HomeMy WebLinkAbout40799-Z ���psUFF���CpG� Town of Southold 7/22/2016
� � P.O.Box 1179
0
�' z' S3095 Main Rd
���i�� ��o�� Southold,New York 11971
�
CERTIFICATE OF OCCUPANCY
No: 38402 Date: 7/22/2016
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 1700 Alvahs Ln, Cutchogue
SCTIVI#: 473889 SecBlock/Lot: 102.-4-7.2
Subdivision: Filed Map No. Lot No.
conforxns substantially to the Application for Building Permit heretofore filed in this office dated
6/27/2016 pursuant to which Building Permit No. 40799 dated 6/27/2016
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: -
300 AMP UNDERGROUND ELECTRIC SERVICE FOR FARM
The certificate is issued to Kaloski,Paul
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 40799 07-12-2016
PLUIV�ERS CERTIFICATION DATED
���� ���
� Authorized Signature
�FFo�� TOWN OF SOUTHOLD
��o� �'o�� BUILDING DEPARTMENT
� TOWN CLERK'S OFFICE
oy . �,� SOUTHOLD, NY
�o� � ,�ao
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#: 40799 . Date: 6/27/2016
Permission is hereby granted to:
Kaloski, Paul
1735 Alvahs Ln
Cutchogue, NY 11935
To: 300a underground service.
At premises located at:
1700 Alvahs Ln, Cutchogue
SCTM # 473889
Sec/Block/Lot# 102.-4-7.2 `
Pursuant to application dated 6/27/2016 and approved by the Building Inspector.
To expire on 12/27/2017.
Fees:
ELECTRIC $85.00
Total: $85.00
or
����pF SO!/��„�l
Town Hall Annex � Telephone(631)765-1802
54375 Main Road Fa�c(631)765-9502
P.O.Box 1179 � � �� roQer.richertCa�town.southold.nv.us
Southold,NY 11971-0959 Q
�'�cOU ���
BUII,DING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
issued To: Kaloski (Green Legs Farm LLC)
Address: 1700 Alvahs Lane City: Cutchogue St: New York Zip: 11935
Budding Permit#. 40799 Section: 102 Block: 4 Lot• 7 2
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
contractor: �BA: Radomski Electric License No: 42779-ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only X
Commencal Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph 300A Heat Duplec Recpt Ceding Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt 4 Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel 60A A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect 300A Switches Twist Lock Exit Fixtures TVSS
Other Equipment Farm Field
Notes:
Inspector Signature: ���'`—' � Date: July 12, 2016
z Electrical 81 Compliance Form.xls
, �
i
; �q��0�S��jl�,o! ,
Town Ha11 Annex J� � Telephone(631)765-1$02 i
54375 Main Road ' �
� �.0.Box it79 . G Q roQer.richert(a��own sout�io�� ny us i
Southold,NY 1197I-0959 � a� �
�1��'out�,��' �.
, BUILD�IG DEI'A,RTMENT
�rowiv oF so�rrxoa.� �
i
A�P�ICATlON FOR EL�CTRICAL 1NSPECTION
� � ,
� - � . i
� REQUES�"EQ BY: �A�//i.�� ��9,��7lLIl�� , Date: t
Company Name: � � �. � /� i.
,� c� /C cp � ,
Name: .,1�� lz rt��o�f�� - - �
License No.: � 7�c�-�� �
Address: j
26 ��S/G-� .D� SS �'� v� �/f' //�.1'd'
' Phor�e No.: �.�� �D S�qS 7 �
�
JOBSlTE I(VFC?RMATION: (*Indicates requ'rred informatian) i
*Name: G=h° ���1/ G�� �i9�'�S �L- G � � _
*Address: j�� .*�}L ��/'.S � " '
��ti� ' I
*Cr�ss Street: —�c � - -% �3�-.- . �
�Phone No.: C�/. S-/�- 6' S� -S Z SS� � i
Permit No.: �-
Tax�Map Distric:t: 4000 . Section: /()2 Block: py �o#: �, Z � �
*BRIEF DESCRIPTiON OF WORK(Please Print Clearly) � i
- ,�G✓ 3D O�- /P eln_ �
fl .��F�P��D v�1�D S'�=�U/�� �.� �,�� ���c�f?e�.—.,.—, �
� �.
(Please Cir�le A��Th�t Appiy}
*Is job ready€or inspection: YES/ NO Rough In Final
*�o�yau r�,�ed a�Temp Certifrcate: YE / NO - - I
- � ! .
7etnp informatior�(tf needed� � �
�`Service Size: 9 Pha 3Phase 100 15p 20Q 300 350 , 40Q �#her
�' ew Service: Re-connect Underground Number of Meters Change af Service Overhead
Additionaf lnformafion: � I'AYMEN'T DUE WITH APPL1CA710N _
� l� ��S��
� ����
, �
82-f�equest for Inspectlon Form ���.��
� ' -�'Tl'`�'_ " e �.
- ��`��:3- �b�K � SUFFOLK COUNTY DEPT�OF.LABOfZ,. K:
. > �.����'' � LICENSING 8 CONSUMER AFFAIRS " - .�
� � ; '�z' • MASTER . ,
���"� ELECTRICIAN �
- ��> ' - #_ � .
. ', , ��^"1�C,:- NpSE _ F• • •
� . - - � �' DARIUSZ RADOMSKI . '�"� _� ,'
. , �, _
• ` �: �� This certifies that the • �`''E�"""¢ • - •��: -
� , • • b�fEf IS dUIY �DOMSKI ELECTRIC CORP ' - :.� C. '
' , - licensed by the - - , ' ��
• ' . County of Suffolk `�"�'°"'°"'<` omeiuu�a . _, ,
42779-ME osrosrzoo� - •
._ �d�.�'�/.����� . . '� '
co�,.N,.,�� �wruna+oa:_ -O6/O7/2017 - • . -
A
m