HomeMy WebLinkAbout52467-Z ho�a°F SouTyo!° Town of Southold
* * P.O. Box 1179
�o4 53095 Main Rd
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 46711 Date: 12/09/2025
THIS CERTIFIES that the building ELECTRICAL-RESIDENTIAL
Location of Property: 57020 Route 25 Southold, NY 11971
Sec/Block/Lot: 63.-4-2
Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 11/18/2025
Pursuant to which Building Permit No. 52467 and dated: 11/18/2025
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:
Electric for existing HVAC.
The certificate is issued to: Karen Lund
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE: 52467 11/20/2025
PLUMBERS CERTIFICATION:
Authorized Signature
oFga�T TOWN OF SOUTHOLD
'.oyti`P y�10
BUILDING DEPARTMENT
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#: 52467 Date: 11/18/2025
Permission is hereby granted to:
Karen Lund
PO BOX 1896
Southold, NY 11971
To:
electric for existing hvac
Premises Located at:
57020 Route 25, Southold, NY 11971
SCTM#61-4-2
Pursuant to application dated 11/18/2025 and approved by the Building Inspector.
To expire on 11/18/2027.
Contractors:
Required Inspections:
Fees:
ELECTRIC -Residential $100.00
Total $100.00
Building Inspector
SO(/Tyol
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 G •
Southold,NY 1 1971-0959 �O
�'Y�OUNTN,Nc�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Karen Lund
Address: 57020 Main Rd City: Southold St: NY Zip: 11971
Building Permit* 52467 Section: 63 Block: 4 Lot: 2
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: AS Built License No:
SITE DETAILS
Office Use Only
Indoor rV-1 Basement r— Service F Solar
Outdoor 1 st Floor F Pool F Spa (—
Renovation 2nd Floor F Hot Tub Generator F
Survey Attic r Garage Battery Storage
INVENTORY
Service 1 ph (— Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
Service 3 ph [— Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors
Main Panel A/C Condenser 1 Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower 1 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:
Notes: " AS BUILT NO VISUAL DEFECTS " HVAC
Inspector Signature: X
Date: November 20, 2025
Sean Devlin
Electrical Inspector sean.devlin(-town.southold.ny.us
57020RT25House
apf SOUTyOIo 5 Z LI 67 57 02-6 %2�r'a5
TOWN OF SOUTHOLD BUILDING DEPT.
631-765-1802
INSPECTION
[ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG.
[ ]. FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING/STRAPPING [ ] FINAL
j ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ]' FIRE;RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
[ ] CODE VIOLATION ] PRE C/O [ ] RENTAL
REMARKS: !73tAjL7' �d y
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DATE INSPECTOR `
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UF�p�r r `BUILDING DEPARTMENT- Electrical Inspector
S �G,;,c NQ�I 1 a 202b. TOWN OF SOUTHOLD
.Town Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1802
r
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name:
1
Electrician's Name: r
License No.: Elec. email:
Elec. Phone No: ❑I request an email copy of Certificate of Compliance
Elec. Address.: .
JOB SITE INFORMATION. (All Information Required)
Name: k,", L"
Address:
Cross Street: Ica,• -(�, c,
Phone No.: 6 ?C0
Bldg.Permit#: email:
Tax Map District: 1000 Section: to S Block: y+ Lot: 2.
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
t_T H VAC, i d r-- e("e- W� A I.k v�•mot 64 nod- LJA' ak.e d
o f-p o w% Ce a 4-. 1&p&3 LI 3 V y
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 1 2 H Frame Pole Work done on Service? Y F1N
Additional Information:
PAYMENT DUE WITH APPLICATION
PERMIT# Address:
Switches
Outlets
G F I's
Surface
Sconces
H H's
UC Lts Fridge , HW POOL
Panel
Fans Mini Fr. WAD Pump
Exhaust Oven Sump Heater
Trnsfmr
Smokes DW Generator Salt Gen.
Water Bond
Carbdn Micro , . GrbDis Lights
Heat Pucks,: ERV
HOT TUB/SPA
Inst Hot DeHum Transfer Disc
Combo %Cooktop Minisplit.
Blower
AC AH Hood Blower
Service Amps Have Used
Sub Amps Have Used
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