HomeMy WebLinkAbout46313-Z " Spaf l Town of Southold 6/6/2021
o P.O.Box 1179
-
W
- ,t 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42069 Date: 6/6/2021
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 32320 Route 25, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 97.-5-13
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/26/2021 pursuant to which Building Permit No. 46313 dated 5/26/2021
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:
200a overhead electric service.
The certificate is issued to Crossroads Atlantic LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 46313 5/27/2021
PLUMBERS CERTIFICATION DATED
Authorized Signature
�SUFfQI,��oG
TOWN OF SOUTHOLD
��o y BUILDING DEPARTMENT
C4 x TOWN CLERK'S OFFICE
W�ti • 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#: 46313 Date: 5/26/2021
Permission is hereby granted to:
Crossroads Atlantic LLC
9 W 57th St Ste 4500
New York, NY 10019
To: electric inspection for PSEG
At premises located at:
32320 Route 25, Cutchogue
SCTM #473889
Sec/Block/Lot# 97.-5-13
Pursuant to application dated 5/26/2021 and approved by the Building Inspector.
To expire on 11/25/2022.
Fees:
ELECTRIC $0.00
Total: $0.00
'ding Inspector
OF SOU��®�
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 • �� roger.richertCa)_town.southold.ny.us
®I�YCOW,(,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Crossroads Atlantic LLC
Address: 32320 Route 25 City: Cutchogue St: New York Zip: 11935
Building Permit#. 46313 Section 97 Block: 5 Lot: 13
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
contractor: DBA: Laurel Lighting Inc License No: 4718-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service Only X
Commerical Outdoor X 1st Floor Pool
New x 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 1E
Other Equipment: New 200a overhead service
Notes:
Inspector Signature: Date: May 27 2021
IF
81-Cert Electrical Compliance Form.xls
ho��pF SO(/Tyo6
# # TOWN OF.SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ]. FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING/STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY, ` [ ] FIRE SAFETY-INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
DATE47.-7 INSPECTOR
�FFQ[ -, 6U - Electrical Inspector
ILDING DEPARTMENT
�
�O �1ri LIPTOWN OF SOUTHOLD
Town/Ball Annex - 54375 Main Road - PO Box 1179
C*' --
MAY 2 5 2021 Southold, New York 11971-0959
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4,- Telephone (631) 765-1802 - FAX (631) 765-9502
aQ_rr(a�southoldtownny.gov seand[a�southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name:" L.a•v feL L, 10EY\ 3y VAC -
Name:
License No.: /-) 7/9 Al E email:
Address: m 2� /--ava L Ila�10
Phone No.: /
JOB SITE INFORMATION (All Information Required)
Name: C('OS.Sr('aI"TiL LLL X.
Address: 3a,320 aDule C)TC.ko Ue 11l LN3_5'
Cross Street: Or l✓� .
Phone No.
Bldg.Permit#: email: VinceL Pet:m eler A Pnc, Co
Tax Map District: 1000 Section: -7 �BI'ock:Y SLot: l3
BRIEF DESCRIPTIONI:OF WORK (Please Print Clearly) - , RPo a/y\P 'S--myrbL
Circle A(l That Apply: � 't'��
Is job ready for inspection?: YES -- Bough In Fina(
..-.Do you need a.Temp Certificate?:-_.. ES - _..-.,. -Issued-On
Temp-Information:- _... __(AII_info,rmation required)-
Service Size Ph 3 Ph Size: 2op —A # Meters Old Meter#
New Service - Fire"Reconnect -Flood Reconnect --Service Reconnected - Undefg�ouncl verhead
#-Underground-Laterals 1--__ 2- H_Frame -_ Pole Work done on.Service?_ Q__N
Additional Information:
PAYMENT DUE WITH APPLICATION
Request for Inspection Form-xis
PERMIT# Address:
Switches
Outlets
-
Surface �-
Sconces
HH's
UC Lts -
Fans Fridge HW -
Exhaust Oven Dryer
Smokes DW.,r __. . ___ _ _ Service-
Carbon - .,Micro, Generator's
Combo Cooktop Transferl
AC _ _ AH _ ; Mini
Special:
Comments.
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