HomeMy WebLinkAbout42297-Z 5 � Town of Southold 2/9/2018
P.O.Box 1179
aZ" 53095 Main Rd
1 fg,?,f� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39503 Date: 2/9/2018
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 9650 Sound Ave, Mattituck
SCTM#: 473889 Sec/Block/Lot: 122.-2-24.4
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
1/16/2018 pursuant to which Building Permit No. 42297 dated 1/16/2018
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:
100 AMP UNDERGROUND ELECTRIC SERVICE UPGRADE
The certificate is issued to ECM LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 42297 01-23-2018
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
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#: 42297 Date: 1/16/2018
Permission is hereby granted to:
ECM LLC
C/O Carol Sullivan
10020 Sound Ave
Mattituck, NY 11952
To: 100a electric service reconnection.
At premises located at:
9650 Sound Ave, Mattituck
SCTM # 473889
Sec/Block/Lot# 122.-2-24.4
Pursuant to application dated 1/16/2018 and approved by the Building Inspector.
To expire on 7/18/2019.
Fees:
ELECTRIC $85.00
QTotal: $85.00
Building Inspector
pF SO(/ryQl
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Town Hall Annex Telephone(631)765-1802
54375 Main Road N Fax(631)765-9502
P.O.Box 1179 roger.richert(-town.Southold.ny.us
Southold,NY 1 1971-0959 Q
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To. ECM LLC (Sullivan)
Address: 9650 Sound Avenue city Mattituck st: New York zip. 11952
Building Permit#- 42297 Section: 122 Block: 2 Lot: 24.4
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor DBA: REP Electric License No. 46288-ME
SITE DETAILS
Office Use Only
Residential Indoor Basement Service Only
Commerical X Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph 100A Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 100A 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 100A Switches Twist Lock Exit Fixtures TVSS
Other Equipment: Upgrade 100A Service to Underground.
Notes:
Inspector Signature: c �L Date: January 23, 2018
0-Cert Electrical Compliance Form.xls
--------------------------------------------
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BUILDING DEPARTMENT-Electrical Inspector �-7
i� TOWN OF SOUTHOLD
a Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959
Telephone (631)765-1802-FAX(631)765-9502
Temporary Certificate Date2018
Customer Name IQee-t. 7f 1i 7777 Electrician Name — !L
Address G 5D GL Phone d /— 7G7 -- i�o
e-mail jf /TifC(G e-mail :P W
Phone License# $- /int
Size 66 A Phase Overhead Underground oy4 #of Meters
Remarks
#of Underground Laterals 1 2 New
"H" Frame or Pole H P Fire Reconnect
Was work done on Service? Y/N Flood Reconnect
Old Meter#[ Service Reconnected
Application for electrical service equipment is on file with the town of Southold.On the applicant's notification that this installation
is complete,the town will conduct a premises inspection of the service equipment.
This verification is valid for 90 da from the date above.
Authorized by
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Town Hall Annex + f41Telephone(631)765-1802
54375 Main Road 9 o
P.O.Box 1179 G� roger.richert(c 0&'soufhol ny us
Southold,NY 11971-0959 y0
lyC4UNT`I,��
9 LSCS i s
BUILDING DEPARTMENT V i
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: �� /� I C Date: l CQ i
Company Name: 2 C_
Name: 2p �j6Z-71
License No.: y 6, 2-
Address:
Address: a 0x
Phone No.: 6�> '
JOBSITE INFORMATION: (*Indicates required information) /�
*Name: c A—G L S �� V / � Lrn LLC)
*Address: o /0 S
*Cross Street: Y
*Phone No.: , �S
Permit No.: '7
Tax Map District: 1000 Section: j � Block:�_ Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
(Please Circle All That Apply)
*Is job ready for inspection: t'rEZ NO Rough In Final
*Do you need a Temp Certificate: ES/)NO
j
Temp Information (If ded)
*Service Size: P a rnderg:0'
150 200 300 350 400 Other
*New Service: Re-connectt�n Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
82=Request for Inspection Form