HomeMy WebLinkAbout47643-Z Town of Southold 8/23/2022
o y� P.O.Box 1179
o • 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43360 Date: 8/23/2022
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 30635 Route 25,Cutchogue
SCTM#: 473889 Sec/Block/Lot: 102.-2-22
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application.for Building Permit heretofore filed in this office dated
4/5/2022 pursuant to which Building Permit No. 47643 dated 4/5/2022
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:
200A underground electric service.
The certificate is issued to Sachs,Richard
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 47643 8/4/2022
PLUMBERS CERTIFICATION DATED
Au orized Signature
�o�suFeaa,r�o TOWN OF SOUTHOLD
BUILDING DEPARTMENT
a y� TOWN CLERK'S OFFICE
v • 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#: 47643 Date: 4/5/2022
Permission is hereby granted to:
Sachs, Richard
PO BOX 1261
Mattituck, NY 11952
To: 200A underground electric service.
At premises located at:
30635 Route 25, Cutchogue
SCTM #473889
Sec/Block/Lot# 102.-2-22
Pursuant to application dated 4/5/2022 and approved by the Building Inspector.
To expire on 10/5/2023.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
SOUjyol
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 G sean.deviinCaD_town.southold.ny.us
Southold,NY 11971-0959 �Q�y
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Richard Sachs
Address: 30635 Route 25 city:Cutchogue st: NY zip: 11935
Building Permit#: 47643 Section: 102 Block: 2 Lot: 22
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Wildwood Electric License No: 4836ME
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 Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 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 42 Circuit/25 Used
Notes: Service Only
Inspector Signature: Date: August 4, 2022
S.Devlin-Cert Electrical Compliance Form
SOUTyO� Li 6 4 3 C4 3,5_
# TOWN OF SOUTHOLD BUILDING DEPT.
�yco 765-1802
i NSPECTION
[ ] 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: > V l C6 QN Vy
:.
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DATE INSPECTOR
Li
0FS0UTyO� -7&�3
# # TOWN OF SOUTHOLD BUILDING DEPT:_- -.,'.
631-765-1802
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:
DATE �i ,�L INSPECTOR
�o�spfFO�XcOGy� BUILDING DEPARTMENT-Electrical Inspector
o -� TOWN OF SOUTHOLD
W me. Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959
�'y4 �aTelephone (631) 765-1802
Temporary Certificate # 2 Date 2022
Customer Name C S Electrician Name
Address �� ha 9e Phone ,6 q1 12 2 0
e-mail e-mail
Phone License# q6 7
Size_--,)GPS 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# 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 'd for 9 days from the above.
Authorized by
o�U�
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BUILDING DEPARTMENT- Electrical Inspector
BUILDING UL�I.
,Towo OF SOUTMOLD TOWN OF SOUTHOLD
Town Hall Annex- 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr southoldtownny.gov - seandCcD-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: April 1 2022
Company Name: Wildwood Electric Inc.
Electrician's Name: Wildwood Electric Inc.
License No.: 4836-ME Elec. email:ralphjr@wildwoodelectric.com
Elec. Phone No: 631-236-2211 El I request an email copy of Certificate of Compliance
Elec. Address.: P.O. Box 373, Rocky Point, NY, 11778
JOB SITE INFORMATION (All Information Required)
Name: Richard Sachs
Address: 30635 Main Road, Cutchogue, NY. 11935
Cross Street: Stillwater Ave.
Phone No.: 646-642-7881
Bldg.Permit#: 47 tvg3 email:
Tax Map District: 1000 Section: Block: oZ Lot: a oZ
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Existing 200 amp. Service going from overhead to Underground Meter# 98307801
Square Footage:
Circle All That Apply:
Is job ready for inspection?: YES [:] NO —]Rough In ❑ Final
Do you need a Temp Certificate?: ❑1 YES ❑NO Issued Onerna;,L—
Temp Information: (All information required) -
Service SizeFt-/11 PhF-]3 Ph Size: 200 A # Meters 1 Old Meter# 98307801
❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑✓ Underground❑Overhead
# Underground Laterals W 1 ✓ 2 H Frame D Pole Work done on Service? ✓ Y N
Additional Information:
Existing 200 amp.Overhead Service to be installed Underground.
PAYMENT DUE WITH APPLICATION
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Inv
BUILDING DEPARTMENT- Electrical Inspector
4 BILD
US S®U 1C�L0
-T0IN11 O� TOWN OF SOUTHOLD
® =` Town Hall Annex- 54375 Main Road - PO Box 1179
Ca
1VT Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
r rogerr southoldtownny.gov seand(a�southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (Ali information Required) Date: April 1 2022
Company Name: Wildwood Electric Inc.
Electrician's Name: Wildwood Electric Inc.
License No.: 4836-ME Elec. email:ralphjr@wildwoodelectric.com
Elec. Phone No: 631-236-2211 DI request an email copy of Certificate of Compliance
Elec. Address.: P.O. Box 373, Rocky Point, NY, 11778
Y
JOB SITE INFORMATION (All Information Required)
Name: Richard Sachs
Address: 30635 Main Road, Cutchogue, NY. 11935
Cross Street: Stillwater Ave.
Phone No.: 646-642-7881
Bldg.Permit email:
Tax Map District: 1000 Section: d`�, Block: oZ Lot: oZ a
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Existing 200 amp. Service going from overhead to Underground Meter# 98307801
Square Footage:
Circle All That Apply:
Is job ready for inspection?: YES ❑ NO ❑Rough In ❑ Final
Do you need a Temp Certificate?: YES 0 NO Issued Ond'ha�.L—
Temp Information: (All information required) -
Service Size 1-6/11 Ph❑3 Ph Size: 200 A # Meters 1 Old Meter# 98307801
❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑✓ Underground❑Overhead
# Underground Laterals ✓ 1 ✓ 2 H Frame Pole Work done on Service? ✓ Y FIN
Additional Information:
Existing 200 amp.Overhead Service to be installed Underground.
PAYMENT DUE WITH APPLICATION
PERMIT# Address:
_ o
Switches
Outlets
GFI's . r
Surface
Sconces
H H's
UC Lts
Fans Fridge HW
Exhaust Oven Dryer
Smokes DW Service
Carbon . Micro Generator:
Combo: C- .---........._........ --.._._....
p Transfer
AC AH Mini
Special:
Comments:
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