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Home My WebLink About49945-Z ��o�9SNfF0(��oGy Town of Southold 11/1/2023 0 P.O.Box 1179 53095 Main Rd oy o�F , Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44707 Date: 11/1/2023 THIS CERTIFIES that the building ELECTRICAL Location of Property: Off East End Rd,Fishers Island SCTM#: 473889 See/Block/Lot: 10.-6-1.7 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/25/2023 pursuant to which Building Permit No. 49945 dated 10/25/2023 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: 400 amp electric service. r The certificate is issued to Krakowsky P&LC 2020 Trust of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 49945 10/24/2023 PLUMBERS CERTIFICATION DATED uthorize Signature ao�soFFo�r oTOWN OF SOUTHOLD �y BUILDING DEPARTMENT H x TOWN CLERK'S OFFICE o • � ' 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#: 49945 Date: 10/25/2023 Permission is hereby granted to: Krakowsky P 2020 Trust 552 LaGuardia PI #11 New York, NY 10012 To: 400 amp electric service. At premises located at: Off East End Rd, Fishers Island SCTM #473889 Sec/Block/Lot# 10.-6-1.7 Pursuant to application dated 10/25/2023 and approved by the Building Inspector. To expire on 4/25/2025. Fees: ELECTRIC $100.00 Total: $100.00 Building Inspector �o,*of so�ryOlo Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G sean.devlin(-Dtown.southold.ny.us Southold,NY 11971-0959co �Q�y e BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Krakowsky P 2020 Trust Address: Off East End Rd city:Fishers Island st: NY zip: 06390 Building Permit#: 49945 Section: 10 Block: 6 Lot: 1.7 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: Tom Poland Electric License No: SITE DETAILS Office Use Only Residential X Indoor X Basement X Service X Commerical Outdoor X 1 st Floor Pool New X Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph X Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel 400A A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel 100A A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors Disconnect Switches 4'LED Exit Fixtures Sump Pump Other Equipment: 400A Panel 42 Circuits /42 Used, 100A Sub 20 Circuits / 13 Used Notes: Service Inspector Signature: Date: October 24, 2023 S.Devlin-Cert Electrical Compliance Form pF SOGTyO6 * # TOWN OF SOU HOLD BUILDING DEPT. / • ,o °`ycouKnN�' 631- 65-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) LECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: DATE lof e7zq INSPECTOR f�rF ' . • 8��ar: .� ' St9@@.®iNG DEIaARTMElVT-Electrical Irasperr$ar TOWN OF SOUTHOLD w' 4 ; ,: Town Hail Annex- 54375 Main R PO Box 1179 ri; ?i era 4 * -�;;?� ; ..: Southold, New York 11971-0959 Telephone (631) 7654802-FAX (631) 765-9502 roaerr(a-soutl toldtownny.g - seand c�southoldtolmnny c ov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (AX In=orEraaer,:=,egtf-ad) Date: 02Yded r? Company Name: Name: -774rntr /ANO License No.: LP email: Address:—/Off /no'i Phone No.: p 3,3 S?) JOB SITE INFORMATION (All irsfor nation Required) Name: o Address: C Cross Street: Phone No.: Bldg.Permit#: email: Tax Map District: 1000 Section: Block: , BRIEF DESCRIPTION OF WORK(Please Print Clearly) T_ Circle All That Apply: Is job ready for inspection?: Cii� / NO Rough In Final Do you need a Temp Certificate?: YE NO Issued On Temp Information: (Ail information required) Service Size ,Ph 3'Ph Size: .—A #Meters. Old Meter# New Service-Fire Reconnect-Flood Reconnect-Service Reconnedted-Underground-Overhead #Underground Laterals 1 2 H Frame Pole Work done on Service? N Additional Information: PAYMENT DUE WITH APPLICATION OCT 2 4 2023 Town of Southold BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD ;f a :; Town Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631),765-9502 = V rogerr(aDsoutholdtownny.gov - seand(a_southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: Electrician's Name: License No.: . Elec. email: bec. Phone No: ❑I request an email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) Name: Address: Cross Street: Phone No.: Bldg.Permit #: email: Tax Map District: 1000 Section: d Block: Lot: , BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): S � V rC-c i I Square Footage: Circle All That Apply: Is job ready for inspection?: YES ❑ NO F-] Rough In Final Do you need a Temp Certificate?: YES [—] NO Issued On Temp Information: (All information required) Service Size F11 Ph❑3 Ph Size: A # Meters Old Meter# ❑New service[-]Fire ReconnectOFlood ReconnectOService ReconnectQUnderground[]Overhead # Underground Laterals D 1 2 H Frame D Pole Work done on Service? Y N Additional information: PAYMENT DUE WITH APPLICATION PERMIT t# Address: Switches Outlets G FI's Surface Sconces H H's i UC Lts Fans Fridge HW Exhaust Oven W/D Smokes DW Mini Carbon Micro Generator Combo Cooktop Transfer AC AH Hood Service Amps Have Used Special: Comments