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Home My WebLink About42738-Z �o��nFFot,�COGy Town of Southold 8/10/2018 P.O.Box 1179 y 53095 Main Rd �a101 Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39838 Date: 8/10/2018 THIS CERTIFIES that the building ELECTRICAL Location of Property: 1455 Ole Jule Ln,Mattituck SCTM#: 473889 Sec/Block/Lot: 122.-5-1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/31/2018 pursuant to which Building Permit No. 42738 dated 5/31/2018 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 UPGRADE The certificate is issued to Hansen,William&Jill of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 42738 07-31-2018 PLUMBERS CERTIFICATION DATED Authorized Signature Lam. TOWN OF SOUTHOLD o�g11FF0(,�cp BUILDING DEPARTMENT a TOWN CLERK'S OFFICE oy • SOUTHOLD, NY �Ol � dao 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#: 42738 Date: 5/31/2018 Permission is hereby granted to: Hansen, William 1455 Ole Jule Ln Mattituck, NY 11952 To: Change overhead to underground electric service At premises located at: 1455 Ole Jule Ln, Mattituck SCTM # 473889 Sec/Block/Lot# 122.-5-1 Pursuant to application dated 5/31/2018 and approved by the Building Inspector. To expire on 11/30/2019. Fees: ELECTRIC $85.00 Total: $85.00 Buil ing spector pF SO!/T�®l 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 roger.richert(a-)-town.southoId.ny.us Southold,NY 11971-0959 Qlyc®U�'�^�� BUELDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: William Hansen Address: 1455 Ole Jule Lane city,Mattituck st: New York zip: 11952 Budding Permit#: 42738 Section: 122 Block: 5 Lot: 1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Gordon L. Seaman Electric License No: 4135-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 Other Equipment: Up Grade Existing 200A Service to Under Ground. Notes: Inspector Signature: Date: July 31, 2018 VO 0-Cert Electrical Compliance Formas OF SOUIyO� TOWN OF SOUTHOLD BUILDING DEPT. Own 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) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: /J DATE G I INSPECTOR P. � Fla------ ��O�guFflDt,�coGy BUILDING DEPARTMENT-Electrical Inspector * z TOWN OF SOUTHOLD ce Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959 oy''1 p �a0 Telephone (631)765-1802-FAX(631)765-9502 Temporary Certificate # Date NIPI-" 1*5'0 2018 Fe-mail me /,/3C/( ' Electrician Name C, .5 at TkC� S'S��J/.�'�L1 = �L� Phone G3/- 5� O 771 �G[ e-mail �uC �'o2L J�t4I.r/� • GrG License# #( S C Size Z00 Phase Overhead Underground #of Meters Remarks dkeotV&n 0066r- `-10 0UPCeC�Uf,`$) #of Underground Laterals 1 1 2 New "H" Frame or Polel H P Fire Reconnect Was work done on Service? Y/N Flood Reconnect Old Meter# 2 - -7q6- 614- 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 90Ways trom the date above. Authorized by �-Z �-�) JQ ' ° � I-EC 170 I G DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD - VAY 3 0 Mem Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 01i1� B>tJA.DTNG DE ephone (631) 765-1802 - FAX (631) 765-9502 ToWNOFSOUMOLD roger:riehert0 .town;soutFtold:nV.us. APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: �D Date: � Company Name: - d ,L • �• Name: License No.: d. � email:. �ie LSA CDrl�- MOress: `! D Phone No:: �� 7 DDD ►l JOB SITE INFORMATION: (All Information Required) Name: L../_ Address: �2 Cross Street: Phone No.: 8Idg.Permit#: email: Tax Map District: 1000 Section: Block:. .Lot., (EF DESCRIPTION OF WORK (Please Print Clearly) �� - Circle All T at Apply: Is job ready for inspection?: YES / NO Rough In Final Do you need a Temp Certificate?: YES NO Issued On Temp Information: (All information required) Service•Size 1 Ph 3 Ph Size: o A�2_A #Meters Old Meter# Co�� ff#'PV00prqnq!�und Fire Reconnect- Flood Reconnect-Service Reconnected Underground Overhead Laterals 1 2 H Frame Pole Work done-on,Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION MA&� " 5 11b 82-Request for Inspection Form.xls � �� "r