HomeMy WebLinkAbout42981-Z �o,,p��FF�t'fcQG Town of Southold 9/13/2018
. P.O.Box 1179
a
53095 Main Rd
oA- �ao� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39899 Date: 9/13/2018
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 215 Kraus Rd, Mattituck
SCTM#: 473889 Sec/Block/Lot: 122.-5-7
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/30/2018 pursuant to which Building Permit No. 42981 dated 8/30/2018
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:
200a overhead electric service.
1
The certificate is issued to Reed, Jane
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 42981 9/4/2018
PLUMBERS CERTIFICATION DATED
uthorized Signature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
C cm
TOWN CLERK'S OFFICE
o • SOUTHOLD, NY
z 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#: 42981 Date: 8/30/2018
Permission is hereby granted to:
Reed, Jane
215 Kraus Rd
Mattituck, NY 11952
To: 200a electric service
At premises located at:
215 Kraus Rd, Mattituck
SCTM #473889
Sec/Block/Lot# 122.-5-7
Pursuant to application dated 8/30/2018 and approved by the Building Inspector.
To expire on 2/29/2020.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
50!/T�QI
Town Hall Annex Telephone(631)765-1802
54375 Main Road N Fax(631)765-9502
P.O.Box 1179 G Cc
�► ao roger.richert(D-town.southold.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Jane Reed
Address: 215 Kraus Rd City: Mattituck St: New York Zip: 11952
Building Permit#: 42981 Section: 122 Block. 5 Lot 7
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: RJ Corazzini Electric License No: 33419-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service Only X
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph 200a Heat Duplec Recpt Ceiling 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 Fixtures Time Clocks
Disconnect 200a Switches Twist Lock Exit Fixtures TVSS
Other Equipment: 200a overhead service upgrade
Notes
Inspector Signature: Date: September 4 2018
81-Cert Electrical Compliance Form xls
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TOWN OF SOUTHOLD BUILDING DEPT.
`�courmN�` 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] 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 �> �-
-------------
�o�SUff0L4,coG
BUILDING DEPARTMENT-Electrical Inspector
xTOWN OF SOUTHOLD
-3 Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959
'�Ol • � Telephone (631)765-1802-FAX(631))765-9502
Temporary Certificate '679 Date AU(s 77/ 2018
Customer Name �-��G 2tZ Electrician Name ,rdv0Z#7Z-t14./f L-Uzf_-
Address 2 5' 2-#jrt5 J2P &pffff tet clG Phone (0, (- 335- jef?j
e-mail e-mail R.TC Z GO7r01-11/41,c, WeT
Phone License# 33 411 1 MC
Size Z(jo A Phase / Overhead�_ Underground
Remarks — L J (('vU106•'— f���
#of Underground Laterals 1 2 New
"H" Frame or Polel H P Fire Reconnect
Was work done on Service? Y/N Flood Reconnect
Old Meter# 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 90 da to above.
Authorized by
BUILDING DEPARTMENT - Electrical Inspector
$11FFQLK
�p TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-1195; nn�f
o� • Telephone (631) 765-1802 - FAX
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roger.richerttown.southol us
AUG 3 0 2018
APPLICATION FOR ELECTRICAL INSPECTION
EQUESTED'B a cf; J- . OrAzZ'v
- Cir. Date: �- ® �
Company Name:
Company ✓C �oi z�.'�r C�e��
Name:
License No.: 3 5 ch f-/"� email: ,z44,,.r
Address:
Phone No.: - 535-1°J1
JOB SITE INFORMATION: (All Information Required)
Name:
Address: 5 74;/
Cross Street:
Phone No.:
Bldg.Permit#: email:
Tax Map District: 1000 Section: l Block: Lot:
BRIEF DESCRIPTION OF WORK (Please Print Clearly) ll
Circle All Aat Apply:
Is job ready for inspection?: YE / NO Rough In Final '
Do you need a Temp Certificate?: � NO Issued On
Temp Information: (All information required)
Service Size 1 Ph 3 Ph Size: __2(20 _A #Meters Old Meter#
New Service -Fire Reconnect- Flood Reconnect- Service Reconnected - Underground Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
Request for Inspection Fonn.xls �����