HomeMy WebLinkAbout44514-Z �O�og11tF(11i1'6p _ Town of Southold 12/8/2022
y� P.O.Box 1179 i
53095 Main Rd
y 1 Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43671 Date: 12/8/2022
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 11900 Oregon Rd, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 83.-3-5.3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
12/12/2019 pursuant to which Building Permit No. 44514 dated 12/12/2019
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:
two 100 amp overhead electric services with two meters and two main panels.
The certificate is issued to 11900 Oregon Rd LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL. .-
ELECTRICAL CERTIFICATE NO. 44514 3/13/2020
PLUMBERS CERTIFICATION DATED
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Auorized Si e
pE SOUj�,ol
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 �l • �O� sean.devlina-town.southold.ny.us
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: 11900 Oregon Rd LLC
Address: 11900 Oregon Rd city:Cutchogue st: NY zip: 11935
Building Permit#: 44514 Section: 83 Block: 3 Lot: 5.3
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: G&S Electric License No: 578-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service Only X
Commerical Outdoor X 1st Floor X Pool
New X Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph X Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors
Main Panel 100x2 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: Two Meters and Two 100A Main Panels
Notes: Service
Inspector Signature: r Date: March 13, 2020
S.Devlin-Cert Electrical Compliance Form.xls
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# # TOWN OF SOUTHOLD BUILDING DEPT:
�ycoum, 765-1802
IN-SPECTION
[--] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE,& CHIMNEY [ ] FIRE SAFETY INSPECTION
[
] ' FIRE RESISTANT CONSTRUCTION "[ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ p ELECTRICAL (FINAL)&-vf�.--e
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:.
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DATE 1. 2 . INSPECTOR
osufFQc TOWN OF SOUTHOLD
ao� °Gy BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
w
oy • SOUTHOLD, NY
i1
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 #: 44514 Date: 12/12/2019
Permission is hereby granted to:
Zuhoski, Shirley
11900 Oregon Rd
Cutchogue, NY 11935
To: Electric Service - 2 100a overhead meters
At premises located at:
11900 Oregon Rd, Cutchogue
SCTM #473889
Sec/Block/Lot# 83.-3-5.3
Pursuant to application dated 12/12/2019 and approved by the Building Inspector.
To expire on 6/12/2021.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
BU ILD.
ING DEPARTMENT - Electrical Inspector
TOWN OF SOUTHOLD
DEC I -Eoyffl9Ha 11-Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
Telephone (631) 705-1802 - FAX (631) 765-9502
roger.richertC@.town.southold.nV.us
APPLICATION FOR ELECTRICAL INSPECTION
Date, -1,21lo/L9
'EQU-ESTED'BY.`------* .......
Company Name: -Q-
Name: c,U a rLj-z-\-
L
/
License No.: 5-- -79 email: /
Address:
Phone No.: !S71 4n
JOB SITE INFORMATION: (All Information Required)
'Name: 00 &Z<6-:t0a
Address: go& 12-oA� z
Gross Street:
Phone No.: j c>,S-
Bldg.Perrnit email:
Fax Map District: 1000 Section: Block: 3 Lot: 5--., :3
BRIEF DESCRIPTION OF WORK (Please Print Cleady)
on L)
Circle All That Apply:
Is job ready for inspection?: YE NO Rough In Final
Do you need a Temp Certificate?: YES NO Issued On
Temp Information: (All information required) L
Service Size 1 Ph 3 Ph Size: (9_Y1 L,o A # Meters Old Meter#
New=Service Fire Reconnect- Flood Reconnect- Service Reconnected - Underground Ovefiead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
4 � M 7�
Request for Inspection Form.xis