HomeMy WebLinkAbout46428-Z �g�1F0i ��, Town of Southold 8/16/2021
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CERTIFICATE OF OCCUPANCY
No: 42243 Date: 8/16/2021
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 38030 Route 25,Cutchogue
SCTM#: 473889 Sec/Block/Lot: 85.-3-8
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
6/15/2021 pursuant to which Building Permit No. 46428 dated 6/15/2021
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 underground electric service.
The certificate is issued to Krupski Jr,Albert
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 46428 6/12/2021
PLUMBERS CERTIFICATION DATED
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Authorized Signature
�gOFF01p�, TOWN OF SOUTHOLD
BUILDING DEPARTMENT
C* TOWN CLERK'S OFFICE
15, • �� 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#: 46428 Date: 6/15/2021
Permission is hereby granted to:
Krupski Jr, Albert
2790 Skunk Ln
Cutchogue, NY 11935
To: electric service only.
At premises located at:
38030 Route 25, Cutchogue
SCTM # 473889
Sec/Block/Lot# 85.-3-8
Pursuant to application dated 6/15/2021 and approved by the Building Inspector.
To expire on 12/1512022.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 sean.devlin(C� own.souy'
tthold.n us
Southold,NY 11971-0959
COMM
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Albert Krupski Jr
Address: 38030 Route 25 City:Cutchogue St: NY zip: 11935
Building Permit#: 46428 Section: 85 Block 3 Lot: 8
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Platinum East Electric License No: 34091 ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service X
Commerical Outdoor X 1st Floor Pool
New X Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph X Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 200A A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors
Sub Panel A/C Blower Range Recpt Ceding Fan Combo Smoke/CO
Transformer UC Lights Dryer Recpt Emergency Fixture Time Clocks
Disconnect Ell Switches 4'LED Exit Fixtures Pump
Other Equipment:
Notes, New Service
Inspector Signature: �� Date: June 12, 2021
S.Devlin-Cert Electrical Compliance Form.xls
�o�aOF SOUIyO� 4 6` L-t
* # TOWN"OF SOUTHOLD BUILDING D` EPT.-
couto", 765-1802
ANSPECTION
[ ] FOUNDATION 1ST [ ] 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: (
DATE INSPECTOR ��-
s�FF �� 9BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
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Telephone 631 765-1802 - FAX 631 765-9502
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roger.riche rt(c-town.south old.ny.us
APPLICATION FOR ELECTRICAL INSPECTION
EQUESTED BY: I��i7-t+ Date:
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ompany Name: �qs c r C Inc,
ame: I erm
License No.: 110all ME email: Plahaym as a byp CB
Address: ` eQ Sour c.
Phone No.: (a31 - rZ&,'g--I Y'o2
JOB SITE INFORMATION: (All Information Required)
Name: rU
Address: 3 ®30
Cross Street:
Phone No.:
Bldg.Permit#: "I 0�0 email:
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
D �wz^
Circle All That Apply:
Is job ready for inspection?: YE / NO Rough In Fin
Do you need a Temp Certificate?: Y / NO Issued OnS
Temp Information: (All information required)
Service Size 1 P 3 Ph Size: ke) A # Meters Old Meter#
New Service - Fire Reconnect- Flood Reconnect-Service ReconnectedCUndergrou Overhead
#Underground LateraI6 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
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Request for Inspection FormAs � i`