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Home My WebLink About49854-Z o�SufFOl��OG Town of Southold 10/17/2023 a y� P.O. Box 1179 0 W 53095 Main Rd o4 �aSouthold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44651 Date: 10/17/2023 THIS CERTIFIES that the building ELECTRICAL Location of Property: 1780 Village Ln, Orient SCTM#: 473889 Sec/Block/Lot: 24.-2-19 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/6/2023 pursuant to which Building Permit No. 49854 dated 10/6/2023 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 electric service upgrade. The certificate is issued to Ventura,Michael&Alison of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 49854 10/11/2023 PLUMBERS CERTIFICATION DATED Authorized ignature �o�Suffosac � TOWN OF SOUTHOLD -1 BUILDING DEPARTMENT 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 #: 49854 Date: 10/6/2023 Permission is hereby granted to: Ventura, Michael 2 Bolton Gardens Bronxville, NY 10708 To: install new electric meter At premises located at: 1780 Village Ln, Orient SCTM # 473889 Sec/Block/Lot# 24.-2-19 Pursuant to application dated 10/6/2023 and approved by the Building Inspector. To expire on 4/6/2025. Fees: ELECTRIC $100.00 Total: $100.00 Building Inspector pF SO!/TyQlo Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 �Q sean.devlinCaD-town.southold.ny.us Southold,NY 11971-0959 Q�yCOU�'��\ BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Michael Ventura Address: 1780 Village Ln city:Orient st: NY zip: 11957 Building Permit#: 49854 Section: 24 Block: 2 Lot: 19 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: BJ Electric License No: 2670ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service X Commerical Outdoor X 1st Floor X Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph X Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel 200A A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors Disconnect 200A Switches 4'LED Exit Fixtures 11 Sump Pump Other Equipment: 200A Meter Main Disconnect w/40 Circuit Panel /23 Used Notes: Service Upgrade r Inspector Signature: Date: October 11, 2023 S.Devlin-Cert Electrical Compliance Form l o o O�uF�Q ,t.0 y ]BUILDING DEPARTMENT- Electrical Inspector _G Vis. j ?_ TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 VD '$N Southold, New York 11971-0959 `:r21f _Telephone (631) 765-1802 - FAX (631) 765-9502 1 ' ' rogerr(a)southoldtownny.gov - sea nd(aD-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: �® Company Name: �sL=-G,� s � Electrician's Name: License No.: c,7®,41, Elec. email: 66 Elec. Phone No:_,T-1,6 request an email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) Name: Address: # Q SAW_ ® � Cross Street: 044 f-ee Phone No.: Bldg.Permit#: email: Tax Map District: 1000 Section: a If Block: Lot: BRIEF DESCRIPTION OF WORK INCLUDE SQUARE FOOTAGE (Please Print Clearly): C-R 5;�J6I Square Footage: Circle All That Apply: Is job ready for inspection?: Lc ❑ NO ❑Rough In inal Do you need a Temp Certificate?: ES ❑ NO Issued On Temp Information: (All information required) Service Size❑1 Ph 7 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 MN Additional Information: PAYMENT DUE WITH APPLICATION OF SOUTyOIo (7 * f TOWN OF SOUTHOLD BUILDING QPT. °`ycouHr+NF'' 631-765-1802 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: v t DATE I® INSPECTOR - too 49, )BUILDING DEPARTMENT- Electrical Inspector 5 2023 TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 �*► ' Southold, New York 11971-0959 .,DING DEQ('4 Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(ab-southoldtownny.gov — seand(a-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: �p Company Name: 1,3," J. �G4�i4 r,t Electrician's Name: o,&-�a'T AJw#--#64, License No.: g,6 TO g- Elec. email: 4?PA!5�36,Oeq Elec. Phone No:j-/,o [E request an email copy of Certificate of Compliance Elec. Address.: gow- e/r/&52v JOB SITE INFORMATION (All Information Required) Name: Address: Cross Street: Phone No.: Bldg.Permit#: email: 3-/�, Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WOR INCLUDE SQUARE FOOTAGE (Please Print Clearly): Square Footage: Circle All That Apply: Is job ready for inspection?: [] NO ❑Rough Inincl Do you need a Temp Certificate?: 6ZESF-] NO Issued On Temp Information: (All information required) Service Size❑1 PhF—]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: PAYMENT DUE WITH APPLICATION C/ fj!5