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HomeMy WebLinkAbout41916-Z oyOSu�Fot, cpG Town of Southold 10/27/2022 y� P.O.Box 1179 W m 53095 Main Rd oy o�( Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43538 Date: 10/27/2022 THIS CERTIFIES that the building ELECTRICAL Location of Property: 2820 Shipyard Ln Unit 2D2,East Marion SCTM#: 473889 Sec/Block/Lot: 38.2-1-22 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. 41916 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: 400 amp 4 gangpack. The certificate is issued to Francis,Gillian&Ors. of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 41916 2/1/2018 PLUMBERS CERTIFICATION DATED Authorized Signature SUFF9t�rTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE V5 . 04 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#: 41916 Date: 8/28/2017 Permission is hereby granted to: Francis, Gillian 510 E 84th St Apt 2E New York, NY 10028 To: Electric Service At premises located at: 2820 Shipyard Ln Unit 2132, East Marion SCTM # 473889 Sec/Block/Lot# 38.2-1-22 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 ing Inspector SO!/r�ol Town Hall Annex O Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 • �Q roger.richert(c_Dtown.southold.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Gillian Francis (Cleaves Point Club) Address: 2820 Shipyard Lane Unit 2D2 city:East Marion st: New York zip: 11939 Building Permit#: 41916 Section: 38.2 Block: 1 Lot: 22 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Cutstom Lighting of Suffolk License No: 38893-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 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 El 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 Town Rall Annex } Telephone{)631)7�6�5--1802 54375 Main Road roper.richeCf( O�l'i1150UU10l .nY.US P.O.Box 1179 „ Q Southold,NY 11971-0959 O BUILDING DEPARTMENT TOWN OF SOTJTiE•IOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Dater q Company Name: Name: License. No.: • 3051:51 _ Address. 00X Phone No.: g JOSSITE INFORMATION: (*Indicates. required information) . 2-2- U n ++ 2— DZ *Name:. t b tri na_ FY S *Address: r r n Y IIgI *Cress Street: t *Phone No.: Permit No.: Tax Map District: 1000 Section: Block: I Lot: �a *BRIEF DESCRIPTION OF WORK(Please Print Clearly) `(C-+ 1'W10so � (Please Circle.All That Apply) \�C- *Is•job readyforDemp S Rough In Final *Do you need artificate: YE NO Temp-information (f needed) *Service Size: base' 313hase 100 150 200 300. 356400 Other nq *New Service: Re-connecnder round umber of Meters Change of Service Overhead Additio al Information: PAYMENT DUE WITH APPLICATION OCTA ]] 82-Request for Inspection Form '(�© DR