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HomeMy WebLinkAbout41192-Z suFF01 . �0�0 c©Gy Town of Southold 4/19/2017 P.O.Box 1179 a -o • 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38906 Date: 4/19/2017 THIS CERTIFIES that the building ELECTRICAL Location of Property: 1495 Pike St, Mattituck SCTM#: 473889 Sec/Block/Lot: 140.-2-42 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 11/28/2016 pursuant to which Building Permit No. 41192 dated 11/28/2016 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: ELECTRIC WIRING FOR KITCHEN RENOVATION The certificate is issued to Dean,Robert of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 41192 04-13-2017 PLUMBERS CERTIFICATION DATED Authorized Signature TOWN OF SOUTHOLD �� ay BUILDING DEPARTMENT TOWN CLERK'S OFFICE coy • 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#: _41192 Date: 11/28/2016 Permission is hereby granted to: Dean, Robert PO BOX 713 Cutchogue, NY 11935 To: electric for kitchen renovation At premises located at: 1495 Pike St, Mattituck SCTM #473889 Sec/Block/Lot# 140.-2-42 Pursuant to application dated 11/28/2016 and approved by the Building Inspector. To expire on 5/30/2018. Fees: ELECTRIC $150.00 Total: $150.00 - 1 Bu Inspector,. pF SO!/r�®l 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Q .®l� yo roper.rich ert(a�town.southold.ny.us Southold,NY 11971-0959 couno, BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Dean Address: 1495 Pike Street City: Mattituck St: New York Zip: 11952 Building Permit#: 41192 Section: 140 Block: 2 Lot: 42 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: ACA Electrical License No: 39698-ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor 1st Floor X Pool New Renovation 2nd Floor Hot Tub Addition Surrey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 6 Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency FixtureTime Clocks Disconnect Switches F1, Twist Lock Exit Fixtures 9 TVSS Other Equipment: 6- Under Counter Lights, 1- 40A Cook Top, 1- 40A Wall Oven. Notes: Inspector Signature: Date: April 13, 2017 0-Cert Electrical Compliance Form.xls 1 1° �o��Of50Uly��1 w.TLDIIVG 'DEPARTIMENT .., ' `OWN OF„SO_U'THOLD' • (a 'Town'Hail Anne0 54375 Main Roadt•P.O.Box,ipi;79•Southold,NY 11971-0959 VTetephone(631):76571802*:Fax(631.)79 5-9502 Date i' Number of:Meters Temporary Certificate r ♦Size " f Phase ( 0 'Overhead`D Undergrourid= LL New Service, 0 ' Chanag '61 Service _0 Reconnect'Ezisting Service . tL °Issued,.to ✓ InstaUed;by_ i Lic.#' Reference _ Application-for,electrical service equipment is on'-file with the Town.of Southold.On applicant's notification d, that this installation is complete;the town will conduct.a premise§;inspection ofahe service equipment: This verificatio s'°valid"f day o the I ove"date. „ Authofted,6y r AoF soolyolo TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE J7 INSPECTOR SO�jyolo coulm TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE-SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ J ELECTRICAL (FINAL) REMARKS: DATE ANSPECTOR pF Sli�j Town Hall Annex > Telephone(631)765-1802 54375 Main Road �taxg P.O.Box 1179 G roger.richertAm 1.SOu1:liOIQ 5.nV us Southold,NY 1197I-0959 �Ullt'l,� t i BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR'ELECTRICAL INSPECTION REQUESTED BY: �] /`-t't-f,}c'As)DSg_ Ar,,V-icr� Date: Company Name: A0.45c,-7z6l C,0 cc , c- 7 z',,? Name: n o Zoe- License License No.: -3 9 i� Address: v� v.T� �r��o /tl` l l�/ 1 • Phone No.: � - JOBSITE INFORMATION: (*Indicates required information) *Name: *Address: 149S tilcsz �-7. AWIrt ( f *Cross Street: gAA 3 V-D *Phone No.: Permit No.: Tax-Map District: 1000 Section: -1-.- 4c) Block: -Z Lot: 4,;�- *BRIEF DESCRIPTION OF WORK(Please Print Clearly) / llrr G k ec&,- � �t�C'yl T � �C `�1L71�.J ( S�Gl� •`�.kJ41LL. p1JC�', - (Please Circle All That Apply) Is job ready for inspection: YES O Rough In Final *Do-you need a Temp Certificate: YES Temp information(If needed) *Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other *New Service: Re-connect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION 150 X82-Request for Inspection Form