HomeMy WebLinkAbout44177-Z S�{PFOI,�Co Town of Southold 10/9/2019
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A P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40761 Date: 10/9/2019
THIS CERTIFIES that the building ELECTRICAL
Location of Property: Peninsula Rd,Fishers Island
SCTM#: 473889 Sec/Block/Lot: 10.-3-22.2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/17/2019 pursuant to which Building Permit No. 44177 dated 9/17/2019
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:
OVERHEAD ELECTRIC SERVICE, METER PAN AND ENTRANCE CABLE
The certificate is issued to Pirates Cove Marine Inc
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 44177 09-19-2019
PLUMBERS CERTIFICATION DATED
uthorized Signature
4�SUF¢i�i TOWN OF SOUTHOLD
BUILDING DEPARTMENT
c� TOWN CLERK'S OFFICE
oy • �tY 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#: 44177 Date: 9/17/2019
Permission is hereby granted to:
Pirates Cove Marine Inc
PO BOX 365
Fishers Island, NY 06390
To: remove and replace damaged service entrance overhead cable/meter socket terminate
in existing breaker panel
At premises located at:
Peninsula Rd, Fishers Island
SCTM # 473889
Sec/Block/Lot# 10.-3-22.2
Pursuant to application dated 9/17/2019 and approved by the Building Inspector.
To expire on 3/18/2021.
Fees:
ELECTRIC $85.00
Total: $85.00
g Inspector
pF S0
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 • COQ roper.riche rt[CD-town.south old.ny.us
lyc®UNT`I
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Pirates Cove Marine (Hubble)
Address: 1386 Peninsula Rd City: Fishers Island St: New York Zip: 6390
Building Permit#: 44177 Section 10 Block 3 Lot- 222
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA. NI Electric License No 34408-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only X
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph 100a Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 100a 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 100a Switches F1 Twist Lock Exit Fixtures TVSS
Other Equipment: Replace damaged overhead service, meter pan and entrance cabel only,
existing main circuit panel remained
Notes.
Inspector Signature: Date: September 19 2019
81-Cert Electrical Compliance Form As
1 tio��o�s®�,ry®!
Town Dull Annex �
54375 Mam Road Telepahcone(631)765--1802
P.O.Sox 1179 G fQp(:f.flCheft_ _I(}Wi1 SOUIIOICt nV ttS
Southold,NX 11971-0959
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TOWN•1+\ OJl SOUTH' OILD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: NICI�L14S �• AJ0u&X b Ko Date:
Company Name: L� L
Name: ,
License No.: p 9/91 L�
Address: 171 tO,4-/L/-}yVG QLb L-li"L!7-CE. 06 3?
Phone No.:
JOBSITE INFORMATION: (*Indicates required information)
• Name:
"Address: I L
�c
`Cross Street: —
`Phone No-: � 7
permit No.:
rax Map District: 1000 Section:_ n _ Block: r Lot: a a
,'BRIEF DESCRIPTION OF WORK (Please Print Cfeariy)
D� J, I
Please Circle Ail That Apply]
Is job ready for inspection: NO Rough In Final
Do you need a Temp Certificate: YES ! NO
'emp information(if needed)
Service Size: 1 Phas 3Phase10 150 200 300 ` 350 400 Other
New Service: Re-connect, Underground Number of Meters -hange of Servi verhead
idditionallnformation: f
PAYMENT DUE WITH APPLICATION
824Request for Inspection Form �v