The URL can be used to link to this page

Home My WebLink About46937-Z �o�SUFfut y�oG Town of Southold 11/28/2021 P.O.Box 1179 53095 Main Rd yy�l �ao� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42565 Date: 11/28/2021 THIS CERTIFIES that the building ELECTRICAL Location of Property: Central Ave., Fishers Island SCTM#: 473889 See/Block/Lot: 6.-3-9.4 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/7/2021 pursuant to which Building Permit No. 46937 dated 10/7/2021 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 Campbell,Jeffery&Ellen of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 46937 11/18/2021 PLUMBERS CERTIFICATION DATED �� • Authorized Signature �o�so Fa' TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE h 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#: 46937 Date: 10/7/2021 Permission is hereby granted to: Campbell, Jeffery 253 Musketaquid Rd Concord, MA 01742 To: 200A underground electric service. At premises located at: Central Ave., Fishers Island SCTM #473889 Sec/Block/Lot# 6.-3-9.4 Pursuant to application dated 10/7/2021 and approved by the Building Inspector. To expire on 4/8/2023. Fees: ELECTRIC $85.00 Total: $85.00 Building Inspector 'Sot FFU(1 OCA O 1 2 71 BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD 41 0 m Tow0 o f Soo-Ri., Hall Annex-54375 Main Road - PO Box 1179 Southold, New York 11971-0959 Telephone (631)765-1802- FAX (631) 765-9502 rogerr aPsoutholdtownny gov - seand @southoldtownny aov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (Ail information Required) Date: Company Name: 3C . Name: - License No.: 90 - m t email: 7-o-h Phone No( 3j) 9W- g 1 request an email copy of Certificate 6f Compliance Address.: •5as Bicrie. 3 70 JOB SITE INFORMATION (All Information Required) Name: JG IF "Ne'! r�inl Address: 3o0 1V gVks Alicss R, 5302 Cross Street: Phone No.: &3/- 78,f- — 74//y Bldg.Permit#: 4lo qN7 email: Tax Map District: 1000 Section: Block: 3 Lc__ 3,14- BRIEF •4BRIEF DESCRIPTION OF WORK (Please Print Clearly) x00 �a) &-r✓let 'i"W �s fW,w V2411- 7D Lute- a elc L 2M,41S le ,h _ee Ah-17'Aq Check All That Apply: Is job ready for inspection?: [-]YES EJ'NO DRough In DFinal Do you need a Temp Certificate?: DYESDNO Issued On Temp Information: (All Information required) Service Size 01 Ph 03 Ph Size: d00 A # Meters_ Old Meter# New Service O Service Reconnect ✓Underground []Overhead #Underground Laterals D1 E12 DH Frame DPole Work done on Service? DY DN Additional Information: PAYMENT DUE WITH APPLICATION eElectrical Inspecton Fonn 2020.x1sx �v � pf 50[/TyOlo Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 • �O roger.richertr'aDtown.south old.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Jeffery Campbell Address: Central Ave (Hawks Nest or#532) City: Fishers Island St: New York Zip: 6390 Building Permit#: 46937 Section: 6 Block: 3 Lot: 9.4 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE contractor: DBA: Z&S Contracting License No: 4798-ME SITE DETAILS Office Use Only Residential X IndoorX Basement Service Only Commerical Outdoor X 1st Floor X Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph 200a Heat Duplac 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 TVSS Other Equipment: 200a service up grade to include, meter pan and main panel, 8-combination GFCI/ARC fault circuit breakers Notes: Inspector Signature: �. �� Date: November 18 2021 81-Cert Electrical Compliance Fonn.xls