HomeMy WebLinkAbout41422-Z Town of Southold 7/26/2017
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39080 Date: 7/26/2017
THIS CERTIFUS that the building ELECTRICAL
Location of Property: Ave B,Fishers Island
SCTM#: 473889 See/Block/Lot: 6.-2-13.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore fled in this office dated
3/15/2017 pursuant to which Building Permit No. 41422 dated 3/15/2017
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:
Electric
The certificate is issued to MacDonald,Jeffrey
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTMCATE NO. 41422 07-20-2017
PLUMBERS CERTIFICATION DATED
itborized Signature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
o . 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#: 41422 Date: 3/15/2017
Permission is hereby granted to:
MacDonald, Jeffrey
202 Ferry Ln
South Glastonbury, CT 06073
To: Electric
At premises located at:
Ave B, Fishers Island
SCTM # 473889
Sec/Block/Lot# 6.-2-13.1
Pursuant to application dated 3/15/2017 and approved by the Building Inspector.
To expire on 9/14/2018.
Fees:
ELECTRIC $185.00
Total: $185.00
uilding Ins or
OF SOUry®l
Town Hall Annex Telephone(631)765-1802
54375 Main Road N Fax(631)765-9502
P.O.Box 1179 ® i� roger.richert(, -town.southold.ny.us
Southold,NY 11971-0959 Q
couffm
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Mac Donald
Address: 328 Avenue B city,Fishers Island st: New York zip: 06390
Building Permit#: 41422 Section: 6 Block: 2 Lot: 13.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: N I Electric License No: 34408-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 Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph 100A Heat Duplec Recpt 41 Ceiling Fixtures 8 HID Fixtures
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures 5 Smoke Detectors 4
Main Panel 100A A/C Condenser Single Recpt Recessed Fixtures 2 CO Detectors
Sub Panel A/C Blower Range Recpt 50A Fluorescent Fixture Pumps
Transformer Appliances DW Dryer Recpt 30A Emergency Fixture Time Clocks
Disconnect 100A Switches 16 Twist Lock Exit Fixtures 11 TVSS
Other Equipment: 2- Combination Smoke/ CO Detectors, 1- Paddle Fan, 2- GFCI Circuit Breakes,
5- ARC Fault Circuit Breakers. 2- Combination ARC/ GFCI Circuit Breakers.
Notes:
Inspector Signature: Date: July 20, 2017
0-Cert Electrical Compliance Form.xls
so
couto,
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
IN'SPECTION
I FOUNDATION,lST ROUGH PLEIG.
FOUNDATION.21SID INSULATION
FRAMING / STRAPPING FINAL
FIREPLACE i CHIMNEY FIRE SAFETY INSPECTION
FIRE RESISTANT:,CONSTRUCTION FIRE RESISTANT PENETRATION
ELECTRICAL,(ROUGH) ELECTRICAL (FINAL)
REMARKS:
ok�
DATE - 7/9Vb I INSPECTOR
S0�/ryo
Town Hall Annex
54375 Main Road
P.Q.Sox 1179G r0 er.riche
Southold,NY 11971-0959
2017
BUILDING DEPARTMENT BUILDING DEPT.
TOWN OF SOUTHOLD TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: l 0��S C •�� S ��� Date-. 3 - 7- 1 -7
Company Name: It CT �Tlzi ���
Name: 5';;� -
r
License No.: 3 LJ
Address: G� 0= W 11-/ i,PPI K)C- LLD LYMECT
06 3 71
Phone No.: c , X 6 0 6 9
JOBSITE INFORMATION: (Indicates required information)
*Name: MACD0 NRLD rL-FF--IZC--Y+ t:4V2T-t,-�-y
"Address:
--3 o�R A1/r7N ---
'Cross Street: l
'Phone No.: —6 ,31 7 9 7 3
permit No.:
rax-Map District: 1000 Section: Block: Lot:
'BRIEF DESCRIPTION OF WORK(Please Print Clearly) I N'i-C�YZ q�j 2 fl,Z�GT�2t C�}
-k,Xfzk N26- T-00 t\)C--C- ,2L o [H r
(-�-(3 III l l UIC 1 R01)l t•�
Please Circle Alf That Apply)
Is job ready for inspection: YES/ 1o� Rough to Finat
Do you need a Temp Certificate:
. YES NO
'emp Information(ff-needed)
Service Size: 1 Phase 3Phase cioc)� 150 200 300 350 400 Other
New Service: Re-connect Underground Number of Meters Change of Service Overhead
►dMonal Information: PAYMENT DUE WITH APPLICATION
.-_SLA 6- 100 8nU&2 pal 2 I NEW Rdr2 MVL
82-Request for Inspeefion Form /,T-- GN 1 �CLGS�y�