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53107-Z
�oOxort so&Flyo`o Town of Southold * * P.O. Box 1179 2. roc 53095 Main Rd Ulm, Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 47210 Date: 07/09/2026 THIS CERTIFIES that the building AS BUILT EV CHARGER Location of Property: 1 Oceanic Ave Fishers Island, NY 06390 Sec/Block/Lot: 9.4-22.2 Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 06/11/2026 Pursuant to which Building Permit No. 53107 and dated: 07/02/2026 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: 'As built" electric in kitchen & bathroom as applied for. The certificate is issued to: Zinnia Hill LLC Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: 53107 6/5/2026 PLUMBERS CERTIFICATION: Authorized Signature ofSO& TOWN OF SOUTHOLD BUILDING DEPARTMENT • SOUTHOLD, NY UNTY 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#: 53107 Date: 07/02/2026 Permission is hereby granted to: Zinnia Hill LLC c/o Katharine Stevens Fishers Island, NY 06390 To: legalize an "as built" EV charger(outdoors) as applied for. Premises Located at: 1 Oceanic Ave, Fishers Island, NY 06390 SCTIVI# 9.-4-22.2 Pursuant to application dated 06/11/2026 and approved by the Building Inspector. To expire on 07/01/2028. Contractors: Required Inspections: Fees: As Built EV Charger $250.00 CO-RESIDENTIAL $100.00 Total S350.00 ---- -------------------- Building Inspector SO!/r�,ol Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G • Q Southold,NY 11971-0959 coUo,Nc� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Zinnia Hill LLC Address: 1 Oceanic Ave city: Fishers Island st: NY zip: 06390 Building Permit#: 53107 Section: 9 Block: 4 Lot: 22.2 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Electrician: LaReche & Sons Electric License No: 35821ME SITE DETAILS Office Use Only Commercial Indoor Basement Service Solar Residential X Outdoor 1st Floor Pool Battery Storage As-built Renovation 2nd Floor Hot Tub EV Charger X New Addition Attic Spa Generator 71 Survey Mezzanine Garage Dock INVENTORY Service 1 ph In-wall Heater Recpt Ceiling Fixtures Smoke Detectors 1 Pump Service 3 ph Hot Water GFCI Recpt 4 Wall Fixtures CO Detectors Heater Main Panel A/C Condenser Single Recpt RecessdFixtures Combo Smoke/CO Transformer Sub Panel A/C Blower Range Recpt Ceiling Fan Heat Detectors Salt Gen Transfer Switch Mini Split Dryer Recpt UC Lights Fridge AutoCover ARC Blower Heads Switches Pucks Lights Dishwasher Mini Fridge GFI SepticDisconnect Emrgency Strobe 4'LED Microwave Garbage Disp. ARC/GFI ERV Exit Lights Bath Exhaust Hood Dehumidifier Other Equipment: EV Charger Notes: EV Charger & Kitchen/ Bath Outlets Inspector Signature: Date: June 5, 2026 pF SOUTyolo L 2,`-0� # # TOWN OF SOUTHOLD BUILDING DEPT. couff � 631-765-1802 INSPECTION — [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] .FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) PIELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: Sn� �S DATE INSPECTOR FIELD INSPECTION REPORT I DATE COMMENTS ►d lJ" � FOUNDATION (1ST) Q y -------------------------------------- FOUNDATION (2ND) COD z 0 d n y ROUGH FRAMING& PLUMBING INSULATION PER N.Y. V� y STATE ENERGY CODE FINAL ADDITIONAL COMMENTS N po --1 J �y 1 o�O z y x d m b y ,JXg11FFOlIo ao �y TOWN OF SOUTHOLD—BUILDING DEPARTMENT 2, Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 T Telephone(631) 765-1802 Fax(631) 765-9502 https://www.southoldtownny.gov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only PERMITNO. Building Inspector: J UN 2026 Applications and forms must be"filled outin theirentirety Incomplete 13E.iiicrnc. {,,y�,a..F.mr?n# applications will not be accepted: Wheret'he Applicant`is not the owner,an Town Ow nee uit6ri etion form.(Pege 2).shall be completed , Date:June 7, 2026 OWNERS)OF PROPERTY Name Zinnia Hill,LLC Kate + Barbara Stevens SCTM#1000 .1 and 9 4 22 2 Project Address: 1 Oceanic Ave, ,Fishers Island, NY 06390 Phone#-:860 333 2270 _ .. ._.....__.- Email kate.p.stevens@gmail.comr Mailing Address: 1 nOceanic Ave #595 Fishers Island NY 06390 CONTACT PERSON Name:Kate Stevens Mailing Address:1 Oceanic Ave #595 Fishers Island NY 06390 _.__._ ... ..._-_�.. --------._ Phone#:860 333 2270 Email kate p stevens@gmail com DESIGNPROFESSIONALlNFORMATION . Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION:' Name Chris LaFleche,LaFlech & Sons Electric LLC Mailing Address:PO Box 246 Danielson CT 06329 Phone# g60 908 5913, _ Email chris laflecheelectric.com DESCRIPTIOWOF-PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other Level 2 electric car charger $2,200 W ill the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? ❑Yes ®No 1 PROPERTYINFORMATION Existing use of property:residential Intended use of property:residential Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to R_40 this property? ❑Yes ®No IF YES, PROVIDE A COPY. 8 Check Box After Reading: The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by, Chapter 236 of the Town Code. APPLICATION IS HEREBY.MADE to the Building Department for the:issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold;Suffolk,County,New York and other applicable Laws,Ordinances or Regulations,for the construction.of buildings, additions;alterations`or for,mmoval or demolition as herein,described.,The apPlican agrees.td comply with all applicable,laws;ortlinances,building code,, housing code and regulations and to admit authorized inspectors on premises and in building(s).foe becessary inspections.False statements made herein are Punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law. Application Submitted By(print name):Kate Stevens ❑Authorized Agent BOwner Signature of Applicant: Date: June 6 2026 STATE OF NEW YORK) SS: COUNTY OF Suffolk ) Kate Stevens being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)he is the Owner (Contractor,Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to the best of his/her knowledge and belief; and that the work will be performed in the manner set forth in the application file therewith. Sworn before me this ' day of V l/r e 120 Qualified in SuffcNaAafiyrPublic Notary Public-State of New YOTR •,• ,11�, NO.OIDR6350454 t",y Commissicn Expires]dovember 07,2028 PROPERTY OWNER AUTHORIZATION _ I' 6 (Where the applicant is not the owner) o j Jv I, residing at do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein. Owner's Signature Date Print Owner's Name 2 BUILDING DEPARTMENT- Electrical Inspector O L' TOWN OF SOUTHOLD o Town Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All information Required) Date: 5/18/26 Company Name: LaFleche&Sons Electric LLC Electrician's Name: Chris LaFleche License No.: ME 35821 Elec. email: chris@laflecheelectric.com Elec. Phone No: 860 617 5391 12f request an email.copy of Certificate of Compliance Elec. Address.: PO Box 246 Danielson, CT 06239 JOB SITE INFORMATION (All Information Required) Name: Kate Stevens Address: 1 Oceanic Ave. Cross Street: Oriental Ave Phone No.: 631 7887729 Bldg.Permit# 5-6 f D-7 email: Tax Map District: 1000 Section: 9• Block: 4 Lot: 22.2 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Install Level 2 car charger, Replace faulty GFI's kitchen and bath,Add smoke alarm in Sun room 10 year Batt. Circle All That Apply: Square Footage: I iwo Is job ready for inspection?: YES NO Rough In IV-1 Final Do you need a Temp Certificate?: YES 0 NO Issued On Temp Information: (All information required) Service Size❑1 Ph❑3 Ph Size: A # Meters Old Meter# ❑New ServiceOFire Reconnect[]Flood ReconnectOService ReconnectQUndergroundQOverhead # Underground Laterals D 1 02 H Frame 0 Pole Work done on Service? Y ON Additional Information: PAYMENT DUE WITH APPLICATION ' WLiE9 $AMT ¢a R "._ ♦ ♦ 1. 'aYAM R PROPERTY W RE COWAVED TO a A.CMAYES R 22 .0 ♦ CRlEMTAL AYEME nSMGS DEAAM MY'SCALE:l'-AD ET. U Won" \♦ DATEm rva L 197E 1M DMAl OLM PALMER AMD RMW .Aa . " / PAN ♦ M, `b s' 8 �# LOSE N' rw i� ♦♦ ,• wa '�R„� ti r � k as 9,0. SCALE I QO' �+ e \ ♦♦ 1■9S RICHARD a µLAAR! M 4E ' '9 \ 1. ,IES SIRYEY I PREPAREDPoR DLL POISESMID rlmoa N LL.LIE AL NLLAAN i.an¢u s• \ ` RDICATM MIFREOM.AN CCIDISM DL THE YSE BCTwD THE Z PLOOOM P' to DM DE�SWIE OF ENGAGEMENT, MO 1M AM.EWR N C 4.*A C +A L R 6 A UNLESS I K THE STATE DODMOM uA W AMY F Z V AREA/.�3��0�.4.* Ap■S G / \ LAWO SII LWYCk W AL UNDORAN 11E OwAI'11O11 d A IXdS[D pp S$G / l . f / LAND wNYEYOR To ALTER AM ITEM M MM ITH tl8i7E Son P0.A PAIL U Wi �. a4r carlEs a llRs suRYE]IAARRLD wDl I1R LAMP \LI■FR}1214 PEE 709 ds SURVINORS SIOMIYRL AND AM oRlaUl EMBOSSEDOR Rat S[M ARE AtE THE PROpIDI 0 illC LAND 9RIVEVOM. >LI SS A. MIEW ATE pSTAMIai AMC M SlA`BC D FROM Y.S.COAST AMD rl m a SA �mEi�c swYEY mAwawmR sunarl'alias N3&� \ S. SITE IS w ME row 6 SWDX=Dawn W SLYTOL.TAX ' 4 y MAP loop,SECIIDM S.aaoc A.LISTS]LOOM AMO ILOot. Z '�' E. Tm�AR�TEI)w2 �'Charge Point RF3IDFLICE \�� ]. SITE 13 IDCATED w aMnG OBTwCT R-Ao. Home Flex 16A-50A \ �,SiN w RAIRw<ReT StA.r.. Flexible Amperage '� • Thu:R:uvr.Ean,u BIM1IRfM M aOCANMIp rIRM M mYllwYn wenesA. Charger NEC, AI: IIRL IR(,]-]AOA-IOAIT-!MIME N eM M[ I ■ 81MTMLG�L DESC J A,.r TRUST z. / > ..u"AMAIS";i L ONE Cr.04M R r0� P g &A*"p0 -aR- jE. RLR M tummy iF � ♦ � F � Q f 11RRr RILE e CONTROL OUALJWTY � MlowAavl i V o 0 TIOM SlAt ,,E \\ / DAM MARCH V.zon 7 PROJECT:#2017807 n a rg e p o i n+ ChargePoint Home Flex Specifications and Ordering Information APPROVED AS NOTED OA B.P.# 53ID FEE BY- NOTIFY BUILDING DEPARTMENT AT / j 4631 765-1802 8AM TO 4PM FOR THE /a j/ FOLLOWING INSPECTIONS: I. FOUNDATION-TWO REOUIRED FOR POURED CONCRETE 2. ROUGH-FRAMING&PLUM.1b3I1','G /# 3. INSULATIONS . 4. FINAL-CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR = ` DESIGN OR CONSTRUCTON ERRORS ' COMPLY WITH ALL CODES OF NEW YORK STATE & OWN CODES AS REQUIRED AND C NDITIONS OF SOUTHOL TOWN ZBA SOUTHO TOWN PLANNING BOARD SOUTH L.D TOWN TRUSTEES N.Y.S. EC ELECTRICAL SO OLD HPC INSPECTION REQUIRED SC D ChargePoint° Home Flex OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY ChargePoint Home Flex Datasheet Ordering Information The order codes below represent specific product configurations. Other product options are available. Please contact ChargePoint Sales for information and order codes. Hardware ® o o Order o 0 Station and 16A-50A, NEMA 6-50 plug, 7010.4 mm I CPH50-NEMA6-50-L23 Cable Model (23 ft)Charging Cable 16A-50A, NEMA 14-50 plug, 7010.4 mm CPH50-NEMA14-50-L23 (23 ft) Charging Cable 16-50A, Hardwired, 7010.4 mm (23 ft) CPH50-HARDWIRE-L23 Charging Cable Replacement 7010.4 mm (23 ft) Charging Cable CPH50Cable-T1-50A-L23-F Cable ChargePoint, Inc. I Copyright©2023 ChargePoint Home Flex Datasheet Architectural Drawings (Dimensions) Weight: 6.26 kg (13.8 lb) 179.4 mm ,179.6 mm (7.06 in) (7.07 in) e 132.1 mm (5.20 in) 2&1.3 mm (i139 in) ChargePoint, Inc. Copyright©2023 ChargePoint Home Flex Datasheet General Specifications Connector and Electrical Input Cord NEMA 6-50 or NEMA 14-50 AC Power Output Rating Maximum'12kW (240V AC *`50A). Outpuf amperage . adjustable via mobile app to 16A, 24A, 32A, 40A, 48A, 50A. AC Power Input Rating 208/240V AC 60 Hz single phase @ 16A, 24A, 32A, 40A, 48A, 50A Required Service Panel Dedicated-Dual Pole rated for 125% of maximum load ,(ex: . Breaker 50A breaker for 40A output)' Service Panel GFCI External GFCI may conflict with internal GFCI (CCID). For hardwired installations, use a non-GFCI circuit breaker. Power Wiring 3 Wire—L1, L2 plus Earth (no neutral) Charging Cable Length 7010.4 mm (23 ft) Connector Type SAE J1772TM i Power Measurement +/-2.0% from 2% to full scale Accu racy Power Report/Store 15 minute aligned to hour Interval Safety and Connectivity Features Ground Fault Detection 20 mA CCID with auto retry Open Safety Ground Continuously monitors presence of safety (green wire) Detection ground connection Plug-Out Detection Power terminated per SAE J1772 specifications Local Area Network 2.4/5 GHz WiFi.(802.,11 a/b/g/n) Device Storage Local data storage with capacity of up to 90 days of charging session data (100 sessions) in case of interrupted network connection Software Updates Firmware'updated over-the-air(OTA) ChargePoint, Inc. i Copyright @ 2023 ChargePoint Home Flex Datasheet Safety and Operational Ratings Station Enclosure Rating Type 3R per UL 50E Safety and Compliance UL and cUL listed;'complies with UL2594, 1.11-22314, UL2231-2. NEC article 625 compliant. For Canada CSA C22.2, No. 280, 281.1, 281.2, CEC EMC Compliance FCC Part 15 Class B Storage Temperature -40°C to 60°C (400E-to 140°F) ambient Operating Temperature -30°C to 50°C (-22°F to 122°F) ambient .,Operating Humidity Up to 95% at 50°C (122°F)non-condensing Non-Operating Humidity Up to 95% at 50°C (122°F) non-condensing ENERGY STAR® Yes Certification Indicators WiFi LED Yes Fault Indicator per UL Yes Status LED Yes Installation Install Software Mobile App (iOS &Android) Outdoor Installation Hardwired installation or weatherproof NEMA receptacle Note: Required by code to install an outdoor rated GFCI breaker upstream for outdoor plug-in installation ChargePoint,Inc.reserves the right to alter product offerings and specifications at any time without notice,and is not responsible for typographical or graphical errors that may appear in this document. ChargePoint, Inc. I Copyright©2023 ChargePoint Home Flex Datasheet -c arg i ChargePoint, Inc. Contact Us 240 East Hacienda Avenue Campbell, CA 95008-6617 USA Visit charQepoint.com +1.408.841.4500 or Call +1.408.705.1992 +1.877.370.3802 US and Canada toll-free Email sales .chargepoint.com chargepoint.com Copyright©2023 ChargePoint, Inc. All rights reserved. CHARGEPOINT is a U.S. registered trademark/service mark, and an EU registered logo mark of ChargePoint, Inc. All other products or services mentioned are the trademarks, service marks, registered trademarks or registered service marks of their respective owners. 27 March 2023. !r1 Listed by Underwriters Laboratories Inc. c&S ChargePoint, Inc. I Copyright©2023