HomeMy WebLinkAbout46257-Z FOC�-�oG Town of Southold 2/7/2024
-3 y� P.O.Box 1179
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co 53095 Main Rd
114; o °Y Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 44953 Date: 2/7/2024
THIS CERTIFIES that the building ELECTRICAL
Location of Property: Equestrian Ave.,Fishers Island
SCTM#: 473889 Sec/Block/Lot: 9.-9-26.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/14/2021 pursuant to which Building Permit No. 46257 dated 5/14/2021
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 Anthony,Robert
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 46257 1/11/2024
PLUMBERS CERTIFICATION DATED
Authoriz d Signature
�g�FfOly TOWN OF SOUTHOLD
moo oGy BUILDING DEPARTMENT
y x 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 #: 46257 Date: 5/14/2021
Permission is hereby granted to:
Anthony, Robert
444 E 82nd St Apt 21 F
New York, NY 100285909
To: 200A underground electric service.
At premises located at:
Equestrian Ave., Fishers Island
SCTM # 473889
Sec/Block/Lot# 9.-9-26.1
Pursuant to application dated 5/14/2021 and approved by the Building Inspector.
To expire on 11/13/2022.
Fees:
ELECTRIC $85.00
Total: $85.00
i ing Inspector
oF SO�ryo
,moo �o
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 G Q
Southold,NY 11971-0959 .c�ly� NCO sean.devlinl'a�town.southold.ny.us
COUNTY
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Robert Anthony
Address: Equestrian Ave city,Fishers Island st: NY zip: 06390
Building Permit#: 46257 section: 9 Block: 9 Lot: 26.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: BD Electric License No: 35821 ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement 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 200A A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors
Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO
Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors
Disconnect 200A Switches 4'LED Exit Fixtures Sump Pump
Other Equipment: 30 Circuit Panel / 30 Used
Notes: Underground Service
Inspector Signature: Date: January 11, 2024
S.Devlin-Cert Electrical Compliance Form.xls
F SOUtyOlo 1v �g J �j—— n
# # TOWN OF SOUTHOLD BUILDING DEPT.
co 631-765-1802
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) 'gip ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS: � �12-1�
DATE t'� 2 INSPECTOR -
BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
CM
00
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
r rogerr(cD-southoldtownny gov - seand(c�southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name:
Electrician's Name:
License No.: Elec. email:
Elec. 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 #: 14 62S 7 email:
Tax Map District: 1000 Section: 41 Block: Lot:
-
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Square Footage:
Circle All That Apply:
Is job ready for inspection?: YES ❑ NO Rough In El Final
Do you need a Temp Certificate?: ❑ YES ❑ NO Issued On
Temp Information: (All information required)
Service Size❑1 Ph❑3 Ph Size: A # Meters Old Meter#
❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect[:]Underground❑Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional information:
Y7
PAYMENT DUE WITH APPLICATION
Mai
g�FFOt;�`, BUILDING DEPARTMENT- Electrical Inspector
TOWN-OPSOUTHOLD .
Town Hall Annex-•54375 Main Road - PO Box 1179
Southold, New York 11:971-0959
Telephone (63.1) 765-1802 - FAX (631)765-9502.
�ogerr(cD-southoldtowrinv.aoy � seand(@-t6utholdt6wnny--gov
APPLICATION.FOR-ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:y
Company Name: .
Name:- _ . ..
License No.: email:
2 IM rr
Phone No: - .41 . 2157: : . 1 request an-email copy'of.Certificate of.Compliance;Address.: I L00
s Q
J.OB•SITE .INFORMATION (Ali Information Reiauiredj
ame:. �;
-A-
Address: .
Cross Street
Phone -
Phone No.: _ .
Bldg:Permit#:_ t..n.oZ . . . : 1 email:
Tax Map District: :10.00. Section; "j Block:- .Lot: 'Z
BRIEF DESCRIPTION.OF WORK.(Please Print Clearly) �-
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Check All That Apply:
Is job;ready for inspection? ES ONORough In Final ;
_- - - =
Do'you need a Temp Certificate?: YES
0. Issued On
Temp Informat' n: (All information required)
00 2p 7S8
Service Size 1 Ph 03 Ph Size: '2 A #Meters Old Meter# �J.
Q New Service
��S/ervice Reconnect Underground Overhead LJ .
#Undergrotind.Laterals .o Q 2 H Frame OPole ; . . .- . .Work done on-Service.? QN
Additional.Information:
PAYMENT DUE.WITH APPLICATION
Electrical Inspection Form 2020.xlsx ,,^^ ��✓
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