HomeMy WebLinkAbout46758-Z o�SHFFD1,feoG Town of Southold 9/2/2021
P.O.Box 1179
0
_ 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF' OCCUPANCY
No: 42320 Date: 9/2/2021
THIS CERTIFIES that the building ELECTRICAL
Location of Property: Off East End Rd.,Fishers Island
SCTM#: 473889 Sec/Block/Lot: 3.-8-4
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/30/2021 pursuant to which Building Permit No. 46758 dated 8/30/2021
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:
400a underground electric service including200a panel in existing detatchedag_rage and 200a panel in existing single
family dwelling_
The certificate is issued to Chocomount Beach LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 46758 8/31/2021
PLUMBERS CERTIFICATION DATED
Authorized Signature
�o�Su fa'l TOWN OF SOUTHOLD
ay 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* 46758 Date: 8/30/2021
Permission is hereby granted to:
Chocomount Beach LLC
46 Pecksland Rd
Greenwich, CT 06831
To: 400A underground electric service. (200A house/ 200A garage).
At premises located at:
Off East End Rd., Fishers Island
SCTM #473889
Sec/Block/Lot# 3.-8-4
Pursuant to application dated 8/30/2021 and approved by the Building Inspector.
To expire on 3/1/2023.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
OF S®Uri,®l
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 117
Southold,NY 11971-0959 ® �� roger.richertAtown.southold.ny.us
.�`
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To- Chocomount Beach LLC (Getze)
Address: off East End Road (1374 Treasure Pond Rd) City: Fishers Island St: New York Zip: 6390
Building Permit#: 46758 Section- 3 Block. 8 Lot* 4
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: TPI Electric License No: 33396-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only X
Commerical Outdoor X 1 st Floor X Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph 400a Heat Duplec Recpt Ceding Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 2-20 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 2-20 Switches Twist Lock Exit Fixtures TVSS
Other Equipment 400a underground service, to include, 1-200a panel in detached garage, 1-200a
panel in house,5-ARC fault circuit breakers in house panel.
Notes:
Inspector Signature: - Date: August 312021
81-Cert Electrical Compliance Form As
D [ECIENS
AUG 1 3 2021
., C"af BUILDING DEPARTMENT-Electrical Inspector
TOWN U�SOUTH
BUILDING WEPT.
1
Town Hall Annex- 54375 Main Road - P� ocj790 '
Southold New York 11971-0959
Telephone(631) 765-1802- FAX (631) 765-9502
rogeri6�southoldtownny.gov- seandC@,,southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (Alitri'or.abcmRequired) Date: u r-
Company Name: ee"( '--
Name: IA,-,JO
License No.: 3 33 �'(� M email:-17P'EG2 c_ 6eyl" .C dKA
Address: /e�q �N N
Phone No.: 9<eo
JOB SITE INFORMATION (All Information Required)
Name: 2eT2 e-
Address:
Cross Street: Lin
Phone No.: C26 3 o2S3 (X(
BIdg.Permit#: email:
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK (Please Print Clearly) AmAxip
Q4/
Circle All That Apply:
Is job ready for inspection?: (� / NO Rough In Final
Do you need a Temp Certificate?: YES / NO Issued On
Temp Information- (All information squired)
Service Size 1 P 3 Ph Size: A #Meters _ Old Meter#
New Service- Fire Reconnect-Flood Reconnect-Service Reconnected-Underground -Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additiontil Information:
PAYMENT DUE WITH APPLICATION
Request for Inspection Form As �C