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Home My WebLink About51738-Z "�pf SOUTyo`o Town of Southold * * P.O. Box 1179 c4 53095 Main Rd oxn., ' Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 46218 Date: 06/04/2025 THIS CERTIFIES that the building ELECTRICAL-RESIDENTIAL Location of Property: 280 Diamond Ln Peconic, NY 11958 Sec/Block/Lot: 68.4-4.1 Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 03/14/2025 Pursuant to which Building Permit No. 51738 and dated: 03/14/2025 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: 200 amp Underground Electric Service The certificate is issued to: Lucille Siracusano Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: 51738 5/28/2025 PLUMBERS CERTIFICATION: g00 0Signature �OFSO�Iyo� 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#: 51738 Date: 03/14/2025 Permission is hereby granted to: Lucille Siracusano PO BOX 1880 Southold, NY 11971 To: Electrical -New 200 amp UG Service Premises Located at: 280 Diamond Ln, Peconic, NY 11958 SCTM#68.4-4.1 Pursuant to application dated 03/14/2025 and approved by the Building Inspector. To expire on 03/14/2027. Contractors: Required Inspections: Fees: ELECTRIC SERVICE $100.00 Total S100.00 Building Inspector o��oF sotryol � o Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G Q Southold,NY 11971-0959 'O �y�4UNTY,�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Lucille Siracusano Address: 280 Diamond Ln city:Peconic St: NY zip: 11958 Building Permit#: 51738 section: 68 Block: 1 Lot: 4.1 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 Basement Solar 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 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 F1 Exit Fixtures Sump Pump Other Equipment 200A Panel 40 slots /22.arc faults Notes: Service Only • May 28, 2025 Inspector Signature: Date: S,Devilfl-Cart Electrical Compli ce Form 9) 0 0 OF SO(/TyO� r �^^ # WVrFSOUTHOLD) B ILDING °ycourm� 631-765-1802 INSPECTI"ON [ ] 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: (' I , cUl DATE /�,4�h?�INSPECTO o�Suft:ot,��oG y BUILDING DEPARTMENT-Electrical Inspector C* x TOWN OF SOUTHOLD oy • Town Hall Annex-54375 Main Road-PO Box 1179-Southol;d, NY 11971-0959 Telephone(631) 765-1802 Temporary Certificate # 153- Date VV—e-rC�l^ y2 v 2025 Customer Name Electrician Namel�or mot Address Z 80 D o d L e e Phone 1.3 e-mail 9S2 i o o e-mail b nL 2 d Phone License# 9,3oo E Size oo 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? 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 valid for 90 days from the date above. Authorized by �� SgfFOL,��D BUILDING DEPARTMENT- Electrical Inspector Gym TOWN OF SOUTHOLD o =` Town Hall Annex- 54375 Main Road - PO Box 1179 co • � Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 ja mesh(absoutholdtownny.gov — seand(o_southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: Electrician's Name: License No.: �� >�2 Elec. email: Elec. Phone No: _ _ ( request an email copy of Certificate of Compliance Elec. Address.: ;2 --S JOB SITE INFORMATION (All Information Required) Name: (}1 �— Address: < Cross Street: Phone No.: 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: �-* 1 S�q Is job ready for inspection?: ❑ YES NO ❑Rough In ❑ Final Do you need a Temp Certificate?: DES ❑ NO Issued On 4E1*laAXee,( 3 I�1 ZS Temp Information: (All information required) Service Size 1 Ph❑3 Ph Size:,.-c-)C-> A # Meters ( Old Meter# ew Service❑Fire Reconnect[:]Flood Reconnect[:]Service Reconnect Underground❑Overhead # Underground Laterals 2 D H Frame Pole Work done on Service? Y ON Additional Information: PAYMENT DUE WITH APPLICATION l�l 2Sat at CV�� 2Z .Z