HomeMy WebLinkAbout44991-Z ��o�gUfFOt,t�,G Town of Southold 7/25/2020
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P.O.Box 1179
53095 Main Rd
y 1 Southold,New York 11971
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CERTIFICATE OF OCCUPANCY
No: 41286 Date: 7/25/2020
THIS CERTIFIES that the building ELECTRICAL
Location of Property: Pvt Rd Off E End Rd,Fishers Island
SCTM#: 473889 Sec/Block/Lot: 4.4-2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/13/2020 pursuant to which Building Permit No. 44991 dated 7/20/2020
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 underground electric service.
The certificate is issued to, Sandsong LLC
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of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL-
ELECTRICAL CERTIFICATE NO. 44991 7/23/2020
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
H x TOWN CLERK'S OFFICE
"may • � fi� 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#: 44991 Date: 7/20/2020
Permission is hereby granted to:
Sandsong LLC
C/O Richard S. Marshall, CPA
PO BOX 1414
Lafayette, CA 945491414
To: 200A underground electric service.
At premises located at:
Pvt Rd Off E End Rd
SCTM #,473889
Sec/Block/Lot# 4.4-2
Pursuant to application dated 7/20/2020 and approved by the Building Inspector.
To expire on 1/15/2022.
Fees:
ELECTRIC $85.00
Total: $85.00
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Building Inspector
rif so
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 a� roger.richertO-town.southold.ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To. Sandsong LLC
Address: Off East End Rd, (173 Seal Place) City: Fishers Island St: New York Zip: 6390
Building Permit* 44991 Section: 4 Block- 4 Lot. 2
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 X Basement X Service Only X
Commerical Outdoor X 1 st 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 Fixtures Time Clocks
Disconnect 200a Switches Twist Lock Exit Fixtures TVSS
Other Equipment:
Notes, New 200a underground service,existing main panel with 200a disconnect
Changed due to power company alterations
Inspector Signature: Date: July 23 2020
81-Cert Electrical Compliance Form As
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... _ J U L 1 3 2020
; FID . BUILDING DEPARTMENT-Electrical Inspector
TOWN OF SOUTHOLD BUILDTNG DEPT.
Town Hall Annex- 54375 Main Road - PU-96x 1179 1`191'."7HOLD
Southold, New York 11971-0959
Telephone 631 -
j' p ( ) 765-1802 FAX (631) 765-9502
rogerc@southoldtownnyAgov seand(casoutholdtownnv aov,
APPL,I,CAT,10 FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) _ Date; ?�
Company Name: _ cw - -
Name: � -- - -_---_ -
License No.: gel—_ email: _
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Address: tc
Phone No.. G 3 =
JOB SITE INFORMATION (Ali Information Required) -
Name: - -
--- --- -- - --- -
- - - ----- - -Address: -
Of
Cross Street:
Phone No.:
Bldg.Permit#: q I email:
Tax Map District: 1000 -Section: Block: Lot:
BRIEF DESCRIPTION OF WORK (Please Print Clearly) ���l�c
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Circle All That Apply:
Is job ready for inspection?: YES / NO Rough In Final
Do you need a Temp Certificate?: YES / NO issued On
Temp Information: (All information required)
=Service Size 1 P 3 Ph Size: _ A #Meters= Old Meter#
Service Fire Reconnect-Flood Reconnect-Service Reconnected Undergroun Overhead
nderground Laterals 2 H Frame Pole Work done on Service? N
Additional Information: --
PAYMENT-DUE.WITH APPLICATION
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Request for Inspection Form.xls
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