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36442-Z
Town of Southold ~nne~ 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY 7/31/2011 No: 35098 Date: 7/31/2011 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: ELECTRICAL 2230 Soundview Ave, Mattituck, Sec/Block/Lot: 100.-2-3.2 Filed Map No. conforms substantially to the Application Ibr Building Permit heretofore 6/3/2011 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 which this certificate is issued is: overhead service to barn. Lot No. filed in this officed dated 36442 dated 6/3/2011 The certificate is issued to Krupski, Eugene & Krupski, Maryann (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 36442 7/15/11 Authorized Signature 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 #: 36442 Permission is hereby granted to: Krupski, Eugene & Krupski, Maryann 2230 Soundview Ave Matfituck, NY 11952 Date: 6/3/2011 To: disconnect electric At premises located at: 2230 Soundview Ave, Mattituck SCTM # 473889 Sec/Block/Lot # 100.-2-3.2 Pursuant to application dated 6/3/2011 To expire on 12/2/2012. Fees: and approved by the Building Inspector. ELECTRIC Total: $85.00 $85.OO Building Inspector Town Hall Annex 54375 Main Road P.O. Box 1179 Soulhold, New York 11971-0959 Telephone (631 } 765- [ 802 Fax (631) 765-9502 ro.qer, richertC, town southo d ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Absolute Improvement Address: 2230 Soundview Ave City: Mattituck St: NY Zip: 11952 Building Permit #: '3~¢.,~ kt/~r~ Section: \ ~.~_~; Block: i~.~ Lot: .~, ~.~ WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: REP Electric License No: 46288-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 Service 1 ph I100a Service 3 ph Main Panel ~ Sub Panel Transformer Disconnect ~100a Other Equipment: INVENTORY Hot Water GFCI Recpt A/C Condenser Single Recpt NC Blower Range Recpt Appliances Dryer Recpt Switches Twist Lock 100a overhead service to barn Ceiling Fixtures RWea~: 7:Xet; r: iSx t u r es ~ Exit Fixtures HID Fixtures Smoke Detectors CO Detectors Pumps Time Clocks TVSS Notes: Inspector Signature: Date: July 15 2011 81-Cert Electrical Compliance Form Town Hall Anne 54375 Mira Ro~ P.O. Box 117'~ Southold, bP/11971 Telephone (631) 765-1802 ax (631) 7 5 BUII J~ING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Icompany Name: Name: License No.: Address: Phone No.: JOBSITE INFORMA~TION:'(*lndicate, s required information) *Name: //~/~ L~ _~ C~.~/~,{/-~ --~- z--~,/~ ~) r~'~~ *Address: ~~ ~/~ ~/~ ~ ~ *Cross Street: *Phone No.: Permit No.: Tax Map District: 1000 Section: *BRIEF DESCRIPTION OF WORK (Please Print Cleady) Block: Lot: (Please Circle All That Apply) *Is job ready for inspection: *Do you need a Temp Certificate: ~NO Rough In YES / NO Temp Information~ed} *Service Size: ~ 3Phase ~ 150 200 300 350 400 Other *New Service: PAYMENT DUE WITH APPLICATION ~ Re-connect Underground Number of Meters Change of Servi~Ov/ Additional Information: 82-Requestforlnspecfion Form Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 119714)959 Telephone (631) 765-1802 ax (631) 76 - 5 2 ro,qer, richertC~,~own.so~u~J~5o(~a.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION Company Name: ~¢ License No.: ~¢275 ;eL ~ JOBSITE INFORMAHON: (*Indicates required information) *Name: , ~ ~. ~ ,/('.~ ._/- .,.¢~,/.~/~Z? :.~/~, *Address: *Cross Street: *Phone No.: Permit No.: Tax Map District: 1000 Section: i'g© Block: ~ Lot: *BRIEF DESCRIPTION OF WORK (Please Print Cleady) //(~ .. ~ - ..... ,~, ~ ,~/~¥- (Please Circle All That Apply) *Is job ready for inspection: *Do you need a Temp Certificate: ~NO YES / NO Rough In Final Temp Information (!f:neededJ *Service Size: 3Phase ~ t50 200 300 350 400 Other *New Service: Re-connect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION ~. ~> ~ 82-Request for Inspection Form 1~ c2~'"~ c:.l '~