HomeMy WebLinkAbout43559-Z i
��V4,00t,¢. Town of Southold 7/16/2019
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P.O.Box 1179
T 53095 Main Rd
ao�¢ Southold,New York 11971
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CERTIFICATE OF OCCUPANCY
No: 40507 Date: 7/16/2019
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 24085 Route 25, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 109.4-11
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
3/15/2019 pursuant to which Building Permit No. 43559 dated 3/15/2019
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:
200 AMP ELECTRIC SERVICE TO MOBILE HOME
The certificate is issued to WW Farms LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 43559 04-15-2019
PLUMBERS CERTIFICATION DATED
Authorized Signature
�gUFFo�Kco TOWN OF SOUTHOLD
BUILDING DEPARTMENT
M. TOWN CLERK'S OFFICE
oy . 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#: 43559 Date: 3/15/2019
Permission is hereby granted to:
WW Farms LLC
13015 Main Rd
PO BOX 1424
Mattituck, NY 11952,
To: 200a underground electrical service.
At premises located at:
24085 Route 25, Cutchogue
SCTM # 473889
Sec/Block/Lot# 109.-1-11
Pursuant to application dated 3/15/2019 and approved by the Building Inspector.
To expire on 9/13/2020.
Fees:
ELECTRIC $85.00
Total: $85.00
Bui ctor
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Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 Q
Southold,NY 11971-0959 ,c®l�® roger.richert(a)-town.southold.ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Wickham (WW Farms LLC)
Address: 24085 Route 25 City: Cutchogue St: New York Zip: 11935
Budding Permit#. 43559 Section 109 Block 1 Lot: 11
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: East County Electric License No: 1005-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only X
Commerical Outdoor X 1 st Floor X Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph 200a Heat Duplec Recpt Ceding 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 FixtureTime Clocks
Disconnect 200a Switches Twist Lock Exit Fixtures TVSS
Other Equipment. 200a service to mobile home
Notes.
Inspector Signature: Date: April 15 2019
81-Cert Electrical Compliance Form As
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�VIFFBUILDING DEPARTMENT- Electrical Inspector
�p TOWN OF SOUTHOLD
Town Hall Annex- 54375 Main Road - PO Box 1179
o • Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
roger.rich ertncr town.southold.ny.us
APPLICATION FOR ELECTRICAL INSPECTION
EQU ESTED BY: - - - - Date: f3 f -
ompany Name: ^f9 �dC-) Mc— ztC'
ame: vCs� C rC—
icense No.: /c�C�S�h� email: T uC- 7c----( C--T ji�At` Cresn'�
ddress: k;6- s6 u rI-lo i c)
hone-No.: 6v,V '767-
OB
6 7-
OB SITE INFORMATION: (All Information Required)
fame: C_�VA 6th
ddress: a p I'YI141 R �� �-V�C U (,
:ross Street:
hone No.:
Idg.Permit Ll 35S email:
ax Map District: 1000 Section: I p Block: Lot:
!RIEF DESCRIPTION OF WORK (Please Print Clearly)
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.ircle All That Apply:
job ready for inspection?: OyNO Rough In Final
to you need a Temp Certificate?: YES / NO Issued On
'ernp Information: (All information required)
e vice,Size 0 3 Ph Size:o� A #Meters Old Meter#
levy Service- Fire Reconnect- Flood Reconnect- Service Reconnected- Underground- Overhead
Underground Laterals C1) 2 H Frame Pole Work done on Service? Y N
Ldditional-Information: (2
00
5WV PAYMENT DUE WITH APPLICATION CJk
Request for Inspection Formals