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39922-Z
Town of Southold P.O. Box 1179 53095 Main Rd Southold, New York 11971 CERTIFICATE OF OCCUPANCY 7/31/2015 No: 37686 Date: 7/31/2015 THIS CERTIFIES that the building ELECTRICAL' Location of Property: 1500 Pike St, Mattituck SCTM #: 473889 Sec/Block/Lot: 140.-3-16 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/7/2015 pursuant to which Building Permit No. 39922 dated 7/7/2015 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: OVERHEAD ELECTRIC SERVICE UPGRADE The certificate is issued to Dries, Wayne & Dries, Frank of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 39922 07-22-2015 PLUMBERS CERTIFICATION DATED Authorized Signature t#-" SIO OF TOWN OF SOUTHOLD BUILDING DEPARTMENT y 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 #: 39922 Date: 7/7/2015 Permission is hereby granted to: Dries, Wayne & Dries, Frank _ 1347 Aldrich Ln Laurel. NY 11948 To: upgrade overhead electric service from 100a to 150x. At premises located at: 1500 Pike St. Mattituck SCTM # 473889 Sec/Block/Lot # 140.-3-16 Pursuant to application dated 7/7/2015 To expire on 1/5/2017. Fees: and approved by the Building Inspector. ELECTRIC $85.00 Total: $85.00 Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 roger. riche rt&town.southoId. ny.us CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Frank Dries Address: 1500 Pike Street City: Mattituck St: New York Zip: 11952 Building Permit #: 39922 Section: 140 Block: 3 Lot: 16 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Pumillo Electric License No: 2300 -ME Residential Commerical New Addition X Indoor Outdoor Renovation Survey Heat Duplec Recpt SITE DETAILS Office Use Only - X Basement X 1st Floor 2nd Floor Attic INVENTORY X Service Only Pool Hot Tub Garage Service 1 ph 150A Heat Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures Smoke Detectors Main Panel 150A 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 150A Switches Twist Lock El Exit Fixtures TVSS Other Equipment: 150A Over Head Service, 4 GFCI Circuit Breakers Notes: Inspector Signature: '--- Date: July 22, 2015 Electrical 81 Compliance Form.xls Town Hall Annex 54375 lltaiai Road P.O. Box 1179 Southold, NY 1197I4959 Telephone (631) 765-1802 (6319 765. 5 roger.riche .toWn.so o� .nv.us BURDING DEPARTIVWNT E {t41W`4 tIr>' aOi ( i1? t int APPLICATION FOR ELECTRICAL ilMi`i REQUESTED 13Y: t4MI LLO� �= (��C_. Date. Company Name: !M( L__C_ C Name: �O t]` � h1 i f 0 License filo.: O c-�) e�,, . E . Address: phone No.:/�— JOBSITE INFORMATION: (1nd.iczates required information) Name: *Address: *Cross Street: *Phone No.: Permit No.: ?ax Map District: 9000 Section: p Stock:Lot: *BRIEF IDESCRiPTION OF WORK (Please Print dearly) is (Please Circle All That Appy) *Is Job ready for inspecti®n: No. Rough in Anal*Dc-you need a Temp Certificate:6�41 / NO Terre Information Qf needed) *'Service Size: 1 Phase 311hase 100 °l50 200 300 350 .400 Other Service: Re -connect- Underground Number of meters Change of Serviceverhead Additional Information: PAYM9K DUE WITH APPLICATION 82 -Request for Inspection Form J