HomeMy WebLinkAbout36630-Z , S�FFOi ortt Town of Southold 4/12/2023
P.O.Box 1179
o _ 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 35145 Date: 8/16/2011
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 345 Knollwood Ln,Mattituck
SCTM#: 473889 Sec/Block/Lot: 107.-6-10
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/16/2011 pursuant to which Building Permit No. 36630 dated 8/16/2011
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 Brown,Patricia
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 36630 8/15/11
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OFSOUTHOLD
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 #: 36630
Date: 8/16/2011
Permission is hereby granted to:
Brown, Patricia
345 Knollwood Ln
Mattituck, NY 11952
To:
overhead electrical service.
At premises located at:
345 Knollwood Ln, Mattituck
SCTM # 473889
Sec/Block/Lot # 107.-6-10
Pursuant to application dated
To expire on 2/14/2013.
Fees:
8/16/2011
and approved by the Building Inspector.
ELECTRIC
Total:
$85.00
$85.00
| Buildin-~ ~ln~pe~or
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631 ) 765-1802
Fax (631 ) 765-9502
ro.qor r chert~,town southo d ny.us
Issued To: Patricia Brown
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Address: 345 Knollwood Lane
City: Mattituck St: NY Zip: 11952
Building Permit#: ~"~:~ '~ ~O Section: 107 Block: 6 Lot: 1(~
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: License No:
SITE DETAILS
Office Use Only
Residential I~ Ind°°r [~ Basement I~ Service Only l~
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 3 ph Hot Water GFCI Recpt Wall Fixtures ] I Smoke Detectors
Main Panel NC Condenser Single Recpt Recessed Fixtures I I CO Detectors
Sub Panel NC Blower Range Recpt Fluorescent Fixturel I Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures~ I Time Clocks
Disconnect Switches Twist Lock Exit Fixtures L.J TVSS
Other Equipment: 200a overhead service
Notes;
Inspector Signature:
Date: Aug 15 2011
81-Cert Electrical Compliance Form
Tel~ (~1) 765.1802
BUn'.nh'~IG DE;PAR'I'MF_~
TOWN O1~' 8OO'THOLD
APPLICATION FOR I=LI:::CTRICAL INSPECTION
REQUESTED BY:
;ompany Name:
~Name:
License No.:
Address:
Phone No.:
Date:
*Name:
*Address:
*Cross Street:
*Phone No.:
Permit No.:
Tax.Map District:
JOBSITE INFORMATION:. (*Indicates required information)
1000 Section: I (~ Block:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Lot: ) 0
*Is job ready for inspection:
*Do-you nc:;d a Temp Certificate:
Temp Information
*Service Size:
*New Service: Re-connect
Additional Information:
(~NO Rough In
Underground Number of Meters ~'
PAYMENT DUE WITH APPLICATION{~
824~'equest for Inspection Form
Tram I'-I~ Annex
54375 ~ Ro~d
P.O. Box 11~9
,~u~old, NY 11971-0959
Telepho~ (~)
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR FLECTRICAL INSPECTION
Name:
No.:
*Name:
*Address:
*Cross Street:
"1:'hone No.:
Permit No.:
Tax. Map District:
BY:
Date:
9.o.
l-?_oll
JOBSITE iNFORMATION: (*Indicates required information)
1000 . Section: IOU Block:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Lot. jO
' (Pleese Circle All That Appl~}
*Is job ready for inspection:
*Do. you need a Temp ~cate:
(~NO Rough In
Temp Information
*SewiceS~: ~ ~'hass lOO
Addilienal Information:
PAYMENT DUE WITH APPUCATIOI~. ~--
82q~equest for Inspection Form