HomeMy WebLinkAbout42469-Z pp�S11FFQl,f�oGy Town of Southold 10/5/2018
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P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39940 Date: 10/4/2018
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 3400 Deep Hole Dr,Mattituck
SCTM#: 473889 Sec/Block/Lot: 115.-17-11
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
3/20/2018 pursuant to which Building Permit No. 42469 dated 3/20/2018
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 underground electric service.
The certificate is issued to FHV LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 42469 10/1/2018
PLUMBERS CERTIFICATION DATED
Authorized Signature
Sn�nc� TOWN OF SOUTHOLD
BUILDING DEPARTMENT
o,
TOWN CLERK'S OFFICE
oy, • a� 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#: 42469 Date: 3/20/2018
Permission is hereby granted to:
Bank Of America NA
14405 Walters Rd Ste 200
Houston, TX 77014
To: 200a underground electric service upgrade.
At premises located at:
3400 Deep Hole Dr, Mattituck
SCTM # 473889
Sec/Block/Lot# 115.-17-11
Pursuant to application dated 3/20/2018 and approved by the Building Inspector.
To expire on 9/19/2019.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
pF SO!/r�ol
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Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G Q
�► • o roger.richerta_town.southold.ny.us
Southold,NY 11971-0959 Q
01y�OUiVT`I
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To, Gary Salice
Address: 3400 Deep Hole Dr City: Mattituck St: New York Zip: 11952
Building Permit#. Section- 115 Block: 17 Lot. 11
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: GJS Electric License No: 4839-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 underground service up grade
Notes.
Inspector Signature: Date: October 12018
l
81-Cert Electrical Compliance Form.xls
SOblyo�
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMA
DATE G ffi INSPECTOR
Town Hall Annex {
54375 Main Road Tele��pahxone(631)7gg65((y-1802
P.O.sox 1179 • 0 roger.riChert(ti0`Wtl S76501016.
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Southold,NY 11971-0959 1� �►,
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BUH DING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date: i
Company Name: -TS
Name:
i
License No.: y $ M L�7 -
Address: �0 k 5 L�l c
Phone No.: 103-L QCl $ �{5 Lt
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JOBSITE INFORMATION: (Indicates required information) '
*Name: �r_4
C.e
*Address: -e. AA a
*Cross Street: -�-—...�._.
*Phone No.: - - `{l o '
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Permit No.: l
Tax-Map District: 4000 Section: D Bloch: I -r-- Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly) -`�1 '
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f Please Circle All That Apply) M
*Is Job ready for inspection: Q
YES 1 NO R
* ough in anal (D
Cao"you geed a Temp Certificate: YES NO
MAR 202018 1
Ternp Information(if needed) i
*Service Size: 1 Phase 3Phase 100 950 200 300 350 400 Oth ,DYNG DEQ.
*New Service: Re-connect
Ci
derground Number of Meters Change of Service Overheo "OF SOU'I'II®�. .
Additional Information: PAYMENT DUE WITH APPLICATION
� - e9224RequestforInspec6on Form , '