HomeMy WebLinkAbout40327-Z is FFOd,rde- Town of Southold 12/29/2015
P.O.Box 1179
53095 Main Rd
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' a° Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38001 Date: 12/29/2015
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 465 Dogwood Ln, Mattituck
SCTM#: 473889 Sec/Block/Lot: 106.-8-22
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
12/4/2015 pursuant to which Building Permit No. 40327 dated 12/4/2015
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:
200 AMP OVERHEAD ELECTRIC SERVICE
The certificate is issued to Williams, Shawn
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 40327 12-23-2015
PLUMBERS CERTIFICATION DATED
Authorized Signature
N TOWN OF SOUTHOLD
r��o� �� • BUILDING DEPARTMENT
o ? TOWN CLERK'S OFFICE
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or�ol ��o� ,, 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#: 40327 Date: 12/4/2015
Permission is hereby granted to:
Williams, Shawn
405 South Dr
Mattituck, NY 11952
To: 200a overhead electric service.
At premises located at:
465 Dogwood Ln, Mattituck
SCTM # 473889
Sec/Block/Lot# 106.-8-22
Pursuant to application dated 12/4/2015 and approved by the Building Inspector.
To expire on 6/4/2017.
Fees:
ELECTRIC $85.00
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:: $85.00
a.
Building Ins. - _ •
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Town Hall Annex ��� 4: %e,
l® : Telephone(631)765-1802
54375 Main Road C Z Fax(631)765-9502
P.O.Box 1179 : fa' � t
&t. 0roger.richert@town.southold.ny.us
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ix NY 11971-0959 . a 1
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Williams
Address: 465 Dogwood Lane City: Mattituck St: New York Zip: 11952
Building Permit#: 40327 Section: 106 Block: 8 Lot: 22
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Wildwood Electric Inc. License No: 4836-ME
SITE DETAILS
Office Use Only
Residential X Indoor X 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 NC 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 200A Switches Twist Lock Exit Fixtures TVSS
Other Equipment: "200 A Over Head Service "
Notes: `
Inspector Signature: VDate: December 23, 2015
Electrical 81 Compliance Form.xls
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Town Hall Annex Telephone(631)765-1802
54375 Main Road ` (631?765-9502
P.O.Box 1179 � • k 1 roger.richert ownsouthollCUl.ny.us
Southold,NY 11971-0959 \ 'O `\i tk1
BUILDING DEPARTMENT
• TOWN OF SOUTHOLD I.C
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: \dLDWOOO ELECTCZ , Date:
'12-4 -IS
Company Name: W i LO Wenn, ttz is ENL,
Name: 3NPtl.:Ptt Tr's r t.-r‘ct. Ta--.
License No.: 11.6 36
Address: '?. C? c''c 8081 vv olvesc Mil l KY I j`1 q2
Phone No.: t 14 c.e- 63/- 90- zovii 9 C424 Cil-. i - 2z 1
JOBSITE INFORMATION: (*Indicates required information)
*Name: IN"olv Wl Iri- Prri.S
*Address: y65' -Do&w ,o-D LPiiv 1 M i-TT,i uCK.
*Cross Street: STAN Ley 'OA
*Phone No.: 63k- BIZ_ t4
Permit No.:
Tax Map District: 1000 Section: Block: Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
QE P LA-cel-t• . ( ogI 61 w.Ly �`T wfis Two I oo An•r SEXvice3
we- "961c- r fiv TO A 5,,vble gem pidtive. if
(Please Circle All That Apply)
*Is job ready for inspection: ,D/ Bough-frrFinal
*Do you need a Temp Certificate: ( h
Temp Information (If.needed)
*Service Size: •-1 Phas= 3Phage „age 45e- 20p) ,age- .
*New Service: eaee ect k)dergco Number Meters Change of Service "Overhead f
Additional Information: PAYMENDUE WITH APPLICATION
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82-Request for Inspection Form �a ,Ph�� X91 Lp�0 D >:Zec-rc�tc co�� ol