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Home My WebLink About50114-Z r �o�Os�FFDi c y Town of Southold f 2/5/2024 P.O.Box 1179 o �. 53095 Main Rd Gy�j4� �ao� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44938 Date: 2/5/2024 THIS CERTIFIES that the building ELECTRICAL Location of Property: 1865 Highland Rd,Cutchogue SCTM#: 473889 Sec/Block/Lot: 102.-8-6 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 1/1/1900 pursuant to which Building Permit No. 50114 dated 12/11/2023 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 meter pan and mast replacement. The certificate is issued to Kimmelman,Michael&Debra of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 50114 1/22/2024 PLUMBERS CERTIFICATION DATED Authorize ignature �o�suFF TOWN OF SOUTHOLD ay BUILDING DEPARTMENT y x 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#: 50114 Date: 12/11/2023 Permission is hereby granted to: Kimmelman, Michael 1865 Highland Rd Cutchogue, NY 11936 To: Electric - Changing Meter Pan. Refeeding existing Breaker Panel. At premises located at: 1865 Highland Rd, Cutchogue SCTM #473889 Sec/Block/Lot# 102.-8-6 Pursuant to application dated 1/1/1900 and approved by the Building Inspector. To expire on 6/11/2025. Fees: ELECTRIC $100.00 Total: $100.00 Building Inspector SOUT��! Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G Q sean.devlin(aD-town.southold.ny.us Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Michael Kimmelman Address: 1865 Highland Rd city:Cutchogue st: NY zip: 11936 Building Permit#: 50114 Section: 102 Block: 8 Lot: 6 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: Current Electrical License No: 65941 ME 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 X Attic Garage 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 Switches 4'LED P1 Exit Fixtures Sump Pump Other Equipment: Notes: Meterpan & Mast Replaced Inspector Signature: Date: January 22, 2024 S.Devlin-Cert Electrical Compliance Form ho�aOF SOUTyOIo �, t Li # TOWN OF SOUTHOLD BUILDING DEPT. cou 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 [ r] PRE C/O ] RENTAL REMARKS: DATE INSPECTOR OF co �O Gym BUILDING DEPARTMENT-Electrical Inspector o < TOWN OF SOUTHOLD W _ Town Hall Annex-54375 Main`Road-PO Box 1179-Southold, NY 11971-0959 Gyfj� �a0�� Telephone (631) 765,-1802 Temporary Certificate # 1693 Date 2.023 Customer Name fAc ki;"widotaoElectrician Name 0krygm- a IcAl! Irt Address 18to C Phone 43 I. I If 590 e-mail 1 .eoY►r1 a-mail :P�@G cs p�fCh%1 his+t-s M ; I. cowl Phone k & . 4/ 9 S License# 4)E _(�j5t7q� Size oZ00 A Phase Overhead Underground #of Meters Remarks #of Underground Laterals 1 2 New "H" Frame or Pole H P Fire Reconnect Was work done on Service? Y/ p Flood Reconnect Old Meter# Service Reconnected Application for electrical service equipment is on file with the town of Southold.On the applicant's notification that this installation is complete,the town will conduct a premises inspection of the service equipment. This verification is valid for 90 days from the date above. Authorized by �" SufFpt BUILDING DEPARTMENT- Electrical Inspector CGGy TOWN OF SOUTHOLD a Town Hall Annex- 54375 Main Road - PO Box 1179 N im 3 Southold, New York 11971-0959 �oy,� �p� Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(a southoldtownny gov - sea nd(cDsoutholdtownny.aov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: f(jZaM- ,r-Z Electrician's Name: 4E 16 rLu� License No.: nlG- _E,leec. email: Elec. Phone No: j-��- L".l I request an email copy of Certificate of Compliance Elec. Address.: S Fw2,,— 2 ~ff JOB SITE INFORMATION (All Information Required) Name: Address: 5 „ cjq'wdd a / 7 11777 Cross Street: Phone No.: 416, - C S� Bldg.Permit#: �p 11i-f email: Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): H M,-,C,«,� Square Footage: Circle All That Apply: Is job ready for inspection?: ❑ YES Q NO ❑Rough In ❑ Final Do you need a Temp Certificate?: M-I`YES ❑ NO Issued On Temp Information: (All information required) Service Size Ph❑3 Ph Size: ",0 A # Meters / Old Meter# ❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect�Underground❑Overhead # Underground Laterals ffl 2 F H Frame. Pole Work done on Service? Y FrN Additional Information: Cap,VNG�t/V6 OC' a c� sVa 1L P /� rV C 3r- P PAYMENT DUE WITH APPLICATION 12 I� ��Q�Q,�, 1 ootc�- �L ckIF