N.Y. Comp. Codes R. & Regs. Tit. 21 LXXXIII app 10-C

(cf. Part 458)

(Name of Municipality or Cooperative)

CERTIFICATE OF COMPLIANCE

Provision of Electric Service to Buildings Subject to the

State Energy Conservation Construction Code

The undersigned certifies that the building(s)

at ____________ (Location)

is (are) or will be in compliance with the New York State Energy Conservation Construction Code, promulgated as regulations of the New York State Energy Office in 9 NYCRR Parts 7810 through 7815, not later than 30 days after time of occupancy of the new residential building(s) or 30 days after completion of expansion of electric service for the purpose of providing electric heat to any addition, alteration or renovation of the existing building(s) which materially increases its (their) heating or cooling requirements.

It is understood that electric service will not be connected or will be disconnected if, upon inspection, the structure is found not to be in compliance with the conditions set forth.

The undersigned certifies that a properly executed copy of this certificate will be delivered to the owner prior to closing, in the case of new construction, or in the case of expansion of existing electric service as specified above for the purpose of providing electric heat, on completion of the electric work; and agrees that any successor in title shall be deemed a beneficiary of the undertakings described in this certificate.

Dated: ____________

______________

Signature of Builder or Contractor

Dated: ____________

______________

Signature of Representative of

Municipal Electric Department, Building

Code Enforcement Inspector or

Qualified Representative of

the Municipal Government

Notes

N.Y. Comp. Codes R. & Regs. Tit. 21 LXXXIII app 10-C