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Home My WebLink About49133-Z �S�fFO[K oy Town of Southold 5/30/2023 o P.O.Box 1179 co z 53095 Main Rd W o� fSouthold,New York 11971 CERTIFICATE OF OCCUPANCY No: Date: 5/30/2023 THIS CERTIFIES that the building ELECTRICAL Location of Property: 13650 Route 25,Mattituck SCTM#: 473889 Sec/Block/Lot: 114.-11-24.3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/18/2023 pursuant to which Building Permit No. 49133 dated 4/18/2023 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: electric for baseboard heaters, lighting receptables and switches for breakrooms and 100a single phase subpanel. The certificate is issued to Love Ln Village LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 49311 4/20/2023 PLUMBERS CERTIFICATION DATED Authorized Signature f TOWN OF SOUTHOLD �o�suFFnt,��o� ayX BUILDING DEPARTMENT cm TOWN CLERK'S OFFICE oy • � ,�� SOUTHOLD, NY � n- 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#: 49133 Date: 4/18/2023 Permission is hereby granted to: Love Ln Village LLC c/o Scott Colletti 654 N Wellwood Ave Ste D316 Lindenhurst, NY 11757 To: Wire and install new receptacles, switches and lighting and new 100a single phase subpanel At premises located at: 13650 Route 25, Mattituck SCTM #473889 Sec/Block/Lot# 114.-11-24.3 Pursuant to application dated 4/18/2023 and approved by the Building Inspector. To expire on 10/17/2024. Fees: ELECTRIC $470.00 Total: $470.00 Building Inspector SO!/ryolo Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 �Q sean.devlin(cD-town.southold.ny.us Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Love Ln Village LLC Address: 13650 Route 25 city:Mattituck st: NY zip: 11952 Building Permit#: 49133 Section: 114 Block: 11 Lot: 24.3 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: Harvard Electrical License No: 47017 ME SITE DETAILS Office Use Only Residential Indoor X Basement X Service Commerical X Outdoor 1st Floor X Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 11 Ceiling Fixtures 5 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 2 Sub Panel 100A A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO 1 Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors Disconnect 1 Switches 2 4'LED 1 Exit Fixtures Sump Pump Other Equipment: 2' Baseboard Heater-2, 6' Baseboard Heater-1, Instant Hot-2, 100A Sub 24/14 Used Notes: Wired Breakrooms Inspector Signature: ate: April 20, 2023 S. Devlin-Cert Electrical Compliance Form OF 50GTyO<o qqt3?) 1 3&9�0 ---P-+-Z--5"' . f # TOWN OF SOUTHOLD BUILDING DEPT. courm, 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: V1 Ki DATE INSPECTOR LE I , NG DEPARTMENT- Electrical Inspector ��0�� ty TOWN OF SOUTHOLD D)IWI,YCr4�6WP Hall Annex - 54375 Main Road - PO Box 1179 vu�'Y�flfSf39 Southold, New York 11971-0959 �'o • ��'� ��® ®�.fi� Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(a-southoldtownny gov - seand(cbsoutholdtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 4/10/23 Company Name: Harvard Electrical Electrician's Name: David Anderson License No.: 47017-ME1200 Elec:,email:dave@harvardelectric.com Elec. Phone No: 631-484-3493 ❑1 request an email copy of Certificate of Compliance Elec. Address.: Rocky point Middle Island Rd. Middle Island NY JOB SITE INFORMATION (All Information Required) Name: Love Lane Village LLC Address: 13650 Main Rd Cross Street: Phone No.: 631-875-0465 BIdg.Permit#: ,� email: dguzzello@rmny.com Tax Map District: 1000 Section: 114 Block: 11 Lot: 24.3 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Plea a Print Clearly): Wire and install new receptacles, switches and lighting ��+ if - I and install new 100a single phase sub-panel. ('0 Square Footage: 11200 Circle All That Apply: Is job ready for inspection?: YES ❑ NO ❑Rough In Final Is Do you need a Temp Certificate?: ❑ YES 0 NO Issued On Temp Information: (All information required) Service Size F11 Ph❑3 Ph Size: A # Meters' Old Meter# ❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y FIN Additional Information: PAYMENT DUE WITH APPLICATION P 1 I II, PERMIT t4 Address: Switches 1 I Outlets �'V +"'► f GFI's Surface Sconcesl HH's L� 1 UC Lts 2 � Fans Fridge HW, Exhaust .`� Oven W/D .}R Smokes I�I DW Mini Carbon I Micro Generator Combo Cooktop Transfer AC AH Hood Service Amps Have Used Special: omments 1 -e C ! 001 00— caolcf 1A T �r � � t % O�ps11 fFOj I 7f12 IL_ NG DEPARTMENT- Electrical Inspector �.., 00iy1 . TOWN OF SOUTHOLD f-MvixuD '�T. Hall Annex- 54375 Main Road - PO Box 1179 W ,? S�L`l��"c�1t� Southold, New York 11971-0959 O'jSf �ap� Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(d_southoldtownny.gov - seand(a)-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 4/10/23 Company Name: Harvard Electrical Electrician's Name: David Anderson License No.: 47017-ME1200 Elec. email:dave@harvardelectric.com Elec. Phone No: 631-484-3493 ❑I request an email copy of Certificate of Compliance Elec. Address.: Rocky point Middle Island Rd. Middle Island NY JOB SITE INFORMATION (All Information Required) Name: Love Lane Village LLC Address: 13650 Main Rd Cross Street: Phone No.: 631-875-0465 Bldg.Permit#: ff q i/In email: dguzzello@rmny.com Tax Map District: 1000 Section: 114 Block: 11 Lot: 24.3 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Plea a Print Clearly): Wire and install new receptacles, switches and lighting ��I I� Provide and install new 100a single phase sub-panel. (46 Square Footage: 11200 Circle All That Apply: Is job ready for inspection?: YES F] NO ❑Rough In ❑ Final Do you need a Temp Certificate?: ❑ YES FV-] 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 1 FJ2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION op