HomeMy WebLinkAbout37351-Z Town of Southold Annex 9/13/2012
4' P.O.Box 1179
54375 Main Road
oy%• � Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 35950 Date: 9/13/2012
THIS CERTIFIES that the building ELECTRICAL
Location of Property: Oriental Ave,Fishers Island,
SCTM#: 473889 See/Block/Lot: 9.-7-10
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
7/9/2012 pursuant to which Building Permit No. 37351 dated 7/9/2012
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:
overhead electric service and central air conditioning to existinglbrary.
The certificate is issued to F I Library
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 37351 9/5/12
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
��4�g�7FFOl��o�y
BUILDING DEPARTMENT
y 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#: 37351 Date: 7/9/2012
Permission is hereby granted to:
F I Library
PO BOX 366
Fishers Island, NY 06390
To: new electric service
At premises located at:
Oriental Ave, Fishers Island
SCTM # 473889
Sec/Block/Lot# 9.-7-10
Pursuant to application dated 7/9/2012 and approved by the Building Inspector.
To expire on 1/8/2014.
Fees:
ELECTRIC $125.00
Total: $125.00
Building Inspector
SO!/Tyo
Town Hall Annex ~� l0 Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 �o roper.richert(a)-town.southo Id.ny.us
Southold,NY 11971-0959 .4`0.
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Fishers Island Library
Address: Alpine&Oriental City: Fishers Island St: NY Zip: 6390
Building Permit#: 3'7"j j Section: 9 Block: 7 Lot: 10
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: TPI Electric License No: 33396
SITE DETAILS
Office Use Only
Residential Indoor X Basement X 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 Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 200a A/C Condenser 2 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, central air conditioning
Notes:
Inspector Signature: J _ Date: Sept 5 2012
81-Cert Electrical Compliance Form.xls
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s.
al !S*iz
Town Hall Annex Tekphone(631)765-1802
3437SMainRoad- �,,raa�rcc
P.O.Box 1179 CARraoer:riC139rtK1Z101Ni1107 nV ttS
SomhokL NY 11971-t1959
BUIMINCDEPARIMENT
TOWN OF SOUTHOUD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Po /Aa Jul Date:
Company Name: I
Name: 1 Ati
1_icense No.:
lArldress:fP 3�
ne No.: U
JOBSITE WFORMATION: rIndicates required information)
*Name.
`Address:
`Cross Street:
*Phone No.: 7� rl,
Permit No.:
Tax Map District: 1000 Section: Bbcic_—7 Lot
*BRIEF DESCRIPTION OF WORK(Please Print Clearly) -
a
(Please Circle All That Apply)
*Is job ready for inspection: YE !NO. Rough In Final
*Do-you need a Temp Certificate: YE /NO
Temp Infornradon needed)
*Service See: 1 Phase 3Phase 100 150 40� 300 35D 400 Other
*New SerVm- ea Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPUCAT ON
824b quest for Inspection Foss
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