HomeMy WebLinkAbout36930-Z gOFFOIIr4 Town of Southold Annex 1/30/2012
°aye 54375 Main Road
y i Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 35417 Date: 1/30/2012
THIS CERTIFIES that the building ELECTRICAL
Location of Property: Central Ave, Fishers Island,
SCTM#: 473889 Sec/Block/Lot: 10.4-9
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this ofliced dated
1/19/2012 pursuant to which Building Permit No. 36930 dated 1/19/2012
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:
new electric service.
The certificate is issued to Fishers Island Dev Corp
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 36930 01/18/2012
PLUMBERS CERTIFICATION DATED
Authorized Signature
SOUr�o
Town Hall Annex ~� l� Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 roger.richert(-town.southold.ny.us
Southold,NY 11971-0959
C4UNT`I,Nc�'
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: FI Yacht Club
Address: 1317 Central Ave City: Fishers Island St: NY Zip: 6390
Building Permit* Section: Block: Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: License No:
SITE DETAILS
Office Use Only
Residential Indoor Basement Service Only X
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling 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 Fixtures Time Clocks
Disconnect Switches Twist Lock Exit Fixtures TVSS
Other Equipment: 4 meter bank, underground, 1-60a disconnect, 3-200a disconnects
fed with 2X350
Notes:
Inspector Signature: Date: Jan 18 2012
81-Cert Electrical Compliance Form.xls
TOWN OF SOUTHOLD
�SUEfnt�coy BUILDING DEPARTMENT
�4
z TOWN CLERK'S OFFICE
oy • 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#: 36930 Date: 1/19/2012
Permission is hereby granted to:
Fishers Island Dev Corp
Attn: F I Utility Co
Drawer E
Fishers Island, NY 06390
To: new electric service.
At premises located at:
Central Ave, Fishers Island
SCTM # 473889
Sec/Block/Lot# 10.-1-9
Pursuant to application dated 1/19/2012 and approved by the Building Inspector.
To expire on 7/20/2013.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
i
DEC 1TZ}«4Q191 A111 r }Y Telephone(63I)765-I802
�. �;
5,1375 Iriain Rod l Fae(63I)765;95Q2
!"OQBr.rlcheri(GDtown.sou" offd.ny.us
Bah@�el'T ' I97 I-0959
TOWN OF s0uthyd
BUILDING DEPART 1ENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: C,��rj S �,0 ( of EL_ Date: = —
Company Name: I� /� � --; ;%��` G-. L C_
Name: ?
License No.: 4 I
Address:
Phone No.: 3 t+ ?
JOBSITE INFORMATION: (*Indicates required information)
*Name:
*Address: /31 I I
*Cross Street:
*Phone No.: 6 3l Q8--8—7 a-3 G
Permit No.: (A 3o
Tax Map District: 1000 Section:---1— Block: T Lot:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly) We,I,,
r'
(Please Circle All That Apply)
*Is job ready for inspection: YES(2) Rough In Final
*Do you need a Temp Certificate: �ENO
Temp Information (If needed)
*Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other
*New Service: Re-connect Undermaund Number of Meters Chan e o rvice Overhead
Additional Information: PAYMENAUE WITH APPLICATION
82-Request for Inspection Form )U—
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