HomeMy WebLinkAbout41749-Z O�QSyFFO[,�o Town of Southold 4/10/2023
a y� P.O.Box 1179
o _ 53095 Main Rd
y�jol ilt Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39512 Date: 2/16/2018
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 9080 Sound Ave, Mattituck
SCTM#: 473889 Sec/Block/Lot: 122.-2-1.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
6/20/2017 pursuant to which Building Permit No. 41749 dated 6/20/2017
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 RECONNECT FROM FIRE DAMAGE
The certificate is issued to Sepko,Rose
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 41749 02-01-2018
PLUMBERS CERTIFICATION DATED
Authorized Signature
pF SOUlyolo
Town Hall Annex Telephone(631)765-1802
54375 Main Road CA Fax(631)765-9502
P.O.Box 1179 roger.richertED—town.so Litho Id.ny.us
Southold,NY 11971-0959 Q
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
IssUed To: Rosa Sepko
Address: 9080 Sound Avenue City Mattituck st: New York zip: 11952
Building Permit#• 41749 Section: 122 Block: 2 Lot: 1.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor. DBA: Wilcenski Electric License No: 4723-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only
Commerical 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: Fire Re-Connect
Notes:
Inspector Signature: Date: February 1, 2018
0-Cert Electrical Compliance FormAs
rFFat,r 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#: 41749 Date: 6/20/2017
Permission is hereby granted to:
Sepko, Rose
c/o Cathy Sepko
PO BOX 540
Cutchogue, NY 11935
To: Electric Service turn on for fire damage
At premises located at:
9080 Sound Ave, Mattituck
SCTM # 473889
Sec/Block/Lot# 122.-2-1.1
Pursuant to application dated 6/20/2017 and approved by the Building Inspector.
To expire on 12/20/2018.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspe
v ,lel
Town Hall Annex
54375 Main Road Tdephone(6131)765-1802
P.O.Box 1179
Southold,W 11971-0959lg'• �@
JUN 2 0 2017
BUII.DING DEPARTMENT
TOWN OF SOUTHOLD BUILDING DEPT. �
APPLICATION FOR ELECTRICAL wqPPr,_fM OF SOUTHOLD
REQUESTED BY: � l c I
S ( _ Date:
Name:
Company ��c� ( ►j C k ce�,� 1(r c r
Name. `
License No.: ►
-
LPh
dress::
one No.: 6
JOBSITE INFORMATION: (*Indicates required information) �
*Name:
*Address:
*Cross Street; �z
*Phone No.:
Permit No.: 1 40
5
Tax-Map District: 4000 Section: 'a— Block:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)EU'r
J-ffv l �� -tL�v`
(Please Circle Alf That Apply)
*Is job ready for inspection: YES
! NO
*Do-you need a Temp Certificate: NO
Temp Information(ff-n ) b b
*Service Size: I. h Whase. 1o0 450 350 400 Other
*New Service: e-connect I
nderrJroun Num Meters Change of Service Overhead
Additional Information.- PAYMENT DUE WITH APPLICATION Gj
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a242equest for Insn Form \,0� �Q
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