HomeMy WebLinkAbout42288-Z Town of Southold 3/4/2018
P.O.Box 1179
$ 53095 Main Rd
�g�lap? Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 39541 Date: 3/5/2018
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 36660 Route 25, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 97.-3-3.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
1/10/2018 pursuant to which Building Permit No. 42288 dated 1/10/2018
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:
200a underground electric service to H frame.
The certificate is issued to Ghost Town LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 42288 2/22/2018
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#: 42288 Date: 1/10/2018
Permission is hereby granted to:
Ghost Town LLC
439 Fifth St
Greenport, NY 11944
To: Electric Service
At premises located at:
36660 Route 25, Cutchogue
SCTM # 473889
Sec/Block/Lot# 97.-3-3.1
Pursuant to application dated 1/10/2018 and approved by the Building Inspector.
To expire on 7/12/2019.
Fees:
ELECTRIC $85.00
Total: $85.00
ui � Inspector
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Town Hall Annex Telephone(631)765-1802
54375 Main Road N Fax(631)765-9502
P.O.Box 1179 o roqer.rich ert(aD-town.southold.ny.us
Southold,NY 11971-0959 Q i
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BUILDING DEPARTMENT
TOWN OF SOUMOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Ghost Town LLC
Address: 36660 Route 25 city,Cutchogue st: New York zip: 11935
Building Permit#• 42288 Section: 97 Block. 3 Lot: 3.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Jim Shaw Electric License No. 33381-ME
SITE DETAILS
Office Use Only
Residential Indoor Basement Service Only
Commerical X Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph 200A Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 200A 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 200A Switches Twist Lock Exit Fixtures TVSS
Other Equipment: 200A Underground Service to "H" Frame.
Notes:
Inspector Signature: Date: February 22, 2018
0-Cert Electrical Compliance FormAs
Town Hall Annex Teleph
54375 Main Road
P.O.Box 1179 rogenrich d0rrlloalt mollel�.Us - -:ZD
Southold,NY 11971-0959 C
JAN 1 0 20f8
BUILDING DEPARTMENT
TOWN OF SOUTHOLD TOWN OF SOUIROLD i
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY-
V Date:
Company Name:
T.C—
.1"Name:
License No.:
Address:
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'Phone No.: (,o Y/— S-5-3 -
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JOBSITE INFORMATION: (*Indicates required information)
*Name: k0 ST �1i 1 ujAJ (-L. C—
*Address: 2. C ue_ k)
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*Cross Street:
Lti
*Phone No.:
W 1 7 q-L
Permit No.:
Tax Map District: 1000 Section: —Block: 3 Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
(Please Circle All That Apply)
*Is job ready for inspection.
i)It NO Rough In Final
*Do-you need a Temp Certificate: d31/ NO,,_ IHSS
Temp Information (if needed)
*Service Size:
I Phase 3Phase 00 150 200 300 350 400 Other
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*New Service: =nnect Underground Number oVete Overhead
hang 0 Service
Additional Information, PAYMENT DUE g LHAPIPLIfCATION
IZ
.82=Request for inspection Form