HomeMy WebLinkAbout43929-Z .^rs"
¢ g11fF0IKcoGy Town of Southold 4/10/2023
a P.O.Box 1179
co 53095 Main Rd
oy o� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40640 Date: 8/20/2019
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 610 East Rd, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 110.-7-19
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/3/2019 pursuant to which Building Permit No. 43929 dated 7/3/2019
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:
"as built" 100a electrical service with ground rod, coldwater ground and 20 circuit panel.
The certificate is issued to 610 East Rd LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 43929 7/29/2019
PLUMBERS CERTIFICATION DATED
uthorized Si nature
4�SUFFnt,r�oTOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
o . 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#: 43929 Date: 7/3/2019
Permission is hereby granted to:
610 East Rd LLC
903 Poplar Hill Rd
Baltimore, MD 21210
To: as built" electrical service and panel
At premises located at:
610 East Rd, Cutchogue
SCTM # 473889
Sec/Block/Lot# 110.4-19
Pursuant to application dated 7/3/2019 and approved by the Building Inspector.
To expire on 1/1/2021.
Fees:
ELECTRIC $180.00
Total: $180.00
Bui spector
oF sovj�®�
Town Hall Annex a ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 • �O sean.devlinic7i town.southold.ny.us
COUNT`6,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To. 610 East Road LLC
Address: 610 East Rd city Cutchogue st: NY zip: 11935
Building Permit#: 43929 Section: 110 Block: 7 Lot- 19
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 X Service Only X
Commerical Outdoor X 1st 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 100A A1C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A1C Blower .Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks
Disconnect Switches Twist Lock Exit Fixtures TVSS
Other Equipment Ground rod, Coldwater ground, 20 circuit panel
Notes: "AS BUILT " "NO VISUAL DEFECTS"
Inspector Signature: _ Date: July 29, 2019
S.Devlin-Cert Electrical Compliance Form.xls
L4 9 2,9
BOE soUIH
* # TOWN OF SOUTHOLD BUILDING DEPT.
765-1862
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 (FINAL) Vl
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
1,7
DATE INSPECTOR
F�BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
f
JUL - 3 2019 Town Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
B171-7-'Du rD ".��T roger.richertp_town.southold.ny.us
APPLICATION FOR ELECTRICAL INSPECTION
MR,, Ann � - �-� A� tu Date: Ju- 3 2,0REQUESTED BY: �
Company Name: �L
Name:
License No.:
email: Meo—q'�
Address: 00 R
Phone No.:
JOB SITE INFORMATION: (All Information Required)
Name: :-TS
Address. L
Cross Street: 7 G q,06Phone No.:
email:
B(dg.Permit#:
Tax Map District: '[000 Section:
( Block: hot=
BRIEF DESCRIPTION OF WORK(Please Print Clearly)
Circle All That Appy: Final
Is job ready for inspection?: _ YES / NO Rough In
Do you need a Temp Certificate?: YES l� Issued On
Temp Information: information required)
Meters Old Meter#
Service Size 1 Ph 3 Ph Size: A #
New Service- Fire Reconnect- Flood Reconnect- Service Reconnected - Underground-Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
82-Request for Inspection Form As
l