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Home My WebLink About48622-Z �o�OS�FFO[qGy Town of Southold 2/12/2023 P.O.Box 1179 y 53095 Main Rd o , ' Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43839 Date: 2/12/2023 THIS CERTIFIES that the building ELECTRICAL Location of Property,: 53740 Route 25, Southold SCTM#: 473889 Sec/Block/Lot: 61.-4-6 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/19/2022 pursuant to which Building Permit No. 48622 dated 12/19/2022 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: 200 amp overhead electric service. The certificate is issued to HC Nofo LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 48622 1/20/2023 PLUMBERS CERTIFICATION DATED Authorized S gnature sufFai,t TOWN OF SOUTHOLD BUILDING DEPARTMENT H TOWN CLERK'S OFFICE "oy • 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#: 48622 Date: 12/19/2022 Permission is hereby granted to: HC Nofo LLC PO BOX 869 Southold, NY 11971 To: Change of electric service At premises located at: 53740 Route 25, Southold SCTM # 473889 Sec/Block/Lot# 61.4-6 Pursuant to application dated 12/19/2022 and approved by the Building Inspector. To expire on 6/19/2024. Fees: ELECTRIC $85.00 Total: $85.00 Building Inspector of so�ryol � o Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 �Q sean.deviin(cD-town.southold.ny.us Southold,NY 11971-0959 COUNTi'�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: HC Nofo LLC Address: 53740 Route 25 City,Southold St: NY Zip: 11971 Building Permit#: 48622 Section: 61 Block: 4 Lot: 6 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: East End Electric License No: 61072ME SITE DETAILS Office Use Only Residential Indoor X Basement Service X Commerical X 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 200A A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel 100A 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: 200A Panel 42 Circuit/21 Used, 100A Sub 20 Circuit/ 13 Used Notes: New Service Inspector Signature: Date: January 10, 2023 S.Devlin-Cert Electrical Compliance Form �oSUffOC,�Co BUILDING DEPARTMENT- Electrical Inspector O G TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 '* r Southold, New York 11971-0959 yfj0� ��O�r Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(aD-southoldtownny.gov sea nd(aDsoutholdtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFO MATION (AII information Required) Date: 1 2� Company Name: CR G!�rx Electrician's Name: It eN a License No.: Elec. email: C ,�e�le ,tY; Elec. Phone No: ❑I request an email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) Name:, Ltc Address: � rN Cross Street: Phone No.: ®dK Bldg.Permit#: email: Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Square Footage: Circle All That Apply: Is job ready for inspection?: ZYES ❑ NO ❑Rough In ❑ Final Do you need a Temp Certificate?: ''YES ❑ NO Issued On Temp Information: (All information required) Service Siz4;J1 Ph❑3 Ph Size: �Q A # Meters Old Meter# VNew Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground Elb"verhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y MN Additional Information: PAYMENT DUE WITH APPLICATION � o Olt- � ,q v1 ,�OS FfQI,{- ~� BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 cn Southold, New York 11971-0959 q�r'yf Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(cr�southoldtownn ..gov - seand(cDsoutholdtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFOMATION (All Information Required) Date:—( Company Name: r, ,7c G�OA�K*' c ax Electrician's Name: QiNCOI License No.: Elec. email: C , a6,A_ V-Z� Elec. Phone No: ❑I request an email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) Name: l�Lc, Address: .c �p 1 .` l Cross Street: Phone No.: Bldg.Permit #: 4P1,Z.T email: Tax Map District: 10 0 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Owm c) Square Footage: Circle All That Apply: Is job ready for inspection?: YES ❑ NO ❑Rough In ❑ Final 11 1Do you need a Temp Certificate?: 'YES ❑ NO Issued On J_�J�) Temp Information: All information required) Service Siz4�1 Ph❑3 Ph Size: O(_) A # Meters 0 Old Meter# V1 New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground eOOverhead # Underground LateralsF-] 2 H Frame 0 Pole Work done on Service? M Y N Additional Information: PAYMENT DUE WITH APPLICATION �o � Zo � M.J^n �I 2 ZI „� � s �, b 1 odd ya ��