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HomeMy WebLinkAbout44215-Z �Zf�7Ct y _ �4�pguFFO(,t Town of Southold 7/25/2020 G P.O.Box 1179 CM o • 1 53095 Main Rd y 4� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41288 Date: 7/25/2020 THIS CERTIFIES that the building ' ELECTRICAL r Location of Property: E End Rd, Fishers Island SCTM#: 473889 Sec/Block/Lot: 5.-2-10.12 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/20/2019 pursuant to which Building Permit No. 44215 dated 9/25/2019 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: 400a undergroud electric service with 2-200a main panels. The certificate is issued to Pequot Point LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 44215 7/23/2020 PLUMBERS CERTIFICATION DATED Authorized Signature fFOc,� TOWN OF SOUTHOLD gU f c�a BUILDING DEPARTMENT x 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#: 44215 Date: 9/25/2019 Permission is hereby granted to: Pequot Point LLC 246 Eden Rd Palm Beach, FL 33480 To: undergroud electric service At premises located at: E End Rd, Fishers Island SCTM # 473889 Sec/Block/Lot# 5.-2-10.12 Pursuant to application dated 9/25/2019 and approved by the Building Inspector. To expire on 3/26/2021. Fees: ELECTRIC $85.00 Tot $85.00 v r - Building Ins Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 roger.richert(a-town.Southold.ny.us C®U 9� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To. Pequot Point LLC Address: E End Rd City: Fishers Island St: New York Zip- 6390 Building Permit#: 44215 Section 5 Block. 2 Lot 10.12 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: BD Electtic License No: 35821-ME SITE DETAILS Office Use Only Residential X Indoor X Basement X Service Only X Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph 400a Heat Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel 2-20 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 2-20 Switches Twist Lock Exit Fixtures 11 TVSS Other Equipment: Notes: New 400a underground service,2-200a main panels with 200a service disconnects, 1-meter Inspector Signature: Date: July 23 2020 81-Cert Electrical Compliance Form As �o�S11fF0�,��0 Gym BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD =oTown Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959 y�0' � Telephone (631) 765-1802-FAX(631) 765-9502 Temporary Certificate # G Date b _ s� a 2019 Customer Name C MGA 0f 2!(_ LGL Electrician Name _ Gales .2 c� Address C 6-k, 2T>. Phone 3/� F • ? e-mail e-mail Ch��s f3't7 L1�y Phone License# Sized`O A Phase / r � Overhead Underground_ #of Meters Remarks #of Underground Laterals 1 2 r New "H" Frame or Pole H P Fire Reconnect Was work done on Service? Y/N Flood Reconnect Old Meter#E:::= Service Reconnected Application for electrical service equipment is on file with the town of Southold.On the applicant's notification that this installation is complete,the town will conduct a premises inspection of the service equipment. This ion is vali 90 s fr date above. Authorized by ---------=---------_-_------------------------- nalX of+o.9 00 BUILDING DEPARTMENT- Electrical Inspector Y' TOWN OF SOUTHOLD 'c,o Town Hall Annex -54375 Main Road - PO Box 1179 Southold, New York 11971-0959 § Telephone (631) 765-1802 - FAX(631) 765-9502 rogenricherlQMown southold ny us t APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: ��t-.i, L Date: - Company Name: Name: License No.. m email: �/�7�i5 r'r Address: = Phone No.: JOB SITE INFORMATION: (All Information Required) `�� (.(,p Name:,, a Addres: . C r Cross Street r� Phone No.: �l r Bldg.Permit email: Tax Map District: 1000 Section: S Block: Lot: BRIEF DESCRIPTION OF WORK(Please Print Clearly) Circle All That Apply: Is job ready for inspection?: NO Rough In (::F:in]a) Do you need a Temp Certificate?: DSNO Issued On Temp Information: (All information required) Service Size1 Ph 3 Ph Size: Oa A #Meters�� Old Meter# Ne=Service - Fire Reconnect- Flood Reconnect-Service Reconnected - Underground Overhead # Underground Laterals 1 n2 H Frame Pole Work done on Service? (2' N Addit(ona( information: T `T �1—"7 PAYMENT DUE WITH APPLICATION 01 e7 CC Cr'' mLLttJJ 11 (ion orm,x1sv ._ _ b.,. J,4_ �•�._ wr°Irk`°��.