HomeMy WebLinkAbout49307-Z =
��o�OS�FFO1kcpG Town of Southold 5/28/2023
P.O.Box 1179
53095 Main Rd
oy o� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 44135 Date: 5/28/2023
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 3330 Eugenes Rd, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 97.-8-9.1
Subdivision: Filed Map No. ( Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/24/2023 pursuant to which Building Permit No. 49307 dated 5/24/2023
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 overhead electric service.
The certificate is issued to Accurso,Richard&Christine
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 49307 5/24/2023
PLUMBERS CERTIFICATION DATED
Authorized Si ature
�SUF 1 TOWN OF SOUTHOLD
BUILDING DEPARTMENT
H TOWN CLERK'S OFFICE
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 #: 49307 Date: 5/24/2023
Permission is hereby granted to:
Accurso, Richard
3330 Eugenes Rd
Cutchogue, NY 11935
To: Electric Service
At premises located at:
3330 Eugenes Rd, Cutchogue
SCTM # 473889
Sec/Block/Lot# 97.-8-9.1
Pursuant to application dated 5/24/2023 and approved by the Building Inspector.
To expire on 11/22/2024.
,Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 G Q
.�l� �o sean.devlinl'a�town.southold.ny.us
Southold,NY 11971-0959
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Richard Accurso
Address: 3330 Eugenes Rd city:Cutchogue st: NY zip: 11935
Building Permit* 49307 Section: 97 Block: $ Lot: 9.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: Home Owner License No:
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 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
Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors
Disconnect Switches 4'LED Exit Fixtures Sump Pump E]
Other Equipment:
Notes: New 200A Service
Inspector Signature: C Date: May 24, 2023
S.Devlin-Cert Electrical Compliance Form
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cog FO(/C BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
N Town Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
d4,o � Telephone (631) 765-1802 - FAX (631) 765-9502
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rogerrCcDsoutholdtownnygov - seand(ccDsoutholdtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION ( I Information Required) Date:
Company Name: #OIne-
Electrician's
Name:
License No.: 'Elec—email_
Elec. Phone No: ❑1 request an email copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATION (All Information equired)
Name: / C!i( !/'S o
Address: Q E 2 �S Tem
Cross Street: O o2
Phone No.: —C
BIdg.Permit #: email: �}- CP�tiI
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Square Footage:
Circle All That Apply:
Is job ready for inspection?: F-1 S ❑ NO []Rough In 4104�r
Do you need a Temp Certificate?: YES [:] NO Issued On Y&
Temp Informat' n: (All information required)
Service Size 1 Ph:
Ph Size: 2� . �A # Meters I Old Meter#
�ew Service0 Fire Reconnect[]Flood ReconnectOService Reconnect OUnderground F05verhead
# Underground LateralsF11 2 H Frame 0 Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
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�P
1140007 33
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
i
®SUEFOQ,
BUILDING DEPARTMENT-Electrical Inspector
yTOWN OF SOUTHOLD
PVT P
Town Hall Annex-54375 Main Road-PO Box 1179-Southol;d, NY 11971-0959
Telephone (631) 765-1802
Temporary Certificate # Date W 6twf 074, 2023
Customer Name V- Electrician Name h6ur —11Q611
Address 3 t Phone
e-mail V A4R e-mail 0.yo w
Phone 6/(a - Sf O {o q License#
Size �6?o U A Phase 1 Overhead Vr Underground #of Meters f
Remarks
#of Underground Laterals 1 2 New
"H" Frame or Polel 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 f the date above.
77
Authorized by r_