HomeMy WebLinkAbout44904-Z Town of Southold 12/21/2020
3 P.O.Box 1179
a
°" 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41707 Date: 12/21/2020
THIS CERTIFIES that the building ELECTRICAL
Location of Property: Off East End Rd.,Fishers Island
SCTM#: 473889 Sec/Block/Lot: T-4-2.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Pen-nit heretofore filed in this office dated
6/23/2020 pursuant to which Building Permit No. 44904 dated 6/23/2020
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 Turkey House LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 44904 6/23/2020
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y 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#: 44904 Date: 6/23/2020
Permission is hereby granted to:
Turkey House LLC
c/o Powdermill Financial Solut
5803 Kennett Pike Ste A
Wilmington, DE 19807
To: .200 AMP Underground Electrical Service
At premises located at:
Off East End Rd., Fishers Island
SCTM #473889
Sec/Block/Lot# 7.-4-2.1
Pursuant to application,dated 6'23/2020 and approved by the Building Inspector.
To expire on 12/23/2021.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
OF SOU��®�
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 • �®� sean.devlin(a)-town.southold.ny.us
COMM
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To Turkey House LLC
Address: Off East End Rd City Fishers Island St: NY zip: 06390
Building Permit#- 44904 Section: 7 Block. 4 Lot- 2.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: N I Electric LLC License No: 34408ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service X
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph X Heat Duplec Recpt Ceding Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 200A 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 X Switches 4'LED Exit Fixtures Pump
Other Equipment:
Notes: " AS BUILT NO VISUAL DEFECTS " UG Service, Meter Main Disconnect
Inspector Signature: i�— � Date: June 23, 2020
S Devlin-Cert Electrical Compliance Form As
SQ�ryo!
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Town Hall Annex > Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 Q rnmner.rid town southolam .us
Southold,NY 11971-0959
MAR 2 5 2020
BUILDING DEPARTMENT
I TOWN OF SOUTHOIfD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date: .3
Company Name: _L� t t✓ Cr
Name: S
License No.: 3 D $ M L=
Address: a ER 12W R L R A)L D t b �Y fj r-- Cj—% C Q) ?
Phone No.: at 9606 co 9s- 3 x 3 9
JOBSITE INFORMATION: (*Indicates required information)
"Name: - =y 4 Q 0 s — L G
'Address: 2 3 5 6 A 1� C
'Cross Street:
'Phone No.: C,-j3f _ 7&0- -76
'ermit No.:
Fax Map District: 1000 Section: 7 Block:�_ Lot: a r
'BRIEF DESCRIPTION OF WORK(Please Print Clearly)
CX i s 1"(vv(,- m Z-2757f Z D i S Lo3L3!vE-- T r 120 ivy, 711
Please Circle All That Apply)
Is job ready for inspection: 6YR/ NO Rough In Final
Do you need a Temp Certificate: YES 1 NO
'emp Information(If needed)
Service Size: C� 3Phase 100 150204 300 v 350 400 Other
New Service: Re-connect Underground Number of Meters Change of Service Overhead
►dditional Informafion: PAYMENT DUE WITH APPLICATION
824Request for inspection Form
o
Town Hall Annex Aff.
Telephone(631)7651802
54375 Main Road C110 ® QreC. c xx(631 7
P.O. Box E79 aOWn.so6{1 �,Q2
o((t�i nV.uS
Southold,NY 11971-0959 ply
MAR. 2 5: 2020
BUILDING]3WAK ENT
TOWN OF SOUT - . ..
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APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY. , • • • -'
���c�loc- � I�1ow ���p fro Date. 3 _��
Gpmpany-Name:
Name: S ;
-
License Na.. 3° D $ 'M L= '
Address: Eff I(LW L n A)LD t.� Q � y- _ ,.1
Y: �-Ij l .
Phone Nb.. C`. (a'4. Com= �l 3
JOBSITE INFORMATION: (*Indicates yraquired i6formationy-
':Name:
C-
- Address-
k-
-
Address: C[L ,A� 60 D
FCross Street:
`Phone No.: - , -'-6 `o,tQ
'ermit No.: -
rax Map District:- 1000 Section:-.— Block: [ — Lot: a r
, 'BRIEF DESCRIPTION OF WORK(Please Print Clearly) 67
12o nom, rj � X fi-r�2 fy, tI,
Please Circle All That Apply)
Is job ready for inspection: YE / NO Rough in Final
Do you need a Temp Certificate: YES ( NO
'emp information (if needed)
Service Size: (2:93 3Phase 100 150 200)) 300 350 40o Other
New Service: Re-connect Underground Num
►dditionallnformation: ------
her of Meters Change of Service Overfiead
—
PAYMENT DUE WITH APPLICATION
824Reouestforinsoection Form QCT
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