HomeMy WebLinkAbout37040-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
3/5/2012
CERTIFICATE OF OCCUPANCY
No: 35465 Date: 3/5/2012
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 248 North Dr, Mattituck,
SCTM #: 473889 Sec/Block/Lot: 106.-6-31
Subdivision: Filed Map No.
conforms substantially to the Application for Building Permit heretofore
3/5/2012 pursuant to which Building Permit No.
was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for
Lot No.
filed in this officed dated
37040 dated 3/5/2012
which this certificate is issued is:
existing electric service reconnect.
The certificate is issued to
Maul, George
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Authorized Signature
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold. NY 11971-0959
Telephone (631 ) 765- 1802
Fax (63 I) 765-9502
ro.qer, richert~town.southold.ny.us
ssued To: George Maul
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
~,ddress: 248 North Dr
City: Mattituck St: NY Zip: 11952
~uilding Permit #: 3 7Oq (~
Section: 106 Block: 6 Lot:
31
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
3ontractor: as built DBA: License No:
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
Servicelph ~ Heat ~ DuplecRecpt ~
Service 3 ph Hot Water GFCI Recpt
Main Panel NC Condenser Single Recpt
Sub Panel A/C Blower Range Recpt
Transformer Appliances Dryer Recpt
Disconnect Switches Twist Lock
Other Equipment: existing service ok to re-connect
Ceiling Fixtures [~ HID Fixtures
Wall Fixtures I I Smoke Detectors
Recessed Fixtures[~ CO Detectors
Fluorescent Fixture ~ Pumps
Emergency Fixtures~_.~ Time Clocks
Exit Fixtures [~ TVSS
Notes:
Inspector Signature:
Date: Feb 27 2012
81-Cert Electrical Compliance Form.xls
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 #: 37040
Permission is hereby granted to:
Maul, George
PO BOX 635
New Suffolk,~Y 11956
To:
existing electric service reconnect.
Date: 3/5/2012
At premises located at:
248 North Dr, Mattituck
SCTM # 473889
Sec/Block/Lot # 106.-6.31
Pursuant to application dated
To expire on 914/2013.
Fees:
3/5/2012 and approved by the Building Inspector.
ELECTRIC $85.00
Total: $85.00
Building Inspector