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Home My WebLink About49451-Z , � SOEfOL,f zr Town of Southold o� coG. 9/24/2023 P.O.Box 1179 o o _ 53095 Main Rd yao�,+;� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44587 Date: 9/24/2023 THIS CERTIFIES that the building ELECTRICAL Location of Property: 680 Stars Rd,East Marion SCTM#: 473889 Sec/Block/Lot: 31.4-7 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/3/2023 pursuant to which Building Permit No. 49451 dated 7/3/2023 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: tesla car charger. The certificate is issued to EKJD Family Trust of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 49451 9/21/2023 PLUMBERS CERTIFICATION DATED Authorized gnature rL� TOWN OF SOUTHOLD ya, soFfniK�y BUILDING DEPARTMENT TOWN CLERK'S OFFICE d SOUTHOLD, NY �y�ol � �ap�'titr 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#: 49451 Date: 7/3/2023 Permission is hereby granted to: EKJD Family Trust 62-01 34th Ave Woodside, NY 11377 To: Electric - Install Tesla car charger. Replace Meter Pan At premises located at: 680 Stars Rd, East Marion SCTM # 473889 Sec/Block/Lot# 31.4-7 Pursuant to application dated 7/3/2023 and approved by the Building Inspector. To expire on 1/1/2025. Fees: f ELECTRIC $175.00 Total: $175.00 Building Inspector SO!/Tyolo Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 sean.devlin(@town.Southold.ny.us Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: EKJD Family Trust Address: 680 Stars Rd city:East Marion st: NY zip: 11939 Building Permit#: 49451 Section: 31 Block: 4 Lot: 7 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: AS BUILT License No: SITE DETAILS Office Use Only Residential X Indoor X Basement Service X Commerical Outdoor X 1st Floor X Pool New 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 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: 60A Tesla Charger Notes: New Meterpan & Tesla Car Charger Inspector Signature: Date: September 21, 2023 S.Devlin-Cert Electrical Compliance Form SOUTyo� # TOWN OF SOUTHOLD BUILDING DEPT. `ycou631-765-1802 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) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: ci 'Vic- 'Ace , �. v r a DATE 2 3 INSPECTOR �� V tt.A) ` 6�\L~h�.U \7h�. c�z~_��_/u . \ � ^^ JUN � O �0�� - ' ==' " ~ |NGDEPARTK8ENT' E]ectrical \nspector ' TOWN OFSOUTHDUJ l0TAT - 54375Main Road ' P{) Box 1178 To"''` r' L'� ' ��uthO\d, New York 11871-O958 � Telephone (031) 766-18U2 - FAX K}31\ 7G5'Q5O2 APPLICATION FOR ELECTRICAL INSPECTION ' ELECTRICIAN INFORMATION (All Information Required) Date: Z��2-3 Company Name: va 1�� ic6te of Compliance Elec. Phone No: -5-/& 40Y 69 6 7 01 request an email copy of Certif Elec. Address.: 15;-QS JOB SITE INFORMATION (All Information Required) Cross Street: (-eojkr br,�Ve Tax Map District: 1000 Section: Block: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Tircle All That Apply: NO oRoughin Final Is iob ready for inspection?: F1 YES Do you need a Temp Certificate?: F� YES[ZNO issued On Temp Information: (All information required) Service SizeF-11 Ph[—]3 Ph Size: A # Meters— Old Meter# F-]New service7 Fire Reconnect D Flood Reconnect F-]Service Reconnect oUnderground Doverhead # Underground LateralsF]1 [-]2 H Frame F-1 Pole Work done on Service? F]Y FjN Additional Information; PAYMENT DUE WITH APPLICA 1 _----_---�� ' 2-5 n-- cit- (64 ' 3 � 4 � � ��/ \ ` r9r� 1 i a i 1 J � :._ J Tj m u ♦ r r' ' 6. dr It All 4. 4 q64 1 1 .4 + l r s � • , � ,r . 1 JUN 3 0 WILDING_ . S�FFp�KCO ._ DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD TUaihAnnex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 oy pr Telephone (631) 765-1802 - FAX (631) 765-9502 roaerrna southoldtownn�gov -- seandCcD,southoldtownnV.ao APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 6 ZoL3 Company Name: Valk ' Cil CDz � / Dl Electrician's Name: -,�0—w.t License No.: 3% E'tF Elec. email: J'olA q�p,� L(,�i LD4 Elec. Phone No: _57/& 4o y 69 67 ❑I request an email copy of Certificate of Compliance Elec. Address.: 5Q,5- Ca!v'44n AZ tis�� /1Y JOB SITE INFORMATION (All Information Required) Name: [CC�)� rh,(��J Tr�S Address: &90 s'��$ att.�✓1 /l�3g' Cross Street: Cedkr .D ,'Ve. Svc Phone No.: - 0 �SOty Bldg.Permit #: 01 L('5-1 email: Tax Map District: 1000 Section: 3( Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): ".nde_ 11 •fie_slA o-r- Re ce— yl/l AV-\ r Square Footage: Circle All That Apply: Is iob ready for inspection?: ❑ YES 1 NO ❑Rough In ❑ Final Do you need a Temp Certificate?: ❑ YES[ONO Issued On Temp Information: (All information required) Service Size71 Ph❑3 Ph Size: A # Meters Old Meter# ❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals 1 2 D H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION SPS y. �� s 1