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Home My WebLink About38116-Z n.. ~,,~'~;yFryq~~ Town of Southold Annex 6/24/2013 ~ P.O. Box 1179 ~e 54375 Main Road '7~ >Fip~ Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 36308 Date: 6/24/2013 THIS CERTIFIES that the building ELECTRICAL Location of Property: 1265 Park Ave, Mattituck, SCTM 473889 Sec/Block/Lot: 123.-2-28 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 6/21/2013 pursuant to which Building Permit No. 38116 dated 6/21/2013 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 Electrical Service Up rg ade The certificate is issued to Thomann, John & Thomann, Kathleen (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 38116 06-19-2013 PLUMBERS CERTIFICATION DATED Authorized Signature TOWN OF SOUTHOLD ,~t~~ BUILDING DEPARTMENT TOWN CLERK'S OFFICE 'e ~~4 SOUTHOLD, NY ,.~n 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#: 38116 Date: 6/2112013 Permission is hereby granted to: Thomann, John & Thomann, Kathleen 137 Bever~_Rd Huntington, NY 11746 To: 200 Amp Electrical Service Upgrade At premises located at: 1265 Park Ave, Mattituck SCTM # 473889 Sec/Block/Lot # 123.-2-28 Pursuant to application dated 6/21/2013 and approved by the Building Inspector. To expire on 12/21/2014. Fees: ELECTRIC $85.00 Total: $85.00 Building Inspector ~o~~pF S0~ y Town Hall Amex yy y Telephone (631) 765-1802 54375 Main Road T T Fax (631) 765-9502 P.o. Box II79 ~ i~ roger.richert(c~town.southold.nv.us Southold, NY 11971-0959 ~1y00UNT1,0c~ BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Haas / Meyer Address: 1265 Park Ave City: Mattituck St: NY Zip: 11952 Building Permit#: Section: Block: Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE contractor: DBA: Big Blue Electric LLC License No: 35348-me SITE DETAILS Offce Use Only Residential X Indoor Basement Service Only X Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph 200a Heat Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel 200a A/C Condenser Single Recpt Recessed Fixures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent FiMure Pumps Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks Disconnect 200a Switches Twist Lock Exit Fixtures TVSS Other Equipment: 200a UfldergrOUnd SerVICe Notes: Inspector Signature: Date: June 19 2013 81-Cert Electrical Compliance Form.xls J ~ o~,~OF SOUTya t~ N ~ 'l~'~ TOWN OF SOUTt10LD BUILDING DEPT. 765-1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) ~ ELECTRICAL (FINAL) REMARKS: C~lr~ ~C~ - ~ lC DATE G INSPECTO ~ , u Town Hall Mnex ~ # Telephone (631) 765-1802 54375 Main Road H ~ (631) 765-g50~ P.O. Box 1179 „ ~ • Q roger.richert(a~(own.southo d.nv.us sonviola, lvY 1ls~l-os5s o~~~;~i° BUILDING DEPARTMEN'T' TOWN OF SOUTHOILD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: A-~.}-~~ !-~Otrxv~~~.. Date: Company Name: ~{rt, eG~tiG L.LC- Name: j ~ ~ 2~. License No.: y. Address: ~ , I ~ F}~i ITucl~ /"7;~Z Phone No.: 6~l - ~ 1-7 _ y , a 4 JOBSITE INFORMATION: (`Indicates required information) `Name: )?R)CJ~C ~R~4S 5veel~N MEy/ez `Address: ~a ~~5 7d}~~K ~ V~ y~ ?{7T iTUCJG N ~ y / 19S 2.. `Cross street: MA~.A~o1~~ ~,4n~£. `Phone No.: -1931 ~ 3ov -7523 oR 63 i - ~ S-'Y~y7 Permit No.: Tax Map District: 1000 Section: Block: Lot: `BRIEF DESCRIPTION OF WORK (Please Print Clearly) r~Oy A-H~ 5212Ui • u~~12/~cQ~ (Please Circle All That Apply) `Is job ready for inspection: YES NO Rough In Fln I *Do you need a Temp Certificate: YES Temp Information (If needed) `Service Size: 1 Phase 3Phase 100 150 20 300 350 400 Other `New Service: Re-connect Un erground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION icy /.t~/fis r~~>P.el~~~ ; ,t~c~w <<~ I.N/~ekRQE1,rell~ 82-Request for Inspection Fonn ~ ~(i~ l/3 ~~-~S Town HaII Mnex # # Telephone (631) 765-1802 54375 Main Road H ~ (631) 765- 50 P.O. Box 1179 ~ • ro er.richert al(own.sout~i ~d.n .us Southold, NY ll971-0959 • BUILDING DEPARTMENT' • TOWN OF SOUTHOI.D APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: ~f-~.}i~ (.~o~~r~~ Date: Company Name: tR~ ec.~ul~ Name: j~ ~ ,Q~ License No.: ~ _M~ Address: ; ~ ~ fl-l`i TUC/: /9:~Z Phone No.: ,Sl b - ~ 1 ? - y , aq JOBSITE INFORMATION: ("'Indicates required information) *Name: RI c.J~_ I-~R~4S r- 5vcr?I/ni /~f~y/eiz *Address: la ~K /-~.Vf~ l~jg7-TiTU~ ,v:y i)4sz *Cross Street: M/}~tq.~,pl.~q ~.,q,~~, *PhoneNo.: (gal ~3oc)-75'23 oR 63?- ~3S-Tw7 Permit No.: Tax Map District: 1000 Section: Block: Lot: *BRIEF DESCRIPTION OF WORK (Please Print Clearly) ,boo SeiZvi . u~~Rr~cP~ (Please Circle All That Appiy) *Is job ready for inspection: YES NO Rough In Fin I *Do you need a Temp Certificate: YES Temp Information (If needed) *Service Size: 1 Phase 3Phase 100 150 20 300 350 400 Other 'New Service: Reconnect Un erground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION ~U I Ce Lt> X1"5 l~U?~IG4 s~ ~ ,t7C9W ~ LiN/QeRRP~1.~id~ 82-Request for Inspection Forrn