HomeMy WebLinkAbout37706-Z s�'S�jtK Town of Southold Annex 7/23/2013
P.O.Box 1179
t 54375 Main Road
oy Southold,New York 11971
A6
CERTIFICATE OF OCCUPANCY
No: 36413 Date: 7/23/2013
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 3655 Wickham Ave, Mattituck,
SCTM#: 473889 Sec/Block/Lot: 107.-9-8
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
12/21/2012 pursuant to which Building Permit No. 37706 dated 12/21/2012
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:
ELECTRIC SERVICE UP-GRADE
The certificate is issued to Yousik,Rosemary&Yousik, Sharon Ann
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 37706 03-04-2013
PLUMBERS CERTIFICATION DATED
Authorized Signature
�SUFc TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y a ' TOWN CLERK'S OFFICE
oy • o� 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#: 37706 Date: 12/21/2012
Permission is hereby granted to:
Yousik, Rosemary &Yousik, Sharon Ann
3655 Wickham Ave
PO BOX 618
Mattituck, NY 11952
To: Electric Service Up-Grade
At premises located at:
3655 Wickham Ave, Mattituck
SCTM # 473889
Sec/Block/Lot# 107.-9-8
Pursuant to application dated 12/21/2012 and approved by the Building Inspector.
To expire on 6/22/2014.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
Town Hall Annex ��o� OGy Telephone(631) 765-1802
54375 Main Road o Fax(631)765-9502
P.O. Box 1179 O -
Southold, NY 11971-0959 y?!pd �,�0! roger.richerta-town.southol d.ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Anthony Galeotti
Address: 3655 Wickham Ave City: Mattituck St: NY Zip: 11952
Building Permit#: 37706 Section: 107 Block: 9 Lot: 8
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: G&S Electric License No: 578-e
SITE DETAILS
Office Use Only
Residential Indoor Basement Service Only
Commerical Outdoor 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 2 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 2 Switches HTwist Lock Exit Fixtures TVSS
11
Other Equipment: 2 meter underground service upgrade, 100a with main panel and 100a disconnect
150a with main panel and 150a disconnect.150a in main house,100a in rear cottage.
Notes:
Inspector Signature: Date: March 4 2013
Electrical Certificate.xls
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Town Hall Annex Telephone(6331)-76 --19
02
54375 Main Road ro er.rich ��Q to�t113t3UtId019n ISE
P.O.Box 1179 �O
Southold,NY 11971-0959
DEC 21 2012
BUILDING DEPARTMENT BLDG. DEPT.
TOWN OF SOUTHOLD TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: �4 C J AevLt_ru.:. Date:
Company Name: $ S' LS��T c,_
Name:
License No.: z5
Address:
Phone No.. 9 1 (11
JOBSITE INFORMATION: (`Indicates required information)
*Name: A f\J rP 0Al <�5 6-C.410 T l
*Address: &J i c ecn.1 Arm ,�I//� lylA 2Z 7-VC-J—*-
*Cross Street: N A U.4—C'
*Phone No.:
Permit No.: _27 1
Tax Map District: 1000 Section: Block: Lot:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
S EAU �H C=1
(Please Circle All That Apply)
*Is job ready for inspection: YES NO Rough In Final
*Do you need a Temp Certificate: YES 1 NO
Temp Information (If needed)
*Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other
*New Service: Re-connect U Number of Meter Change of Service Overhead
nderground
Additional Information: PAYMENT DUE WITH APPLICATION
o2 g!�Io v S,5 $` 12AC/c
C;7 P +7`a11�a-
82-Request for Inspection Form �Ch �-
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