HomeMy WebLinkAbout42595-Z x
�OSUFF�I,f�O Town of Southold 8/30/2018
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P.O.Box 1179
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53095 Main Rd
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CERTIFICATE OF OCCUPANCY
No: 39880 Date: 8/30/2018
THIS CERTIFIES that the building ELECTRICAL
Location of Property: Pvt Rd Off E End Rd, Fishers Island
SCTM#: 473889 Sec/Block/Lot: 2.-1-6
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
4/20/2018 pursuant to which Building Permit No. 42595 dated 4/20/2018
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:
UPDATE ELECTRIC SUB PANEL TO CIRCUIT BREAKER STYLE
The certificate is issued to Bayberry Cove LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 42595 06-28-2018
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
�� Gy BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
oy. • 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#: 42595 Date: 4/20/2018
Permission is hereby granted to:
Bayberry Cove LLC
PO BOX 832
Lake Wales, FL 33859
To: update sub panel to breaker panel
At premises located at:
Pvt Rd Off E End Rd, Fishers Island
SCTM # 473889
Sec/Block/Lot# 2.-1-6
Pursuant to application dated 4/20/2018 and approved by the Building Inspector.
To expire on 10/20/2019.
Fees:
ELECTRIC $85.00
Total: $85.00
Buildin Spector
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Town Hall Annex Telephone(631)765-1802
54375 Main Road y Fax(631)765-9502
P.O.Box 1179 G Q
Southold,NY 11971-0959 .�0 • ao roger.richertla'�town.southoId.ny.us
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Bayberry Cove LLC (Pvt. Rd. Off E. End Rd.)
Address: 6180 Clay Point Rd. city:Fishers Island st: New York zip: 06390
Building Permit#• 42595 Section: 2 Block: 1 Lot: 6
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Z & S Contracting License No: 4798-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor X 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 A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency FixtureSIA Time Clocks
Disconnect Switches Twist Lock Exit Fixtures TVSS
Other Equipment: Update Second Floor 125A Sub Panel to Circuit Breaker Style (8 Circuits).
Notes:
Inspector Signature: Date: June 28, 2018
0-Cert Electrical Compliance Form.xls
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Town Hall Annex ] Telephone(631)765-1802
54375 Main Road y c(6.1Ze- 765- 50
P.O.Box 1179 G.A O r0 er.riche n .us
-Southold,NY 1197L-0959 ply
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BUILDING DEPARTME APR 2 0 2098
TOWN OF SOUTHO
APPLICATION FOR ELECTRICALNSPECTIONTo � '.
OF S®SOLD
REQUESTED BY: Date: Ll A
Company Name:
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Name:
•
License No.: 4 _
Address: �, � 3 .
Phone No..
JOBSITE INFORMATION: (*Indicates required info ation)
*Name: Zw a, Core 1tc 1,44 %r, . -1 /&U?4 c�L
*Address: to AI 04 39y
`Cross Street:
*Phone No.:
Permit No.: 11Y/11-
Tax
R-Tax Map District. 1000 Section: Blocs: Lot:
*BRIEF DESCRIPTION OF WORK(Please,Print Clearly) I , SU
(Please Circle All That Apply)
*Is job ready for inspection: YES O Rough In Final
*Do you need a Temp Certificate: YES /(i� ( .
I
Temp Information (If needed)
*Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other
*New Service: Re-connect Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
i
82-Request for Inspection Form ��(,