HomeMy WebLinkAbout43854-Z Q.�FFat�.0, Town of Southold 2/13/2020
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P.O.Box 1179
a' 53095 Main Rd
�4," �yo`� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41076 Date: 2/13/2020
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 4170 Indian Neck Ln,Peconic
SCTM#: 473889 Sec/Block/Lot: 98.4-27.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
6/12/2019 pursuant to which Building Permit No. 43854 dated 6/12/2019
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:
200 AMP UNDERGROUND ELECTRIC SERVICE RELOCATION
The certificate is issued to Indian Neck I LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 43854 02-04-2020
PLUMBERS CERTIFICATION DATED
Authorize ignature
TOWN OF SOUTHOLD
�gUFFO(,�cOGy
BUILDING DEPARTMENT
y 2 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#: 43854 Date: 6/12/2019
Permission is hereby granted to:
Indian Neck I LLC
1350 Ave of Americas Ste 2300
New York, NY 10019
To: Electric Service
At premises located at:
4170 Indian Neck Ln, Peconic
SCTM # 473889
Sec/Block/Lot# 98.-1-27.1
Pursuant to application dated 6/12/2019 and approved by the Building Inspector.
To expire on 12/11/2020.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
pF SO(/l�ol
Town Hall Annex ~ Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 sean.devlin(aD-town.southold.ny.us
Southold,NY 11971-0959
COMM
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To Indian Neck I LLC
Address: 4170 Indian Neck Ln city Southold st: NY zip: 11971
Building Permit# 43$54 Section 9$ Block: 1 Lot. 27.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor DBA: Long Island Power Solutions License No 53560-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only X
Commerical Outdoor X 1 st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph X Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 200A a A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors
Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO
Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks
Disconnect I Switches 4'LED Exit Fixtures 11 Pump
Other Equipment
Notes, 200A Underground Service Relocation
Inspector Signature: Date: February 4, 2020
S Devlin-Cert Electrical Compliance Form As
ho�apE SOUK,°� --
# TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION -
[ ]- FOUNDATION 1ST [ ] ROUGH PLBG.
-( j FOUNDATION 2ND [ ] INSULATION/CAULKING
( ] FRAMING /STRAPPING [ ] FINAL
[ -] FIREPLACE & CHIMNEY-=- [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [. ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) SitoKvf eI�/
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
DATE INSPECTOR
SdfF04 BUILDING DEPARTMENT-Elec
TOWN OF SOUTHO
y Town Hall Annex- 54375 Main R4\ PO Box 1179
Southold, New York 11971 0954U 1 2 2019
Telephone (631) 765-1802 - FAX(631) 765-9502
ro.ger.richert&-town.southold.ny:cis,..-�
T01V'N Off'sou-
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date: 0/
Company Name: �, - p --
Name: -
License No.: m�- 3��O - email: -
Address:
Phone No.:
JOB SITE INFORMATION: (All Information Required)
Name: --
Address: I_l)
- - - - -- -- - - - - - -
Cross Street: _ -=
Phone No.: - -
Bldg.Permit#: email:^_
Tax Map District: 1000 Section: Block: /7-2, 7- _Lot:
BRIEF DESCRIPTION OF WO K(Please Print Clearly) .�_k
Circle All That Apply:
Is job ready for inspection?: nYE / ' Rough In Final
Do you need a Temp Certificate?: NO Issued On
Temp Information: (All information required)
Service Size 1 Ph3 Ph Size: - A #Meters_ _ I Old Meter#
New Service Fire Re nnect- Flood Reconnect-Service Reconnected Undergroun -Overhead
Underground Laterals_ 1_ _2 H Frame Pole Work done-on Service?_ Y_ N__ -
-Additionallnforination: _ - -
-- - -- - - PAYMENT_DUE WITH APPLICATION -- -- -- - -
82-Request for lnspeo6on Formods � ��