HomeMy WebLinkAbout36059-Z �o\pg�IF C.9 Town of Southold 12/19/2019
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t P.O.Box 1179
o • 53095 Main Rd
4,j �ao� Southold,New York 11971
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CERTIFICATE OF OCCUPANCY
No: 40946 Date: 12/19/2019
THIS CERTIFIES that the building ELECTRICAL
Location of Property: PVT RD OFF E END RD FISHERS ISLAND
SCTM#: 473889 Sec/Block/Lot: 3.-2-12
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
12/2/2010 pursuant to which Building Permit No. 36059 dated 12/2/2010
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 ELECTRIC SERVICE AND METER PAN
The certificate is issued to McKACo Island LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 36059 12-18-2019
PLUMBERS CERTIFICATION DATED
Ir Authorized Signature
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 36059 Z Date DECEMBER 2, 2010
Permission is hereby granted to:
MCKACO ISLAND LLC
1000 MAIN STREET SUITE 3270
HOUSTON,TX 77002
for
ELECTRIC SERVICE AS APPLIED FOR.
at premises located at PVT RD OFF E END RD FISHERS ISLAND
County Tax Map No. 473889 Section 003 Block 0002 Lot No. 012
pursuant to application dated DECEMBER 2, 2010 and approved by the
Building Inspector to expire on JUNE 2, 2012 .
Fee $ 85 . 00
j Authorized Signature
ORIGINAL
Rev. 5/8/02
®�*pF SO!/lyol
Town Hall Annex ~ O Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 117
Southold,NY 11971-0959 o roger.riche rt(aD-town.south old.ny.us
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To- McKa (Dunwoody)
Address: Private Rd off East End Rd City: Fishers Island St: New York Zip: 6390
Building Permit#: 36059 Section- 3 Block: 2 Lot 12
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: BD Electric License No: 35821-ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only X
Commerical 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 PanelA/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: New 200a meter pan and underground service
Notes:
Inspector Signature: If Date: December 18 2019
81-Cert Electrical Compliance Form.xls
11/22/2010 .07:46 FAX 631 788 7798 FISHERS ISLAND UTILITY 10002
W 5- C97-4a
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Town I•IR11 Amu 4 4 Telephone(631)765-1802
51375 Main Road Ra(631)76i-gl�2�
P.O.Box 1179 ra er.r'chert tdWrl.Sou O .n us
Soud►olti,NY 11971.0959
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BUILDING DFAIIAR'I TENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date: 1 /6
Company Name:
Name: rr'3 f'r l?ec.�
License No.: t >
Address:
Phone No.: ?4! 7 3! 7$PJ~?Ye5
JOSSITE INFORMATION: ('Indicates required information)
*Name: G �!9 Mb
I'Address: fir'
*Cross Street:
*Phone No.. r� ! �',� 8 8-2 oy f'9'
Permit No.: �5G
Tax Map District: 1000 Section: Block: Lot: Lc�.
*BRIEF DESCRIPTION OF WORK (Please Print Clearly) rl
le
(Please Circle All That Apply)
*Is job ready for Inspection: ES NO Rough In Final
*Do you need a Temp Certificate: ES / NO
Temp Information (If ne ed)
*Service Size: Q�ha-qe 3P 100 150 �20O000 35Q 400 Other
*New Service: R6-connectUndergrou Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION_
82-Requost ror Inspection Form „�
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