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Home My WebLink About49420-Z I suFFac,� . Town of Southold 6/26/2023 P.O.Box 1179 cc T c 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44217 Date: 6/26/2023 THIS CERTIFIES that the building ELECTRICAL Location of Property: 375 Grove Dr, Southold, Southold SCTM#: 473889 Sec/Block/Lot: 80.4-10.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/23/2023 pursuant to which Building Permit No. 49420 dated 6/23/2023 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: Electrical Service 200amp UG The certificate is issued to Ward,Kerry&Donohoe,Peter of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 49420 06/08/2023 PLUMBERS CERTIFICATION DATED Authorized S gnature TOWN OF SOUTHOLD �SUFFDi�-cod tG` BUILDING DEPARTMENT 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#: 49420 Date: 6/23/2023 Permission is hereby granted to: Ward, Kerry 215 Adams St Apt 9G Brooklyn, NY 11201 To: Electrical Service 200amp UG At premises located at: 375 Grove Dr, Southold SCTM #473889 Sec/Block/Lot# 80.4-10.1 Pursuant to application dated 6/23/2023 and approved by the Building Inspector. To expire on 12/22/2024. Fees: ELECTRIC $85.00 Total: $85.00 Building Inspector SO!/jyOlo Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 aQ sean.devlinQtown.southold.ny.us Southold,NY 11971-0959 �lyCOUfVTV,�„�\ BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Kerry Ward Address: 375 Grove Dr city,Southold st: NY zip: 11971 Building Permit#: 49420 Section: 80 Block: 4 Lot: 10.1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: Wilcenski Electric License No: 4723ME SITE DETAILS Residential X Indoor X Basement X Service X Commerical Outdoor X 1st Floor Pool New X Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph X Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors Main Panel 200A A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transfer Switch LIC Lights Dryer Recpt Emergency Strobe Heat Detectors Disconnect Switches 4'LED Exit Fixtures Sump Pump Other Equipment: 200A Panel 40 Circuits / 35 Used Notes: Service Only Inspector Signature: Date: June 8, 2023 S. Devlin-Cert Electrical Compliance Form a k a �urtb i r i i i 0 t ri or "TAM h M rem s 1 xr f OF SOUTy�Io 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: o-tI1�' O-VJ-lo, DATE INSPECTOR x` BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD r Town Halt Annex- 54375 Main Road - PO Box 1179 ` Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 r err southotdtownnv.aov - seandQ- southoldtownnv.dov APPLICATION FOR ELECTRICAL IN.S,PECTION ELECTRICIAN INFORMATION (All Informatlon Required) Date: Company Name: 2 C'-4/ -- Electrician's Name: License No.: 7 2 3 -Nt r, Elec. email: sK i eke c•4 Sec. Phone No; G ►_ z? ZSR 1 request an email copy of Certificate of Compliance Elec. Address.: , o . o -3 11 So t S-7 JOB SITE INFORMATION (All Information Required) Name: P&-r-t,.- �, ; 4A Address: S G a vy b r-i V-L.-, D i ,) Cross Street: & 1� r'1, ��-s �j, - Phone No.: 3 I 4 L.!' ,P' BIdg.Permk#: YU 1 .4 email: Al !a- Tax Map District: 1000 Section: lo Block: q Lot: 10 . BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clears ): Uk f�d� Circi®All That Apply: Sq are Foota e: Is job ready for inspection?: YES❑NO Rough In j Final Do you need a Temp Certificate?: ® YES[]NO issued On Temp Information: (All information required) Service SizeR11 Ph 03 Ph Size: ZC 0-As #Meters Old Meter# El Now ServiceO Fire ReconnectOFiood Reconnect OService Reconnect fZUnderground[:)Overhead Unde round Laterals V1 1 r12 R H Frame 0 Pole Work done on Service? Y 6MANU DEPT !� -r° PAYMENT DUE VA H APPLICATION Electrical Inspector � �� BUILDING DEPARTMENTj. - T' 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 roaerr�southoldtownnv.gov - seandbaoutholdtownny.aov APPLICATION FOR ELECTRICAL; INSPEC,_N ELECTRICIAN.INFORMATION (All infomnatlon Required) Date: _ 3 Company Name: c 91 el rr,C-R✓ L)A+,r4- , 1, Electrician's'Name:, s �&, License No.: q-723 -m , Elec. email: e,le, c-4 41 Elec. Phone No: ►. Z 27i-- E l request an email copy of Certificate of Compliance Elec. Address.: a • o x "So L- i , [ J tt, JOE SITE INFORMATION (All Information Required) Name: Address: 5 c4 e, ✓T.. l`7 ,��.. v Cross Street: Phone No.: BIdg.Permit#: I J ,4- email: A I-- Tax Map District: 1000 Section: Block: iq Lot: /0 ' BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): U� ��'�"t S I J S uare Footage: Circle All That Apply: Is job ready for inspection?: YES❑NO ®.Rough In Final Do you need a Temp Certificate?: - JC',YES❑NO Issued On Temp Infonmatlon: (Ail information required) Service SizeD1 Ph r713 Ph Size: 2-C AA #Meters Old Meter# []New Service Fire.Reconnect[]Flood Reconnect Oservice Reconnect joUnderground[]Overhead Underground Laterals 0111 �? N Fragn,@ n Pnl® �unr1�rinno nn Servica.? r1v lulu ddifi r ial �nfopmtiLP : n" PAYMENT DUE WITH APPLICATION A� �� X65 �� L� Q�� r�' l� / - ''l � � �� -� �2� � i