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HomeMy WebLinkAbout50650-Z ~o�a0F.S0Lr�o� Town of Southold * * P.O. Box 1179 0 53095 Main Rd � Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 46375 Date: 08/06/2025 THIS CERTIFIES that the building ELECTRICAL Location of Property: Shipyard Ln East Marion,NY 11939 Sec/Block/Lot: 3 8.-7-12 Conforms substantially to the Application for Building Permit heretofore, filed in this office dated: 05/10/2024 Pursuant to which Building Permit No. 50650 and dated: 05/10/2024 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: 300 amp underground electric service. The certificate is issued to: Summit Ests Hme Assc Inc Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: 50650 07/29/2025 PLUMBERS CERTIFICATION: Authorized Signature SUFFOc/. TOWN OF SOUTHOLD ��0�9 coG BUILDING DEPARTMENT o TOWN CLERK'S OFFICE o • g' 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 #: 50650 Date: 5/10/2024 Permission is hereby granted to: Summit Ests Hme Assc Inc PO BOX 779 East Marion, NY 11939 To: Electrical - 300amp UG - 750' Primary Cable UG Service At premises located at: Shipyard Ln, East Marion SCTM #473889 Sec/Block/Lot# 38.-7-12 Pursuant to application dated 6/10/2024 and approved by the Building Inspector. To expire on 11/9/2025., Fees: ELECTRIC $100.00 Total: $100.00 Building Inspector . pF SO!/Tyol � o Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G Q Southold,NY 11971-0959 •� • �o Jamesh southoldtownny.gov cOUNT`I,N BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Summit Estates Address: Gus Drive city:East Marion st: New York zip: 11939 Building Permit#: 50650 Section: 38 Block: 7 Lot: 12 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Tom's Electrical Inc. Electrician: Tomasz Polakowski License No: ME-52893 SITE DETAILS Office Use Only Residential X Indoor Basement Service X Commerical Outdoor X 1st Floor Pool New X Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph 300 Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel 200 A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Main Panel 100 A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO sub panel 70 UC Lights Dryer Recpt Emergency Strobe Heat Detectors Disconnect Switches 4'LED Exit Fixtures Sump Pump Other Equipment: Notes: SERVICE Inspector Signature: (/I' Date: July 29, 2025 p 9 Gus Dr Summit Estates �41, 0111c/re® ��� BUILDING DEPARTMENT-Electrical Inspector C* TOWN OF SOUTHOLD �,y • �� Town Hall Annex-54375 Main Road-PO Box 1179-Southol;d, NY 11971-0959 Telephone(631) 765-1802 //1 Temporary Certificate # /&82- Date 1 2024 Customer Name C. C. Electrician Nam a Kc Address �Q Phone &$I . Mo . S ;t e-mail t- GOhn e-mail Phone License# /'j�j — 3 Size A Phase 1 Overhead Underground #of Meters 1 Remark #of Underground Laterals 1D 2 New "H" Frame or Pole H P Fire Reconnect Was work done on Service? Y N Flood Reconnect Old Meter#1 Service Reconnected Application for electrical service equipment is on file with the town of Southold.On the applicant's notification that this installation is complete,the town will conduct a premises inspection of the service equipment. This verification is valid for 90 days fL9=41he da ve. Authorized by OF SO 'd 6 seo C�u.S ./`<<Je C,6kp yaro�44u Ulyo6 ,3 # # TOWN -OF SOUTHOLD BUILDING DEPT. 631-765-1802 1 NSPECTION [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] .INSULATION/CAULKING ] FRAMING /STRAPPING [ ] .FINAL [ ] FIREPLACE:& CHIMNEY [ ]-FIRE SAFETYINSPECTION ] FIRE RESISTANTCONSTRUCTION [ ] .:FIRE RESISTANT=PENETRATION [ ] ELECTRICAL (ROUGH) [sQ: ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: 6 - ti-e-ek qr-ouvL4 j)aA&l t-b uv%A k0a e.o rvL, ©&.C �j raft ro r DATE _ INSPECTOR . rf ` if J "� -a► J 1p =i r. .Jj 1_ .� ♦ �� OF + � t f a �-•�Al • - 6 �'^j _ v ti �� �3f.Lfr3a> �Il. '.�:.'S�l7,��o�j � �2�'*•�ffTL�iL� �1 or Ot i IF lo Y 4 gufFOt�-�oG BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 CAW 'Mae Southold, New York 11971-0959 oy�0 �asl Telephone (631) 765-1802 - FAX (631) 765-9502 ' t; ja mesh(cDsoutholdtownny.gov seand(a�southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: ('v Company Name: -Fb r►1 `S t_(1 @-�,ratC-AL_ l Kc, Electrician's Name: .$Z License No.: j2Z °�3 Elec. email: Elec. Phone No' 63` f466 - -�(-1-) 5QI request an email copy of Certificate of Compliance Elec. Address.: Z{S A rJ R✓�E- �4 u JOB SITE INFORMATION (All Information Required) Name: S f1:5 v� rzS Address: dVk- Cross Street: ,��� i,4,-4 rt Phone No.: t 3 Z Bldg.Permit #: SD(o!;;0 email: "aw(L A-0 L-, co" Tax Map District: 1000 Section: Block: e 7 Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): FI) Sc' S R-%+v\aA-y 0_6gt_. f7-U(Z Square Footage: Circle All That Apply: �Z Is job ready for inspection?: VNO Rough In)� Final ®-� ❑ Do you need a Temp Certificate?: � YES ❑ NO Issued On ►Yl (644 Temp Information: (All information required) Service Size©1 Ph❑3 Ph Size: 306 A # Meters Old Meter# [KNew Service❑Fire Reconnect❑Flood ReconnectNService Reconnect KU nderg round❑Overhead # Underground Laterals 1 R2 R H Frame D Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATIONS Pa at 4L /Q( ygo r<-c - - /07370 OSa Fat 4, BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD o Town Hall Annex- 54375 Main Road - PO Box 1179 CA Za Southold, New York 11971-0959 �� Telephone (631) 765-1802 - FAX (631) 765-9502 v ? y ia mesh(cDsoutholdtownny.gov - seand(o-southoldtownny.gov �r APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: -J-O rn `5. Electrician's Name: 0 SZ mil-. �K, License No.: #yv�12 �- 7 �i�<Elec. email q M f I QVYI Elec. Phone NoC (d 9°2-7 ICI request an email copy of Certificate of Compliance Elec. Address.: t{ AtecJ AVf- -O JOB SITE INFORMATION (All Information Required) Name: S�1�:.cw�i Address: d�- ov. Cross Street: � ,,;�<<. : L,4-t-1 (L Phone No.: t >Z;Z— }o Bldg.Permit#: !E;DbSO email: "OA(L V-/ A-0 L-9 C�,,i Tax Map District: 1000 Section: 318 Block: 4D 7 Lot: 1 -2— BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Square Footage: Circle All That Apply: jZ Is job ready for inspection?: NO Rough In)� Final Do you need a Temp Certificate?: � YES ❑ NO Issued On rX(� Temp Information: (All information required) Service Size�1 Ph❑3 Ph Size: 3Q0- A # Meters f Old Meter# [KNew Service❑Fire Reconnect❑Flood ReconnectNService ReconnectELUnderground❑Overhead # Underground Laterals IA 11 2 R H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION �'tc.� 107 37O