HomeMy WebLinkAbout46638-Z oOsu 'alp Town of Southold 5/30/2023
a P.O.Box 1179
y 53095 Main Rd
��pl dao Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 44143 Date: 5/30/2023
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 42155 Route 25,Peconic
SCTM#: 473889 Sec/Block/Lot: 75.-1-14
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/29/2021 pursuant to which Building Permit No. 46638 dated 7/29/2021
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:
Three(3)phase, 600A underground electric service.
The certificate is issued to Mmmm Beer LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 46638 4/20/2023
PLUMBERS CERTIFICATION DATED
Aut orized Si ure
oIosuFai TOWN OF SOUTHOLD
BUILDING DEPARTMENT
C, TOWN CLERK'S OFFICE
"oy • � , 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#: 46638 Date: 7/29/2021
Permission is hereby granted to:
Mmmm Beer LLC
42155 Main Rd
Peconic, NY 11958
To: Three(3) phase, 600A underground electric service.
At premises located at:
42155 Route 25, Peconic
SCTM #473889
Sec/Block/Lot# 75.-1-14
Pursuant to application dated 7/29/2021 and approved by the Building Inspector.
To expire on 1/28/2023.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
pF SOl
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 aQ sean.devlina-town.southold.ny.us
Southold,NY 11971-0959 D�yCOUM'��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Mmmm Beer LLC
Address: 42155 Route 25 city:Peconic st: NY zip: 11958
Building Permit* 46638 section: 75 Block: 1 Lot: 14
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: Wilcenski Electric License No: 4723ME
SITE DETAILS
Office Use Only
Residential Indoor X Basement Service X
Commerical X Outdoor X 1st Floor X Pool
New X Renovation 2nd Floor Hot Tub
Addition Survey X Roof X Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
Service 3 ph X 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
Transfer Switch UC Lights Dryer Recpt Emergency StrobeHeat Detectors
Disconnect 600A Switches 4'LED Exit Fixtures Sump Pump 11
Other Equipment: 600A Service Disconnect , 480V Transformer, 480V 200A Chiller w/ Disconnect
Notes: New Service & Chiller
Inspector Signature: Date: April 20, 2023
S. Devlin-Cert Electrical Compliance Form
OF SOUTyo� (106 22 � � (i�✓� �-1��� -
# * 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: 613A- S;W V
DATE L2O LZ - INSPECTOR
of Fat
BUILDING DEPARTMENT-Electrical Inspector
C= < TOWN OF SOUTHOLD
Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959
Telephone (631)765-1802-FAX(631) 765-9592
Temporary Certificate #_W 3"7 Date 2021
Customer Name rr Electrician Name
U94 td
AddressLi z-57 �G Phone 2
e-mail e-mail
Phone License# Y
Size P A Phase _Overhead Underground #of Meters
Remarks
#of Underground Laterals 1 2 New
"H" Frame or Pole 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 9 s tie date above.
Authorized by
BUILDING DEPARTMENT-ElectricalInspector
TOWN OF SOUTHOLD
oven Hall Annex-54375 Main Road - PO Box 1179
- fiR s
: - _ 2 2021 Southold, New York 11971-0959
VA
-
,: ; Telephone(631) 765-1802 - FAX(631) 765-9502
� � n •err
esndscatholdtc_southoldtwcr swry
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (,Ni Information Required) Date: 7- Z-7- Z
Company Name: N� , L la.L_"�1
Name:
License No.: 44 z3- r,t email: W S ►( c �-i-rCAJo o • c '`"`
Phone No: 3 .-275 i�,• 4 Z�'1p El request an email copy of Certificate of Compliance
Address.: ® • J3 0,L
JOB SITE INFORMATION (All Information Required)
Name:
Address: yo2 L5 5
Cross Street: L 0 C_Phone.No.: 3/ _ 2 3 4 .
BIdg.Permit#: (�(�? email:
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK(Please Print Clearly)
Check All That Apply:
Is job ready for inspection?: []YES (gNO []Rough In [Final
Do you need a Temp Certificate?: §ffYES []NO Issued On
Temp Information: (All information required)
Service Size []'I Ph ®3 Ph Size: 6) o A #Meters Old Meter#
0 New Service ❑Service Reconnect ®Underground Q Overhead
#Underground Laterals []1 H Frame[ ole Work done
Service? _]y [ON
Additional Information: 0 h
PAYMENT DUE WITH APPLICA110N
Electrical Inspection Form 2020.x1sx
PERMIT H 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
4C AH Hood Service
Amps Have Used
special:
o m m e n t s
I
i !
Lo
BUILDING DEPARTMENT-Electrical Inspector
9" TOWN OF SOUTHOLD
�+ ¢ -54375 Main Road -PO Box 1179
Hall Annex
7 2021 Southold, New York 11971-0959
L
Telephone (631) 765-1802 � FAX(631) 765-9502
DE •err { scat ltholdto vnri f. ov - seandOsoutholdtor�llny_
APPLICATION FOR ELECTRICAL INSPECTION
Z
ELECTRICIAN INFORMATION (All InDate:formation Required) -7. Z-1_•
Company Name: �,
Name:
License No.: email: W s 1 e --,,r I o° C
Phone No: ' §01 request an email copy of Certificate of Compliance
Address.: L44-d
JOB SITE INFORMATION (All Information Required)
Name: r- or,(-
Address: 'Jo2 1 S i'Z'- �-
i
Cross Street: 0 Phone'No.: 3/ . 2 3 4e.
Bldg.Permit#: email:
3 -
Tax Map District: 1000 / Section Block: Lot:
BRIEF DESCRIPTION OF WORK(Please Print Clearly)
Check All That Apply:
Is job ready for inspection?: []YES (ZNO []Rough In ❑Final
Do you need a Temp Certificate?: &ffYES ONO Issued On
Temp Information: (All information required)
Service Size E]1 Ph ®3 Ph Size: b 0 A #Meters Old Meter# —
New Service E]Service Reconnect ®Underground[]Overhead
#Underground Laterals [�'! H Frame[Foie Work done on Service? ❑Y N
Additional Information:
� So ,� � W►
PAYMENT DUE WITH APPUCAM-ON
Electrical Inspection Foran ZOZD xisx ���