HomeMy WebLinkAbout36441-ZTown of Southold Annex
P.O. Box i179
54375 Main Road
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
3/20/2012
No: 35499
Date: 3/20/2012
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
ELECTRICAL
65 Rosewood Dr, Mattituck,
Sec/Block/Lot: I 13.-2-15
Filed Map No.
conlbrms substantially to the Application for Building Permit heretofore
6/3/2011 pursuant to which Building Permit No.
was issued, and confbrms to all of the requirements of' the applicable provisions of the law. The occupancy tbr
which this certificate is issued is:
Lot No.
filed in this officed dated
36441 dated 6,'3/2011
underground electric service as applied fbr.
The certificate is issued to
Mantzouranis, Emmanuel & Mantzouranis, P
(OWNER)
of thc albresaid building.
SUFFOLK COUNTY DEPARTMENT OF IIEALTH APPROVAL
EI,ECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
VAuthorized Signature
Town Hall Annex
54375 Main Road
PO Box 1179
Southold, NY 11971 0959
Telephone (631) 765 1802
Fax (631) 765-9502
ro.qer, richert~town southo d nv us
BUILDING DEPARTMENT
TOWN OF 8OUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
ssued To: Emanuel Mantzouranis
Address: 65 Rosewood Drive City: Mattituck St: NY Zip: 11952
3uildingPermit#: '~(~,~,(~ I~ I Section: t J ~ Block: %~. Lot: / ~
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
3ontractor: DBA: Albertson Electric Inc License No: 5127-me
SITE DETAILS
office Use Only
Residential ~ Indoor ~ Basement ~ ServioeOnly ~
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 NC Blower Range Recpt
Transformer Appliances Dryer Recpt
Disconnect Switches Twist Lock
Other Equipment: 200a underground service
Ceiling Fixtures ~ HID Fixtures
Wall Fixtures Smoke Detectors
Recessed Fixtures CO Detectors
Fluorescent Fixture~ Pumps
Emergency Fixture Time Olocks
Exit Fixtures TVSS
Notes:
Inspector Signature:
Date: March 16 2012
81-Gert 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 #: 36441
Permission is hereby granted to:
Mantzouranis, Emmanuel & Mantzouranis, Paraskevi
96 Sheridan Ave
Williston, NY 11596
Date: 6/3/2011
To:
underground electric service as applied for.
At premises located at:
65 Rosewood Dr, Mattituck
SCTM # 473889
Sec/Block/Lot # 113.-2-15
Pursuant to application dated
To expire on 12/2/2012.
Fees:
6/3/2011
and approved by the Building Inspector.
EI,ECTR1C
Total:
$85.00
$85.00
Building Inspector
//"06-03-11;12:51 ;
15187297010
# 1/ 2
(~1) ;'6
BU[[ ~ING DEPARTMENT
TOWN OF SOUTHOLD
A~PLICAT~ON ~0~ ~L~CT~ICAL I~SP~CTION
No.:
Date:
JOBSITE INFORMATION: (*Indicates required information)
*Name:
*Address;
*Phone No,:
Permit No.:
Tax Map Dlstfict: 1000 Section:., Block:
*BRIEF DESCRIPTION OF WORK (Please Print Cleady)
(Please Circle All That Apply)
*Is job ready for inspection: YES / ~
*Do you need a Temp Certificate: YES / NO
Let:
o4'
Rough In Final
Temp Information (If neededJ
*8el"vioe Size.' ~ 3Phase 100 1~ ~ ~ 350 ~0 ~er
*New ~1~; R~ect ~ Num~ of Metem ~ge ~ ~1~ Q~d
Add~onal Ingrain: PAYMENT DUE WITH APPLICATI~