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Home My WebLink About44197-Z �Q�SU t� � Town of Southold 10/8/2019 j P.O.Box 1179 C3 W { 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40755 Date: 10/8/2019 THIS CERTIFIES that the building ELECTRICAL Location of Property: 4200 Depot Ln, Cutchogue SCTM#: 473889 See/Block/Lot: 96.-5-10.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/23/2019 pursuant to which Building Permit No. 44197 dated 9/23/2019 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 PAN The certificate is issued to Valerioti,Guy&Danielle of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 44197 09-27-2019 PLUMBERS CERTIFICATION DATED Authorized Signa ure " TOWN 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#: 44197 Date: 9/23/2019 . Permission is hereby granted to: Valerioti, Guy 4200 Depot Ln Cutchogue, NY 11935 To: New meter pan At premises located at: 4200 Depot Ln, Cutchogue SCTM # 473889 Sec/Block/Lot# 96.-5-10.1 Pursuant to application dated 9/23/2019 and approved by the Building Inspector. To expire on 3/24/2021. Fees: ELECTRIC $85.00 Total: $85.00 Bu g Inspector s so Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 117 Southold,NY 11971-0959 sean.devlin(c�town.southold.ny.us sf` c®U +� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To Guy Valerioti Address: 4200 Depot Ln city:Cutchogue st. NY zip: 11935 Building Permit# 44197 Section: 96 Block 5 Lot 10.1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA. Gerarti Electrical License No- 40564-ME 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 Attic Garage INVENTORY Service 1 ph X Heat Duplec Recpt Ceding Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel 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 7Qq Switches Twist Lock Exit Fixtures Combo SD/CO Other Equipment Meterpan with a 70A Disconnect in basement of main house. Notes Inspector Signature: Date: September 27, 2019 S Devlin-Cert Electrical Compliance Form As g%3fFO(,t- BUILDING DEPARTMENT- Electrical Inspector a�o� COGy� TOWN OF SOUTHOLD o z Town Hall Annex 54375 Main Road ? Box 1179 '�+ - Southold, New York 11971-165'9 SFP CA �yjj�� Telephone (631) 765-1802 - FAX (6 1) 765=9301 3 2019 rogerr(c_southoldtownny.gov - seand(cD-southoldtowpnlnnyy.�go77��v gg LI L13�.1"DING D; r3� APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (Ali Information Required) Date: ?lz.3 I Company Name: C' f,Vs-rr ' F-t4C4-eL C 4- Name: Name: (7�e-&t 2�v ' c� License No.: 4f 0,� 6U=i email: Z-t Ve-Lo i 1-z o Address: 3 Lt cJ I- S 2 e t�7 Phone No.: & 3 / +� JOB SITE INFORMATION (All Information Required) Name: L-o 62a=laeuke &- 1 l� Address: Z00 e Cross Street: "'C'- Phone No.: Bldg.Permit#: email: Tax Map District: 1000 Section: Block: Lot: d BRIEF DESCRIPTION OF WORK (Please Print Clearly) cQ� e fA-P—-�e r �oy✓I + co- P 6L &e I2 U I c� Com' La'k e Circle All That Apply: Is job ready for inspection?: �NO Rough In Final Do you'need a Temp Certificate?: YES 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 Reconnected - Underground - Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION �eC 8s- Request for Inspection Form As ^ �/�