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Home My WebLink About47189-Z �o�SpFFOtKzoGy Town of Southold 12/18/2021 g P.O.Box 1179 H 53095 Main Rd W�y�jor� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42625 Date: 12/17/2021 THIS CERTIFIES that the building ELECTRICAL Location of Property: 2700 Route 25, Laurel SCTM#: 473889 Sec/Block/Lot: 125.-3-4.4 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/7/2021 pursuant to which Building Permit No. 47189 dated 12/7/2021 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: 100 amp elecric service with meter pan(House#2) The certificate is issued to Sawicki EB Irry Trust of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47189 12/13/2021 PLUMBERS CERTIFICATION DATED Authorized Signature aa�SueFotr�o TOWN OF SOUTHOLD ay BUILDING DEPARTMENT y oT TOWN CLERK'S OFFICE oy • fir^ SOUTHOLD, NY A* of 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#: 47189 Date: 12/7/2021 Permission is hereby granted to: Sawicki EB Irry Trust PO BOX 411 Mattituck, NY 11952 To: New Electric meter pan - House #2 (green) wld,' At premises located at: 2700 Route 25, Laurel SCTM # 473889 Sec/Block/Lot# 125.-3-4.4 Pursuant to application dated 1/1/1900 and approved by the Building Inspector. To expire on 6/8/2023. Fees: ELECTRIC $170.00 Total: $170.00 Building Inspector SOUTyolo Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Q sean.devlin(cDtown.Southold.ny.us Southold,NY 11971-0959 ;V" o�yCOMM BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Sawicki EB Irry Trust Address: 2700 Route 25 city:Laurel st: NY zip: 11948 Building Permit#: 47189 Section: 25 Block: 3 Lot: 4.4 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: AS BUILT License No: SITE DETAILS Office Use Only Residential X IndoorX Basement Service X Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey X 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 100A 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 L!92AJ Switches 4'LED Exit Fixtures Pump Other Equipment: 100A Panel 20 Circuit/ 9 Used, 100A Metermain Disconnect Notes: " AS BUILT NO VISUAL DEFECTS " Service Inspector Signature: c�y Date: December 13, 2021 S.Devlin-Cert Electrical Compliance Form(1) JPT'l 1-4 Oo A W� lWN O SOUTHOLD BUILDING DEPT. 765-1802 : INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] 'INSULATIOWCAULKING [ ] FRAMING/STRAPPING [ ] FINAL [ ]- FIREPLACE & CHIMNEY- ' _ [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] 'FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) . [ ] CODE VIOLATION ] PRE C/O REMARKS: �-� �''"( W -&4vgr/' 1� � DATE 2 INSPECTOR�<• D EC E " E g�FFO DEC 1 N21DILDING DEPARTMENT- Electrical Inspector BUILDING DEPT. TOWN OF SOUTHOLD o < WN of sour IOL4- own Hall Annex- 54375 Main Road - PO Box 1179 o • Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 rogerresoutholdtownnv.gov - seand(cDsoutholdtownnv.aov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: /-y Zp Z / Company Name: e-V' Electrician's Name: License No.: Elec. email: Elec. Phone No: [_-]I request an email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) Name: 'G Bzfi v /N Address:--,21,0/9 7/ ti Cross Street: d Y /Gh p� Phone No.: U 0L Bldg.Permit#: email: W- e h 2 f Tax Map District: 1000 Section: Z Block: 3 Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Square Footage: Circle All That Apply: Is job ready for inspection?: YES ❑ NO ❑Rough In ❑ Final Do you need a Temp Certificate?: ❑ YES �JO Issued On Temp Information: (AII information required) Service Size F-11 Ph❑3 Ph Size: A # Meters Old Meter# ❑New Service❑Fire Reconnect[]Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals 1 F12 H Frame Pole Work done on Service? F1Y FIN Additional Information: PAYMENT DUE WITH APPLICATION p -D, U�"` (-0 S�fFO DEC 1 2021 D ILDINGDEPARTMENT- ElectricalInspector yf BUILDING DEPT TOWN OF SOUTHOLD C* WN of SOUTHOL4 own Hall Annex- 54375 Main Road - PO Box 1179 Co ^_* Southold, New York 11971-0959 cy Telephone (631) 765-1802 - FAX (631) 765-9502 rogerrta)southoldtownny.gov - seand(&southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (Ail Information Required) Date: Zp 2- Company Company Name: g-y— Electrician's Name: License No.: Elec. email: Elec. Phone No: ❑I request an email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) Name: Awa l 'G r /N .Address: -1 / ::� /W Cross Street: Phone No.: v Bldg.Permit#: email: e h e f Tax Map District: 1000 . Section: Z Block: 3 Lot: , BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): -C Square Footage: Circle All That Apply: Is job ready for inspection?: YES ❑ NO ❑Rough In ❑ Final Do you need a Temp Certificate?: ' . ❑ YES F2<0 Issued On Temp Information: (AII information required) Service Size❑1 PhF-13 Ph Size: A # Meters Old Meter# E]New Service❑Fire Reconnect❑Flood Reconnect[:]Service Reconnect❑Underground❑Overhead # Underground LateralsEll FJ2 H Frame Pole Work done on Service? Y FIN Additional Information: PAYMENT DUE WITH APPLICATION /J 0 �17a- PERMIT p Address: Switches Outlets GFI's Surface Sconces H H's UC Lts ' Fans Fndge Exhaust Oven W/D ........ Smokes DW Mini '•Carbon :_ 'Micro` - Generator.: t Combo -. -.. Codkttbp v... . .. __ ... _._ 'Transfer AC.. AH Hood Service. Amps Have Used Special:. Comments: