HomeMy WebLinkAbout46704-Z zs-
s�FF0I=cY Town of Southold
8/28/2021
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P.O.Box 1179
53095 Main Rd
G��jo� �ao� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42300 Date: 8/28/2021
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 8305 Cox Ln, Cutchogue
SCTM#: 473889 See/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
8/17/2021 pursuant to which Building Permit No. 46704 dated 8/17/2021
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 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. 46704 8/24/2021
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
H z TOWN CLERK'S OFFICE
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#: 46704 Date: 8/17/2021
Permission is hereby granted to:
Prime Purveyors Inc
PO BOX 201
Peconic, NY 11958
To: Electric Service
At premises located at:
8305 Cox Ln, Cutchogue
SCTM #473889
Sec/Block/Lot# 84.-3-1.1
Pursuant to application dated 8/17/2021 and approved by the Building Inspector.
To expire on 2/16/2023.
Fees:
ELECTRIC $85.00
Total: $85.00
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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 ® iQ sean.devlinCiNown.southold.nV.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To. Prime Purveyors Inc
Address: 8305 Cox Ln city,Cutchogue st: NY zip: 11935
Building Permit#: 46704 section: 84 Block- 3 Lot- 1.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: East County Electric License No: 1005M
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service X
Commerical Outdoor X 1st Floor Pool
New X 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 1 Wall Fixtures Smoke Detectors
Main Panel 200A A/C Condenser Single Recpt 1 Recessed Fixtures CO2 Detectors
Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO
Transformer UC Lights Dryer Recpt Emergency Fixture Time Clocks
Disconnect Switches 4'LED Exit Fixtures Pump
Other Equipment. 32 Circuit Panel
Notes* New 200A 3Phase Service
Inspector Signature: Date:
August 24, 2021
S Devlin-Cert Electrical Compliance Form
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# # TOWN, OF SOUTHOLD BUILDING DEPT.
`ycoum, 765-1802
z. l-N'SPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] 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
3
OyOSUEEQ��',D� AUG � 7 2021 �---BUILDING DEPARTMENT
TOWN OF SOUTHOLDaI Inspector
O =` Town Hall Annex - 54375 Main Road - PO Box 1179
f, 0 Southold, New York 11971-0959
oy�� ��4 Telephone (631) 765-1802 - FAX (631) 765-9502
' ' rogerr(a-)_southoldtownny.gov — seand(aD_southoldtownny.aov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: e—(7 0(n9-(
Company Name: ?
Name:
License No:: Je96-5 n�7 email: xL zc
Phone No:6ar-767- Sas4 2rrequest an email copy of Certificate of Compliance
Address.: �1 e ny, Rd, Sa0T;-/o k,)\,( (l q
JOB SITE INFORMATION, (AII Information Required)
Name: Pi-tin^Ec�6ZV��a�'S
Address: , CoYC (.ten& C vT?:J\6 L:)&--
Cross
&Cross Street: PprTg
Phone No.:
Bldg.Permit#:' Q email:
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Check All That Apply:
Is job ready for inspection?: YES ❑NO ❑Rough In ❑Final
Do you need a Temp Certificate?: ❑YES ❑NO Issued On
Temp Information: -"'h (AII information required)
Service,Size [--11 Ph Size: 46b A # Meters Old Meter#
❑New Service 1fService Reconnect ❑ Underground Overhead
# Underground Laterals ❑1 ❑2 ❑H Frame ❑Pole Work done on Service? Zlyl ❑N
Additional Information:
PAYMENT DUE WITH APPLICATION
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Electrical Inspection Form 2020.xlsx
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