HomeMy WebLinkAbout52135-Z ho�tof souryO`° Town of Southold
* P.O. Box 1179
G o� 53095 Main Rd
U Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 46539 Date: 09/30/2025
THIS CERTIFIES that the building ELECTRICAL-RESIDENTIAL
Location of Property: 910 New Suffolk Rd Cutchogue, NY 11935
SecBlock/Lot: 109.-6-9.5
Conforms substantially to the.Application for Building Permit heretofore,filed in this office.dated: 07/31/2025
Pursuant to which Building Permit No. 52135 and dated: 07/31/2025
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 Underground Electric Service & Outdoor Panel.
The certificate is issued to: Aerobat Associates LLC
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE: 52135 9/29/2025
PLUMBERS CERTIFICATION:
Authorized Signature
of souryo`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#: 52135 Date: 07/31/2025
Permission is hereby granted to:
Aerobat Associates LLC
67 Pinckney St
Boston, MA 02114
To:
New Service- 200amp UG
Premises Located at:
910 New Suffolk Rd, Cutchogue, NY 11935
SCTM# 109.-6-9.5
Pursuant to application dated 07/31/2025 and approved by the Building Inspector.
To expire on 07/31/2027.
Contractors:
Required Inspections:
Fees:
ELECTRIC SERVICE $100.00
Total S100.00
uilding Inspector N�w
o��oF so�ryol
� o
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 G Q
Southold,NY 11971-0959 Jamesh southoldtownny.gov
couti
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Aerobat Associates LLC.
Address: 910 New Suffolk Road city:Cutchouge st: New York zip: 11935
Building Permit#: 52135 Section: Block: Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: C.L.O.S. INC. Electrician: Benjamin Doroski License No: ME-38893
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service X
Commerical Outdoor X 1st Floor Pool
New X Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph x Heat Duplec Recpt 4 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: 4 20amp GFCI Breakers
Notes:
SERVICE AND OUTDOOR PANEL
Inspector Signature: Date: September 29, 2025
910 new suffolk rd
OF SOUl9p� V(� ���
TOWN OF SOUTHOLD BUILDING DEPT.
CooNTv, 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST/ 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: 6^eo`-y(C`Q
nv
I ul � /
DATE q a� a INSPECTOR
.:� ----------------------------------
OFF04�D
Gym BUILDING DEPARTMENT-Electrical Inspector
v x TOWN OF SOUTHOLD
oy • �� Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959
�Ol �a0 Telephone (631) 765-1802
Temporary Certificate # I O Date 2025
Customer Name LL Electrician Name CLOS
Address q p . CA c Phone (i3l . Zqg . 4fS788
e-mail e-mail o,%517v Cam
Phone License# ggq
Size a00 A Phase 1 Overhead Underground #of Meters
Remarks
#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 �/
�f BUILDING DEPARTMENT- ElectricalJnspector
TOWN OF SOUTHOLD
Town Hall Annex- 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
4-- a` Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr(a�southoldtownny.Qov seand@southoldtownny.4ov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name: Custom Lighting of Suffolk Inc
Electrician's Name: Benjamin Doroski
License No.: 38893-ME Elec. email: Clos5170@gmail.com
Elec. Phone No: 631-298-4588 01 request an email copy of Certificate of Compliance
Elec. Address.: PO Box 1698 Mattituck NY 11952
JOB SITE INFORMATION (All Information Required) n
,I
Name: r P�
c ,r
Address:
Cross Street:
Phone No.:
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: --I 00
Is job ready for inspection?: ❑ YES ❑Y NO ❑Rough In Q Fin I
Do you need a Temp Certificate?: ® YES ❑NO Issued On u?l
Temp Information: (All information required)
Service Size®1 Ph❑3 Ph Size: aOC) _A # Meters Old Meter#
slew Service❑Fire Reconnect �?H
od Reconnect❑Service Reconnect nderground❑Overhead
# Underground Laterals 1 2 Frame Pole Work done on Service? �rY N
Additional Information: 41r
7oiae✓4
PAYMENT DUE Wn APPLICATION
f:O UFFBCkc�r BUILDING DEPARTMENT- ElectricalJnspector
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
rogerr southoldtownny.gov seand(-southol_dtownrny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name: Custom Lighting of Suffolk Inc
Electrician's Name: Benjamin Doroski
License No.: 38893-ME Elec. email: Clos5170@gmail.com
Elec. Phone No: 631-298-4588 DI request an email copy of Certificate of Compliance
Elec. Address.: PO Box 1698 Mattituck NY 11952
JOB SITE INFORMATION (All Information Required)
Pc,
Name: s. f
Address: q l p
Cross Street:
Phone No.:
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: -4- l 60
Is job ready for inspection?: YES ,o, NO Rough In 1-1 Fin I
Do you need a Temp Certificate?: ® YES 0 NO Issued On I 2
Temp Information: (All information required)
Service Size®1 Ph❑3 Ph Size: -�-)6C) _A #Meters Old Meter#
slew Service]Fire ReconnectEIR od ReconnectOService Reconnect nderg round Eloverhead
#Underground Laterals E21 2 H Frame Pole Work done on Service? Y RN
Additional Information:
Ica v � V ram- �U 7ro pc14 !rr t c4-t o
PAYMENT DUE W11H APPLICATION
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.
Water Bond
Carbdn Micro G.rb.Dis Lights
Heat Pucks ERV
HOT TUB/SPA
Inst Hot DeHum Transfer Disc
Combo Cooktop Minisplit
Blower
AC AH Hood Blower 1�
Service
Amp s Have Used
Sub Amps Have Used
Comments