HomeMy WebLinkAbout48106-Z �OSUFf�1kc y Town of Southold 10/1/2022
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P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43454 Date: 10/1/2022
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 4585 Pequash Ave., Cutchogue
SCTM#: 473889 Sec/Block/Lot: 137.-4-5.2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/25/2022 pursuant to which Building Permit No. 48106 dated 7/25/2022
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 electric service upgrade.
The certificate is issued to Parlini,Richard&Perri
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 48106 9/28/2022
PLUMBERS CERTIFICATION DATED
uthorized fignature
"r TOWN OF SOUTHOLD
�o�oSUFfot,�
y BUILDING DEPARTMENT
C* x TOWN CLERK'S OFFICE
oy • �4 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#: 48106 Date: 7/25/2022
Permission is hereby granted to:
Parlini, Richard
4585 Pequash Ave
Cutchogue, NY 11935
To: 200A electric service upgrade.
At premises located at:
4585 Pequash Ave., Cutchogue
SCTM #473889
Sec/Block/Lot# 137.-4-5.2
Pursuant to application dated 7/25/2022 and approved by the Building Inspector.
To expire on 1/24/2024.
Fees:
ELECTRIC $90.00
Total: $90.00
Building Inspector
pf SOUryo
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 sean.devlinCcD-town.southold.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Richard Parlini
Address: 4585 Pequash Ave city:Cutchogue st: NY zip: 11935
Building Permit#: 48106 section: 137 Block: 4 Lot: 5.2
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 X Basement X Service X
Commerical Outdoor X 1 st Floor Pool
New X Renovation 2nd Floor Hot Tub
Addition Survey X 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 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
r
Disconnect Switches 4'LED Exit Fixtures Pump
Other Equipment: 200A Panel 42 Circuit/ 10 Used, 100A Breaker for Sub Panel ( old panel )
Notes: Service Upgrade
Inspector Signature: Date: September 28, 2022
S.Devlin-Cert Electrical Compliance Form
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.... BUILDING DEPARTMENT-Electrical In s e or JUL 2 191199
TOWN OF SOUTHOLD
.
Town Hall Annex- 54375 Main Road - PO Box dv OFso�ot.o
. Southold, New York 11971-0959
�j Telephone (631) 765-1802 - FAX (631) 765-9502
rogerrCaD-southoldtownny.gov - seanda-southoldtownny.-gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name,: Custom Lighting of Suffolk
Electrician's Name: Benjamin Doroski
License No.: 38893-ME Elec. email:Clos51709gmail.com
Elec. Phone No: 631-298-4588 ElI request an email copy of Certificate of Compliance
Elec. Address.: PO Box 1698 Mattituck NY 11952
JOB SITE INFORMATION (All Information Required)
Name: Richard Parlini
Address: 4585 Pequash Avenue Cutchogue
Cross Street: Stillwater Ave
Phone No.: 631-298-4588
BIdg.Permit#: !-f (o email:
Tax Map District: 1000 Section: 120 Block: Lot: 5-eL
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
200 Amp electrical Service Upgrade
Square Footage:
Circle All That Apply:
Is job ready for inspection?- 0 YES ❑NO �Rough In Final
Do you need a Temp Certificate?.: YES❑ NO Issued On ISSVt -7 ?G
Al
Temp Information: (All information required) t
Service Size1-11 PhF-]3 Ph' Size: 200 A # Meters 1 Old Meter#
❑New Service[]Fire Reconnect[]Flood Reconnect[]Service Reconnect QUnderground❑✓Overhead
# Underground Laterals F1 1 FJ2 H Frame Pole Work done on Service? Y N
Additional Information: S�c�v�csL «p rb and
PAYMENT DUE WITH APPLICATION r
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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: 1 C"e,
DATE i Z INSPECTOR
E
�SOEEot��o BUILDING DEPARTMENT- Electrical In sreor JUL 2 ► ����
yd +� TOWN OF SOUTHOLD
a y� �1�t i DING DEPT.
o Town Hall Annex - 54375 Main Road - PO Box 1c�v�i��I soUTI-OLD
oy Southold, New York 11971-0959
O Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr(aDsoutholdtownny.gov– seand a�southoldtownrim -
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name: Custom Lighting of Suffolk
Electrician's Name: Benjamin Doroski
License No.: 38893-ME Elec. email:Clo65170@gmail.com
Elec. Phone,No: 631-298-4588 01 request an email copy of Certificate of Compliance
Elec. Address.: PO Box 1698 Mattituck NY 11952
JOB SITE INFORMATION (All Information Required)
Name: Richard Parlini
Address: 4585- Pequash Avenue Cutchogue
Cross Street: Stillwater Ave
Phone No.: 631-298-4588
BIdg.Permit#: L ` to email:
Tax Map District: . 1000 Section: 120 Block: _ Lot: 5.*1-
BRIEF DESCRIPTION OF WORK,.INCLUDE SQUARE FOOTAGE (Please Print Clearly):
200 Amp bectrical Service Upgrade
Square Footage.,77
Circle All That Apply:
Is job ready for,inspection?: M. Z YES [—] NO" _.E]Rough In _ Final
Do you need a Temp Certificate?: YES ❑ NO Issued On 5SCO -7/?2L
Temp Information: (All information required)
Service Size❑1 Ph❑3 Ph Size: 200 A # Meters 1 Old Meter#
E-1 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: S�c�v�c�- up�T� � �,� �� rs gOo A—p
PAYMENT DUE WITH APPLICATION r�
PERMIT # Address:
Switches
Outlets
G FI's
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:
Comments 2-
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