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Home My WebLink About41545-Z S11PFatfc�Gy Town of Southold 7/13/2017 P.O.Box 1179 a C* ' g 53095 Main Rd y�j01 �ao� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39050 Date: 7/13/2017 THIS CERTIFIES that the building ELECTRICAL Location of Property: 26342 Route 25, Cutchogue SCTM#: 473889 Sec/Block/Lot: 109.-4-8.3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/21/2017 pursuant to which Building Permit No. 41545 dated 4/21/2017 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: 200 AMP UNDERGROUND SERVICE TO WELL PUMP The certificate is issued to North Fork Country Club of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 41545 06-20-2017 PLUMBERS CERTIFICATION DATED uthorized Signature SufFnt�c TOWN OF SOUTHOLD �oo� 9dy BUILDING DEPARTMENT TOWN CLERK'S OFFICE 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#: 41545 Date: 4/21/2017 Permission is hereby granted to: North Fork Country Club Route 25 PO BOX 725 Cutchogue, NY 11935 To: Electric Service At premises located at: 26342 Route 25, Cutchogue SCTM # 473889 Sec/Block/Lot# 109.4-8.3 Pursuant to application dated 4/21/2017 and approved by the Building Inspector. To expire on 10/21/2018. Fees: ELECTRIC $125.00 Total: $125.00 Building Inspector �o��pF SOVry®lo Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 aQ roger.riche rttccb-town.southoId.ny.us Southold,NY 11971-0959 olyI nii ffm BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: North Fork Country Club Address: 26342 Route 25 City: Cutchogue St: New York Zip: 11935 Building Permit#: 41545 Section: 109 Block. 4 Lot: 8.3 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Sabat Electric License No: 4204-ME SITE DETAILS Office Use Only Residential Indoor 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 Heat Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph 200A 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 Fixture Time Clocks Disconnect 6Switches Twist Lock Exit Fixtures TVSS Other Equipment: 200A - 3 Phase Underground Service to Well Pump. Notes: Inspector Signature: Date: June 20, 2017 0-Cert Electrical Compliance Form.xls t MG.-DEPARTMENT' . , BUILDING 'TO�IVN';O.F`SOUTHOLD . - o ?o M,Ha11;Arinex•5,4375 NI'ain Road's R0.Box 1179.r Southold,NY 11971-0959 ,.Telephone(631)765'4902'Fax(631).765=9502 Date — ar 20�� _ Number of Meters` Temporary Certificate Size - - Overhead LI Underground :.,,New Service )4 ;Change of Service ❑ .Reconnect Existing Service ❑ Location . (pI .�-` asf 1 on Lt Issued to�L t"r �1) d� - n + CII-{ 1j I } Installed b°y a�Dt,D,a-,t, � ,� Lic.# Reference U� _ ,,:,„Application-f6't electrical,service pquipmen 't:is,on file with the Town of Southold.On applicant's notification ,,that this-installation is complete,the,town will conduct a•p,remise§,inspection,of the service equipment. This ve�ific do ;is valid d F e above date: _Authoriied byIto 4 f Town Hall Annex P 54375 Main Road P.O.Box 1179 Coro enrich owls)ou !pl !115 Southold,NY 11971-0959 ^Q� ``� j U AP D tdNi`I, R 2 1 2017 BUM'DING DEPARTWNT TOWN OF SOUTHOLD TO IlVC DEFT. j't'li'®ES®�,�®LD APPLICATION FQR ELECTRICAL INSPECTION REQUESTED BY: p J14 Date: 4—L 1- l- Company Name: A /�°A� El ��—�I C- Name: License No.: LIL p c- X-4 F Address: Phone No.: . (0 3 -7 2 Y f J®BSlTE INFORMATION: (*Indicates required information) � *Name: k/d 9--rd- F C6U/t�$1�- L t *Address: 6 D �Z-� /� 11 OA '� CLM d 6 6-Q 6— *Cross Street: *Phone No.: (51' - 73q- 7/A9 A L a - PT Permit No.: 1 J Tax-Map District: 4000 Section: Block: Lot: *BRIEF DESCRIPTION OF WORK(Please Forint Clearly) U AA CIL Pg-)64 A P,o w -72b, (Please Circle All That Apply) *Is job ready for inspection: S NO Rough In Final *Co you need a Temp Certificate: NO Temp Information(if.needed) *Service Size: 1 Phase 13haso 100 950 (?20 300 350 400 Other *New Service: Re-connect ndergroun Number ofrs t Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION 8241equest for Inspection Form I