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256 oF s°uryo`o Town of Southold * P.O. Box 1179 �0 53095 Main Rd °lr�DUN", Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 46098 - Date: 04/09/2025 THIS CERTIFIES that the building ELECTRICAL-RESIDENTIAL Location of Property: 2200 Hobart Rd Southold, NY 11971 Sec/Block/Lot: 64.-3-4 Conforms substantially to the Application for Building Permit heretofore, filed in this office dated: 02/18/2025 Pursuant to which Building Permit No. 51654 and dated: 02/18/2025 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: Two meter overhead electric service, 100 amps each. The certificate is issued to: Town Creek LLC Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: - ELECTRICAL CERTIFICATE: 51645 03/31/2025 PLUMBERS CERTIFICATION: Authorized Signature of SO TOWN OF SOUTHOLD BUILDING DEPARTMENT 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#: 51654 Date: 02/18/2025 Permission is hereby granted to: Town Creek LLC PO BOX 806 Southold, NY 11971 To: Electric Service-Adding 2 Services to property 200amp each Overhead Premises Located at: 2200 Hobart Rd, Southold, NY 11971 SCTM#64.-3-4 Pursuant to application dated 02/18/2025 and approved by the Building Inspector. To expire on 02/18/2027. Contractors: Required Inspections: Fees: ELECTRIC SERVICE $200.00 Total S200.00 Building Inspector pF SO!/T�OI Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G Q �. • �o Jamesh .southoldtownny.gov Southold,NY 11971-0959 Q BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Town Creek LLC Address: 2200 Hobart Road city:Southold st: New York zip: 11971 Building Permit#: 51645 Section: Block: Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE. [contractor. Custom Lighting Electrician: Ben Doroski . License No: ME-38893 SITE-DETAILS Office Use Only Residential X Indoor Basement Service X Commerical Outdoor 1st Floor Pool New X Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph 200a Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel 2 100a A/C Condenser Single Recpt Recessed Fixtures CO2 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 11 Sump Pump Other Equipment: 2 100 amp panels Notes: 2 METER SERVICE Inspector Signature: K• Date: March 31, 2025 2200 hobart rd # # ` TOWN OF-SOUTHOLD BUILDING DEPT. 631-765-1802 1-NSPECTIO-N [ ] 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) [kJ ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: { �w t C� DATE �� ol� INSPECTOR ,0401`01141 G 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 lamesh southoldtownny.gov - seand(cDsoutholdtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: /C5 Company Name: Electrician's Name: License No.: 2 q 3 Elec. email: GL o 5' 5'1`7c) @5 641W Elec. Phone No: 631 g8t(Wg I ❑I request an email copy of Certificate of Compliance Elec. Address.: Mq 44 ( +C-,P-c ri iV JOB SITE INFORMATION (All Information Required) Name: VJ CC U( L^L^C ° Address: J-(O(DITr 50L a�cP Cross Street: Phone No.: 65 (t* 1 361f Bldg.Permit#: email: Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): I cQ 9 m o4,-s -fe B ro Pe-r� a?oa AK 12 ®VQ 1-ke4-A Square Footage: Circle All That Apply: j 880 Is job ready for inspection?: Pq YES ❑ NO 0 Rough In ❑ Final Do you need a Temp Certificate?: Q YES ❑ NO Issued On oN'e- Temp Information: (All information required) Service Size[41 Ph❑3 Ph Size: °Zd° A # Meters Old Meter# [ New Service[:]Fire Reconnect[:]Flood Reconnect❑Service Reconnect❑Underground.nOverhead # Underground Laterals 1 F12 H Frame Pole Work done on Service? Y MN Additional Information: h 2v\/ PAYMENT DUE WITH APPLICATION $ f 2� �o ;JQ fie 09 3-74 6P 5l(V c� ��Sul:fock�, BUILDING DEPARTMENT-Electrical Inspector 0 6 TOWN OF SOUTHOLD oy • ! Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959 Telephone (631) 765-1802 Temporary Certificate # I Date 2025 Customer Name.vim eve. G Electrician Name C ICS Addressaa d Phone e-mail e-mail L, 1OS5170 Phone to ?61 . (��$ 3oL1License# 38c�q?, H4 Size 00 A Phase I Overhead Underground #of Meters Remarks #of Underground Laterals 1 2 New "H" Frame or Pole H P Fire Reconnect Was work done on Service?4t — 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 valid for 90 days from the date above. VI Authorized by s�UFf01� BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD cm a Town Hall Annex- 54.375 Main Road - PO Box 1179 ^+ Southold, New York 11971-0959 � �� Telephone (631) 765-1802 - FAX (631) 765-9502' amesh(@,southoldtownny.gov - seand(c_southoldtownny.pov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: /ro aS Company Name: Cyr, Ltq,,Vc,c A L< Electrician's Name: License No.: '_2Z517 3 Elec. email: CGL ©5" -5'+'7D Elec. Phone No: 63( 48(/gig 1 ❑1 request an email copy of Certificate of Compliance Elec. Address.: G'?g m4.44- t +c,-c i,< JOB SITE INFORMATION (All Information Required) Name: ►� CCe� L,L,C Address: (Dvrrf 56L( �o ley Cross Street: Phone No.: 65 G"?6 130 q Bldg.Permit#: 1 142 email: Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print - e Clearly): oof A � 6 v�� ��� Square Footage: Circle All That Apply: # 1 S� Is job ready for inspection?: YES ❑ NO ❑Rough In 0 Final Do you need a Temp Certificate?: © YES ❑ NO Issued On&Ne- Temp Information: (All information required) Service SizeA1 Ph❑3 Ph Size: ° A # Meters Old Meter# IgNewService❑Fire Reconnect[]Flood Reconnect❑Service Reconnect❑UndergroundMOverhead # Underground Laterals 0 1 2 H Frame Pole Work done on Service? Y N Additional Information: AA PAYMENT DUE WITH APPLICATION 24 10 J2s �ckdQ la,P } - 1 cc J 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. Carbon Micro GrbDis Water Bond Lights Heat Pucks ERV HOT TUB/SPA Inst Hot DeHum Transfer Disc Combo Cooktop Minisplit Blower AC AH Hood Blower Service Amps S(D Have Used Sub Amps J(0 4#Have Used Comments