HomeMy WebLinkAbout41597-Z �OgUFFDtjrcoG Town of Southold 8/15/2017
P.O.Box 1179
0
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39128 Date: 8/15/2017
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 475 Alois Ln,Mattituck
SCTM#: 473889 Sec/Block/Lot: 123.-64.9
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/2/2017 pursuant to which Building Permit No. 41597 dated 5/2/2017
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:
200 AMP OVERHEAD ELECTRIC SERVICE UPGRADE
The certificate is issued to Clemens,Gregory&Waters,Deborah
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 41597 06-07-2017
PLUMBERS CERTIFICATION DATED
Or Authorized Signature
o�gUFFOL�co TOWN OF SOUTHOLD
�� Gy BUILDING DEPARTMENT
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#: 41597 Date: 5/2/2017
Permission is hereby granted to:
Clemens, Gregory &Waters, Deborah
45 E End Ave Apt 18C
New York, NY 10028
To: 200a electric service
At premises located at:
475 Alois Ln, Mattituck
SCTM # 473889
Sec/Block/Lot# 123.-6-4.9
Pursuant to application dated 5/2/2017 and approved by the Building Inspector.
To expire on 11/1/2018.
Fees:
ELECTRIC $85.00
Total: $85.00
Buil ing In pector
pF SOUry®lo
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 roger.rich ert(Mtown.southoId.ny.us
Southold,NY 11971-0959
NTY,
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Clemens
Address: 475 Alois Lane city,Mattituck st: New York zip: 11952
Building Permit#: 41597 Section: 123 Block: 6 Lot- 4.9
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 Basement Service Only
Commerical Outdoor 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 200A Switches Twist Lock Exit Fixtures TVSS
Other Equipment: 200A OVERHEAD SERVICE UPGRADE
Notes:
Inspector Signature: t� Date: June 7, 2017
0-Cert Electrical Compliance Form.xls
�o�aOE SO�lyOlo
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 INSPECTOR `
Town HAAS Terme{631)963.1802
34375 Main Road 1)
P.O.Boat 1199 G • roger. RA
SDUdWk,NY 11971-OM• a
• o
BUILDING DII'ART111T
• IVM OF SOLMOLD
APPLICATION FOR ELECTRICAL INSPECTION
F
TED BY �. Date'
Y Name: Co r
No.: 1 _ rt f �tnoA*o.: 3 r
LUZ
JOBSITE INFORMATION: (1ndiretes required information)
*Name: 9 gz& C� .;r t r
*AWS' Lf75" r�..o l� �rrZTvc� ASY iC�ts`i.
'' stoatt9L� lyr.C- --,A. -
*Phone No: -
PermitNo.: iM71
Q157
Tax Nap Dlsbft 1000 Section: Bkxk Lot 77 _ .
*BRIEF-DES=PTION OF WORK(Pt Print Cleanly)
d
r> 1 c C1� c �ird,n e
(Pe Clmde All That Apply)
*ls Job ready-for inion: S NO Rough In Final
*Do you need a Tmnp Ceritiixfie: O/ NO
Temp Infwmadon(if need94
_ *service Size: 1plow3Phwe 100 150 (I�V 300 350 400 Other
Tr.- r.•ve ".
*New S Pa-wnned Ur�ground Number of MkCimnge of
s Ora lmd
D n: PAYMENT DUE WITH APPL-40710N
MAY R 2011
BUILDWfflAaX&r0r kqmson Fdnn
TOWN OF SOUTHOLD