HomeMy WebLinkAbout40465-Z � %g�EFO�,{��pY. Town of Southold 3/23/2016
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o P.O.Box 1179
53095 Main Rd
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weI Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38168 Date: 3/23/2016
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 1130 Saltaire Way,Mattituck
SCTM#: 473889 Sec/Block/Lot: 100.-1-30
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
2/16/2016 pursuant to which Building Permit No. 40465 dated 2/16/2016
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 Batz, Linda
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 40465 03-10-2016
PLUMBERS CERTIFICATION DATED
Authorized Signature
gaFFo,�-; TOWN OF SOUTHOLD
BUILDING DEPARTMENT
+o TOWN CLERK'S OFFICE
3y x;
oy 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#: 40465' Date: 2/16/2016
Permission is hereby granted to:
Batz, Linda
98 Joseph Ct
Amityville, NY 11701
To: Electric Service
At premises located at:
1130 Saltaire Way, Mattituck
SCTM # 473889
Sec/Block/Lot# 100.-1-30
Pursuant to application dated 2/16/2016 and approved by the Building Inspector.
To expire on 8/17/2017.
Fees:
ELECTRIC $150.00
Total: $150.00
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Town Hall Annex ~ : Telephone(631)765-1802
54375 Main Road lig ilig Z Fax(631)765-9502
P.O.Box 1179 co, Q ���
Southold,NY 11971-0959 1-�Oly A40,��1 roger.richertt'c�town.southold.ny.us
— COUNTY, ,•.
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Linda Batz
Address: 1130 Saltaire Way City: Mattituck St: New York Zip: 11952
Building Permit#: 40465 Section 100 Block 1 Lot: 30
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: MDS Industries License No: 54586-ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only X
Commerical Outdoor X 1st Floor Pool
New X 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 NC Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect 200A Switches Twist Lock Exit Fixtures TVSS
Other Equipment: "200A Overhead Service"
Notes:
Inspector Signature: 6 --- Date: March 10, 2016
Electrical 81 Compliance Form.xls
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_ P.O.Box 1179 �� y ae (631)17uCh5[
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Southold,NX 11971-0959 `;IA •O'�o1 L
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BUILDING DEPARTMENT • — , i — - --
TOWN OF SOUTHOLD —
APPLICATION FOR ELECTRICAL INSPECTION
• - REQUESTED BY: ;ii,9 r-r- 5-702;7,7z._ Date: ,/c//(.,
Company Name:
Name: 722/9-;-T- Yi-- _5p65--- --4--. -
License No.: --z/5-. g-6 ._,tiL
Address: ii Lf 44 Cwp/n.- iz yy //71X
' Phone No.: . • � ?/,) Thy - 8 / 1 •
JOBSITE INFORMATION: (*Indicates required information)
•
*Name: ' L 1.4vD.'i- g A-1--z -
*Address: 1130 s,4y7— r9-i,2-e-- cA„ r,, 7T/--Z, -,i ,v //Ys
*Cross Street:
57c9c..A,9 v ,�,,� 4-�.e-
*Phone No.: Z '14.--(G31) 33 -z4S3 -
Permit No.: - il 04606
Tax.Map District: 1000 . Section: ,®Q. Block: 1 Lot: 30
*BRIEF DESCRIPTION OF WORK(Please Print Clearly) . . 0/6. CLc„rn ,�-c-
Srsr2 r,1 •-
(Please Circle All That Apply)
*Is job ready for inspection: . 4 NO Rough In
41111,
*Do•you need a Temp Certificate: YES
Temp Information(If needed) i�✓1�
*Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other •
*New Service: Re-connect Underground Number of Meters Change of Service _.:
Additional Information: PAYMENT DUE WITH APPLICATION
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.82=Request for Inspection Form