HomeMy WebLinkAbout41361-Z Town of Southold 3/24/2017
3 P.O.Box 1179
0
53095 Main Rd
�ao� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38873 Date: 3/23/2017
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 850 Bungalow Ln,Mattituck
SCTM#: 473889 See/Block/Lot: 123.-2-13.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
2/13/2017 pursuant to which Building Permit No. 41361 dated 2/13/2017
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:
UNDERGROUND ELECTRIC SERVICE
The certificate is issued to McAllister, Susan
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 41361 03-02-2017
PLUMBERS CERTIFICATION DATED
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Authorized Signature
so
Town Hall Annex Telephone(631)765-1802
54375 Main Road sv� Fax(631)765-9502
P.O.Box 1179 a@ roger.richert(D-town.southold.ny.us
Southold,NY 11971-0959
Cou ,� '
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To. McAllister(Maginn)
Address:850 Bungalow Lane City:Mattituck St: New York Zip: 11952
Budding Permit#: 41361 Section: 123 Block: 2 Lot: 13.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Messina Electric License No: 43108-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X 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 Ceding Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 200A A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances - Dryer Recpt Emergency Fixture Time Clocks
Disconnect 200A Switches Twist Lock Exit Fixtures TVSS El
other Equipment: Change Existing Overhead Service to Underground
Notes:
Inspector Signature: Date: March 2, 2017
0-Cert Electrical Compliance Form As
�SOFFoc�� TOWN OF SOUTHOLD
BUILDING DEPARTMENT
co 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#: 41361 Date: 2/13/2017
Permission is hereby granted to:
Maginn, Margaret
C/O Peggy Clennan
3302 Willow Pond Dr
Riverhead, NY 11901
To: Replace existing electric service
At premises located at:
850 Bungalow Ln, Mattituck
SCTM # 473889
Sec/Block/Lot# 123.-2-13.1
Pursuant to application dated 2/13/2017 and approved by the Building Inspector.
To expire on 8/15/2018.
Fees:
ELECTRIC $85.00
Total: $85.00
nspector
OF SO(/Tyo�
[�1 TOWN OF SOUTHOLD BUILDING DEPT.
765-1602
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) i� ELECTRICAL (FINAL)
REMARKS:
DATE INSPECTOR
of Soy,
oy�0 jyo
Town Hall Annex r7lble ��
54375 Main Road n D
P.O.Box 1179 • O ro er.riC efi oWll.sout o .n .uS
Southold,NY 1197I-0959
oly�,4s � FEB 1 3 2017 j
BUILDING DEPARTMENT BUMDING DEPT
TOWN OF SOUTHOLD TOWN OF SOUTHOLD i
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date: ah-311-7
Company Name: pq, 55'�r/}- �� �c .1 oe.
Name: To I"1�55 rr►/-I-
License No.:
Address: • d 2T 124 1124-7
Phone No.: . l - -7-Z,-L - g-gs� . d I.-*
-
JOBSITE INFORMATION: (*Indicates required information)
*Name: SJ 5a0 Ri.3 A
*Address: ?To Gvn ow
*Cross Street: 4 kPr
*Phone No.: "at— (�p�- 9q367
Permit No.:
v
Tax-Map District: 1000 S ction: /1.3 Block: o Z Lot: l3,/
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
(Please Circle All That Apply)
Is job ready for inspection: ! NO Rough In Final
*Do.you need a Temp Certificate: YE NO
Temp Information(if. d)
1
*Service Size: 1 Phase 3Phase 100 150 Q2OJO 300 350 400 Other
*New Service: Re-connect ndergroun Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
82=Request for Inspection Form ��"�