HomeMy WebLinkAbout36353-ZTown of Southold Annex
P.O. Box 1179
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
5/29/2012
No: 35716 Date: 5/29/2012
THIS CERTIFIES that the building ELECTRICAL
Location of ProperW: Off Ave B. Fishers Island, NY 06390,
SCTM #: 473889 Sec/Block/Lot: 6.-2-17.5
Subdivision: Filed Map No.
conforms substantially to the Application for Building Permit heretofore
5/2/2011 pursuant to which Building Permit No.
Lot No.
filed in this officed dated
36353 dated 5/2/2011
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:
overhead electric service.
The certificate is issued to
Rattbrty, Pierce
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
36353 5/I0/12
Authorized Signature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
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 #: 36353 Date: 5/2/2011
Permission is hereby granted to:
Rafferty, Pierce
PO BOX 25
Fishers island, NY 66390
To:
new electric service.
At premises located at:
Off Ave B. Fishers Island, NY 06390
SCTM # 473889
Sec/Block/Lot # 6.-2-17.5
Pursuant to application dated
To expireon 10/31/2012.
Fees:
5~2~2011
and approved by the Building Inspector.
ELECTRIC
Total:
$85.00
$85.00
Building Inspector
Rpr 14 2011 G:12A~ HP LRSE~JET FRX
p.1
Town ~ .'~. ~x
P.O. B~ 1179
TOWN 01v ~OIJ/'~OLD
Temp Idormstlo. (.rt',needed) ,
~,ervlceSiza: ~ 31=base 100 150 ~ 300 3~0 400
iNew ,5mice: ~a-oonneot' '
Llnde~gmund NumberafMeler~ Ch~ngedServloe
Additienal Inform~lon: PAYIVIENT DUE WITH APPLICATION
Final
BJock: ~ Lot: I ?' 5-
JOS$1TE INFO, RUATION:' (*lnd:ir, atee required info.rmatlon)
*Name:
*Cro~ Street: ~/~.
Tax,Map District: 100.~.~..0 8~.~oi~: (~ ,
'BRIEF DESCRIPTION OF WORK (Pleaee Pdnt Clearly)
(Pf~ ~rds NI That
*Is Job resdy for InspeCtion: YES / NO RouGh In
*Do, you need a Temp Cert~cate: ~ NO
''r'~ APP.I.IOATION FOR I~ ~CTRICAL INSPECTION
REQUESTED BY: t~tc..HOL.Pr% (-, L)Ou~O~P~(~i~0 Date:..
Company Name: IO/T__ ~--'L.~C..Tp.,iC L.,U