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Home My WebLink About49270-Z O�S�EFOiK G Town of Southold 7/1/2023 P.O.Box 1179 cm o ` ` 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44240 Date: 7/1/2023 THIS CERTIFIES that the building ELECTRICAL Location of Property: 1695 Old Woods Path, Southold SCTM#: 473889 Sec/Block/Lot: 87.-1-22 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/17/2023 pursuant to which Building Permit No.' 49270 dated 5/17/2023 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: "as built"electric for accessorygarage. The certificate is issued to Ballenger Fmly Ltd Liblty of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 49270 5/18/2023 PLUMBERS CERTIFICATION DATED Authorized ignature �5 TOWN OF SOUTHOLD �oo� q - BUILDING DEPARTMENT TOWN CLERK'S OFFICE oy • �g�� 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#: 49270 Date: 5/17/2023 Permission is hereby granted to: Ballenger Fmly Ltd Liblty C/O Marie E. Ballenger 1700 Bent Tree Ct Charlottesville, VA 22902 To: Electrical -as bit Service Garage i At premises located at: 1695 Old Woods Path, Southold SCTM #473889 Sec/Block/Lot# 87.-1-22 Pursuant to application dated 5/17/2023 and approved by the Building Inspector. To expire on 11/15/2024. Fees: ELECTRIC $170.00 Total: $170.00 Building Inspector of so�ryQl 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 a� sean.devlinc@-town.southold.ny.us Southold,NY 11971-0959 COUn�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Ballanger Family Ltd Liblty Address: 1695 Old Woods Path City:Southold St: NY zip: 11971 Building Permit* 49270 Section: 87 Block: 1 Lot: 22 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: Owl Electric License No: 60853ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service Commerical Outdoor X 1st Floor X Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage X INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures 1 Bath Exhaust Fan Service 3 ph Hot Water 30A GFCI Recpt 1 Wall Fixtures 2 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 StrobeHeat Detectors Disconnect Switches 4 4'LED Exit Fixtures Sump Pump Other Equipment: Notes: " AS BUILT NO VISUAL DEFECTS " ACC. GARAGE Inspector Signature: - ate: May 18, 2023 S.Devlin-Cert Electrical Compliance Form oesoUTyOlo LJ 2 -7a I&q I Q� # # TOWN OF SOUTHOLD BUILD G EP . co 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) LECTRICAL (FINAL) [ ] CODE VIOLATION (_IPREC/O [ ]' RENTAL REMARKS: J " nn�rc- tie, - alb DATE4—=0110,111; INSPECTOR I I WILDING DEPARTMENT- Electrical Inspector r TOWN OF SOUTHOLD `` k�wwuvwtNl. own Hall Annex - 54375 Main Road - PO Box 1179 co WIV®FSOUTHOI.J Southold, New York 11971-0959 01 Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(aD-southoldtownn ..gov - seand(D_southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: Electrician's Name: Z-Ab�6q, License No.: Elec. email: ��- �� 3,- Ll5o>> — Elec. Phone No: / ,�equest an email copy of Certificate of Compliance Elec. Address.: 0)>( C�/ G t f' LU f' l 1'3_!5 JOB SITE INFORMATION (All Information Required) Name:. _ Address:` % � �L.-b Jb�b � v v777 - Cross Street: t5;1? 0 -1` jq-P\ RP.A'�> Phone No.: Bldg.Permit#: email:NU RI LL3f�c�Gt��KG/ %nJ Tax Map District: 1000 Section: Block: / Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): cc Square Footage: Circle All That Apply: Is job ready for inspection?: YES ❑ NO ❑Rough In ❑ Final Do you need a Temp Certificate?: ❑ YE8tK NO Issued On Temp Information: (All information required) Service Size❑1 PhF-]3 Ph Size: A # Meters Old Meter# ❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals 1 2 H Frame M Pole Work done on Service? MY N Additional Information: PAYMENT DUE WITH APPLICATION 6'd �5- 0-zL3 (Zee loL/ 55_y �J"AFF UILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD �"bulUXIMUr V1. own Hall Annex - 54375 Main Road - PO Box 1179 WRIOFSOU`I�IOL� Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 rogerrp_southoldtownny.gov - seand@southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: :5-=-,7 D,� Company Name: Electrician's Name: . yL��, -�9'i�v �`�✓(� ��1�� tJ6�: ' License No.: EIec. email: ��— Elec. Ph /one No: , {-request an email copy of Certificate of Compliance Elec. Address.: �� j G ov C ( ' JOE SITE INFORMATION (All Information Required) ?E:-I-�y �� 2 Name: Address: f 1.,1� L32P6 Cross Street: HAA �� Phone No.: `7 - �.�cZ �l'.j��— " 7, BIdg.Permit#: email:NU Tax Map District: 1000 Section: F Block: / 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?: ❑ YESIK 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 0 1 2 H Frame Pole Work done on Service? M Y N Additional Information: PAYMENT DUE WITH APPLICATION Pd 6- 1 3 �2t c I OY 5tS PERMIT N Address: Switches .� Outlets G FI's Surface I Sconces H H's UC Lts Fans Fridge HW CJ' Exhaust Oven W/D Smokes DW Mini Carbon Micro Generator Combo Cooktop Transfer 4C AH Hood Service Amps Have Usec )pecial: :omments