HomeMy WebLinkAbout40579-Z s:�
��SUFFat,�cQ�. Town of Southold 10/11/2017
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P.O.Box 1179
1 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39279 Date: 10/11/2017
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 555 Jacksons Landing, Mattituck
SCTM#: 473889 See/Block/Lot: 113.-5-5
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
3/28/2016 pursuant to which Building Permit No. 40579 dated 3/30/2016
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 FOR OUTDOOR KITCHEN
The certificate is issued to Budis,John
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 40579 09-21-2017
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
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BUILDING DEPARTMENT
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co TOWN CLERK'S OFFICE
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, 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#: 40579 Date: 3/30/2016
Permission is hereby granted to:
Budis, John
60 Harrow Ln
Manhasset, NY 11030
To: Electric for BBQ with Rotisserie
At premises located at:
555 Jacksons Landing, Mattituck
SCTM # 473889
Sec/Block/Lot# 113.-5-5
Pursuant to application dated 3/28/2016 and approved by the Building Inspector.
To expire on 9/29/2017.
Fees:
ELECTRIC $90.00
$90.00
Building Inspector
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Town Hall Annex Telephone(631)765-1802
54375 Main Road C Fax(631)765-9502
P.O.Box 1179 ell- ® roger.richert(cD-town.southold.ny.us
Southold,NY 11971-0959 ,l , ��p ® �
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: John Budis
Address: 555 Jacksons Landing city,Mattituck st: New York zip: 11952
Building Permit#: 40579 Section: 113 Block: 5 Lot: 5
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: First Class Electric License No: 34075-ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt 3 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 RecptEmergency Fixture Time Clocks
Disconnect Switches Twist Lock Exit Fixtures TVSS
Other Equipment: Supply Power to Outdoor Kitchen (BBQ)
Notes: 3- GFCI Receptacles.
Inspector Signature: Date: September 21, 2017
0-Cert Electrical Compliance Form.xls
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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 c
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Town Hall Annex 4 Telephone(631)765-1802
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Southold,NY 11971-0959
BUMDING DEPT. 1�
'OWN OF SOUTSOI D
BUILDING DEPAR'TNZNT
TOWAI'OF$OTJTHOLD
APPLICATION FOR ELECTRICAL. INSPECTION
REQUESTED BY:
Date:
Company Name: 7 -
Name:
License No.:
Address: , )bigU ,e
Phone No.:
JOBSITE INFORMATION: (*Indicates required information)
*Name:
"Address:
*Cross Street:
*Phone No.: 1 -7 if,7j
Permit No.: p
Tax-Map District: 1000 Section: Block: Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
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(Please Circle All That Apply)
*Is job ready for inspection: YES 6O Rough In Final
*Do.you need a Temp Certificate: YES/ NO
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: RAWYMENT DUE WITH APPLICATION
B2=1equest for Inspedon Form VC • 00
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