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50705-Z
g1IFFaltcOGy1 Town of Southold 7/16/2024 o P.O.Box 1179 53095 Main Rd tiy�j0 ao� !fir Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 45357 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. 50705 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 metermain panel for units E&F. The certificate is issued to KVN LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 50705 6/7/2024 PLUMBERS CERTIFICATION DATED Authorized Signature pE SO(/l�ol Town Hall Annex Telephone(631)765-1802 54375 Main Road. P.O.Box 1179 G Q Southold,NY 11971-0959 �� �O sean.devlinitown.southold.ny.us COUNTY,Nc� 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#: 50705 Section: 144 Block: 3 Lot: 36 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: Plug It In Electrical License No: 33822ME SITE DETAILS Office Use Only Residential Indoor X Basement Service X Commerical X 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 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 N LED Exit Fixtures Sump Pump Other Equipment: 200A Leviton Metermain Panel 8 Circuit/ 0 Used Notes: New Meter Main For Unit E & F Inspector Signature: Date: June 7, 2024 S.Devlin-Cert Electrical Compliance Form oSOF A-c TOWN OF SOUTHOLD �� BUILDING DEPARTMENT y x TOWN CLERK'S OFFICE "o • SOUTHOLD, NY �xosd�' 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#: 5070.5 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 with metered panel At premises located at: 2150 Bay Ave, Mattituck SCTM #473889 Sec/Block/Lot# 144.-3-36 Pursuant to application dated 6/17/2024 and approved by the Building Inspector. To expire on 11/16/2025. Fees: ELECTRIC $100.00 Total: $100.00 Building Inspector OE SOUTyO� G 705 # # TOWN OF SOUTHOLD BUILDING DEPT. 63.1-765-1802 INSPECTION [ ] FOUNDATION 1ST/REBAR [ ] ROUGH PLBG. . ] FOUNDATION 2ND [ ]- INSULATION/CAULKING' [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATIOW [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: VS , AJ 'r MIX DATE INSPECTOR BUILDING DEPARTMENT- Electrical Inspector 0 M Ay TOWN OF SOUTHOLD Town Hall Annex 54375 Main Road - PO Box 1179 Southold, New York 11971-0959';,,-,:',`,' NV I -,Zb Telephone (631) 765-1802 - FAX (631),765=950 ndp_southoldtownny.gov i a mesh asoutholdtown nV.gov - sea APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All information Required) Date: 6 ZY Company Name: I A/ /--:7 / cc,-t-/11 Electrician's Name: (VI I K-e Alv z.A I olve- License No.: AA P- - 33 y 2-z-Elec. email: CJ A) Z- C fv Z OA Elec. Phone No: _5-)ty -9 -7,R -o--4 c, [O'request an email copy of Certificate of Compliance Elec. Address.: / o 7 op-, S(-o i i C1 Ve- a V 6- A) -Y Y 70 JOB SITE INFORMATION (All Information Required) Name: M q-} I rat k- M 0 tq- I Address: Z 1 S-C> 154A AV Q- AJ \1 Cross Street: iA\%A a,0 C1(A Phone No.: I b 2 Z 3 Bldg.Permit#: o-1 email: 'M o-ftif,; IL M Off-) 0 0 /V C= ,—Tax Map District: 1000 Section: t tit/ - Block: tg 3 Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): 14 LAJ r, Q A 2F—Square Footage: Circle All That Apply: Is job ready for inspection?: El Final 0YES NO IAI R Rough In Do you-need a Temp Certificate?: ❑ YES NO Issued On Temp Information: (All information required) Service Size[-11 PhF-13 Ph Size: A # Meters Old Meter# FjNew Service[]Fire Reconnect E]Flood Reconnect Elservice Reconnect Ounderground Doverhead] # Underground Laterals 0 1 F12 F1 H Frame D Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION St u I 4r-b PERMIT# Address: Switches Outlets GFI'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 CooI<top M,n;spl;t Blower AC AH Hood Blower Service Amps Have Used Sub Amps Have Used CQmments al v t 4 x-f- A4A ) 7NA f Suff.Oli .' le .ca 'Inspector BUILDING DEPARTMENT.-E TOWN OF SOUTHOLD '.. MAY: .1 Z ; 2024. oa J"t.. ' Town.Hall Annex: 54375:Maii Road-.PO:Box 1-179:: : o . . , ;�a .. . . .:. . .. •� • '. � .. .: Southold; New York:1.197.1-095W�rs��c's: :f'�".. - y p! �,. _ (63�$)`J7$ �a. . . •,.. . Telephone: -631)765.-1$02.= FAX. .. 5� (�2. .. . "�':: jamesh(a�southoldtownny.gov seand(a south•oldtownny.gov: ^. APPL ICATION.FOR ELECTRICAL INSPECTION-:: ELECTRICIANINFORMATION:(AII Information Required) !. ... '-'.Date: � � �• Company.Name:: : 1/V. T::. ec. Electrician's.Name:.. . License.No: : ; i 2"L Elec:small:. . M 38 �lee::Phoh" :N'(): t b.:q.�g;.02 6.0 request an email copy.Qf.Certificate of.Compliance: Elec. Address::; .o .-VA2j:s:ca 1 . .A. V':� .: 2.1/ �: :: :eV.Y. . .I• I• Y 7.0. JOB:SITE•INPORMATIO.N: :(Al'i infor"mation'Required) .. . .. . . Name: -'. . . - . �t1c,:� .� . .: : •�;. .. .� - . .: . � : . . . Address:. : . �.. . . .� ve: '...1 .�:.�:5, '.� Cross Street, :.... . , :• .. : Phone.No:: Bldg:Permit'#: 0-1 fJ. . ::: : '.: -email: (Yj�11 , �c1�t'h ot�1: .�.DPS ON Tax Map:District,' :1 OOQ....,.'..'.'Section:. y Block: :: BRIEF DESCRIPTION'.OF-:WORK..INCLUDE SQUARE:FOOTAGE:(Please-Print:Cleafly)::. w) 0..V'eP� 1�e .a . .52v��:e :.: .1 Zzb✓ . :: f. .. . :. . :laVi. -P�e,'c�:: P.Qvv..2:I: : :. : :: : Square Footage: Circle AlI:That Apply: ... Is job ready for inspection?: :. YES; . NO: :Rough I.n Final a:: : © o : : : a: Do you need a Temp Certiii.cate?. . YES NO Issued:On Tempanformation:.: (All:information.required) :. Service Size 1 Ph 3:Ph". Size: : ...A_ :#Meters .,Old Meter#: Now Service Fire ReconnectOFlood Recorinect�$&Vice.ReconriectQUnderground Overhead # Underground Laterals 1 2 H,Frame:. Pole•Work done,on Service? Y:. : N. : 'dditional..lnfo�mation:... .':. :.:PAYMENT DUE WITH-APPLICATION:::