HomeMy WebLinkAbout38275-Z r~~y~~~ Town of Southold Annex 9/30/2013
P.O. Box 1179
54375 Main Road
Southold, New York 11971
~
~r f ~
CERTIFICATE OF OCCUPANCY
No: 36539 Date: 9/30/2013
THIS CERTIFIES that the building ELECTRICAL
Location of Property: Ettrick St, Fishers Island,
SCTM 473889 SecBlock/Lot: 9.-12-5
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore frled in this officed dated
8/22/2013 pursuant to which Building Permit No. 38275 dated 8/22/2013
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:
OVERHEAD ELECTRIC SERVICE
The certificate is issued to diBonaventura, Christopher & diBonaventura
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 38275 09-18-2013
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
~ TOWN CLERK'S OFFICE
® ~„4 SOUTHOLD, NY
~1 ~
AIIYJ
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 38275 Date: 8/22/2013
Permission is hereby granted to:
diBonaventura, Christopher 8~ diBonaventura, Ellen _
27 Suffolk Rd _
Chestnut Hill, MA 02467
To: overhead electric service.
At premises located at:
Ettrick St, Fishers Island
SCTM # 473889
SeclBlock/Lot # 9.-12-5
Pursuant to application dated .8/22/2013 and approved by the Building Inspector.
To expire on 2/21/2015.
Fees:
ELECTRIC $85.00
Total: $85.00
J
Building Inspector
~~y~~pf~
pU~~
Town Hall Annex yy Telephone (631) 765-1802
54375 Main Road ~ T Fax (631) 765-9502
P.O. Box 1179 v' ~
e roper.richelt(a~town.southold.nv.us
Southold, NY 1 1 97 1-0959 ~
~1y00UNiV
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Chris deBOnaventura
Address: 330 Ettrick St City: Fishers Island St: NY Zip: 6390
Building Permit 38275 Section: 9 Block: 12 Lot: 5
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
contractor: DBA:BDEIeCtrIC License No: 35821-n1e
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic
Garege
INVENTORY
Service 1 ph 100a Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 100a A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks
Disconnect 100a Switches Twist Lock Exit Fixtures TVSS
Other Equipment: 100a Overhead SerVICe
Notes:
Inspector Signature: Date: Sept 18 2013
81-Cert Electrical Compliance Form.zls
~~~~~ya~ ~Q~~i~~~~
To,wi Mall ~Lmcx Telephone (631) 765-t80`L
543751`4ain Road cn Cax (631) 765- 5 2
I'.O. Box 1179 ~ ® O roger.richert(a~fown.souffio~d ny us
so„a,ata, NY I t977-0959 Q y
l'`eou~rl,~~
13UILDII~TG DEPARTI\4ENT
T'E3'F~PI 63~ S~EJT'b-~~1F.E2
APPLICATION F/OR ELECTRICAL INSPECTION
REQUESTED BY: Ch~j .5 F-ct ~
~eGh~ Date: /y--/3
Company Name: r~- ( ~ L
Name: /7/i S ~
License No.: 3~
~ ~ ~
Address: ~ ~ /moo( iN U
Phone No.: 3 9 - ~
JOBSITE INFORMATION: (*Indicafes required information)
*Name: [ _hr~~5 ~cr~ eri'"f rt,.
*Address: ~ 3 0 ~17-r~ ~i.~. ~S h~ T /an c~.
*Cross Street;
*Phone No.: ~ - ~ ~ ~ - '-j X50
Permit No.:
Tax Map District: 1000 Section: Block: ~ Lot:
*BRIEF DESCRIPTION OF WORK (Please Prinf Clearly) ~ p ~aYLc
/Iv ~iviit,c~ ~
(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 Phas ~ 3Phase 100 150 200 300 350 400 Other
*New Service: Re-connect Underground Number of Mef1s Chang of S'rvic Overhea ~
Additional Information: PAYMENT DUE WITH APPLICATION
I )P ~ (U.L2 ~rGT~~ ~ W'G~ ~ Ind ~O CU.-~Clyt ~ MQ ~:22-.
82-Request For Inspection Form C a~ 5
chi ~ Fr ~
~