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Home My WebLink About49825-Z �g11fFOt Town of Southold 10/17/2023 P.O.Box 1179 o - 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44653 Date: 10/17/2023 THIS CERTIFIES that the building ELECTRICAL Location of Property: 750 Knollwood Ln,Mattituck SCTM#: 473889 Sec/Block/Lot: 107.-1-15 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/3/2023 pursuant to which Building Permit No. 49825 dated 10/4/2023 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 electric service. The certificate is issued to Braun,Leonard&Loretta of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 49825 10/5/2023 PLUMBERS CERTIFICATION DATED Authorized'(Signature �SUFFot,r TOWN OF SOUTHOLD BUILDING DEPARTMENT j TOWN CLERK'S OFFICE oy • � ; 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#: 49825 Date: 10/4/2023 Permission is hereby granted to: Braun, Leonard 750 Knollwood Ln Mattituck, NY 11952 To: upgrade service to a new 200 Amp Overhead At premises located at: 750 Knollwood Ln, Mattituck SCTM #473889 Sec/Block/Lot# 107.-1-15 Pursuant to application dated 10/3/2023 and approved by the Building Inspector. To expire on 4/4/2025. Fees: ELECTRIC $100.00 Total: $100.00 Building Inspector SO!/j�Ql 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 sean.devlinCa-town.southold.ny.us Southold,NY 11971-0959 e BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Leonard Braun Address: 750 Knollwood Ln city:Mattituck st: NY zip: 11952 Building Permit#: 49825 Section: 107 Block: 1 Lot: 15 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: Custom Lighting of Suffolk License No: 38893ME 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 Attic Garage INVENTORY Service 1 ph X Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures Smoke Detectors Main Panel 200A A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel 2 A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors Disconnect [E] Switches 4'LED Exit Fixtures Sump Pump Other Equipment: 200A Panel 40 Circuit/ 8 Used, 100A Sub 30 Circuit/27 Used, 70A Sub 20 Circuit Notes: New Service Inspector Signature: Date: October 6, 2023 S. Devlin-Cert Electrical Compliance Form pE SOUIyO� l l/ 7 s # # TOWN OF SOUTHOLD BUILDING DEPT. cou 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] 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: 1 DATE (P INSPECTOR 5P ` C) UFfaU :. BUILDING DEPARTMENT-Electrical Inspector 41, TOWN OF SOUTHOLD �..: Town Hall Annex-54375 Main Road - PO Box 1179 ,.- Southold, New York 11971=0959 p` Telephone (631) 765-1802 - FAX(631) 765-9502 rogerrg-DsoutholdtownnyQov- seand(-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (Ail information Required) Date: Company Name: Custom Lighting of Suffolk Inc Electrician's Name: Benjamin Doroski License No.: 38893-ME Elec. email: CLOS5170@gmail.com Elec. Phone No: 631-298-.588 ElI request an email copy of Certificate of Compliance Elec. Address.: PO Box 1698 Mattituck NY 11952 JOB SITE INFORMATION (All Information Required) Name: Len Braun Address: 750 Knollwood Lane Mattituck Cross Street: Grand Ave Phone No.: Bldg.Permit* q Z email: Tax Map District: 1000 Section: 0-7 Block: Lot: 5 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):' Upgraded Electrical Service to a New 200 Amp Overhead Service Square Footage: 11500 Circle All That Apply: Is job ready for inspection?: YES NO Rough In 2 Final Do you need a Temp Certificate?: YES NO Issued On Temp Information: (All information required) Service Size -11 Ph�3 Ph Size: 200 A # Meters 1 Old Meter# ❑New ServiceQFire Reconnect®Flood Reconnect aervice ReconnectElUndergroundS✓ Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? [-]Y MN Additional Information: PAYMENT DUE WITH APPLICATION 0 C T 3 2023 Y ;J11DUNG IDEPTa l )Q ..... t BUILDING DEPARTMENT-Electrical Inspector 7. TOWN OF SOUTHOLD Town Hail Annex-54375 Main Road - PO Box 1179 ; » <: Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX(631) 765-9502 :: .... rogerr(a-southoldtownnyraov- seand0south6ldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: Custom Lighting of Suffolk Inc Electrician's Name: Benjamin Doroski License No.: 38893-ME Elec. email: CLOS5170@gmail.com Elec. Phone No: 631-298-4588 21 request an email copy of Certificate of Compliance Elec.Address.: PO Box 1698 Mattituck NY 11952 JOB SITE INFORMATION (All Information Required) Name: Len Braun Address: 750 Knollwood Lane Mattituck Cross Street: Grand Ave Phone No.: Bldg.Permit#: email: Tax Map District: 1000 Section: 0-7 Block: I Lot: ,5 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Upgraded Electrical Service to a New 200 Amp.Overhead Service Square Foota e: iso0 Circle All That Apply: Is job ready for inspection?: Z YES®NO ❑Rough In ❑✓ Final Do you need a Temp Certificate?: ❑ YIES 0 NO Issued On Ternp Information: (All information required) Service Size❑✓ 1 Ph 03 Ph Size: 200 A #Meters 1 Old Meter# ❑New Service❑Fire Reconnect❑Flood Reconnect❑✓ Service Reconnect❑Underground❑✓ Overhead #Underground Laterals 1 F12 M H Frame Pole Work done on Service? MY N Additional Information: F^ i .JF PAYMENT DUO=WITH APPLICATION 17-� OCT 3 2023 t1JJH.,DTNC DEPT. TOWN