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Home My WebLink About42949-Z u� �gUFFOt,I��! Town of Southold 8/16/2018 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CER'T'IFICA'T'E OF OCCUPANCY No: 39848 Date: 8/16/2018 1 THIS CERTIFIES that the building ELECTRICAL Location of Property: Fox Ave, Fishers Island SCTM#: 473889 Sec/Block/Lot: 6.4-3.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/15/2018 pursuant to which Building Permit No. 42949 dated 8/15/2018 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: Upgrade Electric The certificate is issued to Sargent,Thomas&Ijams,Allison D of the aforesaid building. i SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 42949 08-08-2018 PLUMBERS CERTIFICATION DATED Authorized Signature --Z= eco TOWN OF SOUTHOLD 9k BUILDING DEPARTMENT TOWN CLERK'S OFFICE y 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#: 42949 Date: 8/15/2018 Permission is hereby granted to: Sargent, Thomas 25 The Waterway Wellesley Hills, MA 02181 To: Rewire electric, relocate main panel, new subpanel, At premises located at: Fox Ave, Fishers Island SCTM # 473889 Sec/Block/Lot# 6.-1-3.1 Pursuant to application dated 8/15/2018 and approved by the Building Inspector. To expire on 2/14/2020. Fees: ELECTRIC $250.00 Total: $250.00 hJ B in ector *pF SO(/r�,Ql Town Hall Annex Telephone(631)765-1802 54375 Main Road N Fax(631)765-9502 P.O.Box 117 • CoQ ro Southold,NY 119711-0959 qer.richertt�town.southold.ny.us letQ BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To Thomas Sargent Address: Fox Ave City: Fishers Island St: New York Zip: 6390 Building Permit#: 42949/42419 Section: 6 Block- 1 Lot: 3.1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: TPI Electric License No: 33396-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 X Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph 200a Heat gas Duplec Recpt 43 Ceiling Fixtures 18 HID Fixtures Service 3 ph Hot Water gas GFCI Recpt 12 Wall Fixtures 15 Smoke Detectors Main Panel 200a A/C Condenser Single Recpt Recessed Fixtures 12 CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances dw Dryer Recpt 30a Emergency Fixture Time Clocks Disconnect 200a Switches 39 Twist Lock Exit Fixtures TVSS Other Equipment: Up Grade Electric In House, Building Permit#42949, up grade 200a main service panel, 1-bath fan,40a oven,7-ARC fault circuit breakers Notes: Building Permit#42491, install gas fired furnace in place of original oil burner Inspector Signature:E Date: August 8 2018 81-Cert Electrical Compliance Form.xls tsui F01 ` ILDING DEPARTMENT-Electrical Inspector JUL 3 1 2018 TOWN OF SOUTHOLD IS, ;'� Town Hall Annex - 54375 Main Road - PO Box 1179 oBUI��GD]E Southold, New York 11971-0959 Tp�' I�z OF, 1' phone (631) 765-1802 - FAX(631) 765-9502 roger.richert .town.southold.ny.us APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: IBM ?dtA N 0 Date.- Company ate:Company Name: —r%�m 4V-,nc 1&e_ Name: License No.: �3 �(,� email: Address: /M ee&JWQ, 6rci•RN 12+A 0 + �3 Phone No.: jE;te d 3 3 g L /S"O JOB SITE INFORMATION: (Ail Information Required) 4 Name: oM 4liSdn7 SAe eN l Address: Cross Street: Phone No.: W7 '4101 -/a& BIdg.Permit#: email: ' r�-ni,t - Pe En Tax Map District: 1000 Section: Block: Lot: �o BRIEF DESCRIPTION OF ORK(Please Print Clearly) ,��,` �e (P PAW 3 l" 1 LJp:_bV A w 1clic Cable I Circle All That:Apply: Is job ready for inspection?: (EiblNO Rough In Final Do you need a Temp Certificate?:- YES 1 NO Issued On Ternp Information: (Ali information required) Service Size - 1 Ph 3 Ph Size: A # Meters 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 82-Request for Inspection Form.xls