HomeMy WebLinkAbout47028-Z �o�ognrFFOl,fcoG Town of Southold 11/13/2021
y� P.O.Box 1179
0
o _ 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42533 Date: 11/13/2021
THIS CERTIFIES that the building ELECTRICAL
Location of Property: Oceanic Ave.,Fishers Island
SCTM#: 473889 See/Block/Lot: 9.4-22.2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
10/25/2021 pursuant to which Building Permit No. 47028 dated 10/25/2021
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 overhead electric service.
The certificate is issued to Zinnia Hill LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 47028 11/4/2021
PLUMBERS CERTIFICATION DATED
Authorized Signature
oS�ffQ TOWN OF SOUTHOLD
BUILDING DEPARTMENT
H 2
TOWN CLERK'S OFFICE
�� SOUTHOLD, NY
a
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#: 47028 Date: 10/25/2021
Permission is hereby granted to:
Zinnia Hill LLC
c/o Katharine Stevens
PO BOX 595
Fishers Island, NY 06390
To: 200A overhead electric service.
At premises located at:
Oceanic Ave., Fishers Island
SCTM # 473889
Sec/Block/Lot# 9.-4-22.2
Pursuant to application dated 10/25/2021 and approved by the Building Inspector.
To expire on 4/26/2023.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
OF SO�p�®�
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
® � roper.rich ert(a�town.south old.ny.us
Southold,NY 11971-0959
COO,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To. Zinnia Hill LLC
Address: Oceanic Ave City: Fishers Island St: New York Zip: 6390
Building Permit#: 47028 Section: 9 Block. 4 Lot 222
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 Survey 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 11 TVSS
Other Equipment: Service up grade, 200a overhead
Notes.
Inspector Signature: Date: November 4 2021
81-Cert Electrical Compliance Form As
GO,�o�AUILDING DEPARTMENT- Electrical Inspector
w��oF%9\ TOWN OF SOUTHOLD
�(Plo Town Hall Annex- 54375 Main Road - PO Box 1179
�, Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
roc err _southoldtownny.gov - sea nd(a1southoldtown ny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name: 8 ® 4,e,,,00/d;„ " /1-s �rre,¢,'o
Electrician's Name: CA,;,A. ee, (-/, P- ,Lv
License No.: 3 57$21 --M r Elec. email: of 5d rr wc, to,,.,
Elec. Phone No: 63 I- ?88-?9/9 ❑1 request an email copy of Certificate of Compliance
Elec. Address.: /yzo Ttie �r-/oa : r: 54-rf Zslc.-,PNV 06390
JOB SITE INFORMATION (All Information Required)
Name: 2 �, ; //"/( Z-(-6
Address: Oce-4 ve,.e. Frst e.-s -rslG.-.0 Aly 06390
Cross Street:
Phone No.: j- b3 77 21
Bldg.Permit#: L - ID email: .- j-z, , feve,, ,. 4,r/.4 74,
Tax Map District: 1000 Section: Block: Lot: L ,�
B IEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOT GE (Please Print Clearly):
tPlut-e- F-v:4:- loo A- r M er5-0,1-off'-f-SreJ(, ?12. (o�..- rtj" A -C/c..�..-e-,
ser.,: .4.y
2QP�NCa YO:$c. %G�1/i�dS t�ra.,��,0�"" /-OtiLe- lfif /'el+4i�i
N Square Footage:
Circle All That Apply:
Is job ready for inspection?: [� ' ES❑ NO ❑Rough In ❑ Final
Do you need a Temp Certificate?: ❑ YES❑NO Issued On
Temp Information: (All information required)
Service Size (lPhF]3Ph Size: 7-00 A # Meters_� Old Meter#
❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground verhead
# Underground Laterals n 1 R2 n H Frame Pole Work done on Service? Y
Additional Information:
PAYMENT DUE WITH APPLICATION
o 1g&
D
REMODELING & RESTORATION
INC.
6/1/2021
_ Town Of Southold
Building Department
Attn: Mike/Roger
Mike
Please see the enclosed request for electrical inspection Final for Zinnia hill
LLC. Please let me know if you need anything else and please get this on you list .
Let me know when you may be able to inspect this.
Regards
Shawn
Shawn Pierce
Project Manager
BD Remodeling
Fishers Island NY
shawn e,bdrrusa.com
Cell: 860-287-3176
Office: 631-788-7919
THE GLOAMING,BOX 447,FISHERS ISLAND,NY 06390
TEL (631)788-7919 FAX (631)788-7192