HomeMy WebLinkAbout50364-Z 1
QSUFFDI�c Town of Southold
ao� oGy� 2/23/2024
0
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 45004 Date: 2/23/2024
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 19155 CR 48, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 95.4-13.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
2/21/2024 pursuant to which Building Permit No. 50364 dated 2/22/2024
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:
electric service to well for irrigation
The certificate is issued to Mattituck Farm Hldngs LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 50364 02/23/2024
PLUMBERS CERTIFICATION DATED
Authorized Signature
o�SOFFnc�.� TOWN OF SOUTHOLD
a Gym BUILDING DEPARTMENT
x TOWN CLERK'S OFFICE
ay • SOUTHOLD, NY
0
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#: 50364 Date: 2/22/2024
Permission is hereby granted to:
Mattituck Farm Hldngs LLC
c/o Belvedere Property Mgmt
11 Times Square FI 38
New York, NY 10036
To: electric service to well for (irrigation (a
pproved pppoved by Land Preservation)
At premises located at:
19155 CR 48, Cutchogue
SCTM #473889
Sec/Block/Lot# 95.-4-13.1
Pursuant to application dated 2/21/2024 and approved by the Building Inspector.
To expire on 8/23/2025.
Fees:
ELECTRIC $150.00
Total: $150.00
Building Inspector
OF SO!/r�Ql
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 �Q sean.devlin(a)_town.southold.ny.us
Southold,NY 11971-0959 QIyCOW N
'�,��`
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Mattituck Farm Holdings LLC
Address: 19155 CR 48 city,Cutchogue st: NY zip: 11935
Building Permit#: 50364 Section: 95 Block: 4 Lot: 13.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: Gerard Electric License No: 40564ME
SITE DETAILS
Office Use Only
Residential Indoor Basement Service X
Commerical X 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 X Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 100A 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
Other Equipment: Three Phase Service w/ 100A Single Phase Panel- 12 Circuits / 1 Used
Notes: Service
Inspector Signature: Date: February 23, 2024
S.Devlin-Cert Electrical Compliance Form
OF SOUI � f ��
* # TOWN OF SOUTHOLD BUILDI G DEPT. -
courm,��'' 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST/REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE &'CHIMNEY [ ] FIRE SAFETY INSPECTION
j ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [- ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O . [ ]. RENTAL
REMARKS:
fj
DATE = INSPECTOR
OF SOUIy��
TOWN � -- --
# # OF SOUTH LD- Bd Ll� DEPT.
N � O
cou 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST/ REBAR [ ] 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:
DATE /L INSPECTOR ��
�Ufl:oc�
BUILDING DEPARTMENT-Electrical Inspector
® < TOWN OF SOUTHOLD
u' Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959
®4,, ®`� Telephone (631) 765-1802
Temporary Certificate # d &-J Date - 3 2024
Customer Name'MqW1,Gk �v► p I4ojdo7 s- Electrician Name GeIA-1-V C/CGr{yiG
Address WTCF* I"—P- Phone 01 77lf 3y,;� 6
e-mail `t'ON VIh 01 F (A ►(4y.,, , e-mail
Phone &-,�( -�6—2 G License# M l�_ 6-156
Size On A Phase �J 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 ys . m t date ve.
Authorized by
------
D E C E 0 V E
Fd:Qj,��v Bulu I DEPARTMENT-Electrical Inspector
F F B 2 1 2024 1 TOWN OF SOUTHOLD
o Town Hall Annex-54375 Main Road-PO Box 1179
QIazY4€ anar��* brc�rat Southold, New York 11971-0959
'3G,fj01 �a0 T�, ,t, c; gftbone (631)765-1802 - FAX(631)765-9502
iamesh(a-southoldtownny.gov-seand(c-southoldtownny.4ov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: 2/20/2024
Company Name: Gerarti Electrical
Electrician's Name: Gerard Riviccio
License No.: me-40564 Elec. email:GERARTIELECTRICAL@gmail.com
Elec. Phone No: 631-774-8426 ❑1 request an email copy of Certificate of Compliance
Elec. Address.: 348 west 18h st. deer park ny 11729
JOB SITE INFORMATION (All Informations Required)
Name: Sannino / lq(.t T(/�c'��-� pav"^
Address: 0 9155 CR-48 Cutchogue
Cross Street: Depot In
_ Phone No.: 631-767-1751
Bldg.Permit#: p email:tonyvinol@gmaii.com
Tax Map District: 1000 Section:095 Block: 4 Lot:013
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
New service for the farm pump
Square Footage:
Circle All That Apply:
Is job ready for inspection?: 0 YES❑NO n Rough In ® Final
Do you need a Temp Certificate?: a YES❑NO Issued On
Temp Information: (All information required)
Service Size❑1 Ph FV-]3 Ph Size: 200 A #Meters Old Meter#
�✓ New ServiceE]Fire Reconnect[]Flood ReconnectOService Reconnect✓Underground[]Overhead
#Underground Laterals 0 1 02 ✓ H Frame F1 Pole Work done on Service? Y nN
Additional Information:
PAYMENT DUE WITH APPLICATION
�1
S�Fg BUILD DEPARTMENT-Electrical Inspector
F E B 2 1 2024 TOWN OF SOUTHOLD BOX 1179
o - Town Hall Annex-54375 Main Road -PO
co Southold, New York 11971-0959
�,,�„,� v;;3 T&phone (631)765-1802 - FAX (631)765-9502
"= jamesh(a-southoidtownny gov seand(&-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (Ail Information Required) Date: 2/20/2024
Company Name: Gerarti Electrical
Electrician's Name: Gerard Riviccio
License No.: me-40564 Elec. email:GERARTIELECTRICAL@gmail.com
Elec. Phone No: 631-774-8426 ❑1 request an email copy of Certificate of Compliance
Elec. Address.: 348 west 18h st. deer park ny 11729
1
JOB SITE INFORMATION (All Information Required)
Name: Sannino / PA;t h T V&�
Address: - r19155 CR-48 Cutchogue
Cross Street: Depot In
Phone No.: 631-767-1751
Bldg.Permit#: 0 email:tonyvino1 @gmail.com
Tax Map District: 1000 Section:095 Block: 4 Lot:013 ,r
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
New service for the farm pump
Square Footage:
Circle All That Apply:
Is job ready for inspection?: YES❑NO ®Rough In El Final
Do you need a,Temp Certificate?: YES❑NO Issued On
�
Temp Information: (All information required)
Service Size❑1 Ph[-V-]3 Ph Size: 200 A #Meters Old Meter#
ONew service[]Fire Reconnect[]Flood Reconnect❑Service Reconnect❑✓Underground❑Overhead
#Underground LateralsF111 F12 ✓ H Frame Fj Pole Work done on Service? Y nN
Additional Information:
PAYMENT DUE WITH APPLICATION ��