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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