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Home My WebLink About42217-Z uFFOj/reo� Town of Southold 12/27/2017 P.O.Box 1179 a r 53095 Main Rd o'✓.ayo� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39420 Date: 12/27/2017 THIS CERTIFIES that the building ELECTRICAL Location of Property: 2800 Deep Hole Dr, Mattituck SCTM#: 473889 Sec/Block/Lot: 123.4-12 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/7/2017 pursuant to which Building Permit No. 42217 dated 12/7/2017 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: ELECTRIC SERVICE FOR DOCK The certificate is issued to Silverman,Henry of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 42217 12-12-2017 PLUMBERS CERTIFICATION DATED Afuthorized Signature I V c�cP TOWN OF SOUTHOLD aye BUILDING DEPARTMENT TOWN CLERK'S OFFICE oy • oR' 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#: 42217 Date: 12/7/2017 Permission is hereby granted to: Silverman, Henry 530 E Main St Riverhead, NY 11901 To: Electric Permit At premises located at: 2800 Deep Hole Dr, Mattituck SCTM #473889 Sec/Block/Lot# 123.-4-12 Pursuant to application dated 12/7/2017 and approved by the Building Inspector. To expire on 6/8/2019. Fees: ELECTRIC $85.00 Total: $85.00 ui ing Inspector Sa�nt�c TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY �Ql � dao 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#: 42217 Date: 12/7/2017 Permission is hereby granted to: Silverman, Henry 530 E Main St Riverhead, NY 11901 To: Electric Permit At premises located at: 2800 Deep Hole Dr, Mattituck SCTM # 473889 Sec/Block/Lot# 123.-4-12 Pursuant to application dated 12/7/2017 and approved by the Building Inspector. To expire on 6/8/2019. Fees: ELECTRIC $85.00 Total: $85.00 Builk- ctor 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road y Fax(631)765-9502 P.O.Box 1179 0h roger.richert(cD-town.southold.nv.us Southold,NY 11971-0959 Q co BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Henry Silverman Address: 2800 Deep Hole Drive city,Mattituck st: New York zip: 11952 Budding Permit#: 42217 Section: 123 Block: 4 Lot: 12 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: HOME OWNER DBA: License No: 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 Recpt Emergency Fixture Time Clocks Disconnect Switches Twist Lock Exit Fixtures t] TVSS Other Equipment: power to Dock - Dock Module with Light and 30A Receptacle. Notes: Inspector Signature: Date: December 12, 2017 0-Cert Electrical Compliance Form.xls OE SOUjyo V � 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) [� ELECTRICAL (FINAL) REMARKS: G .' o e DATE �� l�-•' �� INSPECTOR �_� Telephone(631)765-1802 5P 75 x 1179 • Q roger rechert&wn 1�i1tIl01tl nV US southo 1199()}��9- 2017 I BUMDWG IDEEPY'. TOWN OF SO=OLIBURDING DEPARTMENT I TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED . BY: Henry Silverman Date:12-4-2017 E Company Name: Name: is License No.: Address: 530 East Main Street,Riverhead, NY 11901 Phone No.: 631-921-2666 JOBSITE INFORMATION: (*Indicates required information) *Name: Henry Silverman i *Address: 2800 Deep Hole Dr.,Mattituck, NY 11952 *Cross Street: New Suffolk Avenue -i *Phone No.: 631-921-2666 Permit No.: Southold Wetlands Permit No.8828 Tax-Map District: 1000 Section: 123 - Block: 04 Lot: 12 *BRIEF DESCRIPTION OF WORK(Please Print Clearly) Electric to boat dock (Please Circle All That Apply) *Is job ready for inspection: YES NO. Rough In final *Do.you need a Temp Certificate: YES O Ternp Information Qf needed) *Service Size: 1 Phase Whase 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 82-Request fir Inspection Form `D �"X��