HomeMy WebLinkAbout45841-Z zr
�o�OgHFFQ(��pG, Town of Southold 3/28/2021
P.O.Box 1179
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W i 53095 Main Rd
P44 �o� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41938 Date: 3/28/2021
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 1695 Shipyard Ln,East Marion
SCTM#: 473889 Sec/Block/Lot: 38.-1-18
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
2/25/2021 pursuant to which Building Permit No. 45841 dated 2/25/2021
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:
re-connection of two existing 100a services.
The certificate is issued to Gusmar Enterprises LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 45841 3/9/2021
PLUMBERS CERTIFICATION DATED
Authorized Signature
Vim" TOWN OF SOUTHOLD
�gUFFDt�c���
BUILDING DEPARTMENT
co 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#: 45841 Date: 2/25/2021
Permission is hereby granted to:
Gusmar Enterprises LLC
c/o Ernest Edward Badway Esq
100 Park Ave Ste 1500
New York, NY 100175516
To: re-connect two existing 100a services.
At premises located at:
1695 Shipyard Ln, East Marion
SCTM # 473889
Sec/Block/Lot# 38.-1-18
Pursuant to application dated 2/25/2021 and approved by the Building Inspector.
To expire on 8/27/2022.
Fees:
ELECTRIC $105.00
Total: $105.00
i
Build in Inspector
0f S®Ups®�
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 roger.riche rt(CD-town.south old.nV.us
Southold,NY 11971-0959 a
Own
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To* Gusmar Enterprises LLC
Address. 1695 Shipyard Ln City. East Marion St- New York Zip- 11939
Building Permit* 45841 Section. 38 Block. 1 Lot. 18
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 X Indoor Basement Service Only X
Commerical Outdoor X 1 st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph X Heat Duplec Recpt Ceding Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect 2 Switches Twist Lock Exit Fixtures TVSS
Other Equipment Re connect two existing 100a services
Notes.
Inspector Signature: Date: March 9 2021
81-Cert Electrical Compliance Form.xls
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Town Hall Annex- J - J - "" --Te]Eph6fi(631)-765-1802-
54375 Main Road y ax(631)765- 5 2
P.O.Box 1179 G Q roger.richert .own.south�o�d.ny.us
Southold,NY 11971-0959 '� • ��
CQUNT'1,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: WG Date: ///-/,! 12,�
Company Name: l (:-:
Name: 2T 'a&pa�
License No.:
Address:
Phone No.:
JOBSITE INFORMATION: Andicates required information)
*Name: M, z L
*Address:
*Cross Street: / L�
*Phone No.: �.3 / 7 6 7 L�Z
Permit No.: q 5 g q
Tax Map District: 1000 Section: Block: Lot:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
AL20
(Please Circle-All That Apply)
*Is job ready for inspection: Y NO Rough In Final
*Do you need a Temp Certificate: YES NO
Temp Information )
*Service Size: Phase 3Phase 100 ' 150 200 300 350 400 Other ^�
*New Service: e-connec Underground NumberMeters Change of Service 1 FO�er�h�a�021
Additional Information: PAYMENT DUE WITH APPLICATION,,-
82-Request for Inspection Form
q 1