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Home My WebLink About50059-Z .11 g FOI�Cal Town of Southold 11/27/2023 G o� y� P.O.Box 1179 co 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44771 Date: 11/27/2023 THIS CERTIFIES that the building ELECTRICAL Location of Property: 7755 Main Bayview Rd, Southold SCTM#: 473889 Sec/Block/Lot: 78.-9-30.2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 11/27/2023 pursuant to which Building Permit No. 50059 dated 11/27/2023 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 to single family dwelling The certificate is issued to Bossen,Derek&Greenko,Jane of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 50059 11/27/2023 PLUMBERS CERTIFICATION DATED Authorized Sign ture o�gOfPUi,��o TOWN OF SOUTHOLD BUILDING DEPARTMENT z TOWN CLERK'S OFFICE "oy • o� 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#: 50059 Date: 11/27/2023 Permission is hereby granted to: Bossen, Derek PO BOX 128 Peconic, NY 11958 To: Upgraded Electrical Service for House At premises located at: 7755 Main Bayview Rd, Southold SCTM # 473889 Sec/Block/Lot# 78.-9-30.2 Pursuant to application dated 1/1/1900 and approved by the Building Inspector. To expire on 5/28/2025. Fees: ELECTRIC $100.00 Total: $100.00 Building Inspector so�ryol Town Hall Annex O Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G Q sear.devlin(c-D-town.southold.ny.us Southold,NY 11971-0959 COUNTY, BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Derek Bossen Address: 7755 Main Bayview Rd city:Southold st: NY zip: 11971 Building Permit#: 50059 Section: 7$ Block: 9 Lot: 30.2 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: SPT Electric License No: 64696ME SITE DETAILS Office Use Only Residential X Indoor X Basement X Service X Commerical Outdoor X 1 st 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 Wall Fixtures Smoke Detectors 5 Main Panel 200A A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors 2 Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors Disconnect 250G Switches 4'LED Exit Fixtures Sump Pump Other Equipment: 200A Panel 40 Circuit/40 Used, 3 ARC, 4 Combo, 250 GFI Hot Tub Notes: Service Inspector Signature: Date: November 27, 2023 S.Devlin-Cert Electrical Compliance Form ho��pFSOUIyDIo S 77S # # TOWN OF SOUTHOLD BUILDING DEP . courm, 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: %mil G / DATE INSPECTOR e® ` BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD ® =` Town Hall Annex - 54375 Main Road - PO Box 1179 4 co- " Southold, New York1 1971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 jamesh(cr_southoldtownny.gov — seand@southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 11-15-2023 Company Name: SPT Electric LLC Electrician's Name: Sean Terry License No.: ME-64696 Elec. email: dnbossen@gmail.com Elec. Phone No: 6313790854 ❑I request an email copy of Certificate of Compliance Elec. Address.: 57 Foster Ave, Hampton Bays, NY 11946 JOB SITE INFORMATION (All Information Required) Name: Derek Bossen Address: 7765 Main Bayview Road Cross Street: Koke Phone No.: 6313790854 Bldg.Permit email: dnbossen@gmail.com Tax Map District: 1000 Section: 78. Block: 9 Lot: 30.2 BRI F DE PT_ION OF WORK, INCLUDE QUARE FOOTAGE (Please Print Clearly): Hot stallation � f �¢X V t c-e. o Square Footage: Circle All That Apply: I hSW I 1127 Is job ready for inspection?: YES ❑ NO Rough In ❑� Final Do you need a Temp Certificate?: YES ❑� NO Issued On Temp Information: (All information required) Service Siz Ph 03 Ph Size: A # Meters Old Meter#�� ew Service ire ReconnectOFlood ReconnectOService ReconnectOUndergroun PE77 verhead Underground Laterals 1 F12 H Frame Pole Work done on Service? laY N Additional Information: PAYMENT DUE WITH APPLICATION 211 l oC) `� co�l� �O�toff -ea BUILDING DEPARTMENT- Electrical Inspector y TOWN OF SOUTHOLD bo 1 Town Hall Annex - 54375 Main Road - PO Box 1179 o • Southold, New York•11971-0959 ti O� Telephone (631) 765-1802 - FAX (631) 765-9502 jamesh(aDsoutholdtownny.gov - seand(cD-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 11-15-2023 Company Name: SPT Electric LLC Electrician's Name: Sean Terry License No.: ME-64696 Elec. email: dnbossen@gmail.com Elec. Phone No: 6313790854 ❑I request an email copy of Certificate of Compliance Elec. Address.: 57 Foster Ave, Hampton Bays, NY 11946 JOB SITE INFORMATION (All Information Required) Name: Derek Bossen Address: 7755 Main Bayview Road Cross Street: Koke Phone No.: 6313790854 Bldg.Permit#: as 0 SQ email: dnbossen@gmail.com Tax Map District: 1000 Section: 78. Block: 9 Lot: 30.2 BXkFD PTION OF WORK, INCLUDE QUARE FOOTAGE (Please Print Clearly): Hlation sev - f uL Square Footage: Circle All That Apply: 1"SV It 127 Is job ready for inspection?: YES ❑ NO ❑Rough In ❑✓ Final Do you need a Temp Certificate?: ❑ YES ❑� 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 F-1 1 2 H Frame El Pole Work done on Service? Y DN Additional Information: PAYMENT DUE WITH APPLICATION I 000"