HomeMy WebLinkAbout41172-Z gUfFoLirc10, Town of Southold 6/2/2017
P.O.Box 1179
a
ca 53095 Main Rd
pyx Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38989 Date: 6/2/2017
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 370 Meday Ave, Mattituck
SCTM#: 473889 Sec/Block/Lot: 113.40-8.2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
11/17/2016 pursuant to which Building Permit No. 41172 dated 11/17/2016
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 Williams,Brian
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 41172 05-30-2017
PLUMBERS CERTIFICATION DATED
utb rized Signature
SUFFn�� " TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
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#: 41172 Date: 11/17/2016
Permission is hereby granted to:
Wells, Laurie
370 Meday Ave
PO BOX 272
Mattituck, NY 11952
To: 200a electric service
At premises located at:
370 Meday Ave, Mattituck
SCTM # 473889
Sec/Block/Lot# 113.-10-8.2
Pursuant to application dated 11/17/2016 and approved by the Building Inspector.
To expire on 5/19/2018.
Fees:
ELECTRIC $85.00
Total: $85.00
Bu ing In ctor
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Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 , �Q roper.richert('-town.southoId.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Williams(Wells)
Address: 370 Meday Avenue City: Mattituck St: New York Zip: 11952
Budding Permit#: 41172 Section: 113 Block- 10 Lot: 8.2
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Roslak Electric License No: 3677-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 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 20 AA Switches Twist Lock 11 Exit Fixtures TVSS
Other Equipment: Service Upgrade, 200A Overhead
Notes:
Inspector Signature: Date: May 30, 2017
0-Cert Electrical Compliance Form.xls
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Town Hall Annex Telephone(631)765-1802
54375 A4a i n (toad ax(0'3 i)7455- 5l 2
P-O- sox 1179 o roger_richert( rRowl(n-sout�io�d ny.us
Southold,NY 11971-0959 Q ,�
1�l0UtCt'i,�
BUILDING DEPARTME,NT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: �
��t91 0�0 Date: 0 "Zo
1Company Name:
Name:
License No.: �-j
Address:
Phone-No.: ,(aj 73 Ll-S2 U9 '
JOBSITE (NFORII/IATION: (*indicates required information) j
`
*Name:
*Address: _3 70
*Cross Street:
*Phone No_:
Permit No.: �)i
Tax-Map District: • 1000 Section: Block: Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
(Please Circle All That Apply) i
*is job ready for inspection: YES/ NO. Rough In Final
*Do-you need a Temp Certificate: YES ! NO 1
Temp Information (if needed)
*Service Size: CZED 3Phase 100 150 200 300 350 400 Other I .
*New Service: Re-connect Underground Number of Metersange ofService Overhea
Additional Information: PAYMENT DUE WITH APPLICATION
i
i
82-Request for Inspection Form j
I
Bunch, Connie
From: Lois Roslak <roslak@optonline.net>
Sent: Sunday, November 20, 2016 3:47 PM
To: Bunch, Connie
Subject: Re: Brian Williams, 370 Meday Avenue, Mattituck
Hi:
Sorry about that.It's overhead service at 370 Meday Ave. Mattituck.
Thanks again
Tom
-----Original Message -----
,From:,.Bunch;_Connie ry
To: 'roslak(a)_optonline.net
Sent: Thursday, November 17, 2016 3:13 PM
Subject: Brian Williams, 370 Meday Avenue, Mattituck
Before I can email the temp to you I need to know if the service is above ground or underground.
Thank you,
Connie
1
Bunch, Connie
From: Bunch, Connie
Sent: Thursday, November 17, 2016 3:14 PM
To: 'roslak@optonline.net'
Subject: Brian Williams, 370 Meday Avenue, Mattituck
Before I can email-the temp to you I need to know if the service is above ground or underground.
Thank you,
Connie
1
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