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Home My WebLink About51445-Z .'oF soulyo`Q Town of Southold * * P.O. Box 1179 roc 53095 Main Rd Ulm, Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 46175 Date: 05/20/2025 THIS CERTIFIES that the building ELECTRICAL-RESIDENTIAL Location of Property: 120 Korn Rd Southold, NY 11971 Sec/Block/Lot: 64.-2-2 Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 12/05/2024 Pursuant to which Building Permit No. 51445 and dated: 12/05/2024 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 underground electric service The certificate is issued to: Ryan Anderson ,Nadia Hamdi Of the aforesaid building. .SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: 51445 5/5/2025 PLUMBERS CERTIFICATION: v0` Authorized Signature ofSOUlyy(o TOWN OF SOUTHOLD BUILDING DEPARTMENT 41 TOWN CLERK'S OFFICE Ca�my'� 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#: 51445 Date: 12/05/2024 Permission is hereby granted to: Terry A Jensen 120 Korn Rd Southold, NY 11971 To: 200 amp underground electric service Premises Located at: 120 Korn Rd, Southold, NY 11971 SCTM#64.-2-2 Pursuant to application dated 12/05/2024 and approved by the Building Inspector. To expire on 12/05/2026. Contractors: Required Inspections: Fees: ELECTRIC SERVICE $100.00 Total S100.00 Building Inspector ho��pF SO!/jyol Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G Q �► • �o Jamesh southoldtownny.gov Southold,NY 1 1 97 1-0959 COU�'�,��\ BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Ryan Anderson Address: 120 Korn Road city:Southold st: New York zip: 11971 Building Permit#: 51445 Section: 64 Block: 2 Lot: 2 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: All Wright Electric Electrician: Richard Wright License No: ME-43457 SITE DETAILS Office Use Only Residential X Indoor X Basement Service Commerical Outdoor X 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 200a 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 Sump Pump Other Equipment: Notes: UNDERGROUND SERVICE Inspector Signature: Date: May 5, 2025 120 korn rd - - ho�a�F SOGTyO� u * * TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 1NSPECTION [ ] FOUNDATION 1 ST/REBAR' [ ] ROUGH PLBG. ] FOUNDATION 2ND. [- ] INSULATIOWCAULKING [ ] 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� - � uyaA V IA4!C IRA)' DATE 3 J ~ �' INSPECTOR . BUILDING DEPARTMENT-Electrical Inspector y z TOWN OF SOUTHOLD oy • �� Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959 Telephone(631)765-1802 h Temporary Certificate # Date Ne,. 2024 Customer Name Electrician Name Address �{ Phone (o -,_s6b3ct 11 e-mail n �- �� , e-mail Phone 7 y _6'B(69 License# L Size_IQQ_A Phase Overhead Underground ✓ #of Meters Remarks #of Underground Laterals 1 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. e. This verification is valid for 90 days from the date abov Authorized by t 5 BUILDING DEPARTMENT-Electrical Inspector hfia s ati>! ;Y , r� TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PQ Box 1179 w Southold, New York 1 1 971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 iamesh(a southoldtownny.gov— seandCaD-southoldtownny_,00v APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 12/2/24 Company Name: ALL WRIGHT ELECTRIC Electrician's Name: Rich Wright License No.: 43457-ME Elec. email: kristina@allwrightelectric.com Elec. Phone No: 631-353-3911 ❑I request an email copy of Certificate of Compliance Elec. Address.: 1290 Flanders Rd Flanders NY 11901 JOB SITE INFORMATION (All Information Required) Name: Ryan Anderson Address: 120 Korn Rd Southold NY 11971 Cross Street: Phone No.: 917-774-3869 Bldg.Permit#: N/A email:ryan.anderson@vestwell.com Tax Map District: 1000 Section:064 Block: 02 Lot:002 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): 200A OH TO UG Service Change Square Footage: Circle All That Apply: Is job ready for inspection?: YES NO Rough In �V41) FinalDo you need a Temp Certificate?: 0 YES❑ NO Issued One1\&t►A Temp Information: (All information required) Service SizeFv�1 Ph[-�3 Ph Size: 200 A #Meters 1 Old Meter# ❑New Service❑Fire Reconnect[]Flood Reconnect❑Service Reconnect Underground[]Overhead # Underground Laterals ✓ 1 E12 H Frame Pole Work done on Service? ✓ Y FIN Additional Information: PAYMENT DUE WITH APPLICATION