HomeMy WebLinkAbout44651-Z EF�l,� Town of Southold 3/10/2020
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P.O.Box 1179
co53095 Main Rd
�'�,��� �a4� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41133 Date: 3/10/2020
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
1/31/2620 pursuant to which Building Permit No. 44651 dated 1/31/2020
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 overhead service for an existing building
The certificate is issued to Pirates Cove Marine Inc
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 44651 3/5/2020
PLUMBERS CERTIFICATION DATED
Authorized Signa e
r
,QsV1FDLI( TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y TOWN CLERK'S OFFICE
o • 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#: 44651 Date: 1/31/2020
Permission is hereby granted to:
Pirates Cove Marine Inc
PO BOX 365
Fishers Island, NY 06390
To: install 200a overhead service for an existing building.
At premises located at:
Peninsula Rd, Fishers Island
SCTM # 473889
Sec/Block/Lot# 10.-3-22.2
Pursuant to application dated 1/31/2020 and approved by the Building Inspector.
To expire on 8/1/2021.
Fees:
ELECTRIC $125.00
Total: $125.00
Building Inspector
OF SOU�y®l
Town Hall Annex a ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 • �o� roger.richertCa�town.southold.ny.us
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To- Pirates Cove Marina Inc
Address: Peninsula Rd City: Fishers Island St: New York Zip: 6390
Building Permit# 44651 Section 10 Block: 3 Lot 222
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor. DBA. NI Electric LLC License No: 34408-ME
SITE DETAILS
Office Use Only
Residential Indoor X Basement Service Only X
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 FixturesTime Clocks
Disconnect 200a Switches Twist Lock Exit Fixtures TVSS
Other Equipment- Install new 200 amp overhead service riser only (existing service panel remained)
Notes
Inspector Signature: Date: March 5 2020
81-Cert Electrical Compliance Form.xls
30Ury�
Town HaL Amex Telephone(631)765-1802
54375 Main Road
u+ p (631)76 g5q�
P.Q. Box 1I79 G • foQG'f:flchQft iolAln SOU1101{1 nV US
Southold,NY 11971-0959
t E,
JAN 3 0 2020
BUnDhNG DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTIQ
REQUESTED BY: Date:
Company Name: ` 02 �02�
E`G C- ter✓
Name: ,
License No.:
L-1) L-YmE C-r . U G-3 7 j
Phone No.:
JOBSITE INFORMATION: (Indicates required information)
'Name: l &.2 J =
'Address: Pt
'Cross Street: --
`Phone No.: j g
3ermit No.:
fax Map District: 1000 Section:�j Block:�_ Lot: a �
'BRIEF DESCRIPTION OF WORK(Please Print Clearly)
0 y 52->��D �t -y I CE L6 i C�
Please Circle Alt That Apply)
Is job ready for inspection: ( � NO Rough
in
..'.�=�� u9 Final
Do you need a Temp Certificate: YES ! NO
'emp information(if needed)
Service Size: hase 3Phase = 100 150200 300 350. 400 Other
New Service: Re-connect Underground Number of Meters Change of Serviceverhead
►dditional Information: PAYMENT DUE WITH APPLICATION
an 44
824Request for lnspectlon Form �-e