HomeMy WebLinkAbout42573-Z Q�511FFOt, coG Town of Southold 6/8/2018
P.O.Box 1179
C3' 53095 Main Rd
�4R Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39698 Date: 6/8/2018
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 32845 Route 25, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 97.-54.5
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
4/16/2018 pursuant to which Building Permit No. 42573 dated 4/16/2018
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:
100 AMP ELECTRIC METER TO AN EXISTING METER BANK
The certificate is issued to Malon Industries Inc
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 42573 06-06-2018
PLUMBERS CERTIFICATION DATED
Authorized Signature
o�SO E�OL4§ TOWN OF SOUTHOLD
y BUILDING DEPARTMENT
co 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#: 42573 Date: 4/16/2018
Permission is hereby granted to:
Malon Industries Inc
c/o Stanley Malon
PO BOX 579
Cutchogue, NY 11935
To: 100a meter added to existing meter bank.
At premises located at:
32845 Route 25, Cutchogue
SCTM # 473889
Sec/Block/Lot# 97.-5-4.5
Pursuant to application dated 4/16/2018 and approved by the Building Inspector.
To expire on 10/16/2019.
Fees:
ELECTRIC $85.00
Total: $85.00
V
Building Inspector
SOlI��®!
Town Hall Annex Telephone(631)765-1802
54375 Main Road N � Fax(631)765-9502
P.O.Box 1179 �, �Q roger.rich ert(aD-town.southoId.ny.us
Southold,NY 11971-0959 "
01
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Malon Industries Inc.
Address: 32845 Route 25 city,Cutchogue st: New York zip: 11935
Building Permit* 42573 Section: 97 Block: 5 Lot: 4.5
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor. DBA: G&S Electric License No: 578-ME
SITE DETAILS
Office Use Only
Residential Indoor X Basement X Service Only
Commerical X Outdoor 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 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 Switches Twist Lock Exit Fixtures �] TVSS
Other Equipment: Add 100 Amp, 3 Phase Service Meter to Existing Meter Bank.
Notes:
Inspector Signature: C --- Date: June 6, 2018
0-Cert Electrical Compliance Form.xls
soulyolo
* # TOWN OF SOUTHOLD BUILDING DEPT.
courm, 765-1802
INSPECTION �FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ]
FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
DATE 1171
J�
i
- o o
Town Hall Annex
54375 Maio Road Telephone(631)765-1802
P.O Box 1179 ; roger rich E �pU(n S� 5 r1V uS
Southold,NY 11971-0959 �0 - n ►
BUILDING DEPARTMENT
TOWN,OF'SOUTHOLD i
APPLICATION FOR ELECTRICAL LN
SPECTiON
REQUESTED BY }
Date: � I
Company Name: G' 1 Ic �T�C.
Name: G u P.2 f-
Dense No.:
.ddress: , D �o� ,g;��
JOBSITE INFORMATION: (*Indicates required
information)
*Name: AL-ON, AJ D U S�'�
*Addy-ess: ;�a S`-( �' Oy1� 1►�1 " f� �•� , C�.1 � i
*Guess Street: Ps 0
*Phone No.: 3 D
Pemtit No.: ��� r
Tax-Map District. 4000 Section: Block:
--- Lot:
9
*BRIEF DESCRIPTION OF WORK(Please Print Clearly) i
D iD /r10 Al
Mease-Circle All That Apply)
*Is job ready for inspection: YES NO.
rnal
*Do-you need a Temp Certificate: YE ! NO Rough In
Temp Information(If.needed) ,
*Service Size: 4 Phase 3Phase X00 450 200 300 350 400 Other
*New Service: Re-connect Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
• P � i
.824L-quest for Inspection Form