HomeMy WebLinkAbout40801-Z Town of Southold 8/30/2018
P.O.Box 1179
0
rh x 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39881 Date: 8/30/2018
THIS CERTIFIES that the building ELECTRICAL
Location of Property: Fox Ave,Fishers Island
SCTM#: 473889 Sec/Block/Lot: 9.4-26
Subdivision: Fled Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore fled in this office dated
6/28/2016 pursuant to which Building Permit No. 40801 dated 6/28/2016
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 TO 200 AMP OVERHEAD SERVICE
The certificate is issued to Cashel,Colin&Kristen
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 40801 07-26-2018
PLUMBERS CERTIFICATION DATED
Authorized Signature
�S�FFOI�,c TOWN OF SOUTHOLD
moo �Gy BUILDING DEPARTMENT
y a 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#: 40801 Date: 6/28/2016
Permission is hereby granted to:
Cashel, Colin
839 Country Club Dr
North Palm Beach, FL 33408
To: upgrade electric to 200a overhead service.
At premises located at:
Fox Ave, Fishers Island
SCTM # 473889
Sec/Block/Lot# 9.-1-26
Pursuant to application dated 6/28/2016 and approved by the Building Inspector.
To expire on 12/28/2017.
Fees:
ELECTRIC $85.00
Total: $85.00
ilding I ctor
pF SO!/T�,O!
Town Hall Annex Telephone(631)765-1802
54375 Main Road y Fax(631)765-9502
P.O.Box 1179 G Q
Southold,NY 11971-0959 -cam • �o roger.riche rtlc'�town.southold.ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To. Colin Cashel
Address: Fox Ave City: Fishers Island St: New York Zip: 6390
Budding Permit#: 40801 Section- 9 Block: 1 Lot: 26
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 X
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph 200a Heat Duplec Recpt Ceiling 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 Fixtures Time Clocks
Disconnect 200a Switches Twist Lock Exit Fixtures TVSS
Other Equipment: 200a overhead service up grade
Notes:
Inspector Signature: Date: July 26 2018
81-Cert Electrical Compliance Form.xls
Town Hall Annex J Telephone(631)765-1802
54375 Main Road ,ax 6 n
P.O.Box 1179 G Q roaer.richert(ctown sou O( ny us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
:REQUESTED BY: A) i C L S C• N 0 cv Date:_6 7--1
Company Name: N
Name:
License No.: Li
\ Address: 6 t�� L�I'I C CT Q& 7
Phone No.: c, ci 3
JOBSITE-INFORMATION: ('Indicates required information)
'Name: l C-D Lt N-) G ISSL L
k �
Address: C-0 1`�('IC 3
'Cross Street:
'Phone No.: (� ( , 7 7 CO)g��
permit No.: . ' N --
`ax Map District: 1000 Section: _ Block: Lot:
'BRIEF DESCRIPTION OF WORK(Please Print Clearly) 0 P x'44';-> 100 A m p
9 L-f 2 v IC L To ivy
y
Please Circle All That Apply)
Is job ready for inspection: YES a NO Rough In Final
Do-you need a Temp Certificate: YES NO
'emp information(if needed)
Service Size: 1Pha Whase 100 150 200 300 350 400 Other
New Service: Re-connect Underground Number of Meters Change of Service Overhead
,dditional Information: PAYMENT DUE WITH APPLICATION
^U C � e 631 7E83 �-
14z
82-Request for Inspection Form
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