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HomeMy WebLinkAbout36515-ZTown of Southold P.O. Box 1179 53095 Main Rd Southold, New York 11971 CERTIFICATE OF OCCUPANCY 8/4/2015 No: 37690 Date: 8/4/2015 THIS CERTIFIES that the building ELECTRICAL Location of Property: E End Rd, Fishers Island SCTM #: 473889 Sec/Block/Lot: 5.4-3.3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/27/2011 pursuant to which Building Permit No. 36515 dated 6/27/2011 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: 100 AMP SERVICE TO WELL PUMP HOUSE The certificate is issued to Andrews III, Mark & Andrews, Elizabeth Qu of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 36515 07-15-2015 C� Authorized Signature (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 36515 Date: 6/27/2011 Permission is hereby granted to: Andrews III, Mark & Andrews, Elizabeth Quay 30 Sutton PI New York. NY 10022 To: Re -connect service on irrigation pumphouse At premises located at: E End Rd. Fishers Island SCTM # 473889 Sec/Block/Lot # 5.-1-3.3 Pursuant to application dated 6/27/2011 To expire on 12/26/2012. Fees: and approved by the Building Inspector. Total: $0.00 Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE r. 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 #: 36515 Date: 6/27/2011 Permission is hereby granted to: Andrews III, Mark & Andrews, Elizabeth Quay 30 Sutton PI New York. NY 10022 To: Re -connect service on irrigation pumphouse At premises located at: E End Rd. Fishers Island SCTM # 473889 Sec/Block/Lot # 5.-1-3.3 Pursuant to application dated 6/27/2011 To expire on 12/26/2012. Fees: and approved by the Building Inspector. Total: $0.00 Building Inspector Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Telephone (631) 765-1802 Fax(631)765-9502 roger. riche rt(aD_town.southold.ny.us CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Mark Andrews Address: 1048 Castle Road #63 City: Fishers Island St: New York Zip: 6390 Building Permit #: 36515 Section: 5 Block: 1 Lot: 3.3 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: "AS BUILT" DBA: License No, Residential Commerical New Addition X Indoor Outdoor Renovation Survey Heat Duplec Recpt SITE DETAILS Office Use Only Basement 1st Floor 2nd Floor Attic INVENTORY Service Only Pool Hot Tub Garage Service 1 ph 100A Heat Duplec Recpt Ceiling Fixtures 1 HID Fixtures Service 3 ph Hot Water GFCI Recpt 3 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 Fixtures Time Clocks 1 Disconnect 100A Switches 1 Twist Lock Exit Fixtures TVSS Other Equipment: 100A Service To Well Pump House, 1- Control Panel, 1- 1.5 HP Well Pump Notes: AS BUILT - ELECTRICAL SURVEY- NO VISUAL DEFECTS Inspector Signature: Date: Jully 15, 2015 Electrical 81 Compliance Form.xls pE SOUr�,Olo G Q 94-7 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ] FOUNDATION IST ] FOUNDATION 2ND ] FRAMING/ STRAPPING ] FIREPLACE A CHIMNEY ] FIRE RESISTANT CONSTRUCTION ] ELECTRICAL (ROUGH) ] CODE VIOLATION REMARKS: [ ]ROUGH PLUMBING [ ]INSULATION [ ]FINAL [ ] FIRE SAFETY INSPECTION C ] FIRE RESISTANT PENETRATION [ELECTRICAL (FINAL) [ ]CAULKING i` %1`"i C (W4-- 0 6,S,.rf__ DATE i INSPECTOR '9�� Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 =STED BY. ny Name: Name: ;erase No.: dress: one No.: Telephone (631) 765-1802 rogerAchertCd fown soutn9o1d — nV US BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION JOBSITE INFORMATION: (*Indicates required information) *Name: *Address: *Cross Street: *Phone No.: Permit No.: Tax -Map District: Date: ,7' L 4 -ft-.? '6� 1000 Section: Block: __L_ Lot: *BRIEF DESCRIPTION OF WORK (Please Print Clearly) (Please Circle Ail That Apply) *Is job ready for inspection: Y/ 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 350400 Other *New Service: Re -connect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION C' .82=Request for Inspection Fotrn G 1� Tome 14all Ajincx �+_ r Telephone (GSI) 765-1802 5,13751riain Road d r 1 PL\ (6S1) 765 5 2 P.O. Box 1179 . ` , ,_ I'CgEr. IC UR D V Sou(hold,1\Y 11971-0959 ®111, rJU3 2011 BUILDING DEPARTMENT TOj-N OF SOUTHOLD BLDG. DEPT. APPLICATION FOR ELECTRICAL INSPECTI N TOWN OFSOUTHOLD REQUESTED BY: f ,� f (mac �, E Date: Company Name: t \\ r l� 1 L �li l��C"C_7����— �-- Name: License No.: Address: Phone No.: JOBSITE INFORMATION: (*Indicates required information) *Name: *Address: *Cross Street: *Phone No.: 8— %2-8 Permit No.: Tax Map District: 1000 Section: 5 Block: Lot: *BRIEF DESCRIPTION OF WORKPlease Print Clearly) Y) It n rpt 42 1 1,v iol (Please Circle All That Apply) -�-J *Is job ready for inspection: eYE NO Rough In Final *Do you need a Temp Certificate: NO Temp Information (If needed) *Service Size: 1 Phase; *New Service: Re- co Additional Informa I 3Phase 100' 150 200 300 350 400 Underground Number of Meters Change of Service PAYMENT DUE WITH APPLICATION Other Overhead 6- l� s vd 82 -Request for Inspection Form q P � �1 L