HomeMy WebLinkAbout36591-ZTown of Southold Annex
54375 Main Road
Southold, New York 11971
9/12/2011
CERTIFICATE OF OCCUPANCY
No: 35204
Date:
9/12/2011
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
ELECTRICAL
125 Sound Ave, Mattituck,
Sec/Block/Lot: 120.-1-2.2
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
7/31/2011 pursuant to which Building Permit No. 36591 dated 7/31/2011
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:
electric for accessor~ apartment.
The certificate is issued to
Kujawski, Barbara & Kujawski, Audra
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold. New York 11971-0959
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: Barbara Kujawski
Address: 175 Sound Ave City: Mattituck St: NY Zip: 1195~
3uilding Permit#: Section: 120 Block: 1 Lot: 2.~
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
.~ontractor: as built DBA: License No:
SITE DETAILS
Office Use Only
Residential ~ Ind°°r ~ Basement ~ Service Only [5
Commerical Outdoor 1 st 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:
Ceiling Fixtures I.__IRR HID Fixtures
Wall Fixtures I I Smoke Detectors
Recessed Fixtures CO Detectors
Fluorescent FixturE~ Pumps
Emergency Fixture Time Clocks
Exit Fixtures I I TVSS
visual, as built inspection of 1 st floor apartment, no defects found
Notes:
Inspector Signature:
Date: July 29 2011
81-Cert Electrical Compliance Form
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
FOUNDATION 1ST [ ]ROUGH PLBG.
FOUNDATION 2ND [ ]INSULATION
FRAMING/STRAPPING [ ]FINAL
FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION
FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION
A
ELECTRICAL (ROUGH) [~ ELECTRICAL (FINAL)
REMARKS:
DATE ~INSPECTOR~-~/~