HomeMy WebLinkAbout43920-Z EFO(AICOG a Town of Southold 12/17/2019
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P.O.Box 1179
d' 53095 Main Rd
Gy�josoo�� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40832 Date: 11/4/2019
THIS CERTIFIES that the building ELECTRICAL
Location of Property: Equestrian Ave, Fishers Island
SCTM#: 473889 Sec/Block/Lot: 9.-6-3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/1/2019 pursuant to which Building Permit No. 43920 dated 7/1/2019
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:
rewired electrical outlets on first and second floors.
The certificate is issued to Oswald,R Bruce
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 43920 10/24/2019
PLUMBERS CERTIFICATION DATED
Authorized Signatur
rte' TOWN OF SOUTHOLD
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BUILDING DEPARTMENT
w TOWN CLERK'S OFFICE
oy • ;� 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#: 43920 Date: 7/1/2019
Permission is hereby granted to:
Oswald, R Bruce
3104 Meridian Way N Apt 8
Palm Beach Gardens, FL 33410
To: rewire electrical outlets on first and second floors.
At premises located at:
Equestrian Ave, Fishers Island
SCTM #473889
Sec/Block/Lot# 9.-6-3
Pursuant to application dated 7/1/2019 and approved by the Building Inspector.
To expire on 12/30/2020.
Fees:
ELECTRIC $90.00
Total: $90.00
Building Inspector
pF SO(/j�®l
Town Hall Annex ~ ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 117 G Q ro er.richertlQ-town.southold.n us
Southold,NY 119711-0959 � • a0 g y•
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Oswald
Address: Equestrian Ave City: Fishers Island St: New York Zip. 6390
Building Permit#: 43920 Section 9 Block 6 Lot, 3
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 X Service Only
Commerical Outdoor X 1st Floor X Pool
New Renovation X 2nd Floor X Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph 100a Heat oil Duplec Recpt 37 Ceiling Fixtures 3 HID Fixtures
Service 3 ph Hot Water GFCI Recpt 4 Wall Fixtures 9 Smoke Detectors 6
Main Panel 100a A/C Condenser Single Recpt Recessed Fixtures 2 CO Detectors 3
Sub Panel A/C Blower Range Recpt 50a Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt30a Emergency Fixtures Time Clocks
Disconnect 100a Switches 17 Twist Lock Exit Fixtures 11 TVSS
Other Equipment: "AS BUILT" "ELECTRICAL SURCEY" "NO VISUAL DEFECTS"
Notes 7-paddle fans
Inspector Signature: Date: October 24 2019
81-Cert Electrical Compliance Form As
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gown Hall Annex-w', ] Telephone(631)765-1802
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P.O.Box 117 G+
Southold,NY 11971-0959 'O a
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: —TV\ 6Yy--1 QS I �� A I (n Date:
Company Name:
Name:
License No.:
Address: Sa S7F
ox Laine,
Phone No.: Q(o34c�
JOBSITE INFORMATION: (*Indicates required information)
Name:
*Address: /�So? �9a{sy�r�tin Av,a. �33
*Cross Street- --
*Phone No.: 631— T? - Wd 9
Permit No.: RC1 )/o
Tax Map District: 1000 Section: - Block: Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly) Ackh?k__ e144.4e411 o ds
(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: 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
82-Request for Inspection Form �� 0