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Home My WebLink About52229-Z ho�"�of sopryo� Town of Southold * * P.O. Box 1179 2 cAel 53095 Main Rd `r�oox�v a { Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 46509 Date: 09/19/2025 THIS CERTIFIES that the building ELECTRICAL-RESIDENTIAL Location of Property: 1350 Capt Kidd Dr Mattituck, NY 11952 Sec/Block/Lot: 106.-2-44 Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 09/03/2025 Pursuant to which Building Permit No. 52229 and dated: 09/03/2025 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: 200A Electric Service The certificate is issued to: Frank Koscheka , Ann Hanford Of the aforesaid building. z SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: 52229 9/15/2025 PLUMBERS CERTIFICATION: r C� Authorized Signature ofsotryo�o 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#: 52229 Date: 09/03/2025 Permission is hereby granted to: Frank A Koscheka 1350 Captain Kidd Dr Mattituck, NY 11952 To: 200A Electrical Service Premises Located at: 1350 Capt Kidd Dr, Mattituck, NY 11952 SCTM# 106.-2-44 Pursuant to application dated 09/03/2025 and approved by the Building Inspector. To expire on 09/03/2027. Contractors: Required Inspections: Fees: ELECTRIC SERVICE $100.00 Total 100.00 Building Inspector pF SOUTy�I � o Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G • Southold,NY 11971-0959 'O �yc4UNTY,Oc� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Frank A Koscheka Address: 1350 Captain Kidd DR City: Mattituck St: NY Zip: 11952 Building Permit#: 52229 Section: 106 Block: 2 Lot: 44 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: REP Electric License No: 46288ME SITE DETAILS Office Use Only Indoor I✓ Basement F Service I✓ Solar F Outdoor ry 1st Floor F Pool F Spa r Renovation F 2nd Floor F Hot Tub r Generator r Survey NF Attic F Garage ri Battery Storage r INVENTORY Service 1 ph d Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph F Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel 200A A/C Condenser Single Recpt Recessed Fixtures CO 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 Other Equipment: 200A Panel 40 Circuit/ 17 Used Notes: Service Inspector Signature: X Date: September 15, 2025 Sean Devlin Electrical Inspector sean.devlina-town.southold.ny.us 1350CaptainKiddService - OE SOGIyo y TOWN OF SOUTHOLDbUILDING OEPT. 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) ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: v C AJ At., DATE I INSPECTOR D E C E 0 E SEP 3 20231U1 I G DEPARTMENT- Electrical Inspector O G TOWN OF SOUTHOLD Building DePT9V11,1;Kall Annex- 54375 Main Road - PO Box 1179 • Town of Southold Southold, New York 11971-0959 'f., ` �a0�: Telephone (631) 765-1802 - FAX (631) 765-95d2 lamesh(aD-southoldtownny.gov— seandCcD-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: L,L C-. Electrician's Name: R VJ License No.: Elec. email: Coy, Elec. Phone No: request an email copy of Certificate of Compliance Elec. Address.: JOB.SITE INFORMATION (All Information Required) Name: Address: vo G 6, Cross Street: - Phone No.: (P G Bldg.Permit#: email: Tax Map District: 1000, Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): 200 --5;-�y&9V.) C 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 Size561 Ph❑3 Ph Size: 22-00A #Meters Old Meter# XNQw Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground�Jverhead # Underground Laterals D 1 FJ2 H Frame Pole Work done on Service? D Y EIN, Additional Information: PAYMENT DUE WITH APPLICATION g� �0 BUI I G DEPARTMENT- Electrical Inspector SEP 3 202., OV' G TOWN OF SOUTHOLD y a D sll s9�g �erTzqwrak ll Annex- 54375 Main Road - PO Box 1179 o . Tcwvn of�,��uthold Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 jameshCcDsoutholdtownny.gov seand(eD-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: f Company Name: Aj „� �-- Electrician's Name: C5 Iqj " License No.: Elec. email: Elec. Phone No: L I request an email copy of Certificate of Compliance Elec. Address.: -5 a 6 JOB SITE INFORMATION (All Information Required) 9 n Name: Address: r} C— i G Cross Street: e;L� Phone No.: (-;, _ G 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: 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 Size91 Ph❑3 Ph Size: 2�A #Meters Old Meter# XNewService❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground verhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION 1 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. Grb•Dis Water Bond Carbdn M.i_cro ! Lights Heat Pucks ERV HOT TUB/SPA Inst Hot DeHum Transfer Disc Combo Cooktop Minispht Blower AC AH Hood Blower Service Amps�,C Have CPsed� c Sub Amps Have Used Comments