HomeMy WebLinkAbout47180-Z OSS Town of Southold
ao� oG� 2/20/2022
WA
P.O.Box 1179
o _ 53095 Main Rd
y'j�l dao ,r Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42810 Date: 2/20/2022
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 65 Freeman Ave.,Mattituck
SCTM#: 473889 Sec/Block/Lot: 139.-3-35
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
12/6/2021 pursuant to which Building Permit No. 47180 dated 12/6/2021
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:
200 amp overhead electric service.
The certificate is issued to Fournaris,Nicholas&Katherine
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 47180 2/14/2022
PLUMBERS CERTIFICATION DATED
Au\orized Signature
TOWN OF SOUTHOLD
�ogUFFQi, �o�y
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#: 47180 Date: 12/6/2021
Permission is hereby granted to:
Fournaris, Nicholas
59 Longridge Rd
Manhasset, NY 11030
To: 200A overhead electric service.
At premises located at:
65 Freeman Ave., Mattituck
SCTM # 473889
Sec/Block/Lot# 139.-3-35
Pursuant to application dated 12/6/2021 and approved by the Building Inspector.
To expire on 6/7/2023.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
O��OF SO(/T�QI
� o
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 sean.devlinCcD-town.southold.ny.us
Southold,NY 11971-0959 Q a
�yCDUNT`C,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Nicholas Fournaris
Address: 65 Freeman Ave city:Mattituck st: NY zip: 11952
Building Permit#: 47180 Section: 139 Block: 3 Lot: 35
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: T Best Electric License No: 49446ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service X
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph X Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 200A A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors
Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO
Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks
Disconnect 200A Switches 4'LED Exit Fixtures Pump
Other Equipment: 200A Meter Main Disconnect, 200A Panel 42 Circuit
Notes: SERVICE ONLY
Inspector Signature: Date: February 14, 2022
6-1
S.Devlin-Cert Electrical Compliance Form
�aOESOUTyp —
# # TOWN OF SOUTHOLD BUILDING DEPT.
courm,��'' 765.1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[
]' FIREPLACE`& CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) j ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] P E C/O
REMARKS: vi
DATE �� INSPECTOR l
D ECE99E
�SyFFOd NOV 2 � 2021U DING DEPARTMENT- Electrical Inspector
BUILDING DEPT
O G TOWN OF SOUTHOLD
tea► ¢i►
c owN oFsouTH6Twwn Hall Annex - 54375 Main Road - PO Box 1179 .
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr(a southoldtownny.gov - seand(aDsoutholdtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name: jc
Electrician's Name: s
License No.: Elec. email: IG t(LC VtObIc
Elec. Phone No: ^ 133Q ❑I request an email copy of Certificate of Compliance
Elec. Address.: 3q Net,., t p,-S T' eje(LTEr t-k4C lG
JOB SITE INFORMATION (All Information Required)
Name: N % C Vt_0 CLS
Address: .
Cross Street: tA
Phone No.:-
BIdg.Permit#:" � °�' �'��`� email: 351 ,
Tax Map,District: 1000 Secltiori: Block: 3 Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
ik Nc9 Sv C,f__ �-.P G-va-d-re.-
Square Footage: 11,600
Circle All That Apply:
Is job ready for.inspection?: dYES NO Rough In nal
Do you need a Temp Certificate?: YES L_Ld�'v Issued On
Temp Information: (All information required)
Service SizeyFPh❑3 Ph Size: 0_A # Meters Old Meter#
yNew Service0Fire ReconnectOFlood ReconnectOService ReconnectOUndergrounderhead
# Underground Laterals R 1 R2 D H Frame Pole Work done on Service? Y FIN
Additional Information:
PAYMENT DUE WITH APPLICATION
PERMIT# Address:-
Switches
Outlets
G F I's
Surface
Sconces
H H's
UC Lts
Fans ... _< _ . Fridge
Exhaust Oven W/D
Smokes DW Mini:
Carbon..: IVI7cro._. generator
. . Ce`nbo Cooktop Transfer' : .; :...:
:Ac. AH. Hood Service .
mps Have 'Used
Special:. : : . . �. . .
Comments: