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Home My WebLink About50539-Z F Town of Southold 7/23/2024 P.O.Box 1179 .o - �. _ 53095 Main Rd 'ylj�laofi Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 45389 Date: 7/23/2024 THIS CERTIFIES that the building ELECTRICAL Location of Property: 2555 Youngs Ave, Southold SCTM#: 473889 Sec/Block/Lot: 63.4-35 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/11/2024 pursuant to which Building Permit No. 50539 dated 4/11/2024 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: 200amp underground electric service The certificate is issued to Founders Vill Hine Asn Inc of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 50539 6/20/2024 PLUMBERS CERTIFICATION DATED Alxthorized gnature 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT co x 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#: 50539 Date: 4/11/2024 Permission is hereby granted to: Founders Vill Hme Asn Inc PO,BOX 404 Mattituck, NY 11952 To: Electrical -Move Meter Pan Off Structure onto H-Frame At premises located at: 2555 Youngs Ave, Southold SCTM #473889 Sec/Block/Lot# 63.-1-35 Pursuant to application dated 4/11/2024 and approved by the Building Inspector. To expire'on 10/11/2025. Fees: ELECTRIC $100.00 ELECTRIC $50.00 Total: $150.00 Building Inspector oF so�ryol � o Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G Q Southold,NY 11971-0959 Ol �O sean.devlinCa7town.southold.nv:us UNT`1,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Founders Village Home Asn Inc. Address: 2555 Youngs Ave city:Southold st: NY zip: 11971 Building Permit#: 505391 Section: 63 Block: 1 Lot: 35 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: North Fork Electrical License No: 2300ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service X Commerical Outdoor X 1st Floor 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 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 Meter Main.8 Circuit/6 Used, 200A.Panel 40 Circuit/25 Used , Disconnect for Sprinkler System, Timeclock For Outside Lights Notes: Service Inspector Signature: L<2 'Z- Date: June 20, 2024 S. Devlin-Cent Electrical Compliance Form pP SOOTyO� 6i_ � ��5S # * TOWN OFS-OUTHOLD BUILDIN DEPT.. o m N�'a� 631-765-1802 INSPECTION [ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION'2ND [ ] INSULATION/CAULKING-. [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: DATE INSPECTOR BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 1-2 L Company Name: C--zz�, V Electrician's Name: S ( u ,r,n ► Ito IF-1-t eA'e- License No.: Elec. email: ; � 1 01 — p CL ( ,,.e,- r-1 Elec. Phone No: _ - ❑1 request an email copy of Certificate of Compliance Elec. Address.: �2 `7>5— - -, JOB SITE INFORMATION (All Information Required) Name: Q Address: l Cross Street: .�- Phone No.: O s Bldg.Permit#: 5 pCj j email: Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Square Footage: Circle All That Apply: Is.job ready for inspection?: ® YES �O ®Rough In ® Final Do you need a Temp Certificate?: YES ❑NO Issued On Temp Information: (All information required) Service Sizef�]1 Ph❑3 Ph Size:-2�.A # Meters. Old Meter# ❑New ServiceOFire Reco nectOFlood Reconnect OService ReconnecQTnderground❑Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? F1 Y DN Additional Information: PAYMENT DUE WITH APPLICATION B O O f e.C. 4 s a vac- 4 ) 0-7 l z9 r BUILDING DEPARTMENT-Electrical Inspector CA x TOWN OF SOUTHOLD • !� Town Hall Annex-54375 Main Road-PO Box 1179-Southol;d, NY 11971-0959 Telephone (631) 765-1802 Temporary Certificate # / ( s Date f l 2024 Customer Name. ��,N u '( Electrician Name ul/ Address o S Phone tp , / • a Ste• / (4 e-mail • e-mail re -2 Phone License# pd ,yl Size 00 A Phase ( Overhead Underground #of Meters Remarks #of Underground Laterals 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 v 90 om the date 7abe. Authorized by gt BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 Southold, New York 11971-01959 Telephone (631) 765-1802 - FAX (631) 765-9502 APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: q111 �-2 L Company Name: r- V Electrician's Name: u rm I l ol-t License No.: �2Z�-� Elec. email Elec. Phone No: 3 j- W /q ❑I request an email copy of Certificate of Compliance Elec. Address.: �2 7,,5— , JOB SITE.INFORMATION (All Information Required)- Name: Address: S Cross Street: ,�— Phone No.: p s Bldg.Permit#: email: Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Square Footage: Circle All That Apply: - . Is.job ready for inspection?: ❑ YES �O -]Rough In ❑ Final Do you need a Temp Certificate?: arYES❑NO Issued On Temp Information: (All information required) Service Sizel�[1 Ph❑3 Ph Size:-2�.A #Meters 1. Old Meter# ❑New Service❑Fire Reco nect❑Flood Reconnect❑Service Reconnect�Und ❑erground Overhead # Underground Laterals 1 2 H Frame F1 Pole Work done on Service? Y FIN Additional Information: PAYMENT DUE WITH APPLICATION 1pp re.e. --10712.13- s�