HomeMy WebLinkAbout40235-Z �Q�S�FFOI,�cOGy_ Town of Southold 7/25/2018
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P.O.Box 1179
o
°' 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39797 Date: 7/25/2018
THIS CERTIFIES that the building ELECTRICAL
Location of Property: Pvt Rd Off E End Rd, Fishers Island
SCTM#: 473889 Sec/Block/Lot: 12.-2-6.15
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
11/2/2015 pursuant to which Building Permit No. 40235 dated 11/2/2015
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 UNDERGROUND ELECTRIC SERVICE UPGRADE FOR MAIN HOUSE AND ACCESSORY
COTTAGE
The certificate is issued to Bailey,James
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 40235 02-15-2018
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
Sao ay BUILDING DEPARTMENT
z 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 #: 40235 Date: 11/2/2015
Permission is hereby granted to:
Bailey, James
C/O Cambridge Assoc LLC
125 High St
Boston, MA 02110
To: electric for main house and acct' cottage
At premises located at:
Pvt Rd Off E End Rd, Fishers Island
SCTM # 473889
Sec/Block/Lot# 12.-2-6.15
Pursuant to application dated 11/2/2015 and approved by the Building Inspector.
To expire on 5/3/2017.
Fees:
YT
$85.00
$85.00
Building Inspector
pf SO!/T�ol
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Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G �Q roger.richert(a-)_town.southold.ny.us
Southold,NY 11971-0959 'Q
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Bailey
Address: 474 Wilderness Point city:Fishers Island st: New York zip: 06390
Building Permit#: 40235 Section: 12 Block: 2 Lot: 6.15
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: N/I Electric License No: 34408-ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph 400A Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency FixtureTime Clocks
Disconnect Switches Twist Lock Exit Fixtures 9 TVSS El
Other Equipment: 400A Underground Service Up Grade with Feeds to Existing Service Panels.
1- 125A, 1- 200A in Existing Buildings.
Notes:
Inspector Signature: Date: February 15, 2018
0-Cert Electrical Compliance Form.xls
Town Fall Annex Telephone(631)765-1$42
54375 Main Roadax( Id
P.O.sox 1179 • t'oger.ClCllert tolrori Sots 115,ny us
Southold,NY 1197I-0959
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BUH DING DEPAMMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: K)0 I,c-)D S Prb 14 c) Date: /p -a3
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1
Company Name: iv X -z�- [
Name:
License No.: C-
Address: Po P 4[2 W R�` L`f►� CT l 2
Phone No.: C: 0 6,;k,5- 3C?3 _
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JOBSITE INFORMATION: (*Indicates required information)
'Name: l t- rzo Pr by ro A--I L,[� OCT 30 2015
'Address: �'f Lc� l L p LnhU L---G O L iu t 1BO X, 3 ---�
Cross Street: , BI oc DEPT
r TQbt�h�(IT�nl1rjn�p
Phone No.: v I , -7 F Z 7
3ermit No.:
rax-Map District: 4000 - Section: I a Block: Lot:
13RIEF DESCRIPTION OF WORK(Please Print Clearly) I ti 57WLt /P
CIA Fol Ce)TInG0-
Please Circle All That Apply)
Is job ready for inspection: YES/ NO Rough In Final
Do-you need a Temp Certificate: YES NO ��B�•
'emp Information(if needed)
Service Size: 1 Phase 3Phase 100 450 200 300 350 400 Other
Overhead
New Service: Re-ct?nnect dergrou nNumber of 1N i4teters ange of Service
►dditional Information: —
E WITH APPLICAtION
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