HomeMy WebLinkAbout38275-Z ��4g�1FFat,��Dg Town of Southold Annex 9/30/2013
P.O.Box 1179
54375 Main Road
v • Southold,New York 11971
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-�.,,.�x1�10 $�591-4
CERTIFICATE OF OCCUPANCY
No: 36539 Date: 9/30/2013
THIS CERTIFIES that the building ELECTRICAL
Location of Property: Ettrick St, Fish6rs Island,
SCTM#: 473889 Sec/Block/Lot: 9.42-5
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
8/22/2013 pursuant to which Building Permit No. 38275 dated 8/22/2013
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
The certificate is issued to diBonaventura,Christopher&diBonaventura
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 38275 09-18-2013
PLUMBERS CERTIFICATION DATED
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Authorized Signature
��gUFFn�x�a TOWN OF SOUTHOLD
BUILDING DEPARTMENT
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#: 38275 Date: 8/22/2013
Permission is hereby granted to:
diBonaventura, Christopher& diBonaventura, Ellen
27 Suffolk Rd
Chestnut Hill, MA 02467
To: overhead electric service.
At premises located at:
Ettrick St, Fishers Island
SCTM #473889
Sec/Block/Lot# 9.-12-5
Pursuant to application dated 8/22/2013 and approved by the Building Inspector.
To expire on 2/21/2015.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
*pF SO(/j�ol
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 i� roper.riche rt(a)-town.so utho Id.ny.us
Southold,NY 11971-0959 ;4`
���C4UNT`I,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Chris deBonaventura
Address: 330 Ettrick St City: Fishers Island St: NY Zip: 6390
Building Permit#: 38275 Section: Q Block: 12 Lot: 5
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: BD Electric License No: 35821-me
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph 100a Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 100a 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 F0a Switches Twist Lock Exit Fixtures TVSS
Other Equipment: 100a overhead service
Notes:
Inspector Signature: Date: Sept 18 2013
81-Cert Electrical Compliance Form.xls
Toni I•Iall Annex Telephone(631) 765-1802
5,1375 lMain Road Fax(631) 765- 5 2
I1.0.Box 1179 .� roger.richert(c�town.50u�f�0 d.ny.us
Southold,NY 11971-0959 ® y
BUILDING DEPART LENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Chr� -5 4� j--����� Date: . /--i3
Company Name:
Name:
License No.:
Address: rPb ` het-: /acid M o
Phone No.: 3( -- '2 2 92/2
—
JOBSITE INFORMATION: (*Indicates required information)
*Name:
*Address: ?c) Tr`lr�/c
*Cross Street:
Permit No.:
Tax Map District: 1000 Section: Block: �), Lot:
*BRIEF DESCRIPTION
lOFF�WORK
/(Please
Print Clearly)
�J6
(Please Circle All That Apply)
*Is job ready for inspection: YES NO Rough In Fina!
*Do you need a Temp Cerfiflcate: YES NO
Temp information (if needed)
*Service Size: 1 Phas 3Phase 100 150 200 300 350 400 Other
*New Service: Re-connec Underground Number of Meters . Change,of Servi.c Over.hea
Additional Information: PAYMENT DUE WITH APPLICATION
c
82-Request for Inspection Form �oZ_ �j� 1