HomeMy WebLinkAbout44105-Z �o�OS�FF G Town of Southold 8/28/2021
P.O.Box 1179
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CERTIFICATE OF OCCUPANCY
No: 42301 Date: 8/28/2021
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 8305 Cox Ln.,Cutchogue
SCTM#: 473889 Sec/Block/Lot: 84.-3-1.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/28/2019 pursuant to which Building Permit No. 44105 dated 8/28/2019
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:
400a three phase overhead electric service.
The certificate is issued to Prime Purveyors Inc
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 44105 8/24/2021
PLUMBERS CERTIFICATION DATED
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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
co z TOWN CLERK'S OFFICE
oy • � �' 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#: 44105 Date: 8/28/2019
Permission is hereby granted to:
Prime Purveyors Inc
PO BOX 201
Peconic, NY 11958
To: 400A electrical service reconnect.
At premises located at:
8305 Cox Ln., Cutchogue
SCTM #473889
Sec/Block/Lot# 84.-3-1.1
Pursuant to application dated 8/28/2019 and approved by the Building Inspector.
To expire on 2/26/2021.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Insp ctor
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Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 ® y� sean.devlinCa)-town.southold.ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Prime Purveyors Inc
Address: 8305 Cox Ln city:Cutchogue sr NY zip: 11935
Building Permit#• 44105 Section: 84 Block: 3 Lot 1.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Lademann Electric Inc License No: 4141 ME
SITE DETAILS
Office Use Only
Residential Indoor X Basement Service X
Commerical X Outdoor X 1 st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
Service 3 ph X Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 200X2 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 Switches 4'LED Exit Fixtures Pump
Other Equipment.
Notes: 400A 3Phase Service w/ (2) 200A Panels
Inspector Signature: C Date: August 24, 2021
S Devlin-Cert Electrical Compliance Form
OF SOUIyp LI l O� '.5,
TOWN OF 'SOUTHOLD BUILDING-DEPT.
`yc0urm��' 765-1802
ANSPECTION'
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION -
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) WELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS: WA-
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DATE INSPECTOR r
60ILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
wn Hall Annex - 54375 Main Road - PO Box 1179
°iD 2a 2� Southold, New York 11971-0959
l,ibjeione (631) 765-1802 - FAX (631) 765-9502
roper.richertna.town.south old.n
APPLI" aTION FOR ELECTRICAL INSPECTION
REQUESTED--BY: - - Date: - - -
Company Name: aiin n�
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Name: AD
License No.: email: 0
Address: I,, AVEL C;4 4_0 110 Al
Phone No.:
JOB SITE INFORMATION: (All Information Required)
Name:
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Address: — /
Cross Street:
Phone No.: - - Q
BIdg.Permit#: 9 W l D S email:
Tax Map District: 1000 Section: � Block: Lot:
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Circle All That Apply:
Is job ready for inspection?: NO Rough In pp Final
Do you need a Temp Certificate?: QEPNO Issue n
Temp Information: (All information required)
Service Size 1 Ph oPh Size: ��A # Meters 15 Old Meter#
New Service - Fire Reconnect- Flood ReconnectS re ice Recote Underground erhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
Request for Inspection FormAs 49
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