HomeMy WebLinkAbout46124-Z �o�S�FFOLK�oG Town of Southold 11/4/2021
y� P.O.Box 1179
0
o i 53095 Main Rd
y o�+ Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42497 Date: 11/4/2021
THIS CERTIFIES that the building ELECTRICAL
Location of Property: Munnatawket Ave,Fishers Island
SCTM#: 473889 Sec/Block/Lot: 6.-3-4
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
4/23/2021 pursuant to which Building Permit No. 46124 dated 4/23/2021
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:
100 amp overhead electric service.
The certificate is issued to FI Getaway LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 46124 10/20/2021
PLUMBERS CERTIFICATION DATED
A or&d Signature
o�S�sFFo TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y 2 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#: 46124 Date: 4/23/2021
Permission is hereby granted to:
FI Getaway LLC
c/o Krista Sharp
811 Spring St
Sausalito, CA 94965
To: 100a electric service and panel.
At premises located at:
Munnatawket Ave, Fishers Island
SCTM #473889
Sec/Block/Lot# 6.-3-4
Pursuant to application dated 4/23/2021 and approved by the Building Inspector.
To expire on 10/23/2022.
Fees:
ELECTRIC $851.00
Total: $85.00
Building Inspector
1
so
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
roger.richert(M-town.southold.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To. FI Getaway LLC
Address: Munnatawket Ave City: Fishers Island St: New York Zip: 6390
Budding Permit# 46124 Section. 6 Block: 3 Lot. 4
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Z&S Contracting License No: 4698-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service Only X
Commerical Outdoor X 1st Floor 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 1 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 FixturesTime Clocks
Disconnect 100a Switches Twist Lock Exit Fixtures TVSS
Other Equipment- 100a service up grade (overhead), 13 ARC fault circuit breakers.
Notes,
Inspector Signature: Date: October 20 2021
IF
81-Cert Electrical Compliance Form.xls
SUFt:oc,��,
�0� OGy BUILDING DEPARTMENT-Electrical Inspector
c s TOWN OF SOUTHOLD
co
Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959
�'y�jol �•a0l� Telephone (631)76/5-1802-FAX(631) 765-9502
Temporary Certificate # Date,,IPVL ZG 2021
Customer NamelekHs&V
,wet,Ll�' Electrician Name
Address ,C��� ^T/f�v1�sT. � Phone ey/-798757
e-mail G9�/C71/� GgrF-� e-mail Z,q1.LZ),5 C'D4l� G��4 6
Phone License# e170_1W1:_
Size A Phase /`4 Overhead _Underground #of Meters
Remarks
#of Underground Laterals 1 2 New
"H" Frame or Pole H P Fire Reconnect
Was work done on Service? Y/N Flood Reconnect
Old Meter# 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 for 90 date above.
Authorized by
BUILDING DEPARTMENT-Electrical inspector
4 TOWN OF SOUTHOLD
Town Hall Annex-.54375 Main Road--P.O Box 1179
Southold, New York 11971-0959
tk
4. =1 Telephone"(631)765-1802- FAX (631")765-9502
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APPL- ICATION.FOR ELECTRICAL INSPECTION
ELECTRICIAN 'INFORMATION (All Information Required) Date:
Company Name; 3 C ��
Name:
WN
License No. 1 g` _ F email: "
�
Phone No; p - .g�-' 1 request an email Copy of"Certificate of. _'mpliance
Address. ¢ e
JOB SITE INFORMATION (AII.Information Required)
Name: (�L LL
Address: wk,� oil ,r�x l• iv
Cross Street:_
Phone No.:
B1dg.Permit# (A 1 email• t
Tax Map District: 1000 Section: BlocK: "Lot:
bRIEF DESCRIPTION OF WORK (Please Print Clearly) nen //,V „
Check All That Apply:"
is job ready for inspection?: YES [ZNO, []Rough In ❑Final
Do you need a Temp Cer'tificatO: YES ❑NOS Issued:On
Temp Information: (All information required)
Service Size E]1 Ph [13 Ph Size: A #Meters Old Meter#
1Z New Service Service Reconnect F] Underground RjOverhead
#Underground Laterals 0l 2 H Frame[]Pole Work done on Service? (1Y ❑N
Additional Information:
PAYMENT DUE WITH APPLICATION
_a
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