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Home My WebLink About45582-Z �o�gUEFOt��OG� Town of Southold 1/7/2021 0 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41730 Date: 1/7/2021 THIS CERTIFIES that the building ELECTRICAL Location of Property: 2075 Pine Neck Rd., Southold SCTM#: 473889 Sec/Block/Lot: 70.-547 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/21/2020 pursuant to which Building Permit No. 45582 dated 12/21/2020 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: electric for hydro action septicsystem. The certificate is issued to Wallace,Luke&Schmidt,Katie of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45582 12/21/2020 PLUMBERS CERTIFICATION DATED Authorize ignature r ao�soEFot�.�o 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#: 45582 Date: 12/21/2020 Permission is hereby granted to: Wallace, Luke 200 Monitor St Brooklyn, NY 11222 To: Electric for hydro action septic system. At premises located at: 2075 Pine Neck Rd., Southold SCTM # 473889 Sec/Block/Lot# 70.-5-47 Pursuant to application dated 12/21/2020 and approved by the Building Inspector. To expire on 6/22/2022. Fees: ELECTRIC $85.00 Total: $85.00 Building Inspector rg so Town Hall Annex $ ® Telephone(631)765-1802 54375 Main Road moi ' r Fax(631)765-9502 P.O. ox 117 Southoldd,,NY 11971-0959 sean.devlinCc� y' town.southold.n us .4° � `- �® c®u ,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To, Luke Wallace Address: 2075 Pine Neck Rd city,Southold sr NY zip: 11971 Building Permit#. 45582 Section 70 Block 5 Lot: 47 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Hubbard Electric License No. 4709ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service Commerical Outdoor X 1st Floor Pool New X Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 4'LED Exit Fixtures Pump Other Equipment: Hydro Action AN400 w/ Leaching Pool Notes New Septic and Disconnect Inspector Signature: CC\GC `_ Date: December 21, 2020 S.Devlin-Cert Electrical Compliance Form.xls ho��pF SOUTHp� Ld 5 58 2-1 -7 f # TOWN OF SOUTHOLD BUILDING DEPT. `ycOUrm 765-1802 INSPECTION , [ ] FOUNDATION 1ST [ ] 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 REMARKS: _4 Chi DATE I`� �� INSPECTOR P71 LJ A BUILDING DEPARTMENT-Ellectricallinspector L TOWN OF SOUTHOLD L-� "-'' 0EC 1 5 2020 C* Town Hall Annex-54375 Main Road-PO Box 1179 ® Southold, New York 11971-0959 Telephone(631)765-1802-FAX(631)7 0502!f"'_' rogerr(cD-southoldtownny.gov- seande-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All information Reqflred), Date- Company Name-. , �W-ncM ElecJ-o-r L)-(-- Name: Cn',4C AJL�bkaCd license No.: fy)F -qI j)q Phone NoJM—SDO( 0 1 request an email copy of Certificate 6f Compliance Address.: .1119 4 2�+MA (-)- Rlld-e6vm` ;w 112ol JOB SITE INFORMATION (m inforrnation Reqwred) Name: L(A- er 94-�e i joijac& Address: aQ15 'inio. AJ&rA 9d, �"A�6c)d /Jo I 1911 Cross streetC xY)lucntt Phone No.: 31 Bldg-Permit L4 5 email: C,6,.� c_)Vv.(_p I Jar,,(qqn-t,;1.(A i Tax Map District: 1000 Section: Block: � Lot.. j BRIEF DESCRIPTION OF WORK(Please Print Clearly) U) ij'k $kct6Cc2N-tCn Qcd a'AID' inc( wool./ j Circle All That Apply: Is job ready for inspection?: Q ES NO Rough In FIna Do you need a Temp Certificate?: YES I NO Issued On Temp Information: (All information required) Service Size 1 Ph 3 Ph Size: A #Meters Old Meter# New Service- Fire Reconnect- Flood Reconnect-Service Reconnected- Underground-Overhead 1#Underground Laterals 1 2 H Frame Pole Work done on Service? Y, N Additional Information: PAYMENT DUE WITH APPLICATION ,rY Q,1 Requestfor Inspection Fonn.xlsx %C19