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Home My WebLink About48546-Z ��o�OgOFFUt Town of Southold 1/14/2023 P.O.Box 1179 v' 53095 Main Rd Way O� iF Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43769 Date: 1/14/2023 THIS CERTIFIES that the building ELECTRICAL Location of Property: 4615 Oaklawn Ave, Southold Southold SCTM#: 473889 See/Block/Lot: 70.-10-13 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/1/2022 pursuant to which Building Permit No. 48546 dated 12/1/2022 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: replacement of meter pan only due to storm damage. The certificate is issued to Abram,Renata&Zbigniew of the aforesaid building. / SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 48546 12/16/2022 PLUMBERS CERTIFICATION DATED Authorized Signature yam. TOWN OF SOUTHOLD ti�OS�fFU( BUILDING DEPARTMENT Co TOWN CLERK'S OFFICE o • W'S 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#: 48546 Date: 12/1/2022 Permission is hereby granted to: Abram, Renata 4615 Oaklawn Avenue Ext Southold, NY 11971 To: Reconnect Service At premises located at: 4615 Oaklawn Ave, Southold SCTM # 473889 Sec/Block/Lot# 70.-10-13 Pursuant to application dated 12/1/2022 and approved by the Building Inspector. To expire on 6/1/2024. Fees: ELECTRIC $85.00 Total: $85.00 Building Inspector pE SO!/j�Ql Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 �Q sean.devlin(aD-town.southold.ny.us Southold,NY 11971-0959 Q �yCOUfdTY,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Renata Abram Address: 4615 Oaklawn Ave city:Southold st: NY zip: 11971 Building Permit#: 48546 Section: 70 Block: 10 Lot: 13 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: Custom Lighting of Suffolk License No: 38893ME SITE DETAILS Office Use Only Residential X Indoor Basement Service X Commerical Outdoor X 1st Floor Pool New 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 Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors Disconnect Switches 4'LED Exit Fixtures Sump Pump Other Equipment: Notes: Changed Out Meterpan Only Inspector Signature: Date: December 16, 2022 S.Devlin-Cert Electrical Compliance Form --- DE SOUTyo� - # # TOWN OF SOUTHOLD BUILDING DEPT. cou631-765-1802 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: ,t DATE INSPECTOR �r. Fiha-Q ova ,p BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex-54375 Main Road - PO Box 1179 Southold, New York 11971-0959 . .:. ,` Telephone (631) 765-1802 - FAX(631) 765-9502 rogerrCa�southoldtownn�Qov seandO)-southoldtownny.aov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (Ali Information Required) Date: fl Company Name: Custom Liqhtinq of Suffolk Inc Electrician's Name: Beniamin Doroski License No.: 38893-ME Elec.email: CLOS5170aWmall.Com Elec. Phone No: 631-298-4588 01 request an email copy of Certificate of Compliance Elec.Address.: PO Box 1698 Mattituck NY 11952 JOB SITE INFORMATION (All Information Required) Name: ,� Address: u Cross Street: ' �S-�J-- Phone No.: Bldg.Permit#: email: Tax Map District: 1000 Section: Block: Lot: i BRIEF DESCRIPTION OF WORK, INCLUDE SQUA OOTAGE (Please Print Clearly): peoacowwl+ OF due—-V() 2*01 M cbm�)C- I Square Footage: Circle All That Apply: Is job ready for inspection?: ® YES❑NO []Rough In r 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 Reconne�Service Reconnect[]underground 20verhead #Underground Laterals M 1 F12 F1 H Frame EJ Pole Work done on Service? MY FIN Additional Information: CMWC,7VP� J(T(�p - e CWld CM�Jf+r PAYMENT DUE WITH APPLICATION °