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Home My WebLink About50704-Z O�Og0ff01 Town of Southold 7/16/2024 a y� P.O.Box 1179 cm W 53095 Main Rd oy o� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 45356 Date: 7/16/2024 THIS CERTIFIES that the building ELECTRICAL Location of Property: 2150 Bay Ave,Mattituck SCTM#: 473889 Sec/Block/Lot: 144.-3-36 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/17/2024 pursuant to which Building Permit No. 50704 dated 5/17/2024 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 with meter pan and panel for rooms 1-10. The certificate is issued to KVN LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 50704 6/7/2024 PLUMBERS CERTIFICATION DATED orized S' na ur TOWN OF SOUTHOLD BUILDING DEPARTMENT y 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#: 50704 Date: 5/17/2024 Permission is hereby granted to: KVN LLC Attn: Kerry Navarra 2150 Bay Ave Mattituck, NY 11952 To: 200 amp overhead electric service At premises located at: 2150 Bay Ave, Mattituck SCTM #473889 Sec/Block/Lot# 144.-3-36 Pursuant to application dated 5/17/2024 and approved by the Building Inspector. To expire on 11/1612025. Fees: ELECTRIC $100.00 Total: $100.00 J P Building Inspector . Of SOUr��! � o Town Hall Annex Telephone(631)765-1802 54375 Main Road . P.O.Box 1179 G Southold,NY 1 1 97 1-0959 �� O sean.devlin@town.southold.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: KVN LLC Address: 2150 Bay Ave city:Mattituck st: NY zip: 11952 Building Permit#: 50704 Section: 144 Block: 3 Lot: 36 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 Indoor X Basement Service X Commerical X Outdoor X 1 st Floor Pool New X Renovation 2nd Floor Hot Tub Addition Survey X 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 CO 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 Panel 42 Circuit/ 0 Used Notes: New Meterpan & Panel On Horseshoe Shaped Building Room 1-10 Inspector Signature: Date: June 7, 2024 S.Devlin-Cert Electrical Compliance Form pF SOOlyolo G # # TOWN OF SOUTHOLD BUILDING DEPT. OVUM,��,o 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) 1?4 ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: 'gin I -t VC o S16x v !� G l N A-t,- gZ _7_4 1�, DATE 2 INSPECTOR ..;.cC,:z:•:{•.-;ter,- -, „l 4 .� .1i 4 UtFpt BUILDING DEPARTMENT- Electrical Inspectorr, Iy'CC n?- r �' ® TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO BoxA 179...-.: Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 jamesh ansouthoId town ny.gov - seand@southoldtownny.gov oar-t.- APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: c7 Company Name: P I V �— I T- 1 N �'l ec,-(?iC Electrician's Name: Y\A 1 V—Z A n zol o nv e License No.: Elec. email: C1 .2—' (9 i►Al2 NE Elec. Phone No: S 1 - q 73 -0?,60 [af request an email copy of Certificate of Compliance Elec. Address.: l - �?i SC_v f i 4 V t /Z V t- ? 1 �raO JOB SITE INFORMATION (All Information Required) Name: MA I iI) ruc. L p OI-e Address: Z) (b, A AVQ— tl9q 4\-fuc. C g5''Z— Cross Street: Imo , „o a A Phone No.: 1 _ 'j 03 Bldg.Permit t# 1�)0�70H email: A Q R I f uc,j C Mote e f. Tax Map District: 1000 Section: '-I tqBlock: 03 Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): 2 � 1; V • PA �o'S ► Square Footage: Circle All That Apply: Is job ready for inspection?: YES N NO ❑Rough In ❑ Final Do you need a Temp Certificate?: ❑ YES F7 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 FJ2 H Frame D Pole Work done on Service? 0 Y MN Additional Information: PAYMENT DUE WITH APPLICATION `o� ��1 7 PERMIT# Address: Switches Outlets G F I's Surface Sconces H H's UC Lts Fridge HW POOL Panel Fans Mini Fr. W/D Pump Exhaust Oven Sump Heater Trnsfmr Smokes DW Generator Salt Gen: Water Bond Carbon Micro GrbDis Lights Heat Pucks ERV HOT TUB/SPA Inst Hot DeHum Transfer Disc Combo Cooktop Minisplit I Blower AC AH Hood Blower Service Amps Have Used Sub Amps Have Used Comments .ram. MAY.'. _.0 .. • 'S�Ffq(;��,. '• _;: ' . .. .�:. : . ' .. .BUILDING DEPARTMENT.-Electrical Inspector 4. �..; :� � �� • •• � •� ' _: . :' -TOWN OF SOUTHOLD •: •�. • ' :A o: =`•• Town:Hall Annex .54375:Main Road PQ BrA�c f o old' New York:1.?971-0959 Telephone:(631) 765.=1802=:FAX:(631) 765=9502:. O . .: jamesht7a southoldtownny.aov seandCcD-southoldtownny.gov. .. APPLICATION.FOR:ELECTRICAL:�INSPECTION., ELEC.TRICIAN:,INFORMATION..(All Informatidn Required) Date:::,: Company.Name:. : P:. �;- 1 :. 1 : :. Electrician's.Name:.. . yNA�. tL2 ... hza;l;o n►.�. . . : :. :. License.No: : : Elec. email:. . A Y1 Z.. Z : OPtO)VIAA/2.eNE ..•::Elec.:Phone:No: •S1:6- �-A79. -() 6C)1Wrequest-anerrail'copyof.CEirtificatd:of.Compliance .Elec.Address::: :l D �J:(�1 SL I I .'q y.2: 2✓c. . 1 1 7D :: : :: JOB:SITEINFORMATIO.N :(Ail-information,.Requiredj � - Name: -Address:: : •2:j O. :.: . . Cross Street: :. .. . Phone-No.:. :. Bld Permit:#: email: t. . g- .. cjp . 0�... :: : . :: A u�-1. ve�C.mvf"e: .. DPto.y:l. ;� �/!=� Tax Ma .:District:: • •1,000.. . Section:.. . I.� Block: : Lot:: . P O . ..: : BRIEF DESCRIPTION.OF WORK;:INCLUDE-SQUARE:FOOTAGE:(Please.-Print:Clearly)::. ' (� • •: • Square•Footage: :.:. Circle All That Apply:' Is•'ob:read for•ins •ection 1 Y P . Ion?: : YES: . NO: Rough l.n. = Final.. . :. Doyou.heed a:Temp'Certificate?-- ❑ YES NO' Isstied:On Temp.lnformatlon:._ (All:information.requiredj .. ❑ .. . - Service Size 1 Ph •�: 3 Ph,''Size: _ , ' � • A.: • #:Meters � •.. •:• • � •• •.Old Meter#• •.. � • New Service0 Fire R'econnectOFlood-Reconnect Service:ReconriecfQUnderground DOverfi.a # Underground Laterals" . 1. 2• H.Frame:. Pole Work done.on Service?. : Y :. N, Additional..lnformation:. :. . . . .,P AYMENT DUE WITH.APPLICATION•. .. : •;Q��• �....17 �