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Home My WebLink About50345-Z �o�OSUfFOIKCpGy Town of Southold 2/29/2024 0 P.O.Box 1179 53095 Main Rd Woy�j01 Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 45010 Date: 2/29/2024 THIS CERTIFIES that the building ELECTRICAL Location of Properly: 5670 Mill Rd,Mattituck SCTM#: 473889 Sec/Block/Lot: 106.-6-4.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 1/16/2024 pursuant to which Building Permit No. 50345 dated 2/15/2024 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 overhead electric service for tower building The certificate is issued to North Fork Project LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 50345 1/22/2024 PLUMBERS CERTIFICATION DATED Authorized Signature gUFFQIs TOWN OF SOUTHOLD BUILDING DEPARTMENT coz 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 #: 60345 Date: 2/15/2024 Permission is hereby granted to: North Fork Project LLC 10020 Old Sound Ave Mattituck, NY 11952 To: electric service on tower At premises located at: 5670 Mill Rd, Mattituck SCTM # 473889 Sec/Block/Lot# 106.-6-4.1 Pursuant to application dated 1/16/2024 and approved by the Building Inspector. .To expire on 8/16/2025. Fees: ELECTRIC $150.00 Total: $150.00 Building Inspector OF SO�T�O! � o . Town Hall Annex . Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G Q �. • yo sean.devlinCD-town.southold.ny.us Southold,NY 11971-0959 ol�coUNTy,�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: North Fork Project LLC Address: 5670 Mill Rd City:Mattituck st: NY zip: 11952 Building Permit* 50345 Section: 106 Block: 6 Lot: 4.1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: License No: SITE DETAILS Office Use Only Residential Indoor X Basement Service X Commerical X Outdoor X 1st Floor X Pool New X Renovation 2nd Floor Hot Tub Addition Surrey 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 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: 200A 40 Circuit Panel / 6 Used Notes: Service Only Inspector Signature: Date: January 22, 2024 S. Devlin-Cert Electrical Compliance Form OFSOUTyo� /o M dr P"d f # TOWN OF SOUTHOLD BUILDING DEPT. `ycouH►v��' 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: AJ ',, DATE INSPECTOR r BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 Southold,,New York 11971-0959 i P e5'� Telephone (631) 765-1802 - FAX (631) 765-9502 'W. „ ja mesh(d)southoldtownny.gov - seand(absoutholdtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 1/12/24 Company Name: Wildwood Electric Inc. Electrician's Name: Ralph Passantino Jr. License No.: 4836-ME Elec. email:ralphjr@wildwoodelectric.com Elec. Phone No: 631-236-2211 01 request an email copy of Certificate of Compliance Elec. Address.: P.O. Box 373, Rocky Point, NY. 11778 JOB SITE INFORMATION (All Information Required) Name: North Fork Project LLC Address: 5670 Mill Road, Mattituck Cross Street: Naugles Drive Phone No.: 917-535-3777 BIdg.Permit#:9j 6 0084 email: martignette@gmail.com Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Overhead Electrical service Upgrade from 100 To 200amp. Single Phase Square Footage: Circle All That Apply: Np t 2q Is job ready for inspection?. YES ❑ NO ❑Rough In 13 Final Do you need a Temp Certificate?: Fv YES ❑ NO Issued On Temp Information: (All information required) Service Size�1 Ph❑3 Ph Size: 200 A # Meters 1 Old Meter#8053894) ❑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 I Z,f t ggSD