HomeMy WebLinkAbout37809-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
3/8/2013
CERTIFICATE OF OCCUPANCY
No: 36160 Date: 3/8/2013
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 430 Stillwater Ave, Cutchogue,
SCTM #: 473889 Sec/Block/Lot: 103.-7-3
Subdivision: Filed Map No.
conforms substantially to the Application for Building Permit heretofore
2/14/2013 pursuant to which Building Permit No. 37809
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:
ELECTRICAL UPGRADE TO 200 AMP as applied for
Lot No.
filed in this ofliced dated
dated 2/14/2013
The certificate is issued to
Klauer, Konrad & Krasilovsky, Gwen
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
37809
02-04-2013
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 #: 37809
Permission is hereby granted to:
Klauer, Konrad & Krasilovsky, Gwen
430 Stillwater Ave
Date: 2114/2013
Cutchogue, NY 11935
mo~
Electrical Upgrade to 200 Amp
At premises located at:
430 Stillwater Ave, Cutchogue
SCTM # 473889
Sec/Block/Lot # 103..7.3
Pursuant to application dated
To expireon 8/16/2014.
Fees:
2/1412013
and approved by the Building Inspector.
ELECTRIC
Total:
$85.00
$85.OO
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Telephone (631) 765-1802
Fax (631) 765-9502
roRer.richert~town.southold.ny.us
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Konrad Krasilovsky
Address: 430 Stillwater Ave City: Cutchogue St: NY Zip: 11935
Building Permit #: 37809 S~ction: 1 03 Block: 7 Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
3,ontractor: DBA: Roslak Electric Inc License No: 3677-me
SITE DETAILS
Office Use Only
Residential ~ Indoor ~ Basement ~ Service Only ~
Commerical Outdoor I st Floor Poel
New Renovation 2nd Floor Hat Tub
Addition Survey Attic Garage
INVENTORY
Service 3 ph Hot Water GFCl Recpt Wall Fixtures
Main Panel NC Condenser Single Recpt Resessed Fixtures
Sub Panel NC Blower Range Respt Fluorescent Fixture
Transformer Appliances Dryer Recpt Emergency Fixtures
Discennect Switches Twist Lock Exit Fixtures
Other Equipment: 200a overhead service
HID Fixtures
Smeke Detectors
CO Detectors
Pumps
Time Clocks
TVSS
Inspector Signature:
Date: Feb 4 2013
Elestdcal_Certificate.xIs
APPMCATION FOR ELECTRICAL INSPECTION
llq/EF ~ OF WOlqt( (FIMII P/kit Ckwt~)
PAYMENT DUE WITH