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HomeMy WebLinkAbout52447-Z %%°f SO�Tyolo Town of Southold * * P.O. Box 1179 04 53095 Main Rd uMv° Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 46702 Date: 11/18/2025 THIS CERTIFIES that the building ELECTRICAL-RESIDENTIAL Location of Property: 625 Eugenes Rd Cutchogue, NY 11935 Sec/Block/Lot: 97.-2-16.2 Conforms substantially to the.Application for Building Permit heretofore,filed in this office dated: 11/12/2025 Pursuant to which Building Permit No. 52447 and dated: 11/12/2025 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 electrical service upgrade The certificate is issued to: Graeb Fmly 2021 Irr Trt Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: 52447 11/12/2025 PLUMBERS CERTIFICATION: Authorized Signature ofsoU TOWN OF SOUTHOLD BUILDING DEPARTMENT • SOUTHOLD, NY COUNTM 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#: 52447 Date: 11/12/2025 Permission is hereby granted to: Graeb Fmly 2021 Irr Trt 625 Eugenes Rd Cutchogue, NY 11935 To: _ Electrical Service Upgrade Premises Located at: 625 Eugenes Rd, Cutchogue, NY 11935 SCTM# 97.-2-16.2 Pursuant to application dated 11/12/2025 and approved by the Building Inspector. To expire on 11/12/2027. Contractors: Required Inspections: Fees: ELECTRIC SERVICE $100.00 Total 100.00 Building Inspector 50(/j�Ql 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G • Southold,NY 11971-0959 'Q BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Graeb Family Irrevocable Trust Address: 625 Eugenes Rd City: Cutchogue St: NY Zip: 11935 Building Permit#: 52447 Section: 97 Block: 2 Lot: 16.2 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: Custom Lighting of Suffolk License No: 38893ME SITE DETAILS Office Use Only Indoor W Basement rv, Service W7 Solar F Outdoor W-11 1st Floor ( ! Pool 1 i Spa 1-11 Renovation F.71 2nd Floor 1- Hot Tub I-1 Generator F Survey r5e Attic It] Garage rl Battery Storage 1- INVENTORY Service 1 ph 5-6 Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph r7 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 Circuits / 33 Used Notes: AS BUILT NO VISUAL DEFECTS " Panel Change Inspector Signature: X Date: November 12, 2025 Sean Devlin Electrical Inspector sean.deviina-town.southold.ny.us 625EugenesRdService OFSOUIyo� � 2—1 1 7 �l�� � ��J --- -- # TO N F SOUTHO'LD BUILD&"e&T. �`y�normN 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: DATE -INSPECTOR I I BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD z Town Hall Annex- 54375 Main Road - PO Box 1179 ca _ Southold, New York 11971-0959 pl Telephone (631) 765-1802 APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (Ail information Required) Date: June 27, 2025 Company Name: Custom Lighting of Suffolk 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) Name: John and Diane Graeb Address: 625 Eugenes Road Cross Street: Main Road Phone No.: 631-603-6131 BIdg.Permit#: 524 1 email:dianengraeb@gmail.com Tax Map District: 1000 Section: Block: Lot: •o BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): e 45 e,4 V L C�12, Square Footage: 140 s ft 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 n 1 FJ2 n H Frame Pole Work done on Service? DY FIN Additional Information: PAYMENT DUE WITH APPLICATION �!�0 F#t BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD c Town Hall Annex- 54375 Main Road - PO Box 1179 co _ Southold, New York 11971-0959 y'�Qlao Telephone (631) 765-1802 APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: November 11, 2025 Company Name: Custom Lighting of Suffolk Electrician's Name: Benjamin Doroski License No.: 38893-ME Elec. email:Clos5170@gmail.com Elec. Phone No: 631-298-4588 1 request an email copy of Certificate of Compliance Elec. Address.: PO Box 1698 Mattituck, NY 11952 JOB SITE INFORMATION (All Information Required) Name: John and Diane Graeb Address: 625 Eugenes Road Cross Street: Main Road Phone No.: 631-603-6131 Bldg.Permit#: email:dianengraeb@gmail.com Tax Map Distd : 1000 Section:97.-2-16.2 Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Replaced house breaker box after a tree fell and ripped down our wires and mast damaging the connections in the breaker box. 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" Ph❑3 Ph Size: CLJ A #Meters Old Meter# Olew Service[]Fire Reconnect❑Flood Reconnect❑Service Reconnect[]Underground❑Overhead #Underground Laterals 1 2 0 H Frame Pole Work done on Service? Y Additional Information: PAYM ITNT DUE WITH APPLICATION �