HomeMy WebLinkAbout53055-Z of 801/1 `O Town of Southold
* * P.O. Box 1179
G � ¢ 53095 Main Rd
Olr�ouNV, Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 47260 Date: 08/02/2026
THIS CERTIFIES that the building ELECTRICAL- COMMERCIAL
Location of Property: TBD Fishers Island,NY 06390
Sec/Block/Lot: L-1-4
Conforms substantially to the Application for Building Permit heretofore, filed in this office dated: 06/09/2026
Pursuant to which Building Permit No. 53055 and dated: 06/09/2026
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:
Electric service for pump house.
The certificate is issued to: Fishers Island Dev Corp
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE: 53055 07/28/2026
PLUMBERS CERTIFICATION:
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Authorized Signature
�aofsoGl�O TOWN OF SOUTHOLD
BUILDING DEPARTMENT
• 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#: 53055 Date: 06/09/2026
Permission is hereby granted to:
Fishers Island Dev Corp
PO BOX 604
Fishers Island, NY 06390
To:
Install 480 volt service for pump house.
Premises Located at:
TBD, Fishers Island, NY 06390
SCTM#1.4-4
Pursuant to application dated 06/09/2026 and approved by the Building Inspector.
To expire on 06/08/2028.
Contractors:
Required Inspections:
Fees:
ELECTRIC SERVICE $100.00
T 100.00
C
ding Ins ector
*pE SO(/r�olo
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O. Box 1179 �l ��
Southold,New York 11971-0959 Owl
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Fishers Island Dev Corp
Address: 25011 East Main Rd City: Fishers Island st: NY zip: 06390
Building Permit#: 53055 Section: 1 Block: 1 Lot: 4 .
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Electrician: LaFleche & Sons Electric License No: 35821ME
SITE DETAILS
Office Use Only
Commercial X Indoor X Basement Service X Solar
Residential Outdoor X 1 st Floor Pool Battery Storage
As-built Renovation 2nd Floor Hot Tub EV Charger
New X Addition Attic Spa Generator
Survey Mezzaninel IGarage Dock
INVENTORY
Service 1 ph In-wall Heater Recpt Ceiling Fixtures Smoke Detectors Pump
Service 3 ph X Hot Water GFCI Recpt 1 Wall Fixtures CO Detectors Heater
Main Panel 200A A/C Condenser Single Recpt RecessdFixtures Combo Smoke/CO Transformer
Sub Panel 150A 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 1 Pucks Lights Dishwasher Mini Fridge
GFI SepticDisconnect Emrgency Strobe 4'LED 2 Microwave Garbage Disp.
ARC/GFI ERV Exit Lights Bath Exhaust Hood Dehumidifier
Other Equipment: 200APanel 42 Circuit/2 Used, 150A to Motor Control Center(Pump Panel),
(3) Pumps
Notes: Commercial Service
Inspector Signature: Date: July 28, 2026
OF SOUTyolo 25
# TOWN OF SOUTHOLD BUILDING DEPT.
631-765-1802
INSPECTION
[ ] FOUNDATION-1ST/ REBAR. [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE_& CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] , FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS: car
DATE 7 INSPECTOR
F0t* BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
�4&j i ad� � 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 p I request an email copy of Certificate of Compliance
Elec. Address.: PO Box 246 Danielson, Ct 06239
JOB SITE INFORMATION (All Information Required)
Name: FI Club Inc.
Address: 25011 East Main Rd Fishers Island, NY 06390
Cross Street: Oriental Ave
i Phone No.: 631 7887224
Bldg.Permit#: email:
Tax Map District: 1000 Section: 1 Block: 1 Lot: 4
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Install 480 volt service for pump house
Square Footage:
Circle All That Apply:
Is job ready for inspection?: YES ❑ NO ❑Rough In Final
Do you need a Temp Certificate?: ❑ YES 0 NO Issued On
Temp Information: (All information required)
Service SizeFV11 Ph❑3 Ph Size: 200 A # Meters 1 Old Meter#
❑✓ New service[:]Fire Reconnect❑Flood Reconnect❑Service Reconnect❑✓ Underground❑Overhead
# Underground Laterals EJ 1 2 R H Frame Pole Work done on Service? Y N
Additional Information: This service is strictly for the use of Golf Course irrigation pumps
PAYMENT DUE WITH APPLICATION
I U�
,¢¢ SUfFO BUILDING DEPARTMENT- Electrical Inspector
JUN 3 205 . � TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
Iding�epe as_rnert Southold, New York 11971-0959
1-Afj�1 �yo�.. 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 01 request an email copy of Certificate of Compliance
Elec. Address.: PO Box 246 Danielson, Ct 06239
JOB SITE INFORMATION (All Information Required)
Name: FI Club Inc.
Address: 25011 East Main Rd Fishers Island, NY 06390
Cross Street: Oriental Ave
Phone No.: 631 7887224
Bldg.Permit#: 5 31),5S email:
Tax Map District: 1000 Section: 1 Block: 1 Lot: 4
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Install 480 volt service for pump house
Square Footage:
Circle All That Apply:
Is job ready for inspection?: YES ❑NO [—]Rough In ❑✓ Final
Do you need a Temp Certificate?: ❑ YES Z NO Issued On
Temp Information: Kinformation required)
Service Sizi1 Ph 3 Ph Size: 200 A # Meters 1 Old Meter#
❑✓ New Service❑Fire Reconnect[]Flood Reconnect❑Service Reconnect❑✓ Underground❑Overhead
# Underground Laterals ✓ 1 2 H Frame11 Pole Work done on Service? Y N
Additional Information: This service is strictly for the use of Golf Course irrigation pumps
1
PAYMENT DUE WITH APPLICATION
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