HomeMy WebLinkAbout40566-Z 'fco•; Town of Southold 2/22/2018
P.O.Box 1179
lei
• 53095 Main Rd
p?' Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 39526 Date: 2/22/2018-
THIS CERTIFIES that the building ELECTRICAL
Location of Property: Montauk Ave, Fishers Island
SCTM#: 473889 Sec/Block/Lot: 9.-2-18.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
3/28/2016 pursuant to which Building Permit No. 40566 dated 3/28/2016
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 upgrade of existing cottage.
The certificate is issued to Dexter,Diane
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 40566 9/26/16; 2/15/2018
PLUMBERS CERTIFICATION DATED
uthorized Signature
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Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P O Box 1179 roger.riche rt(a)-town.soLitho Id.ny.us
Southold,NY 11971-0959 'Q
COU
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Diane Dexter
Address: 594 Montauk Avenue City: Fishers Island St: NY Zip: 06390
Building Permit#- 40566 Section. 9 Block. 2 Lot: 18.1
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 2nd Floor X Hot Tub
Addition Survey Attic X Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 18 Ceiling Fixtures 11 HID Fixtures
Service 3 ph Hot Water GFCI Recpt 3 Wall Fixtures Smoke Detectors 2
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt 50A Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency FixtureSL Time Clocks
Disconnect Switches 10 Twist Lock 11 Exit Fixtures TVSS
Omer Equipment: 2-Combination Smoke/ CO Detectors, 2- ARC Fault Circuit Breakers
Notes:
Inspector Signature: Date: September 20, 2016
0-81-Cert Electrical Compliance Form.xls
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#: 40566 Date: 3/28/2016
Permission is hereby granted to:
Dexter, Diane
214 Christian Rd
Middlebury, CT 06762
To: upgrade interior wiring of cottage.
At premises located at:
Montauk Ave, Fishers Island
SCTM # 473889
Sec/Block/Lot# 9.-2-18.1
Pursuant to application dated 3/28/2016 and approved by the Building Inspector.
To expire on 9/27/2017.
Fees:
ELECTRIC $150.00
Total: $150.00
Bu ding Ins -tor
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Town Hall Annex Telephone(631)765-1842
59375 Main Road • IR1SOUj&P.O.Box 1179 ogerrich@ff OV1
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Southold,NY 11971-0959 Ol� �
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: VJC_Ho�pS C, N w 0 S � Date:Ip -13
Company Name: N/T C-LAz7 C-M%G LL G
Name:
License No.: 3 4 H O g C
Address: fo ICA I QLX)A ivy 0 Lb L-�ML C F, 3 - �
Phone No.: C S 6v GA 5 313�
JOBSITE INFORMATION: (*Indicates required information)
`Name: ( 6 NL D
'Address: 5' q L4 M 0
'Cross Street:
`Phone No.: _� 3 l '7gg
3ermit No.:
Fax Map District: 1000 Section: Block: Lot:g, �-
-*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
1)P&Q AD'��7 1 �J-rvf2l0f,2- w L gItj
Please Circle Alt That Apply)
Is job ready for inspection:
Do-you need a Temp CeYES/� Rough In Final T,13_V"
rtificate:
q, A q-�r Avg YES /
'emp Inforniationi(fA4Aded)
Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other
New Servi � 5 R4:666nnect Un
i ; derground Number of Meters Change of Service Overhead
PAYMENT DUE WITH APPLICATION►dditionaiInforTnatien
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824ReWest for Inspection Form &Y