F _JO. ❑Rough In ❑ Final
Do you need a Temp Certificate?: ❑ YES [gQO Issued On
Temp Information: (All information required)
Service Size❑1 Phff3 Ph Size: J00 A # Meters�_ Old Meter#
❑New service[]Fire Reconnect[:]Flood Reconnect❑Service Reconnect❑Underground❑Overhead
# Underground Laterals R 1 2 H Frame Pole Work done on Service? MY N
Additional Information:
PAYMENT DUE WITH APPLICATION
'�� 4IQp Vec# Icell 9
p 7 ?
BUILDING DEPARTMENT- Electri' I +Isp� 4or ?�_4
O G TOWN OF SOUTHOLD
;Ftct@r- Do a�a�ent
Town Hall Annex - 54375 Main Road - PtQ �� s ;a
� Southold, New York 11971-0959'-
Telephone (631) 765-1802 - FAX (631) 765=9502
Ol iamesh p(bsoutholdtowriny.gov seand(ab_southoldtownny,.gov
APPLICATION FOR ELECTRICAL INSPECTION `
ELECTRICIAN INFORMATION' (All Information Required) Date:.
Company Name., /�� l r C•
Electrician's Name:
License°No.: �o'��i Elec. email:. .
Elec. Phone.No` ❑I request an email copy of Certificate of Compliance
Elec. Address ci
JOB SITE'INFORMATION (All Information Required)
Name: 'W.Ro A_D kC
Address:
Cross Street: • �.
Phone No::
'BIdg.Permit#: �j i1®y� email:
-Tax Map District-., 1000 Section:' Block: Lot: I , I
BRIEF DESCRIPTION-OF-WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Square Footage:; ;,
'Circle All That Apply: ( =
Isjob ready for inspection?: .YES r .40 ❑Rough In' ❑ Final
J
Do you•need a-Temp.Certificate?: ❑ YES [g4O Issued On
Temp Information: (All information required)
-Service Size 1 Ph f"3 Ph. Size: -lot) A # Meters _.Old Meter# '
❑New Service[:]Fife"Reconnect❑Flood Reconnect[:]Service Reconnect❑Underground.❑Overhead
# Underground Laterals 1'' 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT-`DUE-WITH APPLICATION
v 4 _
08 41co rep
PERMIT# Address:
Switches
Outlets
GFI's
Surface
Sconces
H H's
UC Lts Fridge HW POOL
Fans Mini Fr. W/D
Panel
Pump
Exhaust Oven Sump Heater
Trnsfmr
Smokes DW Generator Salt Gen.
Carbon Micro GrbDis Water Bond
Lights
Heat Pucks ERV
HOT TUB/SPA
Inst Hot DeHum Transfer Disc
Combo Cooktop Minisplit Blower
AC AH Hood Blower
Service ` 71 Amp 1-0,6 Have Used
Sub Amps Have Used
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