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Home My WebLink About47803-Z sr= ao�Og�fFU(�cpGy� Town of Southold 4/26/2024 0 P.O.Box 1179 W { 53095 Main Rd y�jo ao� a Southold,New York 11971 lam" CERTIFICATE OF OCCUPANCY No: 45146 Date: 4/26/2024 THIS CERTIFIES that the building ELECTRICAL Location of Property: 610 Park Ave Ext.,Mattituck SCTM#: 473889 Sec/Block/Lot: 123.-8-28.6 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/11/2022 pursuant to which Building Permit No. 47803 dated 5/11/2022 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 for shed, dock pedastal and dock lights. The certificate is issued to JJS Edgewater LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47803 4/8/2024 PLUMBERS CERTIFICATION DATED uthorize ignature ��o�SUFFot,r�o TOWN OF SOUTHOLD ay BUILDING DEPARTMENT y z 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#: 47803 Date: 5/11/2022 Permission is hereby granted to: JJS Edgewater LLC 685 Track Ave Cutchogue, NY 11935 To: Dock and shed electric subpanel. At premises located at: 610 Park Ave Ext., Mattituck SCTM #473889 Sec/Block/Lot# 123.-8-28.6 Pursuant to application dated 5/11/2022 and approved by the Building Inspector. To expire on 11/10/2023. Fees: ELECTRIC $85.00 Total: $85.00 Building Inspector SO�ryolo Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 aQ sean.devlinCcD-town.southold.ny.us Southold,NY 11971-0959 Q�yCOU�'�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: JJS Edgewater LLC Address: 610 Park Ave Ext city:Mattituck st: NY zip: 11952 Building Permit#: 47803 section: 123 Block: 8 Lot: 28.6 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: Platinum East Electric License No: 34091 ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service Commerical Outdoor X 1st Floor X Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph X Heat Duplec Recpt 12 Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures 2 Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel 100A A/C Blower Range Recpt Ceiling Fan 1 Combo Smoke/CO Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors Disconnect Switches 5 4'LED Exit Fixtures 11 Sump Pump Other Equipment: Mini Fridge, Ice Maker, 100A Panel 20 Circuit] 11 Used, (7) 120 Combination Breake Pedestal Power 60AGFI Breaker, Shade Motor Notes: Dock Power &Acc. Bar/ Shack Inspector Signature: Date: April 8, 2024 S.Devlin-Cert Electrical Compliance Form pF SOUTyOIo p d # # TOWN OF SOUTHOLD BUILDING DEPT. o►m��`''� 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 [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: 4-4PA2xR Z�P DATE .S INSPECTOR �� 1 E30()ARE t &k&*z u, µ r vA w, I ."' 6w VC4 As roc y� fRE r d�.�' �� I - tit ♦ VI A / r • t ; fi J� Q G9� p2 �SgFFO(,��, BUILDING DEPARTMENT- Elec is 1 pra x �'/' Off' �G TOWN OF SOUTH y 0 1 Town Hall Annex - 54375 Main Rbad - PO Box 11 M co Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631)'765-b-502:-.!,------ ro.gerr(@-sbutholdtownny.gov — seand(D-southoldtownny.aov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN IN RMATION (AII Information Required) Date: g� Company. Name* ci : Electrician's Name 0 License No.: Elec. email: \ p� Elec. Phone No: - �I request an email copy.of Certifi to of Compliance Elec. Address.: ) JOB SITE INFORMATION (All Information Required) Name: (' Address: Cross Street: Phone No.: Bldg.Permit#: email: Tax Map District: 1000 ' Section: Block: Lot: oti BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):, PocK Pe6-eS+at.. UJl 2 90 MP -RIA�4, Flo&A SZeeb w/ L(J bDcJk Lv 11�5 1�+ ry olS. Square Footage: Circle All That Apply: . Is job ready for inspection?: ® YES ❑ NO ❑Rough In ❑ Final Do you need a Temp Certificate?: ❑ YES 0 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 1 2 H Frame D Pole Work done on-Service? Y MN Additional Information: PAYMENT DUE WITH APPLICATION s c-W //I(�V ram 511FFp( BUILDING DEPARTMENT- Elec09, Irw22 pecte'r 4® c TOWN OF SOUTHO Town Hall Annex - 54375 Main Rfoad - PO Box I,r ` o � Southold, New York 11971-0959 y �,, a4�, }' Telephone (631) 765-1802 - FAX (631) 765=9502- " roger1D-southoldtownny.gov - seand(aD-southoldtownny.gov �L.r Lam' APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN IN RIVIATION (AII Information Required) Date: P5 1�j goq sz Company Name: , C Electrician's Name - �� \C-) ' I License No.: �`�� _ �'� Elec. email: �� G� l U Elec. Phone No: `-`j - 12�I request an email copy of Certifi to of Compliance Elec. Address.: i�I �� u' JOB SITE INFORMATION (All Information Required) Name: Ac,e- Address: Cross Street: Phone No.: (��r_ (� Bldg.Permit#: "T ®� email: Tax Map, District: 1000 " Section: a Block: Lot: cw, V, BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): PO4- PPd-eS+cd_ 2 go gy-1P 1R,A)d.,, 4= -o�A Sle.D vjl LJV hock L�'�1� 1 S 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: A # Meters Old Meter# ❑New Service[:]Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y F1N Additional Information: PAYMENT DUE WITH APPLICATION �2 PERMIT P1 Address Switches -wr; GF1's Surface Sconces �!I H H's U C Lts Fans 1 Fridge HW Exhaust Oven W/D smokes DW Mini -arbon Micro Generator -ombo Cooktop Transfer \C AH Hood Service Amps Have Usec -peciat j /14 P ) :omments _-,/'1-i A 4 - ice o-/- I