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Home My WebLink About47898-Z o�Q UFEO[KcoG, Town of Southold 8/14/2022 y P.O.Box 1179 o • 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43334 Date: 8/14/2022 THIS CERTIFIES that the building ELECTRICAL Location of Property: 1205 Mill Rd,Peconic SCTM#: 473889 Sec/Block/Lot: 74.-2-10.4 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/2/2022 pursuant to which Building Permit No. 47898 dated 6/2/2022 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 accessory shed#1. The certificate is issued to Bellezza,Leonard&Ruth of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47898 7/28/2022 PLUMBERS CERTIFICATION DATED i Authorized Signature oOgUFFOC,�cOG� Town of Southold 8/14/2022 P.O.Box 1179 x� 53095 Main Rd �y�jol itiYSouthold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43335 Date: 8/14/2022 THIS CERTIFIES that the building ELECTRICAL Location of Property: 1205 Mill Rd,Peconic SCTM#: 473889 Sec/Block/Lot: 74.-2-10.4 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/2/2022 pursuant to which Building Permit No. 47898 dated 6/2/2022 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 accessory shed#2. The certificate is issued to Bellezza,Leonard&Ruth of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. . 47898 7/28/2022 PLUMBERS CERTIFICATION DATED Authorized ature O��pf SO!/T�,OI � o Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 sean.devlinOtown.southold.ny.us Southold,NY 11971-0959 '� • BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Leonard Bellezza Address: 1205 Mill Rd city:Peconic st: NY zip: 11958 Building Permit#: 47898 Section: 74 Block: 2 Lot: 10.4 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 Indoor X Basement Service Commerical Outdoor X 1 st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Shed X INVENTORY Service 1 ph Heat Duplec Recpt 3 Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt 3 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 Fixture Time Clocks Disconnect Switches 4 4'LED 4 Exit Fixtures Pump Other Equipment: 50A Sub Panel 12 Circuit/ 10 Used, Notes: " AS BUILT NO VISUAL DEFECTS " Two Sheds w/Wiring Inspector Signature: Date: July 28, 2022 S.Devlin-Cert Electrical Compliance Form ,� pF SOUTyo # # TOWN OF SOUTHOLD BUILDING DEPT. `ycouMv,��' 631-765-1802 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 [ ] RENTAL REMARKS: A5- f�y�_��t w0e, /yG log0000 DATE 0--- INSPECTOR SUfFat BUILDING DEPARTMENT- Electrical Inspector =�O� �Gy1 TOWN OF SOUTHOLD C= Town Hall Annex - 54375 Main Road - PO Box 1179 �' +z Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr southoldtownny gov — seand(c.southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION �AII Information Required) Date: Company Name: TE2 t C� Electrician's Name: t C License No.: —NN Elec. email: ll -5 0.1 Elec. Phone N 2_3(,(D2q R I request an email copy of Certificate of Compliance Elec. Address.: t3DX � jpU JOB SITE INFORMATION (All Information Required) Name: [ZO �ZZ� Address: [2 ? K k L`(3_rVC._ Cross Street: o1) C Ylv Phone No.: Q 31;p3 — LCp� Bldg.Permit#. email: , ez M01 Tax Map District: 1000 Section: Block: ;2- Lot: 10 BR F DESCRIPTIOIJ1 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 ❑ 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 Reconnect❑Underground❑Overhead # Underground Laterals D 1 FJ2 H Frame Pole Work done on Service? Y MN Additional Information: PAYMENT DUE WITH APPLICATION PERMIT# Address: Switches Outlets GFI's Surface Sconces H H's UCLts Fans Fridge HW Exhaust Oven Dryer Smokes DW Service Carbon . Micro. Generator Combo. Cookto Transfer AC AH Mini Special: Comments: cX/�"� S�FFpL,� BUILDING DEPARTMENT- Electrical Inspector =0� COGy< TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 o ^+ Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr southoldtownny.gov -- seand(aD-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN IN ORMATION All Information Required) Date: Company Name: .e t C� Electrician's Name: License No.: e Elec. email l Elec. Phone N2 3 �c, t`I request an email copy of Certificate of ompliance Elec. Address.: X 3 DV JOB SITE INFORMATION (All Information Required) Name: t, LcommeZZc- Address: 2-p arr_ Cross Street: o1) env Phone No.: Q 3(O�5 Bld Permit#: - email: - z 1` 6L( g: C� Tax Map District: 1000 Section: Block: ;2-- Lot: 0 " e0" B F DESCRIPTIO OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Sl�� . - W i r Square Footage: & Circle All That Apply: -Is job ready for inspection?: El YES 0 NO ❑Rough In ❑ Final Do you need a Temp Certificate?: ❑ YES 0 NO Issued On Temp Information: (All information,required) Service Size❑1 PhF]3,Ph Size: A # Meters Old Meter# ❑New Service❑Fire Reconnect❑Flood Reconnect[:]Service Reconnect❑Underground❑Overhead # Underground Laterals 1 F12 R H Frame, 0 Pole Work done on Service? Y N Additional Information: PAYMENT DUE-WITH APPLICATION r �� '/ PERMIT# Address: Switches Outlets GFI's Surface Sconces H H's LjL I f 1 UC Lts Fans Fridge HGV Exhaust Oven W/D Smokes DW Mini Carbon Micro Generator Combo Cooktop Transfer AC AH Hood Service Amps Have Used Special: t Comments