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Home My WebLink About48861-Z zrwv �o�Og11EFOL,fco Town of Southold 7/15/2023 Gyp P.O.Box 1179 o _ .T 53095 Main Rd o ,'SSouthold,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. 48861 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 20. The certificate is issued to Breezy Shores Comnty Inc of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 48861 6/8/2023 PLUMBERS CERTIFICATION DATED uthorized Signature o�gaalr TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE ca oy SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT QN THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 48861 Date: 2/6/2023 Permission is hereby granted to: Breezy Shores Comnty Inc PO BOX 925 Mattituck, NY 11952 To: C20 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 In for SOUryol 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 sean.devlina-town.southold.ny.us Southold,NY 11971-0959 Q �yCOUfVT'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#: 48861 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 Sump Pump Other Equipment: 200A Panel 20 Circuit/ 10 Used Notes: Service Inspector Signature: Date: June 8, 2023 S. Devlin-Cert Electrical Compliance Form oe soulyOlo Lt Z10 "S-1—oL # # TOW OF SOUTHOLD BUILDING DEOT. 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) DELECTRICAL (FINAL) [ ] CODE VIOLATION ] PRE C/O [ ] RENTAL REMARKS: rj�c y(cJ� Old LY DATE INSPECTOR BUILDING DEPARTMENT- Electrical Inspector tA TOWN OF SOUTHOLD C= a 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 APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 2-6-2023 Company Name: Electric Life Inc Electrician's Name: John Calabrese License No.: ME-62536 Elec. email:electriclifeinc9yahoo.com Elec. Phone No: (516) 643-0423 p I 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: Tom &Anette Charette Address: C-20 Sage Blvd., Greenport, NY 11944 Cross Street: Main Road <1 charettea@gmail.com> Phone No.: (516) 567-0593 BIdg.Permit#: � ,' C. I email:<tcac167@aol.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 precast septic system for 5 cottages, cottage C-20 to upgrade exiting 100a overhead service to 200a underground service. Square Footage: 1531 Circle All That Apply: Is job ready for inspection?: ❑ YESFt/] NO ❑Rough In ❑ Fin I Do you need a Temp Certificate?: YES ❑ NO Issued On l3 :k- 12 1 Temp Information: (All information required) Service Size�1 PhF—]3 Ph Size: 200 A # Meters 1 Old Meter# 98399075 ❑✓ New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑✓ Underground❑Overhead # Underground Laterals ✓ 1 2 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 P t o3 108 l a05 2e�� O � P� L r� c�i �o��S�fFO�,�coGy BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD o Town Hall Annex- 54375 Main Road - PO Box 1179 o Southold, New York 11971-0959 'y.IjO ao� Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(ab-southoldtownny.gov — seand(c-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date:2-6-2023 Company Name: Electric Life Inc 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: Tom &Anette Charette Address: C-20 Sage Blvd., Greenport, NY 11944 Cross Street: Main Road <1charettea@gmail.com> Phone No.: (516) 567-0593 Bldg.Permit#: 4 W 4R(S ( email:<tcac167@aol.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 precast septic system for 5 cottages, cottage C-20 to upgrade exiting 100a overhead service to 200a underground service. Square Footage: 1531 Circle All That Apply: Is job ready for inspection?: ❑ YES ❑✓ NO ❑Rough In ❑ Fin I 1 Do you need a Temp Certificate?: YES ❑ NO Issued On ^ems Temp Information: (All information required) Service Size 11 Ph❑3 Ph Size: 200 A # Meters 1 Old Meter# 98399075 ❑✓ New Service[-]Fire Reconnect❑Flood Reconnect❑Service Reconnect ✓❑Underground❑Overhead #Underground Laterals ✓ 1 n2 H Frame Pole Work done on Service? Y F1N Additional Information:Proposed project has Suffolk County Board of Health & DEC approval. PAYMENT DUE WITH APPLICATION "Z e cid 03 10&q II b 5 �o��g1lfFOl�•�OGy BUILDING DEPARTMENT-Electrical Inspector rte„ x TOWN OF SOUTHOLD oy • �� Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959 Telephone (631)765-1802 Temporary Certificate # L 13 Date Feb Le 1 2023 Customer Name WA,y_c Electrician Name to Address Q20 Sa * lV r r c r r Phone 1,q 3 O 23 e-mail 0. cJ • 1, �pyh e-mail G(��y� jy� (no0• to Phone Sl tiv (Q-7 C 3 License# m l0 2S (o Size—QOo A Phase 1 Overhead Underground #of Meters Remarks #of Underground Laterals '1 2 New "H" Frame or Pole H P Fire Reconnect Was work done on Service? Y/N Flood Reconnect Old Meter#19 9399 of S 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 verification is valid for 90 days from the date above. Authorized by