HomeMy WebLinkAbout36866-ZTown of Southold Annex
54375 Main Road
Southold, New York 11971
12/19/2011
CERTIFICATE OF OCCUPANCY
No: 35354
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 2055 Bay Shore Rd, Greenport,
Date: 12/19/2011
SCTM #: 473889 Sec/Block/Lot: 53.-4-12
Subdivision: Filed Map No.
conforms substantially to the Application for Building Permit heretofore
12/8/2011 pursuant to which Building Permit No.
was issued, and conforms to all of the requirements of the applicable provisions of the law. Thc occupancy for
which this certificate is issued is:
electric service.
Lot No.
filed in this officed dated
36866 dated 12/8/2011
The certificate is issued to
Mautner, Richard & Mautner, Marie
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
36866 12/12/2011
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY I 1971-0959
Telephone (631 ) 765-1802
Fax (631) 765-9502
ro.qer, richert~,town southold.ny, us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
ssued To: Richard Mautner
Address: 2055 Bayshore Road City: Greenport St: NY Zip: 11944
Building Permit #: Section: Block: Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: G&S Electric License No: 578-e
SITE DETAILS
Office Use Only
Residential ~ Indoor ~ Basement ~ ServicoOnly
Commedcal Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 3 ph Hot Water GFCl Recpt
Main Panel A/C Condenser Single Recpt
Sub Panel NC Blower Range Recpt
Transformer Appliances Dryer Recpt
Disconnect Switches Twist Lock
Other Equipment:
Ceiling Fixtures ~ HID Fixtures
Wall Fixtures II Smoke Detectors
Recessed FixturesJ~ CO Detectors
Fluorescent Fixture [~ Pumps
Emergency Fixtures~.~ Time Clocks
Exit Fixtures [~J TVSS
service repair only, replace deteriated meter pan
Notes:
Inspector Signature:
Date: Dec 12 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 Cf: 36866
Permission is hereby granted to:
Mautner, Richard & Mautner, Marie
2055 Bay Shore Rd
Greenport, NY 11944
Date: 12/812011
To:
electric service.
At premises located at:
2055 Bay Shore Rd, Greenport
SCTM # 473889
Sec/Block/Lot # 53.-4-12
Pursuant to application dated
To expire on 6/8/2013.
Fees:
12/8/2011
and approved by the Building Inspector.
ELECTRIC
Total:
$85.00
$85.00
Building Inspector
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Telephone (631) 765-1802
· ..-.F..ax (631) 765-.95(]2.
ro.qer, r cner~[w,~own.soumola.ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
UESTED BY: Date:
Company Name: ~--~
Name:
License No,: ~ _
Address: ~.o.
No.:
JOBSITE INFORMATION: (*Indicates required information)
*Name:
*Address:
*Cross Street: ~/~ ~.
*Phone No.:
Pe~it No.:
Tax Map District: 1000 Section: ~_% Block:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Lot:
(Please Circle All That Apply)
*Is job ready for inspection:
*Do you need a Temp Certificate:
iNO
NO
Rough In
Temp Information (If needed]
Size: ~'-~'hase_~ 3Phase 100 150 (~20~).) 300 350 400 Other
Service:
U~ergroun-'~ Number of Meters/Change of Service Overhead
Re-connect
Additional Information: PAYMENT DUE WITH APPLICATION
82-Request for Inspection Form