HomeMy WebLinkAbout36681-Z g�FFDt,f�, Town of Southold Annex 9/9/2011
54375 Main Road
H Southold,New York 11971
.CERTIFICATE OF OCCUPANCY
No: 35200 Date: 9/9/2011
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 29205 Route 25, Cutchogue,
SCTM,#: 473889 . See/Block/Lot: 102.-2-12.5
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
9/9/2011 pursuant to which Building Permit No. 36681 dated 9/9/2011
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:
Electrical underground service
The certificate is issued to Cutchogue Development LLC
(OWNER)
of the aforesaid building. .
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 36681 08/26/2011
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y TOWN CLERK'S OFFICE
oy,• o� SOUTHOLD, NY
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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 #: 36681 Date: 9/9/2011
Permission is hereby granted to:
Cutchogue Development LLC
2090 Sound Ave
Baiting Hollow, NY 11933
To: Electrical underground service
At premises located at:
29205 Route 25, Cutchogue
SCTM # 473889
Sec/Block/Lot# 102.-2-12.5
Pursuant to application dated 9/9/2011 and approved by the Building Inspector.
To expire on 3/10/2013.
Fees:
ELECTRIC $85.00
Total: $85.00
D -
Building Inspector
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Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
ro-ger.riche rta-town.so utho Id.ny.us
Southold,NY 11971-0959
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Cutchogue Development LLC
Address: 29205 Main Rd City: Cutchogue St: NY Zip: 11935
Building Permit#: Section: 102 Block: 2 Lot: 12.005
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Concealed Power License No: 5.179-me
SITE DETAILS
Office Use Only
Residential Indoor Basement Service Only X
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph 200a Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph 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 Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect 200a Switches Twist Lock Exit Fixtures TVSS El
Other Equipment: 200a underground service, 1 phase, 1 meter
Notes:
Inspector Signature: `� Date: Aug 26 2011
81-Cert Electrical Compliance Form
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I own Hall Annex Telephone(631)765-1802
54375 Main Road cn (W0 (631)765-995ppdP.O.Box 1179 roger.richertW0 ny us
Southold,NY 11971-0959 `��
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Q � Date:
Company Name: CO cry
Name:
License No.: t
Address: 3 0
Phone No.: 04iCC 631 — ,;U4— I` 0 C-4
JOBSITE INFORMATION: (*Indicates required information)
*Name: C v' &A0 e�e�o w�ev t L L C,
*Address: a t7 rI
*Cross Street: �c a �y�� I
*Phone No.: �a v�c� a✓� �3 q11 Jo 5 f4
Permit No.:
Tax-Map District: 1000 Section: 0 C)0 Block: pot ,O O Lot:�00
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
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6'f" U lC, c5 �-t t��✓ c,r �C coo vN e
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(Please Circle All That Apply)
;'Is job ready for inspection:
YE / NO Rough In Final
*Do-you need a Temp Certificate: YES NO
Temp Information (If-needed)
*Service Size: 1 Phase 3Phase 100 150 20 300 350 . 400 Other I .
*New Service: Re-connect Undergroun Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
.82=Request forinspec6on Form