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Home My WebLink About50350-Z ��o�OSHEFOIKcOGy.� Town of Southold 3/2/2024 - P.O.Box 1179 0 W 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 45023 Date: 3/2/2024 THIS CERTIFIES that the building ELECTRICAL Location of Property: 11425 Great Peconic Bay Blvd,Mattituck SCTM#: 473889 Sec/Block/Lot: 144.-3-20 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 2/16/2024 pursuant to which Building Permit No. 50350 dated 2/16/2024 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: electric service mast repaired due to storm damage. The certificate is issued to Califano,Jacqueline of the aforesaid building. - SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 50350 2/20/2024 PLUMBERS CERTIFICATION DATED Authorized S' a e �S��Fat TOWN OF SOUTHOLD �o oGy� BUILDING DEPARTMENT TOWN CLERK'S OFFICE oy • �� 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#: 50350 Date: 2/16/2024 Permission is hereby granted to: Califano, Jacqueline 1498 Caston St Wantagh, NY 11793 To: Repair of electrical service mast from storm damage At premises located at: 11425 Great Peconic Bay Blvd, Mattituck SCTM #.473889 Sec/Block/Lot# 144.-3-20 Pursuant to application dated 2/16/2024 and approved by the Building Inspector. To expire on 8117/2025. Fees: ELECTRIC $100.00 Total: $100.00 Building Inspector Of SO�jyQlo Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 Q sean.devlinOb-town.southold.ny.us Southold,NY 11971-0959 Q �yOOUNT`1,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Jacqueline Califano Address: 11425 Great Peconic Bay Blvd city:Mattituck st: NY zip: 11952 Building Permit#: 50350 Section: 144 Block: 3 Lot: 20 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: Plug It In Electric License No: 33822ME SITE DETAILS Office Use Only Residential X Indoor 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 Exit Fixtures Sump Pump Other Equipment: Notes: Replaced Storm Damaged Service Mast Inspector Signature: Date: February 20, 2024 S.Devlin-Cert Electrical Compliance Form SOGlyolo # TOWN OF SO-UTHOLD BUILDING DEPT. orm,�'�'' 631-765-1802 INSPECTION ' [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ]. FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] .FIRE SAFETY INSPECTION [. ] FIRE RESISTANT CONSTRUCTION [ ] FIREAESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION rl PRE C/O [ ] RENTAL REMARKS: V C1 wZ DATE ' .INSPECTOR �a0F50Uryo �'eL04r(/ * # TOWN OF SOUTHOLU BUILDING DEPT. `y^ourm,N 631-765-1802 I'N'SPECTION [ ] FOUNDATION 1ST/ REBAR [ ] 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: � LC- DATE - INSPECTOR �sufFot,��® C=�O �A BUILDING DEPARTMENT-Electrical inspector C* x TOWN OF SOUTHOLD Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959 O Telephone (631)765-1802 Temporary Certificate # 10315 Date 2- (0 2024 Customer Name 114 e,(i e Ca h Electrician Name Flu in E QCdYiL ES OSi Address 1 L ec0')U•c. ✓ Ct Phone 5(6 OP&O a A 0 G I ce)y— e-mail MOIC0601' ® 0 1 n2 e-mail 5q( I l 06, Phone 5 S s License# Size DO A Phase t 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/N 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 G Sjbj-C, e�'= 0 ECE � V, E ' F EB 1 6 2@%"P$LDILj1 EPARTIVIENT- Electrical Inspector I TOWN OF SOUTHOLD q ,9114i kfiAnnex- 54375 Main Road - PO Box 1179 Town ;Southold Southold, New York 11971-0959 p I Telephone (631) 765-1802 - FAX (631) 765-9502 la mesh(aD-southoldtownny.gov- seand(aD-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: r in @ Lc- r-�c Electrician's Name: E License Elec. email: �o,,l J /AE Elec. Phone No: CS`� 7g:°w�� 6 I request an email copy of Certific to of Compliance Elec. Address.: 10'I (t 5eo t t Sr Poe- -\ , - -kE - 1 I r7d JOB SITE INFORMATION (All Information Required) Name: J G i► S 04140C> Address: VA A , uc kin— Cross Street: Phone No.: t. Bldg.Permit#: email: MJ CCA akin,VLt• ✓lc Tax Map,District: 1000 Section: I Block: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): OX O %C-A, c-'-;: NAP,4 Square Footage: Circle All That Apply: 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:Z,VO A # Meters�_ Old Meter# ❑New Service❑Fire Reconnect[]Flood Reconnect[RService Reconnect❑Underground Overhead # Underground Laterals M 1 2 H Frame Pole Work done on Service? Y RN Additional Information: PAYMENT DUE WITH APPLICATION A-A.-c') 0