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Home My WebLink About48281-Z xr� pTown of Southold 10/20/2022 y� P.O.Box 1179 W m{,� 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43511 Date: 10/20/2022 THIS CERTIFIES that the building ELECTRICAL Location of Property: 545 Beachwood Rd, Cutchogue Cutchogue SCTM#: 473889 Sec/Block/Lot: 116.4-22 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/12/2022 pursuant to which Building Permit No. 48281 dated 9/12/2022 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 garage. The certificate is issued to Beachwood Rd 22 LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 48281 9/30/2022 PLUMBERS CERTIFICATION DATED Authorized Signature o��pF SO!/l�,ol � o Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 Q sean.deviine-town.southold.ny.us Southold,NY 11971-0959 COUNTV,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Beachwood Rd 22 LLC Address: 545 Beachwood Rd city,Cutchogue st: NY zip: 11935 Building Permit#: 4$2$1 Section: 116 Block: 4 Lot: 22 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 X Pool New Renovation 2nd Floor X Hot Tub Addition Survey X Attic Garage X INVENTORY Service 1 ph X Heat Duplec Recpt 3 Ceiling Fixtures 6 Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures 3 Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel 60A A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 3 4'LED Exit Fixtures 11 Pump Other Equipment: Notes: " AS BUILT NO VISUAL DEFECTS " Detached Garage Inspector Signature: w Date: September 30, 2022 S.Devlin-Cert Electrical Compliance Form SOUTyo� Io, -- # # TOWN OF SOUTHOLD BUILDING DEPT. 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: ,cV!ift� � �•��c � r DATE (NINSPECTOR [ECIETE ILDING DEPARTMENT-Electrical Inspector 'TOWN OF SOUTHOLD , 2 20UTown HaII Annex- 54375 Main Road - PO Box 1179 ' a . Southol", ew York 1.1971-0959 SING DEPT. Telephone (631) 765-1802 - FAX (631) 765-9502 OF SOUT ACD-southoldtownny.cov- seand(a-southoldtownny.aod APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN-INFORMATION (Ail Information Required) Date: -I -� Company Name: . Pr✓ �;(791 C � /Vc . Electrician's.Name: K r/4- License No.: 3 V091 Elec. email: A /4vM eccSf -1 vf,1100.CoAn Elec. Phone No,: 631-762 9UY request An email col -rtificefe of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) Name: 00rtQ Address: CAC(( wuo 0 6Z 0 CC)C iso c,Oc- Cross Street: Phone No.: ( - (a - Bldg.Permit#: ) email: F Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Square Footage: v Circle All That Apply: Is job ready for inspection?: YES❑NO 63,ough In ❑ Final Do you need a Temp Certificate?: ❑ YESM 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 M 1 2 MrH Frame Pole Work done on Service? F Y RN Additional Information: PAYMENT DUE WITH APPLICATION ° PERMIT# Address: Switches j 1 Outlets GFI's I Surface Sconces i H H's UC Lts Fans Fridge HW Exhaust Oven W/D Smokes DW Mini Carbon Micro Generator Combo Cooktop Transfer AC AH Hood Service Amps Have Used Special: Comments. ILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD EP 1 2 2022 Town Hall Annex- 54375 Main Road - PO Box 1179 Southold!New York 11971-0959 � . '��► DING DEPT OF SO ` Telephone (631) 765-1802 - FAX (631) 765-9502 " �W6-southoldtownny.gov seandCcDsoutholdtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (Ail information Required) Date: —� -� Company Name: P1.A-n P lim Eau C- a-c-T&! rC . Electrician's Name: �- License No.: M6r- 3 Y01 Elec. emall: /r7VM eiXSf `l lion. oA1 Elec. Phone No: (¢31- ( 9 request n email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All information Required) Name: U - Q C R A Ctl WOOD Address: q S R pgt( mod o 6Z 0 CUT-C Ito&Uc- Cross Street: Phone No.: 3 ( - T7(07- 9 q I Bldg.Permit 0S- Bldg.Permit#: ` .f-— _ - email: a Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): 4 l 9e Square Footage: - pv Circle All That Apply: Is job ready for inspection?: eL YES❑NO ENough In Final Do you need a Temp Certificate?: YES NO Issued On Temp Information: (Ali information required) Service Size01 Ph 03 Ph Size: A #Meters Old Meter# ❑New Service Fire ReconnectOFlood Reconnect(]Service ReconnectOUnderground OOverhead #Underground Laterals 1 2 H Frame Pole Work done on Service? D Y F1N Additional Information: R PAYMENT DUE WITH APPLICATION