HomeMy WebLinkAbout47045-Z ofS F01'l Town of Southold 11/13/2021
P.O.Box 1179
o • 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42531 Date: 11/13/2021
THIS CERTIFIES that the building ELECTRICAL
Location of Property: Winthrop Dr.,Fishers Island
SCTM#: 473889 Sec/Block/Lot: 9.40-6
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
10/27/2021 pursuant to which Building Permit No. 47045 dated 10/27/2021
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.
The certificate is issued to Cook,Elizabeth
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 47045 11/4/2021
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
�o�suFFocM�o�
y BUILDING DEPARTMENT
y 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#: 47045 Date: 10/27/2021
Permission is hereby granted to:
Cook, Elizabeth
161 Essex Meadows
Essex, CT 06426
To: 200A underground electric service.
At premises located at:
Winthrop Dr., Fishers Island
SCTM #473889
Sec/Block/Lot# 9.-10-6
Pursuant to application dated 10/27/2021 and approved by the Building Inspector.
To expire on 4/28/2023.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
®��oF sorry®�
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 roger.richertccb-town.southold.ny.us
Southold,NY 11971-0959
C®wn
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Cook
Address: Winthrop Dr City: Fishers Island St: New York Zip: 6390
Building Permit* 47045 Section: 9 Block. 10 Lot: 6
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: BD Electric License No: 38521-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 200a Heat Duplec Recpt Ceding 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: Service repair/ up grade, 200a underground service
Notes.
Inspector Signature: Date: November 4 2021
81-Cert Electrical Compliance Form As
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U, 1 F9
OCT 2 6 2021
BUILDING DEPT I_.�JLDING DEPARTMENT-Electrical Inspector
WN OF SOUTHOL TOWN OF SOUTHOLD
Down Hall Annex-54375 Main Road- PO Box 1179
Southold, New York 11971-0959
rV Telephone (631) 765-1802 - FAX(631) 765-9502
Jrr ro err _southoldtownny aov-seand �southoldtownny aov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (AII Information Required) Date: o
Company Name: 13 D ��,
Name:
GA s fo At (, /ecl-
License No.: '3SS"Z r � m pr email:
Phone No: a'- b r-r 1414, Co,"
/- $8 79 r g ®I request an email copy of Certificate of Compliance
Address.: 1�1 Lo TAe- �1�4�,
r
E SITE INFORMATION (All Information Required)
Name: clook-
Address: .fn p ;✓z F.r. /V Y
Cross Street:
Phone No.: (� / -;�'9S�-� 73 4
Bldg.Permit#: �-}-� f�� r�
small: Lp� ArrTax Map District: 1000 Section: Block:
BRIEF DESCRIPTION OF WORK(Please Print Clearly)
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Check All That Apply:
Is job ready for inspection?: �S ®NO ®Rough In Erinal
Do you need a Temp Certificate?: ®YES ®N®
Issued On
7* rals
: (AII information required)
h ®3 Ph Size: ZOO A #Meters
Old Meter#
®Service Reconnect ®Underground®Overhead
s ®1®2 ®� Frame®Pole#7-9 3 Work done on Service? 71
Service
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Additional Information:
PAYMENT DUE I i ru KPLICATI®N
Electrical Inspection Form 2020.xlsx
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REMODELING & RESTORATION
INC.
10/22/2021
Town Of Southold
Building Department
Attn: Mike/Roger
Mike
Please see the enclosed request for electrical inspection Final for a Sevice at Geb
Cook Winthrop Drive. 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 ierce
Project Manager
BD Remodeling
Fishers Island NY
shawn@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