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Home My WebLink About39426-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY 12/31/2014 No: 37351 Date: 12/31/2014 THIS CERTIFIES that the building ELECTRICAL Location of Property: 12850 Route 25, Mattituck, SCTM #: 473889 Sec/Block/Lot: 114.41-14 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/17/2014 pursuant to which Building Permit No. 39426 dated 12/17/2014 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 - FIRE RE -CONNECT The certificate is issued to Calenda, Robert (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 39426 12-30-2014 Authorized Signature Permit #: 39426 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) Permission is hereby granted to: Calenda, Robert PO BOX 412 Syosset, NY 11791 To: Electric Service - Fire Re -Connect At premises located at: 12850 Route 25 SCTM # 473889 Sec/Block/Lot # 114.-11-14 Date: 12/17/2014 Pursuant to application dated 12/17/2014 and approved by the Building Inspector. To expire on 6/17/2016. Fees: ELECTRIC $85.00 Total: $85.00 Building Inspector Permit #: 39426 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) Permission is hereby granted to: Calenda, Robert PO BOX 412 Syosset, NY 11791 To: Electric Service - Fire Re -Connect At premises located at: 12850 Route 25 SCTM # 473889 Sec/Block/Lot # 114.-11-14 Pursuant to application dated To expire on Fees: 6/17/2016. 12/17/2014 Date: 12/17/2014 and approved by the Building Inspector. ELECTRIC $85.00 Total: $85.00 Building Inspector Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 pF SO(/l�o� o � ^�aQ COUNTI ,�`C.�' Telephone (631) 765-1802 Fax (631) 765-9502 roger. riche rtl-town. southoId. ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Robert Calenda Address: 12850 Main Rd Rt 25 City: Mattituck St: NY Zip: 11952 Building Permit #: 39426 Section: 114 Block: 11 Lot: 14 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Jim Sage Electric License No: 3635-e Residential Commerical New Addition 100a Indoor Outdoor Renovation Survey X Duplec Recpt SITE DETAILS Office Use Only X Basement X 1st Floor 2nd Floor Attic `WT14►11101WA Service Only X Pool Hot Tub Garage Service 1 ph 100a Heat Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel 100a A/C Condenser. Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect 100a Switches Twist Lock El Exit Fixtures TVSS Other Equipment: OK to re -connect, no fire damage Notes: Inspector Signature: Date: Dec 30 2014 81 -Cert Electrical Compliance Form.xls so u ,0 1( /vQ`� � • yo TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING/ STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION [ ] ELECTRICAL (ROUGH) [ ] CODE VIOLATION REMARKS: [ ] ROUGH PLUMBING [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION FIRE RESISTANT PENETRATION ],ELECTRICAL (FINAL) [ ]CAULKING DATE / � 4,1 INSPECTOR Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631) 765-1802 roger.richertCa7- wn sou5tfioI d.ny.us BUILDING DEPARTMENT TOWN OF SOUTH[OLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Date: 101171/ e� Company Name: Name: License No.: 2 Address: Phone No.: JOBSITE INFORMATION: (*Indicates required information) *Name: *Address: *Cross Street: *Phone No.: Permit No.: Tax -Map District: ivvV oecuon: *BRIEF DESCRIPTION OF WORK (Please Print Clearly) Block: Lot: (Please Circle All That Apply) *Is job ready for inspection: 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 350400 Other -connec *New Service: Renderground Number of Meters Change of Service - Overhead Additional Information: PAYMENT DUE WITH APPLICATION .82 -Request for lnspeciion Form s®