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Home My WebLink About45532-Z �o�V�OEFOt Town of Southold 3/5/2022 P.O.Box 1179 0 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 4288.1 Date: 3/5/2022 THIS CERTIFIES that the building ELECTRICAL Location of Property: 1165 West Rd., Cutchogue SCTM#: 473889 Sec/Block/Lot: 110.-7-2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/3/2020 pursuant to which Building Permit No. 45532 dated 12/3/2020 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 electric service for dwelling_ The certificate is issued to Schwartzman,Allan of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45532 1/20/2022 PLUMBERS CERTIFICATION DATED Authorized ignature fes`�fot� ��OS�) KCot Town of Southold 3/5/2022 P.O.Box 1179 o { 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42882 Date: 3/5/2022 THIS CERTIFIES that the building ELECTRICAL Location of Property: 1165 West Rd., Cutchogue SCTM#: 473889 Sec/Block/Lot: 110.-7-2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/3/2020 pursuant to which Building Permit No. 45532 dated 12/3/2020 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: electric service for pool house. The certificate is issued to Schwartzman,Allan of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45532 1/20/2022 PLUMBERS CERTIFICATION DATED Authorized S ature guFfo TOWN OF SOUTHOLD BUILDING DEPARTMENT y TOWN CLERK'S OFFICE 0 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#: 45532 Date: 12/3/2020 Permission is hereby granted to: Schwartzman, Allan 28 W 25th St New York, NY 10010 To: 200A underground electric meter and service. At premises located at: 1165 West Rd., Cutchogue SCTM # 473889 Sec/Block/Lot# 110.-7-2 Pursuant to application dated 12/3/2020 and approved by the Building Inspector. To expire on 6/4/2022. Fees: ELECTRIC $170.00 Total: $170.00 Building-Inspector OF SO!/l�ol Town Hall Annex ~ Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 0! • aoQ sean.devlinCaD-town.southold.ny.us Mum BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Allan Schwartzman Address: 1165 West Rd City:Cutchogue st: NY zip: 11935 Building Permit#: 45532 Section: 110 Block: 7 Lot: 2 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Custom Lighting of Suffolk License No: 38893ME SITE DETAILS Office Use Only Residential X Indoor Basement Service X Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey X 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 200X2 A/C Condenser Single Recpt Recessed Fixtures CO2'Detectors Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 4'LED Exit Fixtures Pump Other Equipment: 400A Service w/ (2) 200A Transfer Switches Notes: New Service Inspector Signature: Date: January 20, 2022 S. Devlin-Cert Electrical Compliance Form SOUlyolo -- # # TOWN OF SOUTHOMBUILDING 'DEPT. �o • �o `ycourm, 765-1802 INSPECTION'' [ ] 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 - ` /��Q-MPECTOR o��S�ffOl,�c OGy� BUILDING DEPARTMENT-Electrical Inspector o TOWN OF SOUTHOLD ;5 VA Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959 o' �a0�� Telephone (631 765-1802-FAX(631) 765-9502 Temporary Certificate # Date 2020 Customer Name h Electrician Name k Address �J5, if a Phone Z4 e-mail e-mail CLOSS170 �1, Phone 67 5 j q-S-q License# 8 _ Size__SOC/A Phase_Overhead Underground #of Meters 'Remarks #of Underground Laterals1 2-' New "H" Frame or Pole H� P Fire 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 r 9 ay fr the d above. Authorized by '0 ONG, CY. DIST. RT. FOLIO S. PSE ILSLAND= ❑ RATE ODE APPLICATION&CONTRACT ELECTRIC APPLICANT'S LAST FIRST MIDDLE P FULL NAME Schwartzman Allan SERVICE NUMBER STREET APT.NO. VILLAGE NY ZIP R ADDRESS 1165 West Road Cutchogue 11935 NEAREST CROSS PREMISES STARTING TELEPHONE ❑ HOME N OTHER O OWN iSTREET OCCUPIEDAS ON DATE 646-675-8954 ❑RENT MAILING ADDRESS EMAIL (IF OTHER THAN ABOVE)Same elsa@allanschwartzman.com FORMER ADDRESS NUMBER OF FORMER ACCOUNT# YEARS HERE T EMPLOYED ADDRESS OCCUPATION TELEPHONE NUMBER OF BY YEARS HERE THE APPLICANT AGREES THAT HE OR SH WILL PAY THE APPLICABLE RATES AND CHARGES FOR THE ELECTRIC SERVICE HEREIN REQUESTED AND TO BE BOUND BY AND COMPLY WITH THE RULES AND REGULATIONS OF THE COMPANY. - APPLICABLE THERETO.PSEG Long/slit d LLC and its operating subsidiary have been appointed as agent by the Long Island Power Authority to provide the day-to-day management and operations services of its electric utility system. 11/04/2020 SIGNATURE OF APPLICANT/AGENT DATE AGENT—ALSO PRINTYOUR NAME ON LINE DATE ❑ON ❑ RATE GE ❑ OB NO. AMOUNT RECEIPT NO. PAID ACCEPT. DATE PSEG LONG ISLAND CERTIFICATE OF COMPLIANCE New Electric Service to: Existing Residential Construction -or- ❑ New Residential Construction Expansion of Electric for Purpose of: ❑Providing Electric Heat -or- ❑ New Building Addition The undersigned certifies that the: * or 2 Family Residence -or- ❑ Multi-Family Residence -or- ❑Mobile Home ❑Existing dwelling -or- ❑Addition to existing dwelling described above is or will be in compliance with the"Minimum Insulation Standards for Residential Construction of Buildings" issued by the New York State Public Service Commission and adopted by PSEG Long Island, not later than 30 days after time of occupancy or 30 days after completion of expansion of existing electric service for the purpose of providing electric heat. It is understood that electric service will not be connected or will be disconnected (as is the current practice)if upon inspection the structure is found not to be in compliance with the conditions set forth. The undersigned certifies that a properly executed copy of this certificate will be delivered to the owner prior to closing in the case of new construction, or,on completion of the new building addition,or, in the case of expansion of existing electric service for the purpose of providing electric heat, on completion of the rk;and agrees that any successor in title shall be deemed a beneficiary of the undertakings described in t ' certificate. DA ED S ATURE OF BUILDER OR CONTRACTOR----,,,,,, 814 ®r_�_3 41NIG DEPARTMENT-Electrical Ins (j''�� TOWN..OF SO:UTHOLbD s. �. ..1-� 3 D a_ DEC � wn Hall Annex - 54375 Main Rod PO Box 1179 , - Southold,, New York 119 - 59NOV 2 3 2020 '`t �fj1 I�.I�ane fi1:1 765=1.802 - FAX (631) 765-9502 *�;L v,04 err southoldtownn ev - wand out I QWN�� I TrHOLD I SA "< N M&ELECTRICAL tN PECTf0 ELECTRICIAN INFORMATION (All [nfomiatronRequited} ' :Date; Company Name-- .Custom Lighting of Suffolk flame: Benjamin Doroski License No.. 388.93-ME err.arly . CLOS5170@grnail.com Addr..ess PO 136--k"1698 Nlattituc - NY'1195Z --__...... - _,.. ........... ......... Phone No 631-298=4588 ...._.. . _ -- JOB SITE INFORMATION (All Information Required), Name ..................._: .....:,::-..:__:_. . - :::: --._.......:.. - - Address Cutcho ue' NY 1 335 Cross Street: . Phone No...- ............. :... Bldg.Permit#: 5��j email: elsa allanschwartzman com Tax„Map:._DistriG#h ..1000. Sectior>r..- 10 7 .:. x .:... Block ..LQt : 2 . ::. ......... _ .. $Rloll , IFF DECFIPTfON.OF WC1RI (fleas Pnn#C.IeacIW1 �O.lr C,(Tt AARs:>G.uc.. x.41 - . : .... Circle All That Apply: �, ten a �h- Is job ready for inspection?: NQ. Rou In. Do you need a Temp Certificate?: NO' . Issued On �t r� .G .....' Temp I formation: (All informatiofi:required) 1\ Service Size Ph 3 Ph size.: A :Old Meter# . ..:.. WS—e_ ” - Fire:Reconnect- Flood Reconnect- Vic econneete. hderground - Overhead Underground Laterals 1 rame Polo Work done on Service? Y N _........_. Additional"lnformatiort : . _ PAYMENT DUB 1lV'ITH...A PLICATI0►N Request for Inspeefion f=orm;:xis �` (�