HomeMy WebLinkAbout36393-ZTown of Southold Annex
54375 Main Road
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
5/17/2011
No: 34948
Date: 5/17/2011
Location of Property:
SCTM#: 473889
Subdivision:
THIS CERTIFIES that the building ELECTRICAL
825 Brower Rd, Mattituck,
Sec/Bloci~Lot: 139.-1-6
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
5/17/2011 pursuant to which Building Permit No. 36393 dated 5/17/2011
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:
Overhead electrical service
The certificate is issued to
Motl, Robert & Motl Jr, Robert
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
36393 5/16/11
Authorized Signature
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold. New York 11971-0959
Telephone (631 ) 765-1802
Fax (631) 765 9502
ro.qer, richert~.town.southold.n¥.us
BUILDING DEPARTMENT
TOWN OF SOUTI-IOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
issued To: Bob Motl
Address: 825 Brower Rd City: Mattituck St: NY Zip: 11952
Building Permit #: '-~-~ ~ '~ Section: 139 Block: 1 Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: East Bay Electric LicenseNo: 43662-me
SITE DETAILS
Office Use Only
Residential ~ Indoor ~ Basement ~ Service Only ~
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 3 ph Hot Water GFCI Recpt
Main Panel A/C Condenser Single Recpt
Sub Panel A/C Blower Range Recpt
Transformer Appliances D~er Recpt
Disconnect Switches Twist Lock
Other Equipment: 200a over head service
Ceiling Fixtures [~ HID Fixtures
Wall Fixtures [~ Smoke Detectors
Recessed Fixtures ~ CO Detectors
Fluorescent Fixtur(~ Pumps
Emergency Fixture Time Clocks
Exit Fixtures ~ TVSS
Notes:
Inspector Signature:
Date: May 16 2011
81-Cert Electrical Compliance Form
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 #: 36393
Date: 5/17/2011
Permission is hereby granted to:
Motl, Robert & Motl Jr, Robert
825 Brower Rd
Mattituck, NY 11952
To:
Overhead electrical service
At premises located at:
825 Brower Rd, Mattituck
SCTM # 473889
Sec/Block/Lot # 139.-1-6
Pursuant to application dated
To expire on 11/15/2012.
Fees:
5/17/2011
and approved by the Building Inspector.
ELECTRIC $85.00
Total: $85.00
Building Inspector