HomeMy WebLinkAbout47875-Z Town of Southold 6/27/2022
P.O.Box 1179
o 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43190 Date: 6/22/2022
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 48455 CR 48, Southold
SCTM#: 473889 Sec/Block/Lot: 55.-2-10.3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/31/2022 pursuant to which Building Permit No. 47875 dated 5/31/2022
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 for farm.
Corrected 6/27/2022 for Certificate of Occupancy number only.
The certificate is issued to Moffat Farm North LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 47875 6/15/2022
PLUMBERS CERTIFICATION DATED
Authorized Signature
3 OFFO kir
opo CSG 5 Town of Southold 6/22/2022
y` P.O.Box 1179
o _ 53095 Main Rd
Southold,New York 11971
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CERTIFICATE OF OCCUPANCY
No: 43175 Date: 6/22/2022
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 48455 CR 48, Southold
SCTM#: 473889 Sec/Block/Lot: 55.-2-10.3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/31/2022 pursuant to which Building Permit No. 47875 dated 5/31/2022
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 for farm.
The certificate is issued to Moffat Farm North LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 47875 6/15/2022
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
��o�SofFot,r�oG� BUILDING DEPARTMENT
yTOWN CLERK'S OFFICE
"oy • o�� 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#: 47875 Date: 5/31/2022
Permission is hereby granted to:
Moffat Farm North LLC
Tina J Koslosky manager
48125 CR 48
Southold, NY 11971
To: Electric service for farm
At premises located at:
48455 CR 48, Southold
SCTM #473889
Sec/Block/Lot# 55.-2-10.3
Pursuant to application dated 5/31/2022 and approved by the Building Inspector.
To expire on 11/30/2023.
Fees:
ELECTRIC $125.00
Total: $125.00
Bu ing Inspector
SOUryol
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 �@ sean.devlinCa-)town.south old.ny.us
Southold,NY 11971-0959 - OIyCQU�e��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Moffat Farm North LLC
Address: 48455 CR 48 City:Southold St: NY zip: 11971
Building Permit#: 47875 Section: 55 Block: 2 Lot: 10.3
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: RJ Corazzini Electric License No: 33419ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service X
Commerical Outdoor X 1 st Floor Pool
New X Renovation 2nd Floor Hot Tub
Addition Survey II Attic Garage
INVENTORY
Service 1 ph X Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures Smoke Detectors
Main Panel 200A 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 11 Pump
Other Equipment: 200A Panel 30 Circuit/2 Used
Notes: Service
Inspector Signature: Date: June 15, 2022
S.Devlin-Cert Electrical Compliance Form
�gOfFO(4,cOG BUILDING DEPARTMENT-Electrical Inspector
CO < TOWN OF SOUTHOLD
52
goy � !�
Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959
.A : O Telephone (631) 765-1802
Temporary Certificate # 1160 Date 5�3 2022
Customer Name I r6+ f jb&& F4 fM Electrician Name , Z h l� ��
Address 44 Phone
e-mail e-mail ,C, I• 4—
Phone License#
Size 240 A Phase Overhead Underground #of Meters
Remarks
#of Underground Laterals 1 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 valid for 90 days from the date above.
Authorized by ��
�o�sa�Fot,��o
G$4 BUILDING DEPARTMENT-Electrical Inspector
CZ a TOWN OF SOUTHOLD
oy • �� Town Hall Annex-54375 Main Road-PO Box 1179-Southol;d, NY 11971-0959
Telephone (631) 765-1802
Temporary Certificate # 1U-7 Date 610. 2022
Customer Name )OUc S + ROKS Par Electrician Name Rs CGP-9Z7 f1® E�e&r?
Address qj Sou-17A( Phone
e-mail e-mail KJ G 7 2 O .)I11 ,- „ , rUc -
Phone License# lj
Size Q A Phase Overhead Underground ✓ #of Meters
Remarks
#of Underground Laterals 1 2 New
"H" Frame or Pole P Fire Reconnect
Was work done on Service? Y/N Flood Reconnect
Old Meter#1 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 vialidtar 90 clauslLarn the dat bove.
Authorized by
OF SOUIyO//__ 77 8 75 4 //(♦//J. _I 1
# TOWN OF SOUTHOLD BUILDING DEPT.
°ycou631-765-1802
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 [ ] RENTAL
REMARKS: L�H/�/_ a/'�✓t
DATE INSPECTOR -
af BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
iTown Hall Annex - 54375 Main Road - PO Box 1179
coo im
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerrRsoutholdtownny.gov - seandAsoutholdtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMA ION (AII Information Required) Date:
Company Name: Co �/I"(
Electrician's Name:
License No.: Elec. email: a U� 44 �c
Elec. Phone No: F-11 request an email copy of Certificatb of Compliance
Elec. Address.:
JOB SITE INFORMATION (All Information Required) nn
Name:
Address: S
Cross Street: 1
Phone No.:
Bldg.Permit#: 1 ��'� email:
Tax Map District: 1000 Section: S Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
1
Ci
�(e �r �GU Square Footage:
Circle All That Apply:
Is job ready for inspection?: L"J ' [:] NO ❑Rough In ❑ Final
Do you need a Temp Certificate?: YES 0 NO Issued On RIM2AW - l
Temp Information: (All information required)
Service Size 1 Ph❑3 Ph Size: '2A # Meters Old Meter#
New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect derground❑Overhead
# Underground Laterals 0 1 F12 am Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
BU 0ING DEP. p L 1
`TOWN OF SOUTNOcu �"
PERMIT # Address:
Switches
Outlets
GFI's ti
Surface
Sconces
H H's
UC Lts
Fans Fridge HW
Exhaust Oven W/D
Smokes DW Mini
Carbon Micro Generator
Combo Cooktop Transfer
AC AH Hood Service
Amps Have Used
Special 00
Comments.