The URL can be used to link to this page

Home My WebLink About43970-Z o�QS�FF01p�, Town of Southold 4/10/2023 OG r P.O.Box 1179 N 53095 Main Rd l Southold,New York 11971 �'flpl � ,�a tisr CERTIFICATE OF OCCUPANCY No: 40565 Date: 7/30/2019 THIS CERTIFIES that the building ELECTRICAL Location of Property: 32345 Route 25, Cutchogue SCTM#: 473889 See/Block/Lot: 97.-5-5 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/16/2019 pursuant to which Building Permit No. 43970 dated 7/16/2019 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: ELECTRIC METER PANEL REPLACEMENT The certificate is issued to Doroski,Michael&Ors of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 43970 07-26-2019 PLUMBERS CERTIFICATION DATED Authori Signature TOWN OF SOUTHOLD �O�g�FFO(�cay�y BUILDING DEPARTMENT ' TOWN CLERK'S OFFICE z 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#: 43970 Date: 7/16/2019 Permission is hereby granted to: Doroski, Michael 2305 Yennecott Dr Southold, NY 11971 To: Electric At premises located at: 32345 Route 25, Cutchogue SCTM # 473889 Sec/Block/Lot# 97.-5-5 Pursuant to application dated 7/16/2019 and approved by the Building Inspector. To expire on 1/14/2021. Fees: ELECTRIC $160.00 Total: $160.00 Building Inspector ®��oF so�l�®l Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G ® Q sea n.devlin(-town.southold.ny.us Southold,NY 11971-0959 ®�yCoUNT1,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Michael Doroski Address: 32345 Route 25 city:Cutchogue st: NY zip: 11935 Building Permit& 43970 Section: 97 Block: 5 Lot: 5 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: License No: SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only X Commerical Outdoor X 1 st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph X 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 Switches Twist Lock Exit Fixtures TVSS Other Equipment Notes. Inspector Signature: Date: July 26, 2019 S.Devlin-Cert Electrical Compliance Form.xls 1 76 OF 50(/lyo TOWN OF SOUTHOLD BUILDING DEPT. �o • �o 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY , [ ] FIRE SAFETY INSPECTION [" ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINALFP-A*L- [ ] CODE VIOLATION ] CAULKING REMARKS: Lr DATE l INSPECTOR fat R:31 r G DEPARTMENT- Electrical Inspector �o dry I TOWN OF SOUTHOLD Town HR_ nnex - 54375 Main Road - PO Box 1179 JUL 1 6 2019 Southold, New York 11971-0959 '�O1a Telephone (631) 765-1802 - FAX (631) 765-9502 BUMD GDEVE roger.richertptown.southold.ny.us TOWN.OF SOUTH01ID APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: C�Y/s��1a/��i�� Dr®� Date: Company Name: Name: License No.: e mail: C 6 b o ro SAI oif, Address: Phone No.: 6 31 tl6 l SIT 7 JOB SITE INFORMATION: (All Information Required) / Name: L ®r�0S Al' - - - --- �� r� ��n �► Address: I-� 2a il? C,4 Cross Street: arbor Phone No.: 31 q6 BIdg.Permit#: 24b email: ac`l3 o 1os1�' ,r9 H�&Af Tax Map District:, 1000 Section: Block: BRIEF DESCRIPTION OF WORK(Please Print Clearly) Circle All That Apply: Is job ready for inspection?: YE I NO Rough In Final Do you need a Temp Certificate?: YES I OPO Issued On Temp Information: (All information required) Service Size 1 Ph 3 Ph Size:' 6 0 A #Meters Old Meter# New Service- Fire Reconnect- Flood Reconnect- Service Reconnected - Underground-Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y N_____j Additional Information: - RAY-MENT-DIJE WITH APPLICATION GVL-d 82-Request for inspection ForrnAs i