HomeMy WebLinkAbout39205-Z SU F01Ir" Town of Southold 4/29/2019
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P.O.Box 1179
N ? 53095 Main Rd
Southold,New York 11971
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CERTIFICATE OF OCCUPANCY
No: 40347 Date: 4/29/2019
THIS CERTIFIES that the building ELECTRICAL
Location of Property: Whistler Ave,Fishers Island
SCTM#: 473889 Sec/Block/Lot: 12.4-11
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/24/2014 pursuant to which Building Permit No. 39205 dated 9/24/2014
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:
UPGRADE INTERIOR ELECTRICAL WIRING
The certificate is issued to Lamb,Donald&Lamb,Karen
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 39205 04-04-2019
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
a TOWN CLERK'S OFFICE
ceo
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#: 39205 Date: 9/24/2014
Permission is hereby granted to:
Lamb, Donald & Lamb, Karen
1867 Whistler Ave
PO BOX 73
Fishers Island, NY 06390
To:
UPGRADE INTERIOR ELECTRICAL WIRING
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At premises located at: ;
Whistler Ave, Fire Island
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SCTM # 473889 j
Sec/Block/Lot# 12.-1-11
Pursuant to application dated 9/24/2014 and approved by the Building Inspector.
To expire on 3/25/2016.
Fees:
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ELECTRIC $225.00
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Total: $225.00
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Building Inspector
OF SO�j�®�®
Town Hall Annex Telephone(631)765-1802
54375 Main Road C Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 la �® roger.richertcr town.southold.n r�us
BUILDING DEPARTMENT
TOWN OF SOUMOLD
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 200a Switches 2 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: �pZ- Date: April 4 2019
81-Cert Electrical Compliance Form.xls
Town Hall Amex ) O Telephone(631)7651802
54375 Main Road (631 g5
P.O.Box 1179 G r oger.nchert _ownso7U)765 A'o1h.ny.us
Southold,NX 1197Ia59 Q �O
BUILDING DEPARTMENT
TOWN OF SOXrMOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY- OICLIot_la S C, ►-VV05 PrNZ-Q Date:
Company Name: L-� C L C
Name:
License No.: 3 Lf O 6 11Y)
Address: [ LANE OLQ LYM U C7, 06 32( j
Phone No.:
C " T&O 6 a j 3 3
JOBSITE INFORMATION: (*Indicates required information !
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*Name: a v n t CJ v•� \c� e. �v�
*Address: 'a
*Cross Street: N
*Phone No.: (0 3�_ V t _-I`A b c
Permit No.: - - -
Tax Map District: 9000 Section: ^ Block: Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
(Please Circle All That Apply)
*Is job ready for inspection: YES/ NO Rough In Final
*Do-you need a Temp Certificate: YES! NO
Temp Information(If needed)
*Service Size: 9 Phase 3Phase 100 950 200 300 1 350 400 Other a,
*'New Service: Re-connect Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
.82=Request for Inspection Form
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