HomeMy WebLinkAbout40637-Z 0,1 0 0 14 101, Town of Southold 8/23/2016
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38465 Date: 8/23/2016
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 4735 Cox Ln, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 96.-2-10.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
4/21/2016 pursuant to which Building Permit No. 40637 dated 4/21/2016
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:
ELECTRIC SERVICE UPGRADE
The certificate is issued to LIV2MAX LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
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#: 40637 Date: 4/21/2016
Permission is hereby granted to:
LIV2MAX LLC
C/O Carol Festa
PO BOX 792
Mattituck, NY 11952
To: 400a electric service upgrade.
At premises located at:
4735 Cox Ln, Cutchogue
SCTM # 473889
Sec/Block/Lot# 96.-2-10.1
Pursuant to application dated 4/21/2016 and approved by the Building Inspector.
To expire on 10/21/2017.
Fees:
ELECTRIC $85.00
Total: $85.00
Bu in ctor
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Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 ® �� roger.riche rtO-town.southoId.nV.us
Southold,NY 11971-0959
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To LIV2MAX LLC(8 Hands Farm)
Address: 4735 Cox Lane City: Cutchogue St: New York Zip: 11935
Building Permit#: 40637 Section 96 Block: 2 Lot: 10.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Raymond Electrical License No: 5141-ME
SITE DETAILS
Office Use Only
Residential Indoor X Basement Service Only X
Commerical X Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph 400A Heat Duplec Recpt Ceding Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect 2-200A Switches Twist Lock Exit Fixtures TVSS
Other Equipment: SERVICE UPGRADE, 400A UNDERGROUND
Notes:
Inspector Signature: Date: May 24, 2016
z Electrical 81 Compliance Form.xls
ho��oesoujyo6 BUILDING DEPARTMENT
TOWN OFSOUTHOLD
• �o Town Hall Annex•54375 Main Road q,PO.Box 1179 4-Southold,NY 1.1971-0959
Telephone(631),765=1802 a-Fax(631)':766-9502
.Number of Meters J Temporary.Certificate
Size
00 Phase q&��
Overhead D Underground'.
New Service ® Change,of"Service' 0 Reconnect.Existing Service
Location f 3� Z4-,,
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Installed by '� 4 Lic.,.#
Reference f f a G"7 5
Application for electrical service equipment is on file with.the.Tawn of Southold.tart.apprcant's notification
that this installation is complete,the town will conduct a premises inspection of the service equipment.
This verifi tion.is valid for a /fr( the'a bove date.
Authorized by
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BUILDING DEPARTMENT
` `OWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
• - s
[REQUESTED BY: � /` ae Y Date:
Company,Name: or�-� i' -�i,�--' C'0i-i
Name:
License No.:
Address: �/ //79�
Phone"No_:. 6 jl 6^� f
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JOBSITE WFORIUTATION: (Indicates required information)
*Name:
*Address: : ®O®" �G e;,<�_
*Cross Street: CCoefly ..
*Phone No_ -S/6— s"a6—
: -
Permit talo_: Lf«o3-? -
Tax•Map District: 1000 Section: Block: `a Lot , 9
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*BRIEF DESCRIPTION OF WORK(Please Print Clearly) /jw 10np
Please Circle All That Apply)
Is job ready for inspection: 6�/ NO. Rough In Fina[
*Do-you need a Temp Certificate: �/ NO
Temp Infoemmatiorr(Ifed)
*Service Size: 1 Phase Whase 100 150 200 300 350 400 Other
*New Service: Re-conne Undergroun Number of Meter Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
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X82=Request for Inspection Form
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