HomeMy WebLinkAbout38106-Z o`pSUEEat,��oG Town of Southold 4/29/2019
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CERTIFICATE OF OCCUPANCY
No: 40346 Date: 4/29/2019
THIS CERTIFIES that the building ELECTRICAL
Location of Property: Whistler Ave, Fishers Island
SCTM#: 473889 Sec/Block/Lot: 12.-1-11
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
6/17/2013 pursuant to which Building Permit No. 38106 dated 6/17/2013
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:
200 AMP ELECTRICAL SERVICE UPGRADE
The certificate is issued to Lamb,Donald&Lamb,Karen
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 38106 04-04-2019
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
��o y BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
�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 #: 38106 Date: 6/17/2013
Permission is hereby granted to:
Lamb, Donald & Lamb, Karen
3950 Country Club Rd
Troutville, VA 24175
To: upgrade electrice service
At premises located at:
Whistler Ave, Fishers Island
SCTM # 473889
Sec/Block/Lot# 12.-1-11
Pursuant to application dated 6/17/2013 and approved by the Building Inspector.
To expire on 12/17/2014.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
rjv so
Town Hall Annex Telephone(631)765-1802
54375 Main Road CO- Fax(631)765-9502
P.O.Box 1179 ® a®� roger.richerM-town.Southold.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Lamb
Address: 1867 Whistler Ave City: Fishers Island St: New York Zip 6390
Building Permit# 39205-38106 Section: 12 Block. 1 Lot. 11
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: License No:
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service Only
Commerical Outdoor X 1st Floor X Pool
New Renovation 2nd Floor X Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph 200a Heat gas Duplec Recpt 31 Ceiling Fixtures 9 HID Fixtures
Service 3 ph Hot Water gas GFCI Recpt 8 Wall Fixtures 5 Smoke Detectors 2
Main Panel 200a A/C Condenser Single Recpt Recessed Fixtures 3 CO Detectors
Sub Panel A/C Blower Range Recpt 30a Fluorescent Fixture Pumps
Transformer Appliancesdw Dryer Recpt 30a Emergency Fixtures Time Clocks
Disconnect 200, Switches 27 Twist Lock Exit Fixtures 11 TVSS
Other Equipment: 4-combination smoke /co detecrors, 8-paddle fans, 2-bath fans, 1-well pump,
5-ARC fault circuit breakers
Notes. Certificate includes 200a electric service,permit#38106
Inspector Signature: Date: April 4 2019
81-Cert Electrical Compliance Form.xls
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Town Hall Annex Telephone(631)765-1802
54375 Main Road (631)765-gg5p2,
P.O.Box 1179 G rOQer.rICI]ertIOWn.Southo[d nV us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOt3THOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY. ldlcHOLAs C, /V ct�dS AI�C� Date:
Company Name: Nf-r 5LC- e-� C L L C-
Name: s,/ A
License No.:
Address: _ -/ O LY Ag- C7, ®(, 3 r7
Phone No.: 960 6 a 5 3 9 3 9
JOBSITE INFORMATION: (*Indicates required information)
*Name: ®PJ Pr Lb + V,pf c-7J L
*Address: _6C) 7 i)(AJ S 1 I-L - 800-
`
*Cross Street:
*Phone No.:
Permit No.:
Tax-Map District: 4000 Section. 12- Block:, Lot: I
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
_ 251201 C(-7
(Please Circle All That Apply)
*Is job,ready for inspection: YES/ NO Rough in Final
*Do you need a Temp Certificate: YE / NO i
Temp Information (if needed) �
*Service Size: K f Phase 3Phase 100 450200 300 350 400 Other
*New Service: Re-connect Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
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82=Request for Inspection Forrrt
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