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Home My WebLink About50511-Z �O�g�EFOL,fcoG Town of Southold 8/7/2024 P.O.Box 1179 o - o _ 53095 Main Rd y�y Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 45429 Date: 8/7/2024 THIS CERTIFIES that the building ELECTRICAL Location of Property: CR 48, Cutchogue Cutchogue SCTM#: 473889 Sec/Block/Lot: 84.-5-4.2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/4/2024 pursuant to which Building Permit No. 50511 dated 4/4/2024 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: 400amp underground electric service The certificate is issued to Learwin LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 50511 7/19/2024 PLUMBERS CERTIFICATION DATED Authorized Signature 4�SUFFat�-�o TOWN OF SOUTHOLD BUILDING DEPARTMENT C s TOWN CLERK'S OFFICE ca �o 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#: 50511 Date: 4/4/2024 Permission is hereby granted to: Witczak, Charles 4430 Bridge Ln Cutchogue, NY 11935 To: Electric - 400amp UG Service At premises located at: CR 48, Cutchogue SCTM #473889 Sec/Block/Lot# 84.-5-4.2 Pursuant to application dated 4/4/2024 and approved by the Building Inspector. To expire on 10/4/2025. Fees: ELECTRIC $100.00 Total: $100.00 Building Inspector pF SOUTyoI . � o Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G Q Southold,NY 11971-0959 �ly� � �o sean.devlinO-town.southold.ny.us OU05 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Charles Witczak Address: 5000 Bridge Ln city:Cutchogue st: NY zip: 11935 Building Permit#: 50511 Section: 84 Block: 5 Lot: 4.2 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE . Contractor: Electrician: Custom Lighting of Suffolk License No: 38893ME SITE DETAILS Office Use Only Residential X Indoor 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 X Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures Smoke Detectors Main Panel 200A A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel 100A 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: 200A Panel 30 Circuit/ 5 Used on Back of H , 100A Panel 8 Circuit/4 Used- in Field Notes: 400A Service w/200A Main Panel & 100A Sub Panel Inspector Signature: Date: July 19, 2024 S.Devlin-Cert Electrical Compliance Form SOUTyo* /r �Qin TOWN OF SOUTHOLD BUILDING .DEP . 631-765-1802 INSPECTION [ ] FOUNDATION 1 ST/ 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: _7110 /)--Y l DATE ANSPECTOR �o�s�FFoc,�co � Gyp BUILDING DEPARTMENT-Electrical Inspector y x TOWN OF SOUTHOLD ay • ��` Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959 Ol �a0 Telephone(631)765-1802 Temporary Certificate # &o Date 41 2024 Customer Name Electrician Name Address �, Phone 1 a q g- t f Sgg e-mail c.o e-mail os61'7 O M&LI. Phone 'X -3 . 3 License# 3 $$ 3 Size 00 A Phase I 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 ys r m t dat ove. Authorized by ��c,�EfpLk�o BUILDING DEPARTMENT- Electrical Inspector O G TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 CI' Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(aD-southoldtownny gov— sea ndCcD-southoldtownny.aov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: g C Company Name: Custom Lighting of Suffolk Inc Electrician's Name: Benjamin Doroski License No.: 38893-ME Elec. email: CLOS5170@gmail.com Elec. Phone No: 631-298-4588 DI request an email copy of Certificate of Compliance Elec. Address.: PO Box 1698 Nlattituck NY 11952 JOB SITE INFORMATION (All Information Required) Name: Address: 5000 «Q & L., _ a"4 C k 0 Xlt- Cross Street: Q(� . L c6 Ili Phone No.: `13,1 ° 3 '-7 • .-3)4['7 Bldg.Permit#: "5-Q S"1 1 email: Jbse � F L e.4EZ e6Aat Tax Map District: 1000 Section: Block: 4;" Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): ut Gd 7�- OAP 2-00 74- /,PZ-J,16--� -4- Id&4- 1 1, Square Footage: Circle All That Apply: jo 1 �� Is job ready for inspection?: YES ❑ NO N Rough In Z al z9 q I Do you need a Temp Certificate?. YES ❑ NO Issued On Si4 Temp Information: (All information required) Service Size 1 Ph❑3 Ph Size: �Q A # Meters l Old Meter# N It- &(New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect Munderground❑Overhead # Underground Laterals 1 M2 t H Frame Pole Work done on Service? MY N Additional Information: A L(pv iA w p I PAYMENT DUE WITH APPLICATION U.e�C4� �Ff04 ,� BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(aD-southoldtownny.gov - seand(aD-southoldtownny.aov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (AII Information Required) Date: �C Company Name: Custom Lighting of Suffolk Inc Electrician's Name: Benjamin Doroski License No.: 38893-ME Elec. email: CLOS51709gmail.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: 6OS k LQ-4.r Address: 5000 —BrjJqe L., _ &A-k-C(no Cross Street: ( L(c6' Phone No.: `�3� o :39 7 • _-1a4(7 Bldg.Permit#: SQ 5-1 / email: jib � V- (-eAEX @6Aac( Tax Map District: 1000 Section: SI Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Square Footage: Circle All That Apply: Z; /0 / Is job ready for inspection?: YES❑ NO 1�Rough In l� al L(Jif 2q Do you need a Temp Certificate?: IK YES NO Issued On §�k&gz I Temp Information: (All information required) l Service SizeIX1 Ph❑3 Ph Size: dQ A #Meters l Old Meter# [ New Service❑Fire Reconnect❑Flood Reconnect[-]Service Reconnect nderground❑Overhead # Underground Laterals 1 M2 FM H Frame M Pole Work done on Service? Y N Additional Information: �U ��d�^g A Y00 A M p u��nsu SCTd' c:e PAYMENT DUE WITH APPLICATION 2L( ULoQ, �br 6 oS� l