HomeMy WebLinkAbout40420-Z 'y
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�guPfOl,�e6, , Town of Southold 2/9/2016
•o� . i P.O.Box 1179
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c€ 53095 Main Rd
ti o �' Southold,New York 11971
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CERTIFICATE OF OCCUPANCY
No: 38087 Date: 2/9/2016 i
THIS CERTIFIES that the building ELECTRICAL
Location of Property: Off East End Rd, Fishers Island
SCTM#: 473889 Sec/Block/Lot: 1-7-5
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
1/21/2016 pursuant to which Building Permit No. 40420 dated 1/21/2016
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:
Electric Service Upgrade
The certificate is issued to 375 East End Road Realty Trt
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 40420 01-21-2016
PLUMBERS CERTIFICATION DATED
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Authorized Signature
TOWN OF SOUTHOLD
to�gUFFD(,�4,6 BUILDING DEPARTMENT
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i o - ? TOWN CLERK'S OFFICE
oy� ate ', SOUTHOLD, NY
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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#: 40420 Date: 1/21/2016
Permission is hereby granted to:
375 East End Road Realty Trt
C/O Fortis Manangement Group
800 South St Ste 255
Waltham, MA 02453
To: Electric Service
At premises located at:
Off East End Rd, Fishers Island
SCTM # 473889
Sec/Block/Lot# 3.-7-5
Pursuant to application dated 1/21/2016 and approved by the Building Inspector.
To expire on 7/22/2017.
Fees:
ELECTRIC $85.00
Total: $85.00
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Buding Inspec o ._
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Town Hall Annex �� ~ ® : Telephone(631)765-1802
54375 Main Road i ilig ; Fax(631)765-9502
P.O.Box 1179 �
Southold,NY 11971-0959 Oy -Q•,,1A roger.richertla'�town.southold.ny.us
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: East End Road Realty Trust(Peter Alsop)
Address: 375 East End Road City: Fishers Island St: New York Zip: 06360
Building Permit#: 40420 Section: 3 Block: 7 Lot: 5
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: BD Electric NY LLC License No: 35821-ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only X
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel NC 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 Switches Twist Lock Exit Fixtures TVSS
Other Equipment: 400A Underground Service With 2- 200A Disconnects on 2 Panels
Notes
Inspector Signature: Date: January 21, 2016
Electrical 81 Compliance Form xls
Town Hall Annex ff '
• • * Telephoh (6d-3 )765.1802
54375 Main Road fib F 16 9 2 r
P.O.Box 1179 . G Ct��' roger.richert(a)fouijh3, U hOQtl.ny,US
Southold,NY 11971-0959 �o'hl % II i ! ;'E �
�4UM'1,� �'� 11! � JAN 2 0 2416 . ',.`m.:.
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BUILDING DEPARTMENT — --
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
- = . REQUESTED-BY:-- (- 4..4' - -- -.hCt "-I1' e Date: 1.--/3 -/
. Company Name: , D Eric, p3 t' L L c.
Name: L • -
C�triS ,�aeC —, •
License No.: 25-801 /ii E
Address:
JYolo 6&li t . e/"? ._ % et (cnci ill ( 6163 go ,
• Phone No.:. ' 631 — d7$El-'9)9 moi!' =- elr.":a %1--'2x9.9
JOBSITE INFORMATION: (*Indicates required information) -
*Name: -- -. 1L &,1
*Address: --1-Yet r (.
*Cross Street: -1I,y I-- �n 61 I- otter -
*Phone No.: - (,3"1 -4-)88 ,7/C. 9
Permit No.:
Tax.Map District: 1000 , Section: O c 3 Block: 17 Lot: 6
*BRIEF DESCRIPTION OF WORK(Please PrintClearl (2y) _
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(Please Circle All That Apply)
*15
* job ready for inspection: et NO Rough In Final
Do-you need a Temp Certificate: 4b/ NO
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Temp Information(If needed) s
*Service Size: 1 Phase 3Phase 100 150 200 300 350 ( 400D Other •
•
iiiii= #1=0 Underground Number of Meters hange of Serve Overhead
A. •i Tonal Information: PAYMENT DUE WITH APPLICATION
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82-Request for Inspection Form " �1 v
' eh i3- ( (001 + --$ e9 ,
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