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Home My WebLink About49121-Z � S1lfF0(A oy Town of Southold 4/22/2023 k, P.O.Box 1179 co ,n,+ 53095 Main Rd Wpy oat' Southold,New York 11971 1 CERTIFICATE OF OCCUPANCY No: 44047 Date: 4/22/2023 THIS CERTIFIES that the building ELECTRICAL y Location of Property: 11900 Oregon Rd, Cutchogue SCTM#: 473889 Sec/Block/Lot: 83.-3-5.3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/13/2023 pursuant to which Building Permit No. 49121 dated 4/13/2023 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: 600A electrical service and entrygate. The certificate is issued to 11900 Oregon Rd LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 49121 4/18/2023 PLUMBERS CERTIFICATION DATED Authoriz d Signature ;7A;'- TOWN OF SOUTHOLD r�gUF illIr4N Sao y BUILDING DEPARTMENT ca c TOWN CLERK'S OFFICE �y • � ;4{ 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#: .49121 Date: 4/13/2023 Permission is hereby granted to: 11900 Oregon Rd LLC 11900 Oregon Rd Cutchogue, NY 11935 To: electric gate and service At premises located at: 11900 Oregon Rd, Cutchogue SCTM #473889 Sec/Block/Lot# 83.-3-5.3 Pursuant to application dated 4/13/2023 and approved by the Building Inspector. To expire on 10/12/2024. Fees: ELECTRIC $125.00 Total: $125.00 Building Inspector �ok\pE SOUryol 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 aQ sean.devlinCa7town.southold.ny.us Southold,NY 11971-0959 Q�ycDUN'(V,�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: 11900 Oregon Rd LLC Address: 11900 Oregon Rd city:Cutchogue st: NY zip: 11935 Building Permit#: 49121 Section: 83 Block: 3 Lot: 5.3 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: GJS Electric LLC License No: 4839ME SITE DETAILS Office Use Only Residential Indoor Basement Service X Commerical X Outdoor X 1st Floor Pool New X 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 200X6 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 600A Switches 4'LED Exit Fixtures Sump Pump Other Equipment: Meter Bank w/6 Meters 600A Service, Electric Gate with Disconnect, Keypad Notes: 600A Service & Entry Gate Inspector Signature: Date: April 18, 2023 S.Devlin-Cert Electrical Compliance Form B- 1 GING DEPARTMENT-Electrical Inspector IJURIJAN(iDEPT TOWN OF SOUTHOLD � �`��N®F9®t➢�90fl.D C= x Town Hall Annex-54375 Main Road - PO Box 1179 ^� Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX(631) 765-9502 ' rogerr(@southoldtownny.gov-- seand(cb-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: — , Company Name: GJS Electric, LLC Electrician's Name: Gary Salice License No.: 4839ME Elec. email:gary@nfay.com Elec. Phone No: 631-298-4545 01 request an email copy of Certificate of Compliance Elec. Address.: 6615 Main Rd., Mattituck, NY 11952 JOB SITE INFORMATION (All Information Required) Name: 0o' Address: (2 p ,�- Cross Street: , Phone No.: BIdg.Permit#:_ email: Tax Map District: 1000\ Section: Block: 3 Lot: 3 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): -e Iec.+r �Cci - a2 -S-P-�i Square Footage: Circle All That Apply: Is job ready for inspection?: YES F] NO ❑Rough In ❑ Final Do you need a Temp Certificate?: ❑ YES❑NO Issued On Temp Information: (All information required) Service Size 1-11 Ph❑3 Ph Size: A #Meters Old Meter# F-1 New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals 0 1 2 H Frame 0 Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION _ OF SouTyO y sq ra ��- 0 TOWN OF SOUTHOLD BAJlLDllNGXEPT.. couffm 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] 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 [ ] RENTAL REMARKS: o6 m U fine lVedclr DATE `'� j Z INSPECTOR LEG 4 18"U-1WING DEPARTMENT- Electrical Inspector. r �Gw.�a�a�� t ' • TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 o ' { Southold, New York 11971-0959 ti� mor y� Telephone (631) 765-18. 02 - FAX (631) 765-9502 rogerr(a�southoldtownny.gov — seand(a�southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: GJS Electric, LLC Electrician's Name: Gary Salice License No.: 4839ME Elec. email:gary@nfay.com _ Elec. Phone No: 631-298-4545 01 request an email copy of Certificate of Compliance Elec. Address.: 6615 Main Rd., Mattituck, NY 11952 JOB SITE INFORMATION (All Information Required) Name: O C e G Address: C20 r C-11 HcU-5- Cross Street: Phone No.: Bldg.Permit#:_ email: Tax Map District: 1000 Section: ' 3 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 ❑NO Issued On Temp Information: (All information required) Service Size[-11 Ph❑3 Ph Size: A #Meters Old Meter# ❑New Servicer-1 Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead #Underground Laterals 0 1 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION a-cc, ! M5 � �� lhd4al ,� �� ` 9 ° �e n,9 `i