HomeMy WebLinkAbout42585-Z ��p�g11FPDq�D� Town of Southold 6/20/2018
a, P.O.Box 1179
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53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39718 Date: 6/20/2018
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 550 Saltaire Way, Mattituck
SCTM#: 473889 Sec/Block/Lot: 100.4-36
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
4/19/2018 pursuant to which Building Permit No. 42585 dated 4/19/2018
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:
200 AMP UNDERGROUND ELECTRIC SERVICE
The certificate is issued to Young,William&Patricia
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 42585 06-14-2018
PLUMBERS CERTIFICATION DATED
Ailtborized Signature
suFEnc�r TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
: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#: 42585 Date: 4/19/2018
Permission is hereby granted to:
Young, William
550 Saltaire Way
Mattituck, NY 11952
To: Underground Electrical Service
At premises located at:
550 Saltaire Way, Mattituck
SCTM # 473889
Sec/Block/Lot# 100.-1-36
Pursuant to application dated 4/1912018 and approved by the Building Inspector.
To expire on 10/19/2019.
Fees:
ELECTRIC $85.00
Total: $85.00
Buil �ing Inspector
pF SOUTy®�o
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G Q
Southold,NY 11971-0959 �� • yo roger.richert( -town.southold.ny.us
lyCousu�r,e1�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: William Young
Address: 550 Saltaire Way City.Mattituck st: New York zip: 11952
Building Permit#: 42585 Section- 100 Block: 1 Lot: 36
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Island Wide Electric License No: 3876-E
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 200A Heat Duplec Recpt Ceding Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 200A 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 200A Switches Twist Lock Exit Fixtures �] TVSS El
Other Equipment: Change Existing 200A Service from Overhead to Underground.
Notes:
Inspector Signature: Date: June 14, 2018
0-Cert Electrical Compliance Form.xls
OF SOUIyo�
# # TOWN OF SOUTHOLD BUILDING DEPT.
Crourm, 765-1802
1 NSPECTION
[ ] 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:
DATE
INSPECTOR
BUILDING DEPARTMENT-Electrical I Vf�' nTWN OF SOUTHOLD '
Town Hall Annex-54375 Main Road - Box 1179 D
p � Southold, New York 11971-0959 APR 19 2018
Telephone (631.) 765-1802 - FAX(631) 765-9502
rope_e riche,@town.southold,nym 13,);
TOWN OF SOUTHOLD
APPLICATION_FOR ELECTRICAL INSPECTION
REQUESTED BY: Date:
Company Name: = vt t �•�iName, (r6
License No.: 3 email: S 1} 1,.,Ai—
Address: (,� (�_�L G-A. LU w A
Phone No.: —
JOB SITE INFORMATION: (Ali Information Required)
e
Name:
Address: S Ou,j Ali
Cross Street: (AJ g U C L Yt E �-•�
Phone No.: (3 f 7 3 S � �
Bldg,Permit#: 'fo-) 5(as email:
Tax Map District: 1000 Section: pp Block: / Lot:
BRIEF DESCRIPTION OF WORK(Please Print Clearly) ek nalw'
slaty �(' C
Circle All That Apply:
Is job ready for inspection?: YES & Rough In Final
Do you need a Temp Certificate?: YES/ NO Issued On
Temp Information: (All information required)
Service-'Size Ph 3 Ph Size: LTQ A #Meters 9 Old Meter#
New Service- Fire Reconnect- Flood ReconnectService Reconnec d - nderground Overhead
1#-Underground Laterals 2 H Frame Pote Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION 'S
C'
82-Request for Inspecuon Form As \� �J