HomeMy WebLinkAbout42782-Z Town of Southold 4/10/2023
P.O.Box 1179
C=
a • 53095 Main Rd
��41 Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39717 Date: 6/20/2018
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 765 Cedar Dr,Mattituck
SCTM#: 473889 Sec/Block/Lot: 106.-11-8
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
6/13/2018 pursuant to which Building Permit No. 42782 dated 6/13/2018
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:
UNDERGROUND 200 AMP ELECTRIC SERVICE
The certificate is issued to Seubert,Linda&Mannetta,Maria
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 42782 06-14-2018
PLUMBERS CERTIFICATION DATED
Authorized Signature
SUFFot� TOWN OF SOUTHOLD
�o� cow BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
,caoy • o� SOUTHOLD, NY
?rol � ya
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#: 42782 Date: 6/13/2018
Permission is hereby granted to:
Seubert, Linda & Mannetta, Maria
765 Cedar Dr
Mattituck, NY 11952
To: up grade 200a overehead electrical service to 200a underground electrical service.
At premises located at:
765 Cedar Dr, Mattituck
SCTM # 473889
Sec/Block/Lot# 106.-11-8
Pursuant to application dated 6/13/2018 and approved by the Building Inspector.
To expire on 12/13/2019.
Fees:
ELECTRIC $85.00
Total: $85.00
1gInspector
®F 30UT�,oI
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Town Hall Annex Telephone(631)765-1802
54375 Main Road y � Fax(631)765-9502
P.O.Box 1179 �Q roger.richert(a)-town.southold.ny.us
Southold,NY 11971-0959 Q
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Seubert/ Mannetta
Address: 765 Cedar Drive city,Mattituck st: New York zip: 11952
Building Permit#: 42782 Section: 106 Block: 11 Lot: 8
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Promaster Electric License No: 59226-ME
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 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 FixtureSIA Time Clocks
Disconnect Switches Twist Lock Exit Fixtures TVSS
Other Equipment: Change Existing 200A Overhead Service to Underground
Notes:
Inspector Signature: Date: June 14, 2018
0-Cert Electrical Compliance Form.xls
OF SOUryo�
f TOWN OF SOUTHOLD BUILDING DEPT.
courm, 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) [,�J ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
l
DATE INSPECTORS-�
OV V
Town Hall Annex Telephone(631)765-1802
54375 Main Road N m�ax(6 31)765-g95QU2
P.O.Box 1179 G • �O roger.richert(cvtown.soutnol�d.ny.us
Southold,NY 11971-0959 'Q�yCo �^a D
BUILDING DEPARTMENT JUN 1 2 2018
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION BUMDRtGDM-
/ TOWN OF SOU HOLD
REQUESTED BY Aofy?4.5ker �lGc�r� C• Date: ®S - D q - IS
Company Name: Proracdtel '5cc rrr.
Name: RGnl' no GdpG7
License No.: S92-7-6 — H E
Address: AO box. 112,� rceh orf Ilry y y.
Phone No.: q413 S$3 y 4- /
x
JOBSITE INFORMATION:
� (*Indicates required information)
� /1cLn � t1ndrLr-->vc"Name: r r__
*Address: Cednr tt vcVZ
*Cross Street: �l U�•
*Phone No.: 5/6 -;2-1 4 9 2
Permit No.: 1. --)
Tax-Map District: 1000 _ Section: Block: Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly) Udale- D� 200
Ovcr head Servrce �O Zoe i}jn Undef- /bung,
(Please Circle All That Apply)
*Is job ready for inspection: ;YES NO Rough In Final
*Do you need a Temp Certificate: YES 1�
Temp Information (if needed)
*Service Size: 1 Phase 3Phase 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 for Inspection Form I