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HomeMy WebLinkAbout48106-Z �OSUFf�1kc y Town of Southold 10/1/2022 o . 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 D E C " 1v( .... 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 4j nj� o�aOF SObTyol .q V j V 6 - !✓Grc� � U�JT( /� /" Y/ 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- i oriG G'