HomeMy WebLinkAbout51924-Z hod-of souryo� Town of Southold
* * P.O. Box 1179
io 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 46179 Date: '05/20/2025
THIS CERTIFIES that the building ELECTRICAL- COMMERCIAL
Location of Property: 54985 Route 25 Southold, NY 11971
Sec/Block/Lot: 62.-1-5
Conforms substantially to the Application for Building Permit heretofore, filed in this office dated: 05/16/2025
Pursuant to which Building Permit No. 51924 and dated: 05/16/2025
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:
Re-energized existing 200 amp electric service and lighting in dropped ceiling to existing
commercial building.
The certificate is issued to: WDI Holdings LLC
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE: 51924 5/20/2025
PLUMBERS CERTIFICATION:
Authorized Signature
FSOU,yo TOWN OF SOUTHOLD
BUILDING DEPARTMENT
' 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#: 51924 Date: 05/16/2025
Permission is hereby granted to:
WDI Holdings LLC
PO BOX 1360
Southold, NY 11971
To:
Electric-200amp Overhead Service and Wiring
Premises Located at:
54985 Route 25,.Southold, NY 11971
SCTM#62.4-5
Pursuant to application dated 05/16/2025 and approved by the Building Inspector.
To expire on 05/16/2027.
Contractors:
Required Inspections:
Fees:
ELECTRIC SERVICE $100.00
Electrical-Commercial $150.00
Total $250.00
Building Inspector
oF so�ryol
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 G Q
Southold,NY 1 1 97 1-0959 �p • �o Jamesh _southoldtownny.aov
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Janet Kukowski
Address: 54985 Main Road city:Southold st: New York zip: 11971
Building Permit#: 51924 Section: Block: Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Glen's Electric Electrician: Glen Jacobs License No: ME-4770
SITE DETAILS
Office Use Only
Residential Indoor Basement Service
Commerical X Outdoor 1st Floor X Pool
New Renovation X 2nd Floor Hot Tub
Addition Survey 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 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 2 4'LED Exit Fixtures Ed Sump Pump
Other Equipment: 18 4 by 2 flourecents
Notes:
DROP CEILING
Inspector Signature: Date: May 20, 2025
54985 main rd
BUILDING DEPARTMENT-Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
1
0 Southold, New York 11971-0959
® Telephone (631) 765-1802
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name:
Electrician's Name:
License No.: yZZ O ,�M� Elec.
email: -f— l rill.
Elec. Phone No: �� v L�d'�request an email copy of Certificate of Compliance
Elec. Address.: 2c> -
JOB SITE INFORMATION (All Information Required)
Name: :Z V k0u.2
Address: Ssl
Cross Street: 44S CA
+
Phone No.:
BIdg.Permit#: email:
Tax Map District: 1000 Section: Block: Lot:
BRIEFDESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
"7
0A/' arK � �rLe Square Footage:
Circle All That Apply: S j7 Z0 08 2
Is job ready for inspection?: �ES ❑ NO ❑Rough In inal
Do you need a Temp Certificate?: VYES EiW Issued 0540 .fieWNW-
S �lv ZS
Temp Information: (All information required)
Service SizeLgl/Ph❑3 Ph Size: A # Meters l Old Meter# 153 �
❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground verhead
# Underground Laterals 1 2 H Frame F1 Pole Work done on Service? F1 Y N
Additional Information: veizo
-e7vo 705.
PAYMENT DUE WITH APPLICATION (25
4ZO
V-P-C.4 1 (0103
ZP4 s��27
PERMIT# Address:
Switches
Outlets
GFI's
Surface
Sconces
H H's
UC Lts Fridge HW POOL
Panel
Fans Mini Fr. WAD Pump
Exhaust Oven Sump Heater
Trnsfmr
Smokes DW Generator Salt Gen.
Carbon Micro GrbDis Water BondLights
Heat Pucks ERV
HOT TUB/SPA
Inst Hot DeH'um Transfer Disc
Combo Cooktop Minisplit Blower
AC AH Hood Blower
Service Amps Have Used
Sub Amps Have Used
Comments 1 � C a
c� ��ho��pE SOUTy°�o j�q 9's k T c J
'* # TOWN-OF-SOUTHOLD .BUILDING DEPT.
631-765-1802
I-NSPECTION
[ ] 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 o`Z INSPECTOR 4W"Z�
BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex- 54375 Main Road - PO Box 1179
y z �
'►9�� Southold, New York 11971-0959
Telephone (631) 765-1802
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: ,S—/ —�py
Company Name:
Electrician's Name:
License No.: ��� ,� Elec. email: ,
EIec. Phone No:�� •� _ request an email copy of Certificate of Compliance
Elec. Address.: • -�P*,
JOB SITE INFORMATION (All Information Required).
Name: ty kou-2,g
Address: —1;D
Cross Street:
Phone No.: 6
Bldg.Permit#: S�19 2Lf email:
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
eOAf XrC_,- Square Footage:
Circle All That Apply: V1 SP 5 2C7 0
Is job ready for inspection?: YES NO Rough In anal
5 34
Do you need a Tem Certificate?: YES
Y p � Issued O 110 2�
Temp Information: (All information required)
Service Size 1 Ph❑3 Ph Size: Z05 A # Meters Old Meter# 15.3 2191,o 3 Go
❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground verhead
# Underground Laterals 1 F2 R H Frame Pole Work done on Service? FY DN
Additional Information: Nexo
PAYMENT DUE WITH APPLICATION
Y'Y-C.4 1 (0!03 \
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h�o�gOffO���oGy BUILDING DEPARTMENT-Electrical Inspector
C, TOWN OF SOUTHOLD
o • Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959
Telephone (631) 765-1802
Temporary Certificate # gZ Date 2025
Customer Name J...' ke„„S Electrician Name !�_It&I e-CA
f C.,
Address 5-L491SS7 1yld:h �Qd. S o LtUa w Phone (Q 3 J - 4 S a - (t S 8
e-mail e-mail I a IgAA 5e—Ve f' rvAcJ covyl
Phone License L._j -7 h/l
Size c:Z00 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#F/S3 446 3(ota 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 from the date above.
r
Authorized by