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Home My WebLink About48863-Z xrv�- oo�oSOFFOiKCpGy Town of Southold 7/15/2023 P.O.Box 1179 y x 53095 Main Rd n, Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44315 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. 48863 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 22. The certificate is issued to Breezy Shores Comnty Inc of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 48863 6/8/2023 PLUMBERS CERTIFICATION DATED Authorized Signa e TOWN OF SOUTHOLD �o�suFFot� BUILDING DEPARTMENT H x TOWN CLERK'S OFFICE 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#: 48863 Date: 2/6/2023 Permission is hereby granted to: Breezy Shores Comnty Inc PO BOX 925 Mattituck, NY 11952 To: C22 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: $85.00 Building Inspector SO�T�OI 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 aQ sean.deviin(-town.southold.ny.us Southold,NY 11971-0959 QIyCOUn�,��\ BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Breezy Shores Community Inc Address: 65490 Route 25 city:Greenport st: NY zip: 11944 Building Permit#: 48863 Section: 53 Block: 5 Lot: 12.6 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: Electric Life License No: 62536ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service X Commerical Outdoor X 1st Floor Pool New X Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph X Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel 200A A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transfer Switch UC Lights Dryer Recpt Emergency StrobeHeat Detectors Disconnect Switches 4'LED Exit Fixtures Sump Pump Other Equipment: 200A Panel 20 Circuit/ 10 Used, Surge Protector Notes: Service Inspector Signature: ` Date: June 8, 2023 S.Devlin-Cert Electrical Compliance Form BUILDING DEPARTMENT-Electrical Inspector o TOWN OF SOUTHOLD CA Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959 44' p� Telephone 631) 765-1802 Fdo Temporary Certificate # Date Le2023 -P-1" Customer Name k6Yya;�$ 'ejeSC-o W� Electrician Name E r /KC- Address �I rL2 Uyci &r-e 1 N Phone 67 Ce 44 04 Z3 e-maild S�_7 4.011. Cu+� e-mail e'CC I L 11K,I � ak •C Phone wal .—Iqo - �1t� License# hA �, U2-S-56 Size o?00 A Phase 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 539q p—n 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 o�aoFso�Tyo� # # TOWN OF SOUTHOLD BUILDING DEPT/ cou631-765-1802 INSPECTION [ ] FOUNDATION IST [ ] 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: DATE INSPECTOR BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD o Town Hall Annex - 54375 Main Road - PO Box 1179 CA ' Southold, New York 11971-0959 yfj01 �ao�. Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr southoldtownny.gov — seanda-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: Lorraine Tedesco & Don Wilson Address: C-22 Sage Blvd., Greenport, NY 11944 Cross Street: Main Road <dwilson4537 @yahoo.com> Phone No.: (631) 790-5814 Bldg.Permit#: q88 1.0 . I email:<Iraintedesco@gmail.com> Tax Map District: 1000 Section:053.00 Block: 053.00 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-22 to upgrade exiting 100a underground service to 200a underground service. Square Footage: 1394 Circle All That Apply: Is job ready for inspection?: ❑ YES ❑✓ NO ❑Rough In `11 ❑ Final Do you need a Temp Certificate?: YES❑ NO Issued On (2 ` 23 Temp Information: (All information required) Service Size 11 Ph❑3 Ph Size: 200 A #Meters 1 Old Meter# 98399077 ❑E New Service❑Fire Reconnect❑Flood Reconnect❑Service ReconnectE❑Underground❑Overhead # Underground Laterals R1 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 3 SSa� .p c ! 03 4 ►-I 0( 4 !o03 03 BUILDING DEPARTMENT- Electrical Inspector 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 • �� rog rr@southoldtownny.gov - seandAsoutholdtownny.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 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: Lorraine Tedesco & Don Wilson Address: C-22 Sage Blvd., Greenport, NY 11944 Cross Street: Main Road <dwilson4537@yahoo.com> Phone No.: (631) 790-5814 Bldg.Permit#: q88 to ? email:<Iraintedesco @ gmail.com> Tax Map District: 1000 Section:053.00 Block: 053.00 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-22 to upgrade exiting 100a underground service to 200a underground service. Square Footage: 1394 Circle All That Apply: Is job ready for inspection?: ❑ YES NO ❑Rough In 11 1 ❑ Final Do you need a Temp Certificate?: YES ❑ NO Issued On '"f IBJ (.0 ` 23 Temp Information: (All information required) Service Size�1 PhF—]3 Ph Size: 200 A # Meters 1 Old Meter# 98399077 FV]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 .� ct�- e� 1003 �� 2� f0 6vr�� v