HomeMy WebLinkAbout46085-Z ` SUfFO Town of Southold
4/17/2021
a y� P.O.Box 1179
o
o ` 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41956 Date: 4/17/2021
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 65 Beachwood Rd, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 116.4-29
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
4/14/2021 pursuant to which Building Permit No. 46085 dated 4/14/2021
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:
100a overhead electrical service.
The certificate is issued to Diplomat Prop Manager LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 46085 4/15/2021
PLUMBERS CERTIFICATION DATED
Authorized Signature
gtlffQl�- TOWN OF SOUTHOLD
��e`A °off BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
�y • 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#: 46085 Date: 4/14/2021
Permission is hereby granted to:
Diplomat Prop Manager LLC
c/o Fay Servicing
440 S LaSalle St FI 20
Chicago, IL 60605
To: reconnection of existing 100a overhead service.
At premises located at:
65 Beachwood Rd, Cutchogue
SCTM #473889
Sec/Block/Lot# 116.4-29
Pursuant to application dated 4/14/2021 and approved by the Building Inspector.
To expire on 10/14/2022.
Fees:
ELECTRIC $85.00
Total: $85.00
136' dingnspector
sovey®�
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 117
Southold,NY 11971-0959 roqer.richert(cD-ger.�" ® �®
COW
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Diplomat Property Manager LLC
Address: 65 Beachwood Rd City: cutchogue St: New York Zip: 11935
Building Permit#: 46085 Section- 116 Block- 4 Lot 29
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
contractor: DBA: Tiger Electrical Services ImLicense No: 51499-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only X
Commerical Outdoor X 1st Floor X Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph 100a Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 100a A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks
Disconnect 100a Switches Twist Lock Exit Fixtures fE TVSS
Other Equipment: Install new 100a service panel and 2-GFCI recpticles.
Notes:
Inspector Signature: Date: April 15 2021
81-Cert Electrical Compliance Form.xls
OF SOUTyO�
TOWN OF SOUTHOLD BUILDING DEPT.
courm, 765-1802
INSPECTION
1
[ ] -FOUNDATION 1ST [ ] ROUGH PLBG.
[ . ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT,CONSTRUCTION [ ] FIRE RESISTANT-PENETRATION
[ ] ELECTRICAL (ROUGH) ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
DATE l Z� INSPECTORS
OSC BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD'
Town Hall Annex - 54375 Main Road - PO Box 1179
" .Southold, New York 11971-0959
4.4 �a Telephone (631) 765-1802 - FAX (631) 765-9502
rogerra-southoldtownny.gov — seand alsoutholdtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: 4/8/2021
Company Name:Tiger Electrical Services Inc
Name:Michael Smith
-License,No.: 51499-ME email:--mike@tigerelectricalny_.com
Phone No: 631-704-0155 ❑✓ I request an email copy of Certificate of Compliance
Address.. bl 0 outr t ra(y i ea ut' (.P_ /k/qt 1178 3
t t 1i
JOB SITE INFORMATION (All Information Required) .. )
- � 1 •
Name: Michael Smith, APR 2029 'Co
Address: U(4L"J)W
Cross Street.
Phone No.: 631-704-0155
Bldg.Permit#:' 4J - 1 email: mike@tigerelectricalny.com
Tax Map District: 1000 -Section: 1 V4, Block: 1A, Lot: aq
BRIEF DESCRIPTION OF WORK (Please Print Clearly) Requesting a reconnect for existing service we performed work to.
Requesting a reconnect for existing service we performed work to.
Requesting a reconnect for existing service we performed work to.
Check All That Apply:
Is job ready for inspection?: [E]YES ❑NO ,❑Rough In ❑Final
Do you need a Tempq- ❑✓ YES ❑NO . Issued On 4/8/2021
Temp Information: (All information required)
Service Size ❑✓ 1 Ph ❑3 Ph Size: A # Meters 1 Old Meter# 098696523
❑New Service. ❑ Service Reconnect ❑ Underground ❑✓ Overhead
# Underground Laterals 01 ❑2 ❑H Frame ❑Pole Work done on Service? ❑✓ Y ❑N
Additional Information:
PAYMENT DUE WITH APPLICATION
Electrical Inspection Form 2020.xlsx
--- - -_-------�-------===-----------------------,- - - -
�gufrFOC,��oG ~
BUILDING DEPARTMENT-Electrical Inspector
C* W TOWN OF SOUTHOLD
Town Hall Annex-54375 Main Road-PO Box 1179-Southol;d, NY 11971-0959
Telephone (631) 765-1802-FAX(631)765-9502 ,/
Temporary Certificate # Date /V9 f`— /`f 2021
Customer Name Gfly/,5,Z_ Electrician Name !lG4YLL �r�c-�
AddressLa 5'(�jC �+vUG �iJ`l� Phone
e-mail e-mail KL _77 Z A11V_ 11-4"-f
Phone License# -5-14,°j —
Size /,>O A Phase Overhead Underground #of Meters /
Remarks
#of Underground Lateralsi 1 2 New
"H" Frame or Polel H P Fire Reconnect
Was work done on Service? Y/N Flood Reconnect
Old Meter#F5 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 verification is valid forX da the date above.
Authorized by
C a��.1 i �101A