HomeMy WebLinkAbout36156-ZTown of Southold Annex
54375 Main Road
Southoid, New York 11971
2/14/2011
CERTIFICATE OF OCCUPANCY
No: 34831 Date: 2/14/2011
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 670 ttOLDEN AVE CUTCHOGUE,
SCTM #: 473889 Sec/Block/Lot: 110.-5-20
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
1/26/2011 pursuant to which Building Permit No. 36156 dated 1/26/2011
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 AS APPLIED FOR.
The certificate is issued to
Boutzalis, Theodore & Boutzalis, Anna
(OWNER)
of the aforesaid building.
SUVI~OLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
36156 2/7/11
Authorized Signature
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 #: 36156
Date: 1/26/2011
Permission is hereby granted to:
THEODORE BOUTZALIS
89 RYDER ROAD
MANHASSE, NY 11030
To:
ELECTRIC SERVICE AS APPLIED FOR.
At premises located at:
670 HOLDEN AVE CUTCHOGUE
Pursuant to application dated 1/26/2011 and approved by the Building Inspector.
Fees:
NEW DWELLING/ADDITION/ALTER.
Total:
$85.00
$85.00
Building Inspector
To','m t lall Atmcx
51375 Main II. oad
P.O. Box 1179
,Sottlh~hl, Nh' 119714)9,'59
Telephone (631) 7 (;,'5-1802
Fax (631) 763-9302
ro.qer r chertO, town.southold.n¥.us
B1711J)ING I)EPARTMI';NT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
ssued To: Ted Boutzalis
Address: 670 Holden Ave City: Cutchogue St: NY Zip: 11935
Building Permit #: Section: 110 Block: 5 Lot: 2(2
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: RJ Corazzini LicenseNo: 33419-me
SITE DETAILS
Office Use Only
Residential ~ Indoor ~ Basement ~ Service Only ~
Commedcal Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
Service 1 ph 1200al Heat
Service 3 ph t~ Hot Water
Main Panel NC Condenser
Sub Panel NC Blower
Transformer Appliances
Disconnect Switches
Other Equipment:
INVENTORY
GFCI Recpt
Single Recpt
Range Recpt
Dryer Recpt
Twist Lock
change service to 200a overhead
Ceiling Fixtures E~ HiD Fixtures
Wall Fixtures ~ Smoke Detectors
Recessed Fixtures J.~ CO Detectors
Fluorescent Fixture [~ Pumps
Emergency Fixtures~ Time Clocks
Exit Fixtures L--J TVSS
Notes:
Inspector Signature:
Date: Feb 7 2011
81-Cert Electrical Compliance Form
TOM~N OF 8OrJTl~OT.n
APP.LICATION FOR ELECTRICAL INSPECTION...
*.~kfress:
- *~4'oss Street:
*P~ne No.: '
P~t No.:
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J. OBSI:TE INFORMATION: (*fndi~atee. required information).
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