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Home My WebLink About48860-Z r..=gra Town of Southold 7/15/2023 P.O.Box 1179 co 2 o _ 53095 Main Rd o Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44312 Date: 7/15/2023 THIS CERTIFIES that the building ELECTRICAL Location of Property: 65490 Route 25,Greenport SCTM#: 473889 Sec/Block/Lot: 53.-5-12.6 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 2/6/2023 pursuant to which Building Permit No. 48860 dated 2/6/2023 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: 200 amp underground electric service for Cottage 19. The certificate is issued to Breezy Shores Comnty Inc of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 48860 6/8/2023 PLUMBERS CERTIFICATION DATED Authorized Signature _. TOWN OF SOUTHOLD ��SUFFo�Kc BUILDING DEPARTMENT ca 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#: 48860 Date: 2/6/2023 Permission is hereby granted to: Breezy Shores Comnty Inc PO BOX 925 Mattituck, NY 11952 To: C19 Electric Service At premises located at: 65490 Route 25, Greenport SCTM #473889 Sec/Block/Lot# 53.-5-12.6 Pursuant to application dated 2/6/2023 and approved by the Building Inspector. To expire on 8/7/2024. Fees: ELECTRIC $85.00 Total: $85.00 Building Inspector pF SO(/r�ol 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 �Q sean.devlina-town.southold.ny.us Southold,NY 11971-0959 Q�yOU(VT`1,�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Breezy Shores Community Inc. Address: 65490- Route 25 city:Greenport st: NY zip: 11944 Building Permit#: 48860 Section: 53 Block: 5 Lot: 12.6 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: Electric Life License No: 62536ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service X Commerical Outdoor X 1st Floor Pool New X Renovation 2nd Floor Hot Tub Addition Survey X 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 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 11 Sump Pump Other Equipment: 200A Panel 20 Circuit/ 12 Used Notes: Service Inspector Signature: Date: June 8, 2023 S. Devlin-Cert Electrical Compliance Form OFSOUJyo� TOWN OF SOUTHOLD BUILDING DEPT. coum, 631-765-1802 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) r ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: 5U j Chi G„ l� y 6h) 4 qlIX14 -Ar (ewy-Lpm A'a C2 S-c DATE INSPECTOR z BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD o 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@southoldtownny.gov 0-p9c, APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 2-6-202 u31 Company Name: Electric Life Inc °t 34 IV lT Electrician's Name: John Calabrese License No.: ME-62536 Elec. email:electriclifeinc@yahoo.com Elec. Phone No: (516) 643-0423 211 request an email copy of Certificate of Compliance Elec. Address.: 27 Gabriel Mills Road, Wading River, NY 11792 JOB SITE INFORMATION (All Information Required) Name: Victor Masnyj & Stine Westergaard Address: C-19 Sage Blvd., Greenport, NY 11944 Cross Street: Main Road <westergaardstine@gmail.com> Phone No.: (347) 738-1058 Bldg.Permit#: email:<victormasnyj @yahoo.com> Tax Map District: 1000 Section:053.00 Block: 05.00 Lot:012.006 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): As part of a communal project installing new septic system for 5 cottages, cottage C-19 to upgrade exiting 100a overhead service to 200a underground service. Square Footage: 1505 Circle All That Apply: Is job ready for inspection?: ❑ YES ❑✓ NO ❑Rough In ' 1 ❑ Final Do you need a Temp Certificate?: ❑1 YES ❑ NO Issued On Temp Information: (All information required) Service Size-11 Ph❑3 Ph Size: 200 A # Meters 1 Old Meter# 98399074 ❑✓ New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑✓ Underground❑Overhead # Underground Laterals ✓ 1 2 R H Frame M Pole Work done on Service? 0 Y N Additional Information:Proposed project has Suffolk County Board of Health & DEC approval. PAYMENT DUE WITH APPLICATION 2_1t,12-75 .ec.� I o lok`� GK.-4- 1 Doi 2ce� /-� �, o IZ � s�2 --A-- g8slei) �SUFFO(�•C BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD C* Town Hall Annex- 54375 Main Road - PO Box 1179 o Southold, New York 11971-0959 y o� Telephone (631) 765-1802 - FAX (631) 765-9502 roaerrC&-southoldtownny.gov — seand(&-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date:2-6-202&)X31 Company Name: Electric Life Inc °t34 1717 Electrician's Name: John Calabrese License No.: ME-62536 Elec. email:electriclifeinc@yahoo.com Elec. Phone No: (516) 643-0423 01 request an email copy of Certificate of Compliance Elec. Address.: 27 Gabriel Mills Road, Wading River, NY 11792 JOB SITE INFORMATION (All Information Required) Name: Victor Masnyj & Stine Westergaard Address: C-19 Sage Blvd., Greenport, NY 11944 Cross Street: Main Road <westergaardstine@gmail.com> Phone No.: (347) 738-1058 Bldg.Permit#: q88 CoO email:<victormasnyj @yahoo.com> Tax Map District: 1000 Section:053.00 Block: 05.00 Lot:012.006 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): As part of a communal project installing new septic system for 5 cottages, cottage G19 to upgrade exiting 100a overhead service to 200a underground service. Square Footage: 1505 Circle All That Apply: Is job ready for inspection?: ❑ YES ❑✓ NO ❑Rough In ' 1 11 Final Do you need a Temp Certificate?: R1 YES❑ NO Issued On Temp Information: (All information required) Service Size�1 Ph❑3 Ph Size: 200 A # Meters 1 Old Meter# 98399074 ✓❑New Service❑Fire Reconnect[]Flood Reconnect❑Service Reconnect❑✓ Underground❑Overhead # Underground Laterals ✓ 1 2 R H Frame Pole Work done on Service? Y N Additional Information:Proposed project has Suffolk County Board of Health & DEC approval. PAYMENT DUE WITH APPLICATION 2, tf 23 �oµdl. A GK l boa �o�oSufFot,(�oGs BUILDING DEPARTMENT-Electrical Inspector C* TOWN OF SOUTHOLD ;P • �� Town Hall Annex-54375 Main Road-PO Box 1179-Southol;d, NY 11971-0959 ' pi � Telephone (631)765-1802 Temporary Certificate #-T4 )2 Date . to 2023 Customer Name qSh S chr- Electrician Name AddressCICI So 81v Phone (0 e-mail �er Qafr�S ' e • •C e-mail e t ►•c. \ 1 0. .cower Phone 34-7 1-618 J 0 S$ License# fo Size 20 0 A Phase l " Overhead Underground #of Meters 1 Remarks #of Underground Laterals 1 2 New "H" Frame or Polel H P Fire Reconnect Was work done on Service? Y/N Flood Reconnect Old Meter#198"399 014 Service Reconnected Application for electrical service equipment is on file with the town of Southold.On the applicant's notification that this installation is complete,the town will conduct a premises inspection of the service equipment. This verifiavalido0dfrom bove. Authorized by