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Home My WebLink About50263-Z �o�OS�EF�tc�G Town of Southold 2/29/2024 P.O.Box 1179 0 C4 T. - 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 45007 Date: 2/29/2024 THIS CERTIFIES that the building ELECTRICAL Location of Property: 145 Founders Path, Southold SCTM#: 473889 Sec/Block/Lot: 64.-2-30 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/7/2016 pursuant to which Building Permit No. 50263 dated 1/26/2024 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. The certificate is issued to Bertelsen,Anne of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 41065 2/15/2024 PLUMBERS CERTIFICATION DATED -411 Authorize ig ure gUFFa(,fc TOWN OF SOUTHOLD 241 � BUILDING DEPARTMENT y 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 #: 50263 Date: 1/26/2024 Permission is hereby granted to: Bertelsen, Anne 146 Founders Path Southold, NY 11971 To: Electrical Service - 200amp OH Replaces BP#41065 At premises located at: 145 Founders Path, Southold SCTM # 473889 Sec/Block/Lot# 64.-2-30 Pursuant to application dated 10/7/2016 and approved by the Building Inspector. To expire on 7/27/2025. Fees: ELECTRIC $42.50 Total: $42.50 Building Inspector 4�4g�FFDI,FCo TOWN OF SOUTHOLD BUILDING DEPARTMENT y z TOWN CLERK'S OFFICE o . SOUTHOLD, NY 0 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#: 41065 Date: 10/7/2016 Permission is hereby granted to: Bertelsen, Anne 24 Midland Blvd Maplewood, NJ 07040 To: Electric Service At premises located at: 145 Founders Path, Southold SCTM # 473889 Sec/Block/Lot# 64.-2-30 Pursuant to application dated 10/7/2016 and approved .by the Building Inspector. To expire on 4/8/2018. Fees: ELECTRIC $85.00 Total: $85.00 Building Inspector OF SO!/r�ol h O Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 a� sean.devlinCa)_town.Southold.ny.us Southold,NY 11971-0959 0 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Anne Bertelsen Address: 145 Founders Path city:Southold st: NY zip: 11971 Building Permit#: 41065 Section: 64 Block: 2 Lot: 30 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: Bob Burns License No: 3897ME SITE DETAILS Office Use Only Residential X Indoor X Basement X Service X Commerical Outdoor X 1st Floor X 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 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 [E] Switches 4'LED Exit Fixtures Sump Pump Other Equipment: 200A Panel 30 Circuit/23 Used Notes: Service C Inspector Signature: Date: February 15, 2024 S.Devlin-Cent Electrical Compliance Form OE SO!/lyolo -- I # # TOWN OF SOUTHOLD BUILDING DEP . 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) WLECTRICAL (FINAL) [ ] CODE VIOLATION ] PRE C/O [ ] RENTAL REMARKS: DATE JJ— INSPECTOR - - i o��F SO�jT�D Town Hall Annex Telephone(631)765-1802 W75]Rain Road y rtd (631)76-3-�5Q2,. P.O.Box 1179 roger.riche town.So o nv.us Southold,NY 1197I-0959Ql BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION , REQUESTED BY: s3ab tij u✓'r►s Date: Company Name: la t v,,Aj 4: /, Name: l�a.i 12.. �v�✓LS.c� 1- License No.: 3 iP 7 �- Address: �� a� oG 1 t'l,g f� IVY 11 P72 Phone No.: G3/ 3 G S- e-/9 3 f JOBSITE INFORMATION: (*Indicates required information) *Name: I *Address: *Cross Street: *Phone No.: ! i Permit No.: Tax-Map District: 1000 Section: Block: Lot: D 1 *BRIEF DESCRIPTION OF WORK(Please Print Clearly) (Please Circle All That Apply) *Is job ready for inspection: YE / NO. Rough In Tha *Do--you need a Temp Certificate: / NO Temp Information Qf.needed) *Service Size: ( Phase 3Phase 100 150 300 350 . 400 Other *New Service: Re-wrinect Underground ®Number of Meters nge of Servic Overhea Additional Information: PAYMENT DUE WIT ON .82=Request for Inspection Form