HomeMy WebLinkAbout52207-Z ho�aof souryo`o Town of Southold
* * P.O. Box 1179
0 53095 Main Rd
VV_COUNn.`' i Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 46623 Date: 10/24/2025
THIS CERTIFIES that the building ELECTRICAL- RESIDENTIAL
Location of Property: 1975 Skunk Ln Cutchogue, NY 11935
Sec/Block/Lot: 97.4-9
Conforms substantially to the Application for Building Permit heretofore, filed in this office dated: 08/22/2025
Pursuant to which Building Permit No. 52207 and dated: 08/22/2025
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.
The certificate is issued to: Siarhei Palianok, Ina Palianok
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: '
ELECTRICAL CERTIFICATE: 52207 10/15/2025
PLUMBERS CERTIFICATION:
Authorized Signature
�,,oFso�ryo 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#: 52207 Date: 08/22/2025
Permission is hereby granted to:
Siarhei Paiianok
1975 Skunk Ln
Cutchogue, NY 11935
To:
200amp underground electric service
Premises Located at:
1975 Skunk Ln, Cutchogue, NY 11935
SCTM#97.4-9
Pursuant to application dated 08/22/2025 and approved by the Building Inspector.
To expire on 08/22/2027.
Contractors:
Required Inspections:
Fees:
ELECTRIC SERVICE $100.00
Total S100.00
Building Inspector��
X\pF SO!/lyQl
Town Hall Annex 4 4 Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 GO • Q
Southold,NY 1 1 971-0959 �Q
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Siarhei Palianok
Address: 1975 Skunk Ln City: Cutchogue St: NY Zip: 11935
Building Permit#: 52207 Section: 97 Block: 4 Lot: 9
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: On Point Electrical Contr. License No: 68194ME
SITE DETAILS
Office Use Only
Indoor r Basement F Service r7i' Solar F
Outdoor 1st Floor 1- Pool F Spa F
Renovation (— 2nd Floor r Hot Tub r Generator F
Survey (- Attic F Garage rl Battery Storage
INVENTORY
Service 1 ph I�, Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
Service 3 ph r Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 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:
Notes: Service Changed From Overhead to Underground. Wires Changed Only
Inspector Signature: X r Date:
October 15, 2025
Sean Devlin
Electrical Inspector sean.deviin(cD-town.southold.ny.us
1975SkunkService
ho�aOF SOUTyOIo L��V l / 5
* # T N OFI /SOUTHOLD BUILDING
co 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: e,,5,ow� C'
VilreS- a
DATE a INSPECTOR
ii:iiiiiiiiiiiiiiiAsiiiiii. iiX—�---------------
�o��g11fE0�,��o
Gym BUILDING DEPARTMENT-Electrical Inspector
rC*i, = TOWN OF SOUTHOLD
oy • `� Town Hall Annex-54375 Main Road-PO Box 1179-Southol;d, NY 11971-0959
Telephone (631) 765-1802
Temporary Certificate # 190(� DateNaa� 2025
Customer Name Electrician Name a - }� C
Address l q-7Fj n Phone C�` 5 - aa-i Li
e-mail V Cc)nsku cv�C fNc , .COM e-mail } ; 3
Phone �j� _ cj License# ME - (o
Size A Phase Overhead Underground #of Meters
Remarks
#of Underground Later'alsl 11 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
IP10%A1110,1
11d'a� 'u�Aen�
S�FEQ SZOZ Z U,LDING DEPARTMENT-Electrical Inspector
TOWN OF SOUTHOLD
own Hall Annex - 54375 Main Road - PO Box 1179
all
Southold, New York 11971-0959
�,. �Q Telephone (631) 765-1802
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (AIi information Required) Date: 7/30/2025
Company Name: On Point Electrical Contracting LLC
Electrician's Name: Tyler Shea
License No.: ME-68194 Elec. email:onpointelectric631 @gmail.com
Elec. Phone No: 631.655.2274 211 request an email copy of Certificate of Compliance
Elec. Address.: 107 Upton Dr. Sound Beach, NY 11789
JOB SITE INFORMATION (AII Information Required)
Name: Siarhei Palianok
Address: 1975 Skunk Lane, Cutchogue, NY 11935 -
Cross Street: Main Rd 25
Phone No.: 631.800.6325
Bldg.Permit#: FD- a o p- email:psvconstructioninc@gmail.com
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Change of Service to Underground Service
S uare Footage:
Circle All That Apply:
Is job ready for inspection?: YES 0 NO Rough In Final
Do you need a Temp Certificate?: YES NO
Y p 0 Issued On �cUo
Temp Information: (AII information required)
Service Size[71 Ph❑3 Ph Size: 200 A # Meters 1 Old Meter#
❑NewSer►iceQFire Reconnect[]Flood Reconnect[]Service Reconnect Od Underground[]Overhead
Underground Laterals 1 RZ El H Frame Pole Work done on Service? El Y RfN
Additional Information:
PAYMENT DUE WITH APPLICATION S-aa-a5
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