HomeMy WebLinkAbout37706-Z `y~iFO(~"?, Town of Southold Annex 7/23/2013
P.O. Box 1179
= F 54375 Main Road
n.
~ t' Southold, New York 11971
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CERTIFICATE OF OCCUPANCY
No: 36413 Date: 7/23/2013
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 3655 Wickham Ave, Mattituck,
SCTM 473889 Sec/Block/Lot: 107.-9-8
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
12/21/2012 pursuant to which Building Permit No. 37706 dated 12/21/2012
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 UP-GRADE
The certificate is issued to Yousik, Rosemary &Yousik, Sharon Ann
(OVVN ER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 37706 03-04-2013
PLUMBERS CERTIFICATION DATED
Authorized Signature
.ryffUl*~-,_ 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 37706 Date: 12/21/2012
Permission is hereby granted to:
Yousik, Rosemary & Yousik, Sharon Ann _
3655 Wickham Ave
PO BOX 618 - _
Mattituck, NY 11952
To: Electric Service Up-Grade
At premises located at:
3655 Wickham Ave, Mattituck
SCTM # 473889
Sec/Block/Lot # 107.-9-8
Pursuant to application dated 12/21/2012 and approved by the Building Inspector.
To expire on 6/22/2014.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
A¢~~1FFO1K
Town Hall Annex ~O~ C~Gy Telephone (631) 765-1802
~ Fax 631 765-9502
54375 Main Road 3~ ~ ~ ( )
P.O. Box 1179 0 ~ ~ a~
y
Southold, NY 11971-0959 ~a'llp ~4;r>y roger.richertCa)town.southold.ny.us
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Anthony Galeotti
Address: 3655 Wickham Ave City: Mattituck St: NY Zip: 11952
Building Permit#: 37706 Section: 107 Block: 9 Lot: 8
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: oaA: G&S Electric License No: 578-e
SITE DETAILS
Office Use Only
Residential Indoor Basement Service Only
Commerical Outdoor 1st Floor Pod
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hd W ater GFCI Recpt Wall Fixures Smdce Detectors
Main Panel 2 A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixures Time Clocks
Disconnect 2 Swdches Twist Lock Exit Fixtures TVSS
other equipment: 2 meter underground service upgrade, 100a with main panel and 100a disconnect
150a with main panel and 150a disconnect. 150a in main house, 100a in rear cottage.
Notes:
Inspector Signature: ~e~yc..-~ Date: March 4 2013
Electrical Certificate.xls
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Town Hall Mnex # Telephone f631) 76~-~RO9 1
54375 Main Road G ~ roger.rich~ ~l~f-oJ~vFl1~~q~nV•"~US~~
P.O. Box 1179 -<r~~--~ D
Southold, NY 11971-0959 • I ! ~ I' I I
/y00UNT'I,a`~ a ~.1~ DEC 2 1 2012 II_/
BUILDING DEPARTMENT ~ i ~ r, of rr.
TOWN OF SOUTHOLD lc°~'• :o'~~~~n~olo
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: ~o ~j ~J prta2,~~-ter-:, Date: ~ ~~o_
Company Name: ~ ~ S' C~-~T C-
Name:
License No.: ~
Address: ,p_ ~m/~- ~!S - ,~E>v o~
Phone No.: 6 I
JOBSITE INFORMATION: ("Indicates required information)
'Name: ,~QNTND/1/S~ ~PrC.EoTt / -
rAddress: ES' ~ i G K ~-tAr~ 1J~4 ~ ?7JC-.~
'Cross Street: " ~/L,q Nn A ~J ~
'Phone No.:
Permit No.: ~77~
Tax Map District: 1000 Section: Block: Lot:
'BRIEF DESCRIPTION OF WORK (Please Print Clearly)
S C R~tJ (C~_ p ~ ~ - r ~ P ~
(Please Circle All That Apply)
'Is job ready for inspection: ES NO Rough In Final
'Do you need a Temp Certificate: YES NO
Temp Information (If needed
'Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other
'New Service: Re-connect Underground Number of Meter Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
~i` P ~~j1`~Y
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82-Request for Inspection Form C/I ~ , f
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