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Home My WebLink About51870-Z �o4.�'Of SOUTyO�o Town of Southold * P.O. Box 1179 �0 53095 Main Rd Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 46143 Date: 05/05/2025 THIS CERTIFIES that the building ELECTRICAL-RESIDENTIAL Location of Property: 5805 Main Bavview Rd Southold, NY 11971 Sec/Block/Lot: 78.-7-5.5 Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 04/25/2025 Pursuant to which Building Permit No. 51870 and dated: 04/25/2025 Was issued, and confonns 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: Randy Statham,Andrew Pettersen Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: 51870 4/28/2025 PLUMBERS CERTIFICATION: n Authorized Signature `.o'O'OFSOO-, G TOWN OF SOUTHOLD BUILDING DEPARTMENT ' TOWN CLERK'S OFFICE �o 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#: 51870 'Date: 04/25/2025 Permission is hereby granted to: Randy A Statham 5805 Main Bayview Rd Southold, NY 11971' To: Electric Service 200amp UG Premises Located at: 5805 Main Bayview Rd, Southold, NY 11971 SCTM#78.-7-5.5 Pursuant to application dated 04/25/2025 and approved by the Building Inspector. To expire on 04/25/2027. Contractors: Required Inspections: Fees: ELECTRIC SERVICE $100.00 Total S100.00 Building Inspector o��OF SO!/T�ol � o Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 • Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Randy A Statham Address: 5805 Main Bayview Rd City: Southold St: NY Zip: 11971 Building Permit#: 51870 Section: 78 Block: 7 Lot: 5.5 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: Blue Topaz Electric License No: 48305ME SITE DETAILS Office Use Only Indoor r Basement F Service W Solar (— Outdoor FV0- 1 st Floor (- Pool r Spa r Renovation F 2nd Floor Hot Tub r Generator F Survey Attic Garage Battery Storage (— INVENTORY Service 1 ph 1- Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph F 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 4'LED Exit Fixtures Other Equipment: (1)Meter Notes: Overhead Service Converted to Underground, Meter Replaced Inspector Signature: X Date: April 28, 2025 Sean Devlin Electrical Inspector sean.devlin@town.southold.ny.us 5805MainBayviewMeter OF SOUTyo� j �,-17C) -cs c G 5- ° u t # TOWN OF SOUTHOLD BUILDING DEPT. e `ycou 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: C)pf f u (I A-� -� - C,)K DATE INSPECTOR BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 y� per, Telephone (631) 765-1802 - FAX (631) 765-9502 jameshAsoutholdtownny.gov seand(a�southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: GI vIO OA42- I� Electrician's Name: L FazYoi21F License No.: �n 65-A F Elec. email: Elec. Phone No: G TT?2 qo 6 E-Frequest an email copy of Certificate of Compliance Elec. Address.: i 5 a`�Vgad a ( ,Yaok *t I(1 JOB SITE INFORMATION (All Information Required) Name: cty(l , S-4 4-4-tuk*l Address: 5, a- vi 9c,-q��,v � o V Mlr I2 2 Cross Street: SYV t4/h �r Phone No.: q1? Sa ( q Bldg.Permit#: ��'g� C� email: Tax Map District: 1000 Section:. Block: f7 Lot: 5'`T BRIEF D SCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): `oa j 1 VI U.G— S�✓`r1CCa (Z �(9C 1C Y� � U w� �� Square Footage: Circle All That Apply: Is job ready for inspection?: ❑ YES [!]—NO []Rough In ❑ Final Do you need a Temp Certificate?: S NO Issued O , 3�2� Temp Information: (All information required) Service Size[ Ph❑3 Ph. Size: ?UO A # Meters Old Meter# ❑New ServiceO Fire Reconnect[]Flood ReconnectOService Reconnect nderground DOverhead # Underground Laterals M 1 2 Frame Pole Work done o N Additional Information: 5 ) (8 -70 . Salry PAYMENT DUE WITH APPLICATIO >r�oqt l act b37 �ig-if 6-1 .jam 1 4)Q7