HomeMy WebLinkAbout52331-Z tpf SOUr Town of Southold
* * P.O. Box 1179
�0a 53095 Main Rd
% urm� Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 46863 Date: 02/27/2026
THIS CERTIFIES that the building ELECTRICAL-RESIDENTIAL
Location of Property: 145 North Dr Mattituck, NY 11952
Sec/Block/Lot: 106.-6-17.1
Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 10/08/2025
Pursuant to which Building Permit No. 52331 and dated: 10/08/2025
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: Christine Rendel
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE: 52331 2/20/2026
PLUMBERS CERTIFICATION:
Authorized Signature
�apFSOUryO TOWN OF SOUTHOLD
~° BUILDING DEPARTMENT
`� • TOWN CLERK'S OFFICE
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#: 52331 Date: 10/08/2025
Permission is hereby granted to:
Christine Rendel
55 North Dr
Mattituck, NY 11952
To:
200 amp underground electric service.
Premises Located at:
145 North Dr, Mattituck, NY 11952
SCTIVI# 106.-6-17.1
Pursuant to application dated 10/08/2025 and approved by the Building Inspector.
To expire on 10/08/2027.
Contractors:
Required Inspections:
Fees:
ELECTRIC-Residential $100.00
Total $100.00
Building Inspector
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Town Hall Annex Telephone(631) 765-1802
54375 Main Road
P.O.Box 1179 O ��
Southold,New York 11971-0959 �DUNTI
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Christine Rendel
Address: 145 North Dr City: Mattituck St: NY zip: 11952
Building Permit* 52331 Section: 106 Block: 6 Lot: 17.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Electrician: Glens Electric License No: 4770ME
SITE DETAILS
Office Use Only
Commercial Indoor Basement Service X Solar
Residential X Outdoor X 1st Floor Pool Battery Storage
As-built Renovation 2nd Floor Hot Tub EV Charger
New X Addition Attic Spa Generator
Survey ix I Mezzanine Garage Dock
INVENTORY
Service 1 ph In-wall Heater Recpt Ceiling Fixtures Smoke Detectors Pump
Service 3 ph Hot Water GFCI Recpt Wall Fixtures CO Detectors Heater
Main Panel A/C Condenser Single Recpt RecessdFixtures Combo Smoke/CO Transformer
Sub Panel A/C Blower Range Recpt Ceiling Fan Heat Detectors Salt Gen
Transfer Switch Mini Split Dryer Recpt UC Lights Fridge AutoCover
ARC Blower Heads Switches Pucks Lights Dishwasher Mini Fridge
GFI SepticDisconnect Emrgency Strobe 4'LED Microwave Garbage Disp.
ARC/GFI ERV Exit Lights Bath Exhaust Hood Dehumidifier
Other Equipment: none
Notes: Changed Service From Overhead to Underground
Inspector Signature: Date: February 20, 2026
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# TOWN�OF SOUTHOLD BUILDING DEPT.
coum, 631-765-1802
. INSPECTION -
FOUNDATION
1ST/ REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE-SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS:
U
Ci
DATE !L �� INSPECTOR "06
BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
2025
To Hall Annex- 54375 Main Road - PO Box 1179
o • Southold, New York 11971-0959
4% .�0 uiiding DePal"Ont Telephone (631) 765-1802
' -rown,of soethoid
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: ry R A7,625
Company Name: E -5 d �o
Electrician's Name: e
nr
License No.: Elec. email:
Elec. Phone request an email copy of Certificate of Compliance
Elec. Address.: ` _ ;gc,
JOB SITE INFORMATION (All Information Required) /
Name:
Address: o P i
Cross Street: e4
,a X •—'
Phone No.: C3 Ste- 5
Bldg.Permit#: B I email:
Tax Map District: 1000 Section: f D(o Block: (o Lott-7, 9
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
;e- �X "s 71-1c/6" (0-1 6i4 A 67 4r L 4-?1,01e-,- o v6P—h�C"1g!
wfTfF vNdeee Atom P 2�e-iyc�
7i ,f eVer_&V90 is r-erv9w Square Footage: Ajey-
Circle All That 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 Ph❑3 Ph Size: Lao A # Meters�— Old Meter#
❑New service[:]Fire Reconnect[—]Flood Reconnect❑Service Reconnect E3Cnderground❑Overhead
# Underground Laterals 1 F12 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
1 D v -