HomeMy WebLinkAbout52913-Z ,�pF SOUTyo`o Town of Southold
* * P.O. Box 1179
A 53095 Main Rd
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 47058 Date: 05/15/2026
THIS CERTIFIES that the building ELECTRICAL-COMMERCIAL
Location of Property: 26342 Route 25 Cutchoaue, NY 11935
S ec/B lock/Lot: 109.-4-8.3
Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 04/27/2026
Pursuant to which Building Permit No. 52913 and dated: 04/27/2026
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:
"As built" electric for bathrooms and concession stand (snack bar)
The certificate is issued to: North Fork Country Club
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE: 52913 5/4/2026
PLUMBERS CERTIFICATION:
Authorized Signature
�o4*OPSO(/tyO(G TOWN OF SOUTHOLD
BUILDING DEPARTMENT
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#: 52913 Date: 04/27/2026
Permission is hereby granted to:
North Fork Country Club
PO BOX 725
Cutchogue, NY 11935
To:
as built electric in bathroom/concession stand
Premises Located at:
26342 Route 25, Cutchogue, NY 11935
SCTM# 109.-4-8.3
Pursuant to application dated 04/27/2026 and approved by the Building Inspector.
To expire on 04/26/2028.
Contractors:
Required Inspections:
Fees:
As Built Electric $300.00
Total $300.00
`/Building Inspector
pF SOUTyo
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 Ol iQ
Southold,New York 11971-0959 �COUNTI,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: North Fork Country Club
Address: 26342 Route 25 " City: Cutchogue St: NY zip: 11935
Building Permit#: 52913 Section: 109 Block: 4 Lot: 8.3
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Electrician: Sabat Electric License No: 4204ME
SITE DETAILS
Office Use Only
Commercial X Indoor X Basement Service Solar
Residential Outdoor X 1st Floor X Pool Battery Storage
As-built X Renovation 2nd Floor Hot Tub EV Charger
New Addition Attic Spa Generator
Survey X Mezzanine Garage Dock
INVENTORY
Service 1 ph In-wall Heater 1 Recpt Ceiling Fixtures 1 Smoke Detectors Pump
Service 3 ph Hot Water 30a GFCI Recpt 8 Wall Fixtures CO Detectors Heater
Main Panel A/C Condenser Single Recpt RecessdFixtures 17 Combo Smoke/CO Transformer
Sub Panel 100A A/C Blower Range Recpt Ceiling Fan Heat Detectors Salt Gen
Transfer Switch Mini Split 1 Dryer Recpt UC Lights Fridge 2 AutoCover
ARC Blower Heads 2 Switches 7 Pucks Lights Dishwasher Mini Fridge
GFI SepticDisconnect Emrgency Strobe 4'LED Microwave Garbage Disp.
ARC/GFI ERV Exit Lights Bath Exhaust 2 Hood Dehumidifier
Other Equipment: Water Fountain(1), Hand Dryer(2), 100A Sub Panel 20 Circuit/20 Used
Notes: Snack Bar & Bathrooms
Inspector Signature: / Date: May 4, 2026
q 50UTyOlo 52--cl. L3 -
# # TOWN OF SOUTHOLD BUILDINGEPT.
'ou , 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 kA INSPECTOR
o��S�fF01��0 BUILDING DEPARTMENT- Electrical Inspector
ti� oy� TOWN OF SOUTHOLD
y = Town Hall Annex - 54375 Main Road - P`q BQx;:1179%�
o • Southold, New York 11971-0959
'yfj o� Telephone (631) 765-1802
F � f APR 2 4 2026
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: 4/20/2026
Company Name: Sabat Electric
Electrician's Name:- Mark Sabat
License No.: 4204ME Elec. email: sabatelectric@gmail.com
Elec. Phone No: 6317745485 ❑1 request an email copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATION (All Information Required)
Name: North Fork Country Club
Address: 26342 Main road
Cross Street: Moores lane.
Phone No.: 631-734-7139
Bldg.Permit#: l email:
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLUD U t Clearly):
Installed new GFCI receptacles thru out an
V,4
Square Footage: 1600
Circle All That Apply:
Is job ready for inspection?: R1 YES -] NO Rough In F 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 1 2 D H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
OS�FFpI,t.C;` BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road.- R,Q BQx:1179
® Southold, New York 11971-0959 y
Telephone (631) 765-1802
APR 2 4
2026
APPLICATION FOR ELECTRICAL INSPECTION a. `
ELECTRICIAN INFORMATION (All Information Required) Date: 4/20/2026
Company Name: Sabat Electric
Electrician's .Name: Mark Sabat
License No.: 4204ME Elec. email: sabatelectric@gmail.com
Elec. Phone No: 6317745485 ❑1 request an email copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATION (All Information Required)
Name: North Fork Country Club
Address: 26342 Main road
Cross Street: Moores lane
Phone No.: 631-734-7139
Bldg.Permit#: email:
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLUD U t Clearly):
Installed new GFCI receptacles thru out an
t "r \ Square Footage: 1600
Circle All That Apply:,
Is job ready for inspection?: YES ❑ NO ❑Rough In n 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 1 2 H Frame Pole Work done on Service? D Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
�� 9,f�� 9-f C*-) i �a��
PERMIT# Address:
Switches
Outlets
GFI's
Surface
Sconces
H H s
UC Lts Fridge HW POOL
Panel
Fans Mini Fr. W/D Pump
Exhaust\ 1 Oven Sump Heater
Trnsfmr
Smokes DW Generator Salt Gen.
Water Bond
Carbon Micro GrbDis Lights
Heat Pucks ERV
HOT TUB/SPA
Inst Hot DeHum Transfer Disc
Combo Cooktop Minisplit
Blower
AC AH Hood Blower
Service Amps Have Used
Sub Amps Have Useep
Comments
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