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Home My WebLink About51921-Z �o�"oe souryo`o Town of Southold P.O. Box 1179 o� 53095 Main Rd Uff"oEa� Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 46225 Date: 06/06/2025 THIS CERTIFIES that the building ELECTRICAL-RESIDENTIAL Location of Property: 455 Grove Dr Southold, NY 11971 Sec/Block/Lot: 80.4-8 Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 05/15/2025 Pursuant to which Building Permit No. 51921 and dated: 05/15/2025 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: 200amp Overhead Electric Service Upgrade The certificate is issued to: Matthew Campisi Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: 51921 5/22/2025 PLUMBERS CERTIFICATION: Aut o ' ed Signature �oA-afSoy, 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#: 51921 Date: 05/15/2025 Permission is hereby granted to: Matthew Campisi 26 Evelyn Dr Commack, NY 11725 To: Electrical Service-200amp OH Upgrade Premises Located at: 455 Grove Dr, Southold, NY 11971 SCTM#80.4-8 Pursuant to application dated 05/15/2025 and approved by the Building Inspector. To expire on 05/15/2027. Contractors: Required Inspections: Fees: ELECTRIC SERVICE $100.00 Total S100.00 i ding Inspector SOUr�QI Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G • Southold,NY 11971-0959 �Q BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Matthew Campisi Address: 455 Grove Dr city:Southold st: NY zip: 11971 Building Permit#: 51921 Section: 80 Block: 4 Lot: $ WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: North Fork Electrical Contractil License No: 3200-ME SITE DETAILS Office Use Only Residential X Indoor X Basement Solar Commerical Outdoor X 1st Floor Pool New X Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service t 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 Exit Fixtures Sump Pump Other Equipment 200A Panel, 40 Circuits / 36 Used Notes: Overhead Service )UALInspector Signature: Date: May 22, 2025 S.Devlin-Cent Electrical Complian orm(9) oE SOUIyO� ct�f T �wi N 9F, SOUTHOLD BUILDING DEPT. courm��' 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) �4 ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: c_ DATE INSPECTOR C� 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 •E rr) yrrLY` 1� !l71Ci�t�)`tdiln` .(.;}�e! �� a '°� f' l �vd°JT4;�V.Cl�V APPLICATION. FOR, ELECTRICAL WSPECTION. ELECTRICIAN INFORMATION (Aii Information Required) Date:: Company Name: rt Electrician's Name: S license No.: Elec.-email:. Elec. Phone No: _ _ D.I.request.an.email.copy.ofCertificate.of Compliance Elec. Address. JOB SITE INFORMATION (Aii Information Required) Name: a vo C 1 l Address: oV e ot� Cross Street: r Phone No.: _ ^3 Bldg.Permit.-#.: email: S h •C Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Square Footage:: Circle All That Apply: h S 2Z � Is job.ready for inspection?: r"YESQ NO �Rough4 Final Do you:need a Temp Certificate?: <NO Issued On Temp Information: (All-information:required) Service Size M3 Ph Size:02 �� A #Meters Old Meter# New Serviee0fire r1 Ph ReconnectE]Flood ReconnectOService ReconnectDUnderground 00-Virhead AF Underground Laterals• 1 . 2 H Frame El Pole Work done on Service? My FW- Additional Information: PAYMENT DUE WITH APPLICATION �o�svFEot,��o�y _ BUILDING DEPARTMENT Electrical Inspector rC,i, i TOWN OF SOUTHOLD oy • Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959 �Ol �a0 Telephone 631)765-1802 8 SD Temporary Certificate # Date 2025 Customer Name `' ' 7 1Electrician Name AiF E1CC c c4r Address g'g- rev¢ D Sots o �( Phone 6 3 I . ZS75, . 9/ 9 to e-mail mP,% ime- an,, e-mail Sbul et- 1 I R zC ' loud. cAw-, Phone l031 .q 8S. 6,3 License# 5;Loo nAF_ Size -aoo A Phase I Overhead Underground #of Meters Remarks Se ce (d.oA re .P #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 -A BUILDING DEPARTMENT-Electrical Inspector a 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: Company Name: i,-o .� G Electrician's Name: S License No.: .Elec.-email: ` r c Eiec. Phone No: g g _ 1 0.1.request.an.email.copy.of Certificate.of Compliance Elec. Address.: 1 l ei`7 1 JOB SITE INFORMATION (All Information Required) Name: a � C I ) Address: oV 2 -OulllcddI!� Cross Street: Y' Phone No.: _ "~ Bldg.Permit#: email: "(,Q ma i S) w .C Tax Map District: 1000 Section: q?�O Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Square Footage-. Circle All That Apply: h,S 5— ZZ -Z� Is job ready for inspection?: Y NO FlRough f4tl Final Do you need a Temp Certificate?: Y ES, O Issued On Temp Information: (AN information required) Service Sizel1 Ph❑3 Ph Size:2 og A #Meters Old Meter# []New Service[]Fire Reconnect[]Flood Reconnect aervice Reconnect[]UndergroundDuy—erhead #Underground Laterals- 1 2 H Frame F1 Pole Worts done on Service? Dy DR Additional Information: o ,r PAYMENT DUE WITH APPLICATION