HomeMy WebLinkAbout48203-Z Town of Southold 5/15/2023
P.O.Box 1179
C*
` 53095 Main Rd
o r'� Southold,New York 11971
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CERTIFICATE OF OCCUPANCY
No: 44100 Date: 5/15/2023
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 1245 Ruth Rd,Mattituck
SCTM#: 473889 Sec/Block/Lot: 106.-7-14
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/24/2022 pursuant to which Building Permit No. 48203 dated 8/24/2022
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:
re-bonded pool equipment.
The certificate is issued to Iordanou,Michael&Theana
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 48203 11/1/2022
PLUMBERS CERTIFICATION DATED
Author' ed Signature
jv TOWN OF SOUTHOLD
�SUFFOc,��oGy
BUILDING DEPARTMENT
H TOWN CLERK'S OFFICE
SOUTHOLD, NY
r� 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#: 48203 Date: 8/24/2022
Permission is hereby granted to:
lordanou, Michael
204 Bayview Rd
Manhasset, NY 11030
To: pool bonding
At premises located at:
1245 Ruth Rd, Mattituck
SCTM # 473889
Sec/Block/Lot# 106.-7-14
Pursuant to application dated 8/24/2022 and approved by the Building Inspector.
To expire on 2/23/2024.
Fees:
ELECTRIC $100.00
Total: $100.00
Build innspector
hO��pF SO(/r�Ql
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 sean.devlin(,@-town.Southold.ny.us
Southold,NY 11971-0959 Q�yCOUNT`1,��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Michael lordanou
Address: 1245 Ruth Rd City:Mattituck St: NY zip: 11952
Building Permit* 4$203 Section: 106 Block: 7 Lot: 14
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: All Safe Electric License No: 52216ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service
Commerical Outdoor 1st Floor Pool X
New X Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 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 Switches 4'LED Exit Fixtures Pump
Other Equipment:
Notes: Re-Bonded Pool Equipment
Inspector Signature: Date: November 1, 2022
S.Devlin-Cert Electrical Compliance Form
SOF SOUTyO -
# TOWN OF SOUTHOLD BUILDING DEPT.
cou631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
LECTRICAL (ROUGH)
[ ] CODE VIOLATION (TPRE C/O [ ] RENTAL
REMARKS: i/
DATE INSPECTOR
JE
vafet . ! BUI IN( DEPARTMENT- Electrical Inspector
AUG 2 4 2022 TOWN OF SOUTHOLD
BU„L,,,;W,.TAW9 Hall Annex- 54375 Main Road - PO Box 1179
TOWN OF SOUTH LO Southold, New York 11971-0959
q Telephone (631) 765=1802 - FAX (631) 765-9502
��
' rogerr(ab-southoldtownny.gov - sea nda-southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: ��� z0a
Company Name: ANSS
Electrician's Name: kcNL
License No.: S 1(6 M Elec. email: Sc F ; , 641
Elec. Phone No: (471-7)0P CDfrequest an email copy of Certificate of Compliance
Elec. Address.: 7LP/
JOB SITE INFORMATION (All Information Required)
Name: T
Address: 1 ,R 4rS leu` 12oad
Cross Street:
Phone No.: 2 2 -001
Bldg.Permit#: email:
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
r(9 6 /111) 6,
Square Footage:
Circle All That Apply:
Is job ready for inspection?: ❑ YES ❑ NO ❑Rough In ❑ Final
Do you need a Temp Certificate?: ❑ YES ❑ NO Issued On
Temp Information: (All information required)
Service Size F11 Ph❑3 Ph Size: A # Meters Old Meter#
❑New Service❑Fire Reconnect[-]Flood Reconnect❑Service Reconnect❑Underground❑Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION