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Home My WebLink About44997-Z Town of Southold 7/25/2020 P.O.Box 1179 co 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41290 Date: 7/25/2020 THIS CERTIFIES that the building ELECTRICAL Location of Property: 2400 Broadwaters Rd., Cutchogue SCTM#: 473889 Sec/Block/Lot: 111.4-2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/16/2017 pursuant to which Building Permit No. 44997 dated 7/17/2020 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 electrical service. The certificate is issued to Haywaters Rd LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 44997 7/16/2020 PLUMBERS CERTIFICATION DATED Authorized Signature S�EF a� TOWN OF SOUTHOLD �y BUILDING DEPARTMENT y 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#: 44997 Date: 7/17/2020 Permission is hereby granted to: Haywaters Rd LLC 1889 Sabal Palm Dr Boca Raton, FL 33432 To: 200A Underground Electric Service. Replaces BP#41748 `At premises located at: 2400 Broadwaters Rd., Cutchogue SCTM # 473889 Sec/Block/Lot# 111.-1-2 Pursuant to application dated 7/17/2020 and approved by the Building Inspector. To expire on 1/16/2022. Fees: ELECTRIC $85.00 Total: $85.00 Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT y 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#: 41748 Date: 6/20/2017 Permission is hereby granted to: Haywaters Rd LLC 336 E Alexander Palm Rd Boca Raton, FL 33432 To: 200A Underground Electric Service At premises located at: 2400 Broadwaters Rd, Cutchogue SCTM # 473889 Sec/Block/Lot# 111.-1-2 Pursuant to application dated 6/20/2017 and approved by the Building Inspector. To expire on 12/20/2018. Fees: ELECTRIC $85.00 Total: $85.00 Building Inspector SOUr�®� Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 sean.devlinCa)_town.southold.ny.us Southold,NY 11971-0959 MUM BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Haywaters Rd LLC Address: 2400 Broadwaters Rd city,Cutchogue st: NY zip: 11935 Building Permit#: 44997 Section 1 1 1 Block- 1 Lot- 2 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Daniel Wilcenski Electric License No: 4723ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service X Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph X Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel 200A A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower Range Recpt Ceding Fan Combo Smoke/CO Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks Disconnect FEI Switches 4'LED Exit Fixtures Pump Other Equipment: Cold Water Ground Notes Service Inspector Signature: Date: July 16, 2020 S.Devlin-Cert Electrical Compliance Form As \ o�00ES0UlHp # TOWN OF SOUTHOLD BUILDING DEPT. '�✓' fJ �y�ouxn ' 765-1802 INSPECTION [ ] FOUNDATION 1 ST g [ ] ROUGH PL13G. [ ] FOUNDATION-21SID ; [ ] INSULATION/CAULKING [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY ` [u ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) - [ ] CODE VIOLATION ] PRE C/O REMARKS: DATE INSPECTOR i Oil r s��ryo Town Ball Annex 41 41 Telephone(631)785-1842 54375 Main Road P.O.Box E179 roaer.riche ovm soU& us I Southold,NY 1197I-0959r� OZ . •amu OMGM s BUILDING DEPARTMENT 1102 �itl Jnr t TOWN OF SOUTHOLD - APPLICATION FOR ELECTRICAL INSPECT1O 1- FName.- QUESTED BY: ' �v'� cs 14' Date: —4;11G mpany Name: 1 �'� �} "l cz✓� s k� 1�� e L ^^ - License No.: La Z_� – Address: � 1 Phone No.: ( 31 JOBSITE INFORMATION: (*Indicates required information) *Name: *Address: )4 *Cross Street: r ,�d /'c-0 A-P _ *Phone No.: Permit No.: — - --C.-q-�- r� Tax Map District: 1000 Section:_ Block: Lot: *BRIEF DESCRIPTION OF WORK(Please Print Clearly) r'� � 11-.4 T, (Please Circle All That Apply) �!s job ready for inspection: YES NO ,��vu Final *Do-you need a Temp Certificate: S � � -fierne ��, Temp Information(if d) b*Service Size: 3Phase 100 150 0 350 400 Other *New Service: Re-connect qndergroun - Number of Meter's' Change of Seryice Overhead Additional Information: PA-Y-MEE DUE WITH APPLICATION A B24Request for lnspecUon Form rA�