HomeMy WebLinkAbout47342-Z ��o�OSUEFOt Town of Southold 10/15/2022
o P.O.Box 1179
o _ 53095 Main Rd
A` Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43487 Date: 10/15/2022
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 4170 Indian Neck Ln., Southold
SCTM#: 473889 Sec/Block/Lot: 98.-1-27.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
1/14/2022 pursuant to which Building Permit No. 47342 dated 1/14/2022
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:
800 amp underground electric service.
The certificate is issued to Indian Neck I LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 22-85052 9/20/2022
PLUMBERS CERTIFICATION DATED
AuthorizecT Signature
�yopSaffo� TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
sol �a ,,p
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#: 47342 Date: 1/14/2022
Permission is hereby granted to:
Indian Neck I LLC
1350 Ave of Americas Ste 2300
New York, NY 10019
To: 800A underground electric service.
At premises located at:
4170 Indian Neck Ln., Southold
SCTM #473889
Sec/Block/Lot# 98.-1-27.1
Pursuant to application dated 1/14/2022 and approved by the Building Inspector.
To expire on 7/16/2023.
Fees:
ELECTRIC $85.00
Total: $85.00
1��6umffifng Inspector
t
r
i Certificate of Compliance
_._.........__._........ ........... _ ..__.._.............__...__...............__..___..._..__...__..._
CERTIFIED ELECTRICAL INSPECTIONS, INC. ,
188 PARK AVENUE
AMITIiYVILLE, NY 11701 i
P: (631) 598-5610
......._ _.._..._.__.........I... ...._... ._.._...
CERTIFIES THAT
Upon the application of• Upon premises owned by
Platinum East Electric Indian Neck Farm
i 1320 Kenneys Road 4170 Indian Neck Lane
f Southold, NY 11971 Peconic', NY 11958
Located at:4170 Indian Neck Lane,
Peconic, NY 11958
Application Number#: 22-85052 Certificate M 22-85052
Electrical License#: 34091-ME
i
Section: 'Block: Lot: Building'Peftit#:
Described as a Commercial occupancy,wherein the premises electrical system consisting of
I electrical devices and wiring, described below, located in/on the premises at:' "
Service Equipment ;
k
A visual inspection of the premises electrical.system, limited to electrical devices and wiring to
the extent detailed'herein,was conducted in'accordance with.the requirements of the applicable
code/or standard promulgated by the State of New York', Department of State Code'Enforcement
I and Administration, or other authority having jurisdiction, and found to be in"compliance therewith
j on the 20th day of September 2022 ;
Name QTY
Power Panel 200"Amp, 240V(sub), 1
4
I Power Panel-800 Amp, 240V(MDP) 1
Service Feeder-800 Amp, 240V 1 "
Meter,-800 Amp, 240V 1 '
Electrical,Inspector:Sal Frangipane
l�w�€�APPROVEDoI ;
is certificate is notvalid unless raised seal is present.
S E° 7 2022
BUILDING DEQ
TO�VN OF sOUTI-TOLD
�O G BUILDING DEPARTMENT-Electrical Inspector
c < TOWN OF SOUTHOLD
fi Town Hall Annex-54375 Main Road-PO Box 1179-Southold,-NY 11971-0959
�y �•a0�� Telephone_(631)765-1802
1. '
Temporary Certificate # Date 2022
Customer Name � kMhllfnRa)6 Electrician Name
L tN`tr j A3 -t
Address1y N u-r oa Phone GS JqZY
e-mail e-mail t Q % Aid
Phone License# ME — 34091
Size 00 A Phase Overhead Underground #of Meters
Remarks
#of Underground Laterals 1 New
"H" Frame or Pole 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 days from the d4Wabove.
Authorized by
i
gt1FFOl ILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
SAN 13 2To all Annex- 54375 Main Road - PO Box 1179
v • pEPT. Southold, New York 11971-0959
1p� BuIof sou -elephone (631) 765-1802 - FAX (631) 765-9502
TOWN
roger.richert(aD-town.south old.ny.us
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: lDate:
Company Name: C — v — R6-Cf-DIC .{/ .
Name:
License No.: M t=, 3 Y0 email: Gt isi er4 s{.2 V Aoa. C
Address: 3.2o – AL /2 vvLD �(l 57
Phone No.: (Q j -
JOB SITE INFORMATION: (All Information Required)
Name: M GST LA/`1-4/v 0 r
Address: jqQ IN-01+v tJ1C L_A/Ur LtIT1,10GO
Cross Street:
Phone No.: S=
Bldg.Permit#: email: IG4I0un;ea&l . a ne C
Tax Map District: 1000 Section: Block: Lot: �27.
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Circle All That Apply: F
Is job ready for inspection?: YES /(N�O Rough In Final
Do you need a Temp Certificate?: '(DE / NO Issued On ASA: A0n01;& 1-1y-22
Temp Information: (All information required)
!New
e e GlPh 3 Ph Size: OO A #Meters J Old Meter#
Service Fire Reconnect- lood Reo ect- Service Reconnected Und ground -Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
46
Request for inspection FormAs a `