HomeMy WebLinkAbout44215-Z �Zf�7Ct y _
�4�pguFFO(,t Town of Southold 7/25/2020
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P.O.Box 1179
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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
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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
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