HomeMy WebLinkAbout44249-Z sOF SOUjyo`o Town of Southold
* * P.O. Box 1179
0 53095 Main Rd
oxrr�, � Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 46334 Date: 07/23/2025
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 360 Rose Ln Mattituck, NY 11952
Sec/Block/Lot: 99.-5-16
Conforms substantially to the Application for Building Permit heretoforejiled in this office dated: 10/02/2019
Pursuant to which Building Permit No. 44249 and dated: 10/02/2019
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:
Electric service upgrade and ceiling lights.
The certificate is issued to: Peter Vouyoukliotis ,Danielle Vouyoukliotis
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE: 44249 9/8/2020
PLUMBERS CERTIFICATION:
Autho ' e Sig ture
1
�sUFrul TOWN OF SOUTHOLD
BUILDING DEPARTMENT
a TOWN CLERK'S OFFICE
o • 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.#: 44249 Date: 10/2/2019
Permission is hereby granted.to:
Suglia, Rosina
c/o Maria A Mobus
20 Maxine Dr
Morristown, NJ 079604707 ;
To: electrical upgrade and ceiling lights. . ..
r
At premises located at:
360 Rose Ln, Mattituck
SCTM #473889
-
Sec/Block/Lot# 99.-5-16
Pursuant to application dated 10/2/2019 and approved by the Building Inspector.
To expire on 4/2/2021:
Fees:
ELECTRIC $125.00
Total: $125.00
Building nspector
OF SO(/lyol
Town Hall Annex ~ Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 o sean.devlin(D-town.southold.ny.us
Southold,NY 11971-0959
��y�DUNT`I,a�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Peter Vouyoukliotis
Address: 360 Rose Ln city:Mattituck st: NY zip: 11952
Building Permit#: 44249 section: 99 Block: 5 Lot: 16
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Home Owner License No:
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service X
Commerical Outdoor X 1 st Floor X Pool
New Renovation X 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph X Heat Duplec Recpt 15 Ceiling Fixtures 7 Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt 8 Wall Fixtures 1 Smoke Detectors 3
Main Panel 100A A/C Condenser Single Recpt Recessed Fixtures 13 CO2 Detectors
Sub Panel A/C Blower Range Recpt Ceiling Fan 3 Combo Smoke/CO 3
Transformer UC Lights Dryer Recpt Emergency Fixture Time Clocks
Disconnect Switches 15 4'LED Exit Fixtures Pump
Other Equipment: 24 Circuit Panel- 20 Used
Notes: Service Upgrade and Renovation
Inspector Signature: `.Y�.. Date: September 8, 2020
p 9
S.Devlin-Cert Electrical Compliance Form.xls
OFSOUlyo6 L4 l 60 T—&S�Z
# # TOWN'OF SOUTHOLD BUILDING DEPT.
°`ycourm, '' 765-1802
I N=SPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] -INSULATION/CAULKING
[ ] FRAMING/STRAPPING [ ] FINAL
[ ] "FIREPLACE & CHIMNEY [ ' ] FIRE SAFETY INSPECTION
s [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
11 v
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
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DATE 2 Z� �� INSPECTOR
@ 1 /tom ��p r ' ---- -- - ----
OF SOUIyo� ' Li
Li 200'
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# #. TOLWN OF S UTHOLD BUILDING DEPT.
`ycnurm '' 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
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)-
[ ] CODE VIOLATION ] PRE C/O
REMARKS:
P//VA4, -F�VlC44,
DATE INSPECTOR
JUL 1 0 2025 U
Building DeParty"ent
is � Town of Southold
l J
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AU" lei �
�O��SUfFO(,f-COG BUILDING DEPARTMENT- Electrical Inspector
y� TOWN OF SOUTHOLD
o Town Hall Annex - 54375 Main Road - PO Box 1179
co 'x Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerrCa_)southoldtownny.gov - sea nd(D_southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: I Z 15
Company Name:
Name: �(
License No.: email:
Address:
Phone No.:
JOB SITE INFORMATION (All Information Required) ( v�u�pu�110�is
Name:
Address: ��rc� SC LPt�`e IgID0 C E KA c'--
Cross Street:
Phone No.:
Bldg.Permit#: y � L' email:
Tax Map District: 1000 ' Section: 9 q Block: Lot: to
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
0 2smotQ Fjsp—_ ,PG"dS 4 C rc-,1i - rQ�,�lea
0'AA. CQA ti -11S
Circle All That Apply:
Is job ready for inspection?: YES / OI� Rough In Final
Do you need a Temp Certificate?: YES /qLOD Issued On
Temp Information: (All information required)
Service Size 1 Ph 3 Ph Size: A # Meters Old Meter#
New Service - Fire Reconnect - Flood Reconnect - Service Reconnected - Underground - Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
Request for Inspection Form.xls (2?
o�OSpf FaQ-�O BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road PO Box 1'1:79,' !
o • , - Southold, New York 11971-0059
y�,o gyp! Telephone (631) 765-1802 - FAX (631) 765-9502 ,
rogerr(ci)southoldtownny.gov — sea nd(a)southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name: a
Name: K S 4
License No.: email:
Address:
Phone No.:
JOB SITE INFORMATION (All Information Required)
tau out 1 I o+as '
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Name:
Address: 3 p Cp"3-e lt.ttioONJ , t-eO lvlM"t1 Cr
Cross Street: -
Phone No.: (O" r�K �3 -
Bldg.Permit#: y a y �}' email: �'£ �- 00p,GrfVQP1\-.'Z
Tax Map District: 1000 ' Section: g Block: Lot:
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
ea'r\Q1S C. rc_. t brQom,�cz�•
A.
Circle All That Apply:
Is job ready for inspection?: YES / 99 Rough In Final
Do you need a Temp Certificate?: YES./(@D Issued On
Temp Information: (All information required)
Service Size 1 Ph 3 Ph Size: A # Meters Old Meter#
New Service - Fire Reconnect- Flood Reconnect- Service Reconnected - Underground - Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION _
Request for Inspection Formals
PERMIT# Address:
Switches
II '
Outlets
lv#
G FI's 1
Surface ll
Sconces
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HH s"
UC Lts
Fans I Fridge HW
Exhaust Oven Dryer
Smokes DW Service IV A
I
Carbon Micro Generator
Combo Cooktop Transfer
AC AH Mini
Special:
Comments:
SURVEY OF PROPERTY
SITUATE
MATTITUCK
0 TOWN OF SOUTHOLD
S SUFFOLK COUNTY, NEW YORK
GL� S.C. TAX No. 1000-99 -05- 16
G ENT 50e SCALE 1 "=30'
E OF PAV
• •'• • EO Ri�fJ; p,C� • MAY 89 2019
• Ut��'n ����;07 2' DEED
un
FOUND GRANITE
MON. 0.3'E. RpN�E
FOND G s. AREA = 48,244 sq. ft.
MON• $ ° 1 .108 aC.
\ cr� \ CERTIFIED TO:
8� NFoNS� ABSTRACTS INCORPORATED
CP. OJ 0/F GOS 2 0� o GSM N^• r� FIRST AMERICAN TITLE INSURANCE COMPANY
GREGNAyFEGOS //Fo�N � � PETER VOUYOUKLIOTIS
cP, DANIELE VOUYOUKLIOTIS
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•6�, /�' 20, RIG 101 PREPARED IN ACCORDANCE WITH THE MINIMUM
/ STANDARDS FOR TITLE SURVEYS AS ESTABLISHED
BY THE L.I.A.L.S. AND APPROVED AND ADOPTED
� FOR SUCH USE BY THE NEW YORK STATE LAND
'' EDGE OF WN OME TRUST
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r.r.. N:Y.S. Lic. No. 50467
des`%ti� •`R ,P
UNAUTHORIZED ALTERATION OR ADDITION
TO THIS SURVEY IS A VIOLATION OF '
SECTION LA
EDUCATION LAW.OF THE NEW YORK STATE 72 Nathan Taft Corwin
COPIES OF THIS SURVEY MAP NOT BEARING
THE LAND SURVEYOR'S INKED SEAL OR Land Surveyor
EMBOSSED SEAL SHALL NOT BE CONSIDERED
TO BE A VALID TRUE COPY.
CERTIFICATIONS INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY
IS PREPARED, AND ON HIS BEHALF TO THE Successor To: Stanley J. Isaksen, Jr. L.S.
TITLE COMPANY, GOVERNMENTAL AGENCY AND Joseph A. In e no L.S.
LENDING INSTITUTION LISTED HEREON, AND p 9 9
TO THE ASSIGNEES OF THE LENDING Title Surveys — Subdivisions — Site Plans — Construction Layout
INSTI—
TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. Y Y
PHONE (631)727-2090 Fax (631)727-1727
THE EXISTENCE OF RIGHTS OF WAY OFFICES LOCATED AT MAILING ADDRESS
AND/OR EASEMENTS OF RECORD, IF 1586 Main Road P.O. Box 16
ANY, NOT SHOWN ARE NOT GUARANTEED. Jamesport, New York 11947 Jamesport, New York 11947
39-111