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Home My WebLink About49268-Z �o�oSUFF�Kn" Town of Southold 7/12/2023 o P.O.Box 1179 53095 Main Rd y,� mor.k� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44267 Date: 7/12/2023 THIS CERTIFIES that the building ELECTRICAL Location of Property: 1645 Old Woods Path, Southold 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. 49268 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 service and electric for mechanical room. The certificate is issued to Ballenger Fmly Ltd Liblty of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 49268 6/26/2023 PLUMBERS CERTIFICATION DATED uthorized S' ature TOWN OF SOUTHOLD `o SUFfat;o BUILDING DEPARTMENT y� " TOWN CLERK'S OFFICE o . SOUTHOLD, NY • y�,�l � ��p�i,y, z 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#: 49268 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 blt Service Cottage 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: $170.00 d4) Building Inspector SO(/j�,ol 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 Q sean.devlina-town.southoid.ny.us Southold,NY 11971-0959 couffm BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Ballenger family Ltd Liability Address: 1695 Old Woods Path city:Southold st: NY zip: 11971 Building Permit#: 4926$ Section: $7 Block: 1 Lot: 22 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: OWI Electric License No: SITE DETAILS Office Use Only Residential X Indoor X Basement Service X Commerical Outdoor X 1st Floor X Pool New X Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph X Heat Duplec Recpt 2 Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water 30A 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 30 Circuit/ 11 Used Notes: " AS BUILT NO VISUAL DEFECTS " Service and Mech Room Electric Inspector Signature: Date: June 26, 2023 S. Devlin-Cert Electrical Compliance Form ho�aOF SOUTyO� . # TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 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: [A 100M91 a Q)� e � DATE INSPECTOR �� i I.'. l �� a . � IU ►� II �UlI� ® BUILDING DEPARTMENT- Electrical Inspector 903 U TOWN OF SOUTHOLD own Hall Annex - 54375 Main Road - PO Box 1179 FSOUTHOt t� Southold, �p a SOL NI. New York 11971-0959 �- Telephone (631) 765-1802 - FAX (631) 765-9502 rogerrCaD-southoldtownny.gov - seandC&-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: rJ / `7 Company Name: )A- i G Electrician's Name: License No.: Elec. email: Elec. Phone No: request request an email copy of Certificate of Compliance Elec. Address.: 7 JOB SITE INFORMATION (All Information Required) Name: L-/-,2� /t�� ' Z- L G Address: Cross Street: l�0"� Phone No.: 7 (0 J� -1-12 3 z13 `/ Bldg.Permit #: email: Tax Map District: 1000 Section: Block: / Lot: c BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): 0-0 � C9 :5 b(A i 114- �l e� — 'Q)-LCV i C(— Square Footage: Circle All That Apply: "10 1 Is job ready for inspection?: YES ❑ NO ❑Rough In ❑ Final Do you need a Temp Certificate?: ❑ YE NO Issued On Temp Information: (All information required) Service Size F11 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? Y FIN Additional Information: 'PAYMENT DUE WITH APPLICATION 62eC- `�yssy PERMIT N Address: Switches Outlets I GFI's Surface Sconces H H's UC Lts Fans Fridge HW Exhaust Oven W/D Smokes DW Mini Carbon Micro Generator Combo Cooktop Transfer ac AH Hood Service A�m'pss) Have Usec )pecial: 70 I I :omments ' BUILDING DEPARTMENT- Electrical Inspector c®� i 7n93 TOWN OF SOUTHOLD nv�urt'I. own Hall Annex - 54375 Main Road - PO Box 1179 N'OFSot)THOLD Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(cD-southoldtownny.gov - seand(c-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: / `7 Company Name: 0 k) 6C-7-3 ,Q, ( G J A) C-- Electrician's Name: %�� ,�{'�JLG�I��j�� fMt f<'6 License No.: Elec. email: Elec. PhoneNo: 31-��,j-�jvl1�� request an email copy of Certificate of Compliance Elec. Address.: t13 JOB SITE INFORMATION (All Information Required) Name: 231q-L-Z_ ,Cr-E�' G. L. Address: I �Z / 117"T--� Cross Street: �/-�' lV&D Phone No.: - 2a 3 y3 `/ _ ` 7,3 Bldg.Permit #: email: Tax Map District: 1000 Section: 7 Block: f Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): C 041go-e. — C1 :5 8u i ff f C-�, Square Footage: Circle All That Apply: Is job ready for inspection?: YES ❑ NO ❑Rough In 0 Final Do you need a Temp Certificate?: ❑ YE 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 1 2 H Frame Pole Work done on Service? Y N Additional Information: 0 PAYMENT DUE WITH APPLICATION' �2e C/S�;y