HomeMy WebLinkAbout41918-Z �o�SUFFO[ f Town of Southold 10/1/2022
y� P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43455 Date: 10/1/2022
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 2820 Shipyard Ln Unit 2C1,East Marion
SCTM#: 473889 Sec/Block/Lot: 38.2-1-19
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. 41918 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:
4 gang meter pack for 400 amp electric service.
The certificate is issued to Kvm Enterprises Ltd
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 41918 2/1/2018
PLUMBERS CERTIFICATION DATED
Authorized Signature
TOWN OF SOUTHOLD
wa 'Fat�c�o BUILDING DEPARTMENT
y z TOWN CLERK'S OFFICE
oy o� SOUTHOLD, NY
dol � ;Aa,04
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#: 41918 Date: 8/28/2017
Permission is hereby granted to:
Kvm Enterprises Ltd
1651 Wantagh Ave
Wantagh, NY 11793
To: Electric Service
At premises located at:
2820 Shipyard Ln Unit 2C1, East Marion
SCTM # 473889
Sec/Block/Lot# 38.2-1-19
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
Bui in pector
pF SO!/l�ol
Town Hall Annex ~ Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G • iQ roger.richert(CD-town.south old.ny.us
Southold,NY 11971-0959
oI�COUNT(,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: KVM Enterprises Ltd -Cleaves Point Club-
Address: 2820 Shipyard Lane Unit 2C1 city:East Marion st: New York zip: 11939
Building Permit#: 41918 Section: 38.2 Block: 1 Lot: 19
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
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Toxo Hall Annex Telephhmc 00 7&5--1802
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P.O.OBoz 1179 Ac roger.dchert(do' Ilo7VMS.�.us
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Southold,NY 119714959
BUILDING DEPARTMEW
TOWN OF SOIJ'I HOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date:%b I
Company Name: cuatom Li Ytt Su
Name: �Yi 1L
t icense. No.:
Address: 0 xl QHS 1 S
Phone No.: UZA or) g5
JOBSITE INFORMATION: (*Indicates required information)
*Name: wp= ._ . :.
*Address; - -
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*!Cross Street: t
*Phone No.:
Permit No.:
'tau Map District: 100 Section: •a 81vck; 1 Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly) fC - �C1f�dC �'
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(Please Circle.All That Apply)
*is.job ready for I lon: ES 14� Rough in Flnel
*Do you need aemp rtificate: YE NO
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Temp-information t1f needed}
*Service Size: 03hase Whase 100 150 200 300. 350 ' 4Q0, Other
*New Service: Re-connednder round umber of Meters Change of Service Overhead
Additlo aI Information: PAYMENT DUE WITH APPLICATION
82-Request for Inspection Form �C7