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Home My WebLink About51940-Z '�of souryolo Town of Southold * * P.O. Box 1179 oe 53095 Main Rd CO NV�` � Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 46220 Date: 06/04/2025 THIS CERTIFIES that the building ELECTRICAL-RESIDENTIAL Location of Property: 920 Sleepy Hollow Ln Southold, NY 11971 See/Block/Lot: 78.4-10.10 Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 05/21/2025 Pursuant to which Building Permit No. 51940 and dated: 05/21/2025 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: 20amp Special Outlet for Portable Generator The certificate is issued to: Jon Baxendale , Laura Sedell Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: 51940 06/04/2025 PLUMBERS CERTIFICATION: tho ' ed ig ature �tpF'SOO TOWN OF SOUTHOLD 1.lop BUILDING DEPARTMENT 04 TOWN CLERK'S OFFICE COU01.� � 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#: 51940 Date: 05/21/2025 Permission is hereby granted to: Jon Baxendale 920 Sleepy Hollow Ln Southold, NY 11971 To: New 20amp Special Outlet for Portable Generator Premises Located at: 920 Sleepy Hollow Ln, Southold, NY 11971 SCTM#78.-1-10.10 Pursuant to application dated 05/21/2025 and approved by the Building inspector. To expire on 05/21/2027. Contractors: Required Inspections: Fees: ELECTRIC -Residential $100.00 Total $100.00 Building Inspector �o��pF SO(/jyQl 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G • Q Southold,NY 11971-0959 'Q 'rOUM�I,N BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Jon Baxendale Address: 920 Sleepy Hollow Ln city:Southold st: NY zip: 11971 Building Permit#: 51940 section: 78 Block: 1 Lot: 10.1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: Platinum East Electric License No: 34901-ME SITE DETAILS Office Use Only Residential X Indoor X Basement Solar Commerical Outdoor 1st Floor Pool New X Renovation 2nd Floor Hot Tub Addition Survey Attic Garage x INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel 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 El Sump Pump Other Equipment (1) 20A special outlet for portable generator Notes: Inspector Signature: Date: June 4, 2025 S.Devlin-Cert Electrical ComponceFo (9) a 50UTyo� # TOWN OF SOUTHOLD BUILDING DEPT. °yloo 631-765-1802 0 INSPECTION. [ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG. ] FOUNDATION 2ND - [ ]. SULATION/CAULKING" [ ] FRAMING /STRAPPING [ FINAL gVY(C- [ ] FIREPLACE & CHIMNEY [. ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION j . ] XFRESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ELECTRICAL'(FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ], RENTAL REMARKS: - T�rA V"4x�-� 0V 00A) f0 *A &7 W*Vkl DATE Y - INSPECTOR l BUILDING DEPARTMENT- Electrical Inspector yam► TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 y Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 jameshna.southoldtownny.gov - seand(absoutholdtownny.cl v APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: S Company Name Electrician's Name: �D�ckA num 1� � License No.:3q oq I - N r ,Elec. email: PICA t h01\/\e (XS-� G q aV)0o 3 O/+'\ Elec. Phone No: (o _ 61 Z Dfrequest an email copy of Certificate.of Compliance Elec. Address.: s S o�s-1 oL,L )' \\ct-I\ JOB SITE INFORMATION (All Information Required) Name: 4 L(A aax 6 ei Address: q a v 5 \ �1 Cross Street: W I\I ool� Phone No.: ?� Cp_ -L\�,o33 Bldg.Permit#: email: Tax Map District: 10 0 Section: Block: Lot: BRIEF DESCRIPTION OF WORK; INCLUDE SQUARE FOOTAGE (Please Print Clearly): Wup►� Uv-I 2x Stiff A c, un t qo IV q e Square Footage: Circle All That Apply: Is job ready for inspection?: ❑ YES ❑ NO ❑Rough In ❑ Final Do you need a Temp Certificate?: ❑ YES ❑ NO Issued On Temp Information: (All information required) Service Size❑1 Ph❑3 Ph Size: A # Meters Old Meter# ❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals R 1 F12 H Frame Pole Work done on Service? Y N Additional Information: Cos- - vn C,��e PAYMENT DUE WITH APPLICATION Ke-c1101 ?s� �OSol:O�,� BUILDING DEPARTMENT- Electrical Inspector ��O Gyr► TOWN OF SOUTHOLD H x Town Hall Annex- 54375 Main Road - PO Box 1179 ^+ Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 ' iamesha-southoldtownny.gov - seand(cD-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name Electrician's Name: nom r_a License No.:3 q 0cj I - m F .Elec. email: I Y1oN\e_ aSr� L ct V)oo � C om Elec. Phone No: k-f Z< E3rrequest an email copy of Certificate of Compliance Elec. Address.: O JOB SITE INFORMATION (All Information Required) Name: 4 Address: 0 Cross Street: UI.J P orris Phone No.: (p —CA 1p33 Bldg.Permit#: email: Tax Map District: 10 0 Section: Block: Lot: BRIEF DESCRIPTION OF WORK,. INCLUDE SQUARE FOOTAGE (Please Print Clearly): ,0 IV G Square Footage: Circle All That Apply: Is job ready for inspection?: ❑ YES ❑ NO []Rough In El Final Do you need a Temp Certificate?: ❑ YES 0 NO Issued On Temp Information' (All information required) Service Size❑1 Ph❑3 Ph Size: A # Meters Old Meter# ❑New Service❑Fire Reconnect❑Flood Reconnect[:]service Reconnect❑Underground❑Overhead # Underground Laterals 1 2 F1 H Frame Pole Work done on Service? Y N Additional Information: (�3\- C,�*e PAYMENT DUE WITH APPLICATION C Keel PERMIT# Address: Switches Outlets GFI's Surface Sconces H H's UC Lts Fridge HW POOL Fans Mini Fr. WAD Panel 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 Carnbo Cooktop Minisplit Blower AC t AH Hood Blower e Service Amps Have Used Sub Amps Have Used Comments 4*(q Dl SUFFOLK CO. HEALTH DLLPt. APPROVAL 1k H.S. NO. t , f)Ef' :E1 [Nj OF HEJ�UR _k F OF nlo+w: t,-t nc xrrbeP's sown 4*LA: 8 Q raf.w >� ,Map of s py r alow , , 9 JUL 2� � a' ; filed rn � &fot c Co-G/erka '` 'E�Er✓ }-O2 7 ofu d9 • b3S1 . ,� STATEMENT OF INTENT a-' F49 `- _'; C. THE WATER SUPPLYAND SEWAGE DISPOSAL r 1 AT SYSTEMS FOR THIS RESIDENCE WILL �-1Ha(� CONFORAA TO THE STANDARDS OF THE • i� SUFFOLK CO. D,EPT. OF HEALTH SERVICES. `w � �� 1S1P�9I.i� ^,OUt7TY HrA T mu r APPLICANT . �F F. _ SC; /G SUFFOLK COUNTY DEPT. OF �HEALOT]H SERVICES — FOR APPROVL T„•. ., ::t�s -1v CONSTRUCTION ONLY . . r �` • ,, .. r•-en DATE: V. -- -„�..��'i t : ''t�; r :, . ,�_ cu::d ?e,s H. S. REF. NO.: � ` , APPROVED: SeT JiC0S SUFFOLK CO.TAX MAP DESIGNATTI�ON: F - PCL. SECT. BLOCK cis f000 OWNERS ADDRESS: f 12 7 5wAN C..g4v_ D�21v ,�� -• . . �r •� .� � � .� 'e`• 9 sq.,rf �•7�L..6{75-le3/4% � [;. morrowterE f DEED: L. N�L� P. f . w `o. . �' �.` I TEST HOLE STAMP - - - - - - - `-t - - R - - - - - - -- - _• `-•5 - - - - - --- - - - - -- NNAUTHOWED ALjOATION OR ADDLTIOV* - - TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE a C EDUCATION LAw. COPIES OF THIS SURVEY MAP NOT REARING THE LAND SURVEYOR'S INnED SEAL OR S) EMBOSSED SEAL SHALL NOT BE CONSIDERED ))�� '. T -\•��_�., � TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALT RUN ONLY TO THE RF:.SON FOR W. THE SURVE'I IS PREFARED, AND ON HIS RENALF TO THE y' TITLE COMPANY, GOVERNMEKiAt AGENCY AND S �C6rf�JpO15 _ \• �"� �� 5, LENDING INSTITUTION LISTFO H:REOH,AND , TO THE ASSIGNEES OF THE LENDING INS"- 1 \� 01_. T.f{• L TUTION.GUARANTEES ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUfSEQUFN► • y °`� , SEAL _.. ao F rr ` 7 S:�weyE•-! Jan..Z9, 1979 vrjc ROD�R IC� VAN TU L. P.C. "MAP s7F W = � LICENSED LAND SUR�YORS I GREENPORT NEW YORK C � File �✓fa