HomeMy WebLinkAbout51112-Z o�1sOFFOt Town of Southold 10/3/2024
a P.O.Box 1179
0
o - Ql 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 45616 Date: 10/3/2024
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 1575 Gabriella Ct,Mattituck
SCTM#: 473889 Sec/Block/Lot: 108.4-7.34
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/21/2024 pursuant to which Building Permit No. 51112 dated 8/21/2024
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:
100 amp electric service and electric wiring for kitchen.
The certificate is issued to Perez, Salvadore&Concepcion
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OYHEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 51112 9/13/2024
PLUMBERS CERTIFICATION DATED
Auth ized Signature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y a' TOWN CLERK'S OFFICE
�y • SOUTHOLD, NY
jai� Sao
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#: 51112 Date: 8/21/2024
Permission is hereby granted to:
Perez, Salvadore
157.5 Gabriella Ct
Mattituck, NY 11962
To: Electrical - Kitchen outlets & Service
At premises located at:
1575 Gabriella Ct, Mattituck
SCTM # 473889
Sec/Block/Lot# 108.-4-7.34
Pursuant to application dated 8/21/2024 and approved by the Building Inspector.
To expire on 2/20/2026.
Fees:
ELECTRIC $200.00
Total: $200.00
Building Inspector
SOUT��I
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road
CA
P.O.Box 1179 �Q sean.deviin(M-town.southold.ny.us
Southold,NY 11971-0959 Q
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Salvadore Perez
Address: 1575 Gabriella Ct city:Mattituck. st: NY zip: 11952
Building Permit#: 51112 Section: 108 Block: 4 Lot: 7.34
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 X Service
Commerical Outdoor 1st Floor X Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 4 Ceiling Fixtures 2 Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures 9 CO Detectors
Sub Panel 100A A/C Blower Range Recpt ' Gas Ceiling Fan Combo Smoke/CO
Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors
Disconnect Switches 7 4'LED Exit Fixtures Sump Pump
Other Equipment: Fridge, Oven, DW, Hood , 100A Sub Panel 20 Circuits/6 Used, (4)120Combo Breake
Notes: " AS BUILT NO VISUAL DEFECTS " Kitchen & Sub Panel in Basement
Inspector Signature: r Date:
September 13, 2024
S.Devlin-Cert Electrical Compliance Form Copy
�O�aOE SOUIyO� �- I.S 7 C4 --
# TOWN, OF SOUTHOLD. BUILDING DEPT.
cou 631-765-1802
INSPECTION
[ ] FOUNDATION 1 ST/ 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
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DATE ANSPECTOR
g�FF01�-Co � BUILDING DEPARTMENT- Electrical Inspector
O G � TOWN OF SOUTHOLD
o Town Hall Annex - 54375 Main Road - PO Box 1179
oy ® Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
iamesh(a-southoldtownny.gov seand c(D outholdtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INF RMATION (Ali In ormation Required) Date: �O
Company Name: iy
Electrician's Name: _
License No.: Elec. email: .G c(,,
Elec. Phone No: ❑1 request an email copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATION (All Information Required)
Name: 501 e,
Address: V5q5 GaID-y- I1al 5 2
-Cross Street:
Phone No.: - 2 _ yp
Bldg.Permit#: email:
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLU SQUARE FO TAGE (Please Print Clearly):
Q�!. Sgia re Footage:
Circle All That Apply: " .
Is job ready for inspection?: YES NO R ug n �� Final
X ❑ ❑
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 D 1 n2 D H Frame M Pole Work done on Service? Y F1N
Additional Information:
PAYMENT DUE WITH APPLICATI
pttro� o0�
BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
o� = Telephone (631) 765-1802 - FAX (631) 765-9502
jamesh southoldtownny.gov — sea nd(cD-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All In ormation Required) Date: 00
_e Company Name:
Electrician's Name:
License No.: Elec. email: Et;kejv4ZA
Elec. Phone No: ❑I request an email copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATION (All Information Required)
Name: e•T"
Address: � 1a15 2
-Cross Street:
Phone No.: L►p43
Bldg.Permit#: email:
Tax Map District: 1000 Section: Block: Lot: caM
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FO TAGE (Please Print Clearly):
Bye Wes, .
QL(, I Squc7re Footage:
Circle All That Apply:
Is job ready for inspection?: YES NO ug n 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 1 2 R H Frame El Pole Work done on Service? Y nN
Additional Information:
PAYMENT DUE WITH APPLICATI ��
i
PERMIT# Address:
Switches �I 9
Outlets lC 1
GFI's
1
Surface �t
Sconces
H Hs I ��
Frid HW
e
UC Lts g POOL
Fans Mini Fr. W/D
Panel
Pump
Exhaust Oven C� � 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 Amps Have Used
Sub Amps r Have Used
Comments 9t C-al e ' d 4 e elcu APY
avalC - &-- ,V�e Aegs Q34