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 �