HomeMy WebLinkAbout36681-ZTown of Southold Annex
54375 Main Road
Southold, New York 11971
9/9/2011
CERTIFICATE OF OCCUPANCY
No: 35200
THIS CERTII~IES that the building ELECTRICAL
Location of Property: 29205 Route 25, Cutchogue,
Date: 9/9/2011
SCTM #: 473889 Sec/Block/Lot: 102.-2-12.5
Subdivision: Filed Map No.
conforms substantially to the Application for Building Permit heretofore
9/9/2011 pursuant to which Building Permit No.
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:
Electrical underground service
Lot No.
filed in this officed dated
36681 dated 9/9/2011
The certificate is issued to
Cutchogue Development LLC
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
36681
08/26/2011
Authorized Signature
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 #: 36681
Date: 9/912011
Permission is hereby granted to:
Cutcho{lue Development LLC
2090 Sound Ave
Baiting Hollow, NY 11933
To:
Electrical underground service
At premises located at:
29205 Route 25, Cutcho~!ue
SCTM # 473889
Sec/Block/Lot # 102.-2-12.5
Pursuant to application dated
To expire on 311012013.
Fees:
919/2011
and approved by the Building Inspector.
ELECTRIC
Total:
$85.00
$85.00
Building Inspector
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Telephone (631) 765-1802
Fax (631 ) 765-9502
ro.qer, richert~town.southold.ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
issued To: Cutchogue Development LLC
Address: 29205 Main Rd City: Cutchogue St: NY Zip: 1193~
3uilding Permit #: Section: 1 02 Block: 2 Lot: 12.00.~
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
3ontractor: DBA: Concealed Power License No: 5179-me
SITE DETAILS
Office Use Only
Residential ~ Indoor ~ Basement [~ Service Only [~
Commedcal Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Servicelph ~ Heat ~ DuplecRecpt ~
Service 3 ph Hot Water GFCI Recpt
Main Panel A/C Condenser Single Recpt
Sub Panel A/C Blower Range Recpt
Transformer Appliances Dryer Recpt
Disconnect Switches Twist Lock
Other Equipment: 200a underground service, 1 phase, I meter
Ceiling Fixtures ~ HID Fixtures
Wall Fixtures ~.~ Smoke Detectors
Recessed Fixtures ~.~ CO Detectors
Fluorescent Fixture ~.~ Pumps
Emergency Fixtures~.__~ Time Clocks
Exit Fixtures [~ TVSS
Notes:
Inspector Signature:
Date: Aug 26 2011
81-Cert Electrical Compliance Form
~',,mH~lAnnex
P.O. Bo~II?9
$o~laold, NYl1971-09~9
Telephone (631) 76~-i802
~ er rich '
OR . er~(~own.aoumola.nv.~m
BUILDING DF.,PARTMENT
TOWN OF $OUTHOLD
A~PL{CAT[ON FOR ~LI::CTR{CAL }NSPECT{ON
Name: ~/!11'~ ~ ~ .
Li~nseNo.: S'lgfl ~ , ~ r
JOBSITE INFORMATION:. (*Indicates requi~d info~ation)
*Name: , Cu+c~c 9e~(op~c,~ LLC
*Cross Street:
*Phone No.:
Permit No.:
Tax.Map District:
1000 Section: IO~,OO Block: 0~,00
Lot:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
{Please Circle All That Apply)
*iS Job ready for inspection: ~ NO
*Do.you need a Temp Certificate: NO
Temp Information (If. needed]
'Se c S,ze: 3rme ,00 120
*New Service: Re-connect ~_..~ndergmu~ Number of Meters
Additional Information:
Rough In ~
300 350 .400 Other
Change of Service Overhead
PAYMENT DUE WITH APPLICATION
02-R~quest i'or Inspection Form