The URL can be used to link to this page

Home My WebLink About50554-Z :r.Ari ��o�oSUfFOtkcpGy, Town of Southold 9/23/2024 o P.O.Box 1179 o _ 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 45572 Date: 9/23/2024 THIS CERTIFIES that the building ELECTRICAL Location of Property: 1140 Park Ave,Mattituck SCTM#: 473889 Sec/Block/Lot: 123.-8-1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/17/2018 pursuant to which Building Permit No. 50554 dated 4/12/2024 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: electric service upgrade and"as built"electric wiring in kitchen,panty,powder room and laundry room. The certificate is issued to Stork,Ryan of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 50554 9/9/2024 PLUMBERS CERTIFICATION DATED Authorized ign o TOWN OF SOUTHOLD co a� ay, BUILDING DEPARTMENT N 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 #: 50554 Date: 4/12/2024 Permission is hereby granted to: Stork; Ryan 275 W 10th St Apt 513 New York, NY 10014 To: Electric Service Upgrade Replaces BP#43147 At premises located at: 1140 Park Ave, Mattituck SCTM # 473889 Sec/Block/Lot# 123.-8-1 Pursuant to application dated 10/17/2018 and approved by the Building Inspector. To expire on 10/12/2025. Fees: PERMIT RENEWAL $42.50 Total: $42.50 Building Inspector su uc,r. 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#: 43147 Date: 10/18/2018 Permission is hereby granted to: Stork, Ryan 55E52StFI12 New York, NY 10055 To: Electric Service Upgrade At premises located at: 1140 Park Ave, Mattituck SCTM # 473889 Sec/Block/Lot# 123.-8-1 Pursuant to application dated 10/18/2018 and approved by the Building Inspector. To expire on 4/18/2020. Fees: ELECTRIC $85.00 Total: $85.00 Builds nspector ®F so�ryol Town Hall Annex - Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G Q •�� sean.devlinttown.southold.ny.us Southold,NY 11971-0959 OUN(`(� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Ryan Stork Address: 1140 Park Ave city:Mattituck st: NY zip: 11952 Building Permit* 50554 Section: 123 Block: 8 Lot: 1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: wildwood electric License No- 4836ME SITE DETAILS Office Use Only Residential Indoor Basement X Service X Commerical Outdoor 1st Floor X Pool New Renovation X 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 5 Ceiling Fixtures 4 Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt 7 Wall Fixtures 1 Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures 13 CO Detectors Sub Panel A/C Blower Range Recpt Gas Ceiling Fan Combo Smoke/CO Transfer Switch UC Lights $' Dryer Recpt Emergency Strobe Heat Detectors Disconnect Switches 2 4'LED Exit Fixtures Sump Pump Other Equipment: Fridge„ Mini Fridge, Oven, (2) DW's, Micro, Hood, Icemaker, (2) 200A Panels 54 Circuits (6) 120Combo Breakers Notes: " AS BUILT NO VISUAL DEFECTS " Service, Kitchen Reno, Pantry, Powder Rm& Laundry Inspector Signature: Date: September 9, 2024 S. Devlin-Cert Electrical Compliance Form Copy OF SOUI - _ __ - 5 -- lf �G � * # 4WN 0 WS UTHOLD BUILDING DEPT. um, 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: Q� /Ys U ;' r.✓ C� 0n4 (zL1 Mlos-r- ATCt- � ►�/ �9 1&4 oig:--- � DATE 2 INSPECTOR �o�aOE SOUTyo� C)`r 5 - - I I Ll 0/ # f TOWN OF SOUTHOLD BUILDING.DEPT. � . e cOUNf1,� 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: stgwtct- yousU �- K}t ReA6 P rK rCP X DATE INSPECTOR ` $uFF k BUILDING DEPARTMENT - Electrical Inspector �O D TOWN OF SO.UTHOLD own Hall Annex - 54375-Main Road - PO Box 1179 1 20AB Southold, New York 11971-0959 w�� • Telephone (631) 765-1802 - FAX (631) 765-9502 �OD g�Lfl roger.richert(a_town.south old.nV.us _ T��pgS APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY:.... ._ ------ '.�2 Company Name: 1,p woob k"ZGr-'-�C 1-1%». Name: p bass -h- License No.: _ 4,r36 email: (-at r �/�Go►,.00D �tEcT2�c , eo,.-, Address: j6a ok )rv6 0. -71?2 Phone No.: 631- 29 C&-ZL ;917 JOB SITE INFORMATION: (All Information Required) 'Name: ('Z Address: Lf t lira 2-f-' Ati C 1 1 TU C-K Cross Street: Phone No.: /- 236 - 2 211 Bldg.Permit#: l '� email: Tax Map District: 1000 Section: JoL Block: Lot: BRIEF DESCRIPTION OF WORK (Please Print Clearly) t G2, Circle All That Apply: Is job ready for inspection?: YES NO Rough In Final Do you need a Temp Certificate?: E / NO Is;) On Temp Information: (All inform tion required). Service Size- 1 P 3 Ph Size: ers Old Meter# =Y�Qtd��ire econnect- Flood Reconnect- Service Reconnected - Undergroun Overhead # Underground'Laterals 1 2 H Frame Pole Work done�onervice? Y N Additional Information: PAYMENT DUE WITH APPLICATION Request for Inspection Form-As \� 0\(e � 1 �11ff0[�c BUILDING DEPARTMENT'-Electrical Inspector P TOWN OF SOUTHOLD _ Town Hall Annex - 54375 Main Road - PO Box 1179 , i �y • a Southold, New York 11971-0959 ; Telephone (631) 765-1802 - FAX(631) 765-9502 roger.richertatown.southold.ny.us APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: prLpK �AsspTr�a '�2 Date: (�- 1- 1 8 Company Name: I L.D1n/Oo'D ELeG'fR-1L TNJe- . Name: Q�L��e PAss ➢ S2 License No.: 4"j. email: c-Q\ h c- @W iLDwa-oo 6Le -1PAcc. c Address: , O , Go 800 QRot*3Cv, aZ•v8w-1 t iy It-747- Phone No.: JOB SITE INFORMATION: (All Information Required) Name: bag, Address: I J y0 (a4, A.4e M A-r V ti►tr G Cross Street: A4"_170CA P ( 090 Phone No.: Bldg.Permit#: Z 2(o ( "t" _� email:�a1�h Ic ,wiomaop EI F c •La^-+- Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK(PI e rint Clearly) `D-E i A c Mom: W -rm Loff (3D IF 206reC0v4f2> S'G�in.�n► ao '+ I1lva � . pr� cfZ Circle All That Apply: Is job ready for inspection?: (ED NO Rough In Final Do you need a Temp Certificate?: YES / NO Issued On Temp Information' (Ail information required) Service Size , f Ph 3 Ph Size: ��A # Meters Old Meter# 36g223 New Service Fire Reconnect- Flood Reconnect-Service Reconnected Under round Overhead #Underground Laterals 1 2 CH Frame Pole Work done on Service? 0 N Additional Information: PAYMENT DUE WITH APPLICATION 00 xP 82-Request for In p5 E�Tion orm-AAf J PERMIT# Address: Switch 1�1 Outlets GFI's 1 Surface Sconces H H's 44-:4" � f UC Lts V Fridge HW POOL Fans Mini Fr. I W/D Panel Pump Exhaust Oven Sump Heater Trnsfmr Smokes DW r Generator Salt Gen. Carbon Micro t GrbDis Water Bond I Lights Heat Pucks ERV HOT TUB/SPA Inst Hot DeHum Transfer Disc Combo Cooktop Minisplit Blower AC AH Hood Blower Service Amps ?C0 Haves 11 Used 644 Sub Amps2L-0 Have Used 'I�( Comments &)&S\y\,A, (,\ v St o A4 dl- 0 FOLIr �p Gy BUILDING DEPARTMENT-Electrical Inspector o TOWN OF SOUTHOLD _ • Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959 444 �a0`' Telephone (631)765-1802-FAX(631)765-�2 Temporary Certificate # 40 Date G 2018 Customer Name �Qtr -_T'(__e>r2k ,,.� / Electrician Name Address 14442 %e� 44 � Phone I.3 . fVf, 42,1f e-mail e-mail 2i4c P4-j%? 0 lJl( cteeRjC en Phone License# 47_54,-*e Size 00 A Phase Overhead Underground k #of Meters Remarks ,&L #of Underground Laterals 1 2 New "H" Frame or Pole H P Fire Reconnect Was work done on Service? Y/N Flood Reconnect Old Meter# Service Reconnected -4tqC 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 9 ays tro ate above. Authorized by