HomeMy WebLinkAbout40345-Z Town of Southold. 1/7/2016
P.O. Box 1179
53095 Main Rd
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_ Ol ";;'.' Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 38025 Date: 1/7/2016
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 410 Bungalow Ln, Mattituck
SCTM#: 473889 Sec/Block/Lot: 123.-2-7.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
12/15/2015 pursuant to which Building Permit No. 40345 dated 12/15/2015
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 SERVICE UPGRADE
The certificate is issued to David&Leslie Tuthill
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 40345 12-30-2015
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
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TOWN CLERK'S OFFICE
';'� a • SOUTHOLD, NY
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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#: 40345 Date: 12/15/2015
Permission is hereby granted to:
David & Leslie Tuthill
410 Bungalow Ln
Mattituck, NY 11952
To: electric service upgrade
At premises located at:
410 Bungalow Ln, Mattituck
SCTM # 473889
Sec/Block/Lot# 123.-2-7.1
Pursuant to application dated 12/15/2015 and approved by the Building Inspector.
To expire on 6/15/2017.
Fees:
ELECTRIC $85.00
Total: $85.00
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Build ng Inspe
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Town Hall Annex �� ~ : Telephone(631)765-1802
54375 Main Road i illi 411Z Fax(631)765-9502
P.O. Box 1179 :% co A
Southold,NY 11971-0959 fly -1Za•C` roger.richertCa)_town.southold.ny.us
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To. Tuthill
Address: 410 Bungalow Lane City Mattituck St: New York Zip: 11952
Building Permit* 40345 Section: 123 Block: 2 Lot: 7 1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: C-CAT Electric License No: 953-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 200 Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 1-200A NC Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel NC Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect 1-200A Switches Twist Lock Exit Fixtures TVSS
Other Equipment: "Service Up Grade, 200A Overhead"
Notes:
Inspector Signature: Date: December 30, 2015
Electrical 81 Compliance Form.xls
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TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLUMBING
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [A] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
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DATE l V/17° I INSPECTOR
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Town Hall Annex 4 4 ; Telephone(631)78g65-11802
54` MaiBox Road v' rogersicher[(cI� kso" ThOld.nv.us
P.O._O.Box 1179 G @ ��
Southold,NY 11971-0959 : �� .A. �0t
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: IK A.v ()> çLSI fir-- Date: `,7._/q/(J'
Company Name: .COIT Ej___(-- " Ic__
Name: - , - -- 1 ��`� (� -}•l1- - - -
License No.: c ; rY E
Address: 140 �'� ,u,4 k: &) Y / /95z
Phone No.: ,Q fie /f- /3 /47/
JOBSITE INFORMATION: (*Indicates required information)
*Name:
*Address: 4(0o i)N,� ,4t 11C43lA , -11447TYNCK , F3 y l 115Z
Cross Street M.� K0v4-1v0 j< f . - " •
*Phone No.: ,99(?-cf Lt6,?
Permit No.:
Tax Map District 1000 Section: Block: " a Lot 7,
• *BRIEF DESCRIPTION OF WORK(Please Print Clearly) 50 tc,- (4O
(Please-Circle All That Apply)
*Is job ready for inspection: OM' NO Rough In
dir
*Do you need a Temp Certificate: rCli O
Temp Information (If needed)
*Service Size: allip 3Phase 100 150 CO 300 350 400 Other -
*New Service: Re-connect • Underground Number of Meters Change of Service .Overhea•
Additional Information: PAYMENT DUE WITH APPLICATION •
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