HomeMy WebLinkAbout46258-Z �o�O�UFFaI Town of Southold 7/11/2021
a P.O.Box 1179
0
o ` g 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42149 Date: 7/11/2021
THIS CERTIFIES that the building ELECTRICAL
Location of Property: Off East End Rd.,Fishers Island
SCTM#: 473889 Sec/Block/Lot: L-2-6.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/14/2021 pursuant to which Building Permit No. 46258 dated 5/14/2021
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:
200A underground electric service due to utilfty company re-location of transformer.
The certificate is issued to Horse Head Corporation
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 46258 6/17/2021
PLUMBERS CERTIFICATION DATED
r of
Authorized Signature
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 roger.richert(aD-town.southold.ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Horse Head Corperation (Baker)
Address: Off East End Rd (5671 Castel Rd) City: Fishers Island St: New York Zip: 6390
Building Permit* 46258 Section. 1 Block: 2 Lot. 61
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 Basement Service Only X
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Surrey 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: Install new conduit, conductors, and meter pan, due to utility company re-locatuon
of transformer.
Notes: Service up grade, retaining original 200a main panel.
Inspector Signature: Date: June 17 2021
81-Cert Electrical Compliance Form.xls
�Suefoi��oTOWN OF SOUTHOLD
moo ay BUILDING DEPARTMENT
ti TOWN CLERK'S OFFICE
Woy�• ao� 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#: 46258 Date: 5/14/2021
Permission is hereby granted to:
Horse Head Corporation
8717 Mcdonogh Rd
Baltimore, MD 21208
To: 200A underground electric service.
At premises located at:
Off East End Rd., Fishers Island
SCTM # 473889
Sec/Block/Lot# 1.-2-6.1
Pursuant to application dated 5/14/2021 and approved by the Building Inspector.
To expire on 11/13/2022.
Fees:
ELECTRIC $85.00
Total: $85.00
iiud- din'rg-Inspector
4 2021 BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
- 4� �dTown Hall Annex - 54375 Main Road - PO Box 1179
f_,; _ : A", Southold, New York 11971-0959
y� Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr@southoldtownny.gov — sea nd(&southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: V 16
Company Name: 'r-6D ' L_L�__
Name: OR
License No.: �g-&-zA email: �& w-
Phone No: —924SP' I request an email copy of Certificate of Compliance
- - - - -- - Address:: ZC� -� - -- �, -- - -- --
JOB SITE INFORMATION (Ail Information Required)
Name: ``\rJ6
Address:
Cross Street:
Phone No.:
Bldg.Permit#: email:
Tax Map District: 1000 Section: Block: Lot: C..
BRIEF DESCRIPTION
� OF WORK (Please Print Clearly) ;�, Sf:,/1 �e.��.L=f �-Co„�l�A�r for
S(�✓.e(e. CIO �e U f'•//^7 cove=, Nes d a i A lh" 6-'s to B,/',Ms..r., ���1 1� �rA S rCA•Yy�A�•ty( �i.
Check All That Apply:
Is job ready for inspection?: 6YES ❑NO
]Rough In Of1inal
Do you need a Temp-Certificate?: - -❑YESEw_1N'0 Issued On
Temp Informati n: (All information required)
Service Size 1 Ph3 Ph Size: 'L-00 A #Meters _ Old Meter# �/ 3
❑New Service ?Seni a Reconnect E Underground ❑Overhead
# Underground Laterals 1 ❑2 ❑H Frame❑Pole Work done on Service? E� ❑N
Additional Information:
PAYMENT DUE WITH APPLICATION J j'
MAY - 4 2021
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Electrical Inspection Form 2020.x1sx .! e, -