HomeMy WebLinkAbout41370-Z Town of Southold 6/4/2018
P.O.Box 1179
* ! 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39680 Date: 6/4/2018
THIS CERTIFIES that the building ELECTRICAL
Location of Property: Madeline Ave,Fishers Island
SCTM#: 473889 Sec/Block/Lot: 6.-8-3.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
2/16/2017 pursuant to which Building Permit No. 41370 dated 2/16/2017
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 METER PAN REPLACED
The certificate is issued to Ludemann Audrey Noyes QPRT
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 41370 03-08-2017
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
aaa ®G� BUILDING DEPARTMENT
co a TOWN CLERK'S OFFICE
oy�• as 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#: 41370 Date: 2/16/2017
Permission is hereby granted to:
Ludemann Audrey Noyes APRT
32 Saddle Ridge Rd
Wilton, CT 06897
To: Replace electric meter and reconnect to panel
At premises located at:
Madeline Ave, Fishers Island
SCTM # 473889
Sec/Block/Lot# 6.-8-3.1
Pursuant to application dated 2/16/2017 and approved by the Building Inspector.
To expire on 8/18/2018.
Fees:
ELECTRIC $85.00
Total: $85.00
a,
Buil i g Inspector
pF SOU��®l
Town Hall Annex Telephone(631)765-1802
54375 Main Road CA Fax(631)765-9502
P.O.Box 1179 ® a� roger.rich ert(D-town.southold.ny.us
Southold,NY 11971-0959
COUNN,
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Audrey Ludemann Noyes QPRT
Address: 545 Madeline Avenue city,Fishers Island st: New York zip: 06390
Building Permit#: 41370 Section: 6 Block: 8 Lot 3.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: B.D. Electric License No: 35821-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph 200A Heat Duplec Recpt Ceding Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 200A 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 200A Switches Twist Lock Exit Fixtures TVSS
Other Equipment: Replace Rusted Meter Pan
Notes:
Inspector Signature: Date: March 8, 2017
0-Cert Electrical Compliance Form As
�o' Qfr SO�ryo
`0
Town Hall Annex
W75 Main Road
P.O.Box 1179 Q ro er r c ,u
Southold,NY 11971-0959 D
FEB 1 5 2017
BUILDING DEPARTMENT
TOWN OF SOUTHOLD BUILDING DEPT.
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
BY: -0,6s- • � t
REQUESTED BY: C,► Date: -
Company Name: b E%
Name:
License No.: - '
Address: f n .�/f- tic)
Phone No. (� ( - �� _�9ri
JOBSITE INFORMATION: (Indicates required information)
*Name:
*Address: 19t-e— �4��
*Cross Street: —�
*Phone No.: 3l- ?a S- `70 9
Permit No.: 415-7D
j
Tax-Map District: 4000 Section: Block: Lot.
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
(Please Circle All That Apply)
*Is job ready for inspection: YE NO Rough In Final
*Do.you need a Temp Certificate: �NO
Temp Information(If needed)
*Service Size: 4 Phase 3Phase 400 150 200 300 350 400 Other
*New Service: Re-connec Undergroun Number of Meters/ Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
.82.:-Request for Inspection Form 'V )�