HomeMy WebLinkAbout52957-Z �o'e'pf SOpTyo`o Town of Southold
* * P.O. Box 1179
yd� 53095 Main Rd
UN" Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 47136 Date: 06/15/2026
THIS CERTIFIES that the building ELECTRICAL-COMMERCIAL
Location of Property: 53930 Route 25 Southold, NY 11971
See/Block/Lot: 61.-4-19.1
Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 05/06/2026
Pursuant to which Building Permit No. 52957 and dated: 05/06/2026
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:
Electric for septic system.
The certificate is issued to: CAST Inc
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE: 52957 5/13/2026
PLUMBERS CERTIFICATION:
Authorized Signature
�aOfSO& TOWN OF SOUTHOLD
BUILDING DEPARTMENT
° SOUTHOLD, NY
�o
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#: 52957 Date: 05/06/2026
Permission is hereby granted to:
CAST Inc
PO BOX 1566
Southold, NY 11971
To:
Electric for septic system.
Premises Located at:
53930 Route 25,Southold, NY 11971
SCTM#61.-4-19.1
Pursuant to application dated 05/06/2026 and approved by the Building Inspector.
To expire on 05/05/2028.
Contractors:
Required Inspections:
Fees:
Electrical-Commercial $150.00
Total $150.00
Building Inspector
SO!/lyolo
Town Hall Annex Telephone(631)'765-1802
54375 Main Road y
P.O. Box 1179 �Q
Southold,New York 11971-0959 ��yCOUNTY,�c�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: CAST Inc
Address: 53930 Route 25 city: Southold St: NY zip: 11971
Building Permit#: 52957 Section: 61 Block: 4 Lot: 19.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Electrician: AS BUILT License No:
SITE DETAILS
Office Use Only
Commercial Indoor X Basement Service Solar
Residential Outdoor X 1st Floor Pool Battery Storage
As-built X Renovation 2nd Floor Hot Tub EV Charger
New Addition Attic Spa Generator
Survey X I Mezzanine Garagel IDock
INVENTORY
Service 1 ph In-wall Heater Recpt Ceiling Fixtures Smoke Detectors Pump
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures CO Detectors Heater
Main Panel A/C Condenser Single Recpt RecessdFixtures Combo Smoke/CO Transformer
Sub Panel A/C Blower Range Recpt Ceiling Fan Heat Detectors Salt Gen
Transfer Switch Mini Split Dryer Recpt UC Lights Fridge AutoCover
ARC Blower Heads Switches Pucks Lights Dishwasher Mini Fridge
GFI SepticDisconnect 30A Emrgency Strobe 4'LED Microwave Garbage Disp.
ARC/GFI ERV Exit Lights Bath Exhaust Hood Dehumidifier
Other Equipment:
Notes: Septic
Inspector Signature: Date: May 13, 2026
SOUTyOIo �15 � V* TOW �] THOLD JILDI G DEPT.OS'OU
i'OUrm, 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
Slaw BUILDING DEPARTMENT- Electr',C- inspector
TOWN OF SOUTHOLD ( ;!�,
MAY - 6 2026
Town Hall Annex - 54375 Main Road -: 'PO Box 1179
Southold, New York 11971-0959
4 W!V ap Telephone (631) 765-1802 ,'��.-�'4"' '
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All information Required) Date:
Company Name: A5 &iff
Electrician's Name:
License No.: Elec. email:
Elec. Phone No: El I request an email copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATION (All Information Required)
Name: C 7
Address: .53q3o
Cross Street:a Wan C
Phone No.: k3/- -0[7
BIdg.Permit#: 15aCJ ,5-J email:
1 Tax Map District: 1000 Section: te) Block: Lot: 1q.
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
7/1 c
,56
Square Footage: 1�:7 J
Circle All That Apply: \E] E] NO -]Rough In Final
Is job ready for inspection?: YES F
Do you need a Temp Certificate?: F-] YE� NO issued On
Temp Information: (All information required)
Service SizeF-11 PhF—]3 Ph Size: A # Meters Old Meter#
F1 New ServiceE]Fire ReconnectE]Flood Reconnect E]Service Reconnect E]Underground E]Overhead
# Underground Laterals F-12 F-] H Frame F] Pole Work done on Service? Y F-]N
Additional Information:
PAYMENT DUE WITH APPLICATION
Li u- Vr u
�OS�f f0(,�CO BUILDING DEPARTMENT- Electrical.`Inspector t
TOWN OF SOUTHOLD MAY - 6 2C�26
o Town Hall Annex - 54375 Main Road ' PO Box 1179
F" Southold, New York 11971-0959., .
Telephone (631) 765-1802 V
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All information Required) Date:
Company Name: S
Electrician's Name:
License No.: Elec. email:
Elec. Phone No: ❑I request an email copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATION (All Information Required)
Name: CAS-1
Address: 53q5o J
Cross Street: 1
Phone No.: q -/ f
Bldg.Permit#: !j D g 151 email: 44 0 ,p�
Tax Map District: 1000 Section: Block: Lot: (�j',
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
�leC i c *1 G
Square Footage: W756
Circle All That Apply:
Is job ready for inspection?: YES ❑ NO ❑Rough In Final
Do you need a Temp Certificate?: ❑ YE\S'�] 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 D 1 2 F1 H Frame Pole Work done on Service? D Y N
Additional Information:
PAYMENT DUE WITH APPLICATION Co
( C, IIr - I
PERMIT# Address:
Switches
Outlets
G F I's I
Surface
Sconces
H H's
UC Lts Fridge HW POOL
Fans Mini Fr. W/D Panel
Pump
Exhaust Oven Sump Heater
Trnsfmr
Smokes DW Generator Salt Gen.
Carbon Micro GrbDis Water Bond
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 Used
Comments
. }. . 10
T � ♦ ♦ �S}a~'l
7.
ZIP
li it
NORMAUSILENCE
MODEL ops
FOR SERVICE CALL: I
�: "t "�•
: 11 1 • •
NS
NSF
prockw.t is
Coeittod by NSF
�. • • .
-♦ l_
PLACE SERVICE
PROVIDER LABEL
HERE
fat
` a
1.
•
'� �J •: - - -1,.. ter• ,. • •t t