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Home My WebLink About49379-Z �S�FFot�-r4gh Town of Southold 7/12/2023 0 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44266 Date: 7/12/2023 THIS CERTIFIES that the building ELECTRICAL Location of Property: 855 Pt Pleasant Rd,Mattituck SCTM#: 473889 Sec/Block/Lot: 113.-9-16 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/14/2023 pursuant to which Building Permit No. 49379 dated 6/14/2023 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: electric vehicle charger. The certificate is issued to Laforce,John&Gail of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 49379 7/10/2023 PLUMBERS CERTIFICATION DATED Authorized Signature o�sufFot�. TOWN OF SOUTHOLD BUILDING DEPARTMENT H x TOWN CLERK'S OFFICE o • SOUTHOLD, NY �y�ipl `ta°�tiS 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#: 49379 Date: 6/14/2023 Permission is hereby granted to: Laforce, John 855 Point Pleasant Rd Mattituck, NY 11952 To: Electrical - EV Charger At premises located at: 855 Pt Pleasant Rd, Mattituck SCTM #473889 Sec/Block/Lot# 113.-9-16 Pursuant to application dated 6/14/2023 and approved by the Building Inspector. To expire on 12/13/2024. Fees: ELECTRIC $90.00 Total: $90.00 Bui din ector oF souryolo Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 Jamesh(D-southoldtownny.gov Southold,NY 11971-0959 Q �yOOUM�`I BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: John LaForce Address: 855 Point Pleasant Road city:Mattituck st: New York zip: 11952 Building Permit#: 49379 Section: 113 Block: 9 Lot: 16 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Absolute Electric Con. Electrician: Jesse Smelson License No: ME-62784 SITE DETAILS Office Use Only Residential X Indoor X Basement Service Commerical Outdoor 1 st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage X 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 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 X Switches 4'LED Exit Fixtures Sump Pump Other Equipment: 1 60amp EV charger with disconnect Notes: EV CHARGER Inspector Signature: Date: July 10, 2023 855 point pleasent rd aOFSOGT9 � o ` h� l0 * # TOWN OF SOUTHOLD BUILDING DEPT. �o • ,o `ycouKn,��' 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) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: G F,�l � ID- a3 DATE 7 INSPECTOR 013P le Z8 BUILDING DEPARTMENT- Electrical Inspector Gym TOWN OF SOUTHOLD 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 rogerrCab-southoldtownny.gov - seand(aD-southoldtownny_gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (Ali information Required) Date: 05/24/2023 Company Name: Absolute Electrical Contracting and Design Electrician's Name: Jesse Smelson License No.: ME-62784 Elec. email:information@absolutec-d.com Elec. Phone No: 516-586-3050 F-11 request an email copy of Certificate of Compliance Elec. Address.: 27 Cain Drive, Plainview NY 11803 JOB SITE INFORMATION (All information Required) Name: John LaForce Address: 855 Point Pleasant Road, Mattituck Cross Street: Phone No.: 631-298-7125 Bldg.Permit#: NA qq 37 q email:baldwinjlf@aol.com Tax Map District: 1000 Section: 11 16 Block:,I ' Lot:1 (� BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): EV Charger Installation Square Footage: 1350OTotal Circle All That Apply: Is job ready for inspection?: 0 YES❑NO ❑Rough In ❑ Final Do you need a Temp Certificate?: ❑ YES 0 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: This is an installation in the garage only PAYMENT DUE WITH APPLICATION IO.q i aJ I hsp � Z8 jar ,! E � 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 roger1-i)southoldtownny_gov - seandC_southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 05/24/2023 Company Name: Absolute Electrical Contracting and Design Electrician's Name: Jesse Smelson License No.: ME-62784 Elec. email:information@absolutec-d.com Elec. Phone No: 516-586-3050 ❑I request an email copy of Certificate of Compliance Elec. Address.: 27 Cain Drive, Plainview NY 11803 JOB SITE INFORMATION (All Information Required) Name: John LaForce Address: 855 Point Pleasant Road, Mattituck Cross Street: Phone No.: 631-298-7125 Bldg.Permit#: NA #!9 9 email:baldwinjlf@aol.com Tax Map District: 1000 Section: 113 Block:� 49 Lot: 1 (� BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): EV Charger Installation Square Footage: 1350OTotal., Circle All That Apply: Is job ready for inspection?: YES ❑ NO ❑Rough In ❑ Final Do you need a Temp Certificate?: ❑ YES FV-] 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 D 1 FJ2 H Frame Pole Work done on Service? Y N Additional Information: This is an installation in the garage only PAYMENT DUE WITH APPLICATION r—t e-0- 104 -7Q1