HomeMy WebLinkAbout42632-Z �o�gllffOt,��OG� Town of Southold 6/5/2018
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. P.O.Box 1179
a' 53095 Main Rd
�a50. Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39683 Date: 6/5/2018
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 55 CR 48,Mattituck
SCTM#: 473889 Sec/Block/Lot: 121.-2-1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/1/2018 pursuant to which Building Permit No. 42632 dated 5/1/2018
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 ELECTRIC SERVICE RE-CONNECT(UNIT 4)
The certificate is issued to Terranova,Giacomo
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 42632 05-29-2018
PLUMBERS CERTIFICATION DATED
Authorized Signature
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TOWN OF SOUTHOLD
poi: BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
oy_• o� 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#: 42632 Date: 5/1/2018
Permission is hereby granted to:
Terranova, Giacomo
4995 Mill Ln
PO BOX 746
Mattituck, NY 11952
To: 100a underground electric service re-connect
At premises located at:
55 CR 48, Mattituck
SCTM #473889
Sec/Block/Lot# 121.-2-1
Pursuant to application dated 5/1/2018 and approved by the Building Inspector.
To expire on 10/31/2019.
Fees:
ELEC IC $125.00
Total: $125.00
Building Inspector
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Town Hall Annex Telephone(631)765-1802
54375 Main Road CO- Fax(631)765-9502
P.O.Box 1179 �, �Q roger.richert(-town.southold.ny.us
Southold,NY 11971-0959 ®l�C®WN9��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: ALI Katz Kitchen (Terranova)
Address: 55 CR 48 - Unit#4 city,Mattituck st: New York zip: 11952
Building Permit#: 42632 section: 121 Block: 2 Lot. 1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Laurel Lighting License No: 4718-ME
SITE DETAILS
Office Use Only
Residential Indoor X Basement Service Only
Commerical X Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceding Fixtures HID Fixtures
Service 3 ph 100A 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 Fixtures Time Clocks
Disconnect 100A Switches Twist Lock Exit Fixtures TVSS
Other Equipment: Re-Connect Existing 100A 3 Phase Service.
Notes:
Inspector Signature: ��� Date: May 29, 2018
0-Cert Electrical Compliance Form.xls
SOUTyo6
# TOWN OF SOUTHOLD BUILDING DEPT.
co 766-1802
qz,63z- 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)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
blICA
DATE �' i' INSPECTOR: ' `j _
o��lffOl�Eo� BUILDING DEPARTMENT-Electrical Inspector
a TOWN OF SOUTHOLD
= Town Hall Annex- 54375 Main Road - PO Box 1179
���,®• �� Southold, New York 11971-0959
' Telephone (631) 765-1802 - FAX(631) 765-9502
roper.richertg�town:southold.,ny.ug
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: D Date:: 12:9d
Company Name: -
Name:
License No.: L4�.I�j.-M �_ email: G fes• 1
Address: A/_�A
Phone No.: ce 3_
JOB SITE INFORMATION: (Ail Information Requ'red)
Name:.114
_ M� - --, - I`�---
Address: ®V.
Cross Street: _
Phone No.: -
Bldg.Permit#: �� � __ email: a, •C0VY1-
Tax Map District:, 1000 Section: Block:_- . ,- _ . _ Lot:. _ 0
BRIEF DESCRIPTION OF WORK(Please Print Clearly)
Circle All That Apply:
Is job ready for inspection?: YES / NO Rough In Final
Do you need a Temp Certificate?: YE NO Issued On-- '
Temp Information: (All information required)
Service'Size 1 Ph3 Ph Size:�_A #Meters _ Old Meter#
New Service-Fire Reconnect- Flood Reconnect-Service Reconnect -Undergroun Overhead
#Underground Lateral 1 2 H'Frame' Pole Work done on,ServIt Y N _
Additional Information:
PAYMENT DUE WITH APPLICATION - w_
82-Request for Inspecdon FormAs 9/ za�