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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 i - r- 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) Y) reed rr; SrD�,•,. s ��It Alcw o Zai IF I 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 ®N Additional Information: PAYMENT DUE I i ru KPLICATI®N Electrical Inspection Form 2020.xlsx � . �Z D 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