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Home My WebLink About47080-Z �O��SUFFO1,�cOG� Town of Southold 1/8/2022 N P.O.Box 1179 CO • 2-1 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42670 Date: 1/8/2022 THIS CERTIFIES that the building ELECTRICAL Location of Property: 915 CR 48, Southold SCTM#: 473889 Sec/Block/Lot: 69.-2-3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 11/4/2021 pursuant to which Building Permit No. 47080 dated 11/4/2021 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: 200 amp underground electric service. The certificate is issued to Doroski Fmly Lmtd Prtnrsh of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47080 PLUMBERS CERTIFICATION DATED 12/21/2021 Authorized Signature TOWN OF SOUTHOLD �o�OcpFfal��pGy BUILDING DEPARTMENT 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#: 47080 Date: 11/4/2021 Permission is hereby granted to: Doroski Fmly Lmtd Prtnrsh 38400 CR 48 Southold, NY 11971 To: 200A underground electric service. At premises located at: 915 CR 48, Southold SCTM #473889 Sec/Block/Lot# 69.-2-3 Pursuant to application dated 11/4/2021 and approved by the Building Inspector. To expire on 5/6/2023. Fees: ELECTRIC $125.00 Total: $125.00 Building Inspector o��OF SOUTyoI Town Hall Annex a Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Q roger.richert(D-town.southold.ny.us Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: doroski Family Limited Partnership (Cifarelli's Nursery) Address: 915 CR 48 City: Southold St: New York Zip: 11971 Building Permit#: 47080 Section: 69 Block: 2 Lot: 3 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: First Class Electric License No: 34075-ME SITE DETAILS Office Use Only Residential Indoor X Basement Service Only X Commerical X Outdoor X 1 st Floor X 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 1 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 11 TVSS Other Equipment: 200a underground service with 40 circuit main panel. Notes: Inspector Signature: Date: December 212021 81-Cert Electrical Compliance Form.xls �g11FF0�,�co , =�0 Gyp BUILDING DEPARTMENT-Electrical Inspector ti = TOWN OF SOUTHOLD 1;- n, oy Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959 Telephone (631) 765-1802-FAX(631) 765-9502 Temporary Certificate # r Date Wveno 4 2021 Customer Name Doc S Nure Electrician Name ri Csl 01Cle, ( -i t -rc-, Address 915 C 11 71 Phone S(p OR A AW-TI v mail Phone ( — License# 'bad 7 5- M Size 2LD0 A Phase Overhead Underground X #of Meters �- Remarks #of Underground Laterals 2 New "H" Frame or Polel H PFire Reconnect Was work done on Service? Y/N Flood Reconnect Old Meter,# Service Reconnected Application for electrical service equipment is on file with the town of Southold.On the applicant's notification that this installation is complete,the town will conduct a premises inspection of the service equipment. This verification is valid for 90 s from the date a e. Authorized by r o�gfiOL,� o� BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD v ' Town Hall Annex-54375 Main Road- PO Box 1179 o • Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631)765-9502 .i roaerr ansoutholdtownnv.aov- sedrid &sai&ial QiM6 n�t.a+3y , _., APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: t-l -5 �=.� Company Name: F611 t SI Cut A- Z y Electrician's Name: License No.: 3 C Elec. email: & Of �.✓It , Elec. Phone No: �(�—8/�`3 request an email copy of Certificate of Compliance Elec. Address.: I 1l2r S Ct P-1Lr�2 keA4 10 o JOB SITE INFORMATION (All Information Required) 1. . Name: CTA-"l,(S _I'I�"K-T Address 115, Co V It Ler SotAA41AJ_ U01-44 Cross Street: A- [ w I Pur 0 Phone No.: te 3 1— - �-� Bldg.Permit#: o 10 email: *11GI✓ Wl Tax Map District: 1000 Section: Block: a Lot: 3j 9 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): W 14\ LtD CA'jt Square Footage: Circle All That Apply: r Is job ready for inspection?: YES_ NO Rough In Final Do you need a Temp Certificate?: YES NO Issued On Cly\aoj� Temp Information: (All information required) Service Size 1 Ph 3 Ph Size: cA O O A #Meters Old Meter# New Service Fire Reconnect Flood Reconnect Service Reconnect Underground, Overhead #Underground Laterals 1 2 H Frame Na Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION o ID nn NOV 0 2021 �N BUILDING DEPT. TOWN OF SOUTHOLD `� r