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Home My WebLink About41920-Z EfO�, o�og0 K�oG, Town of Southold 10/18/2022 yP.O.Box 1179 Cl o 53095 Main Rd o` Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43507 Date: 10/18/2022 THIS CERTIFIES that the building ELECTRICAL Location of Property: 2820 Shipyard Ln Unit 2C2. East Marion SCTM#: 473889 Sec/Block/Lot: 38.2-1-20 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/28/2017 pursuant to which Building Permit No. 41920 dated 8/28/2017 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: replacement of 4 gang meter pack. The certificate is issued to Fasulo,Maria&Olsen,Laurie of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 41920 2/1/2018 PLUMBERS CERTIFICATION DATED pCe"IJI-L.— rAuthoriz'ed Signature sUl�c TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY y�o ao� 1 � 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#: 41920 Date: 8/28/2017 Permission is hereby granted to: Fasulo, Maria 29 John Daves Ln Huntington, NY 11743 To: direct replacement of 4 gang meter pack At premises located at: 2820 Shipyard Ln Unit 2C2. East Marion SCTM # 473889 Sec/Block/Lot# 38.2-1-20 Pursuant to application dated 8/28/2017 and approved by the Building Inspector. To expire on 2/27/2019. Fees: ELECTRIC $125.00 Total: $125.00 Buil spector pF SOUryolo Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 O • CoQ roper.riche rtO-)town.southoId.ny.us �COUNT`I,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Fasulo- Cleaves Point Club- Address: 2820 Shipyard Lane Unit 2C2 city:East Marion st: New York zip: 11939 Building Permit#: 41920 Section: 38.2 Block: 1 Lot: 20 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Custom Lighting of Suffolk License No: 38893-ME SITE DETAILS Office Use Only Residential X Indoor Basement Service Only X Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph 400A Heat Duplec Recpt Ceiling 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 4 Switches Twist Lock Exit Fixtures TVSS Other Equipment: Replace 4 Gang Meter Pack Due to Deterioration per PSEG. Notes: Inspector Signature: Date: February 1, 2018 Richert-Cert Electrical Compliance Form.xls ofsObT,yo6 j= =s.- 4, BUILDING DEPARTMENT * f TOWN OF SOUTHOLD • N Town Hall Annex•54375 Main Road•P.O.Box 1179•Southold,NY 11971-0959 Telephone(631)765-1802•Fax(631765-9502 Date 12 7 Number yof Meters Tempora 1Certifilc/at�e �7 Size �® A—Phase • Overhead ❑ Underground New Service ❑ Change of Service ❑ Reconnect Existing Service Location f� ,20 sbP ar Lane, Ea4a Marian NY 11939 Issued to CU J Installed by n -jbY- Lia# JO b-1�) -ME Reference -:Jaq!�- 14580 Application for electrical service equipment is on file with the Town of Southold.On applicant's notification that this installation is complete,the town will conduct a premises inspection of the service equipment. This verificat' lid for fro ate. Authorized by Town HA Annex 41 Telephone(631)755-1802 54375 Main RomrtCvm: � 631 7 P.O.Box1179 roger.richetoouiol.� r.us SoudwId.NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOLTTHOLD APPLICATION FOR. ELECTRICAL INSPECTION REQUESTED BY: Date:%111 h-q- Company dame: rY1 l.1 Yrs Su Mame: License No.: �5� Address: o x Rhone No.: a �- JOSSITE INFORMATION: (*indicates required information) �>� 2 U�i-� 2-C/2 *Ivam :. C - ( tri n� CA�� (� *Address: r Har- n Uy 11613>9 *Cross Strut: �'7cr _ -(0(2-� f *Phone No.: I oSk L4171 &oS=Y Permit Nov. Tax Map District: 1000 Section: . a, Block: � Lot: 2-6 *BRIEF DESCRIPTION OF WORK(Please Print Clearly) 'ac± b77 (Please Circle,All That Apply) cc\� *I9.job ready for i tioES j`� Rough In Final *Do you need a ernp Itificate: YES NO Temp Informations If needed} *Service Size: hase 3Phase 100 150 200 300. 350 Qd70, Other *New Service: Re-connecnde round umber of Meters Change of Service Overhead Additio, all Information: PAYMENT DUE WITH APPLICATION 82-Requesl for Inspedon Form 1�5 •C� C�ec� ��