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HomeMy WebLinkAbout42583-Z Town of Southold 7/31/2018 " �� P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39813 Date: 7/31/2018 THIS CERTIFIES that the building ELECTRICAL Location of Property: Oriental Ave, Fishers Island SCTM#: 473889 Sec/Block/Lot: 9.-7-11.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/18/2018 pursuant to which Building Permit No. 42583 dated 4/18/2018 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: 200 AMP SINGLE PHASE OVERHEAD ELECTRIC METER AND DISCONNECT FOR VERIZON WIRELESS The certificate is issued to Our Lady of Grace RC Ch r of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 42583 07-26-2018 PLUMBERS CERTIFICATION DATED Authorized Signature SVFFnc�, TOWN OF SOUTHOLD BUILDING DEPARTMENT y TOWN CLERK'S OFFICE :oy • 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#: 42583 Date: 4/18/2018 Permission is hereby granted to: Our Lady of Grace RC Ch PO BOX 425 Fishers Island, NY 06390 To: 200 AMP Single Phase Electric Meter and Disconnect for Verizon Wireless At premises located at: Oriental Ave, Fishers Island SCTM # 473889 Sec/Block/Lot# 9.-7-11.1 Pursuant to application dated 4/18/2018 and approved by the Building Inspector. To expire on 10/18/2019. Fees: ELECTRIC $125.00 Total: $125.00 uiing Inspector pF SOUTyolo Town Hall Annex Telephone(631)765-1802 54375 Main Road C Fax(631)765-9502 P.O.Box 1179 G �► • �o roper.richertRtown.southold.ny.us Southold,NY 11971-0959 c®U�'A`� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Verizon Wireless - Our Lady of Grace RC Church Address: Oriental Avenue city,Fishers Island st: New York zip: 06390 Building Permit* 425583 Section: 9 Block: 7 Lot: 11.1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Charles M Dwyer Inc. License No: 4278-ME SITE DETAILS Office Use Only Residential Indoor Basement Service Only Commerical X 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 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 Switches Twist Lock Exit Fixtures �] TVSS Other Equipment: 200A 1- Phase overhead Service, Mast-Meter Pan, and Grounding Only, No Service Panel. Notes: Inspector Signature: Date: July 26, 2018 0-Cert Electrical Compliance Form.xIs tzim �os�Fdiu; c�Gy, BUILDING DEPARTMENT T®lAIN OF SOUTH C L5) Town Hall Annex - 54375 Main R - PO Box 1179 QA,- ` Southold, New York 11 95WPR 1 8 2018 Telephone (631) 765-1802 - FAX (631) 765-9502 roper,richestOtown,.so6thold'.h4uS_ _- TOWN OF SOUTHOLD APPLICATION-FOR ELECTRICAL INSPECTION REQUESTED BY: Date: L4 1 Zj 1-8 Company Name: ChorlC-S 1A , Dvw\ _1' 11'1 - Name: hod e-S License No.: q2 email: f1iC®I�r Cp1Y1�Ce11 Address: A,313-i,3'13 Lincoln AvCnue, HglI br©o Phone No.: (.P'5 t-+_" 5915 JOB SITE INFORMATION: (All Information Required) - 00 � �� 12c Name: VcnWWCICSS Address: hC- Av r'1 e 1 9 Cross Street: Phone No.: B1dg.Permit#: ZrJ email: Co Tax Map.District: 1000 Section: Block:�_ 1 Lot;_._ 11"-'- BRIEF DESCRIPTION OF WORK(Please Print Clearly) In5jollibop— Se d i U - iZDn Circle All That Apply: Is job ready for inspection?: YESPNO Rough In Final Do you need a Temp Certificate?: YES Issued On Temp Information: (All information required) Service.Size 1 Ph 3 Ph Size: 2.00 A # Meters, 'L -Old Meter# New Service - Fire Reconnect- Flood Reconnect- Service Reconnected -Underground Overhead #-Underground Laterals 1 2 H Frame Pole Work done on Service? Y N-- Additional Information: PAYMENT DUE'WITH APPLICATION �r\ 82-Request for Inspection Formals