HomeMy WebLinkAbout41917-Z Town of Southold 2/16/2018
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
1
CERTIFICATE OF OCCUPANCY
No: 39518 Date: 2/16/2018
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 2820 Shipyard Ln Unit 21)1, East Marion
SCTM#: 473889 Sec/Block/Lot: 38.2-1-21
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. 41917 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 ELECTRIC METER PACK REPLACEMENT
The certificate is issued to Grib, Sonia
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 41917 02-01-2018
PLUMBERS CERTIFICATION DATED
Authorized Sign ure
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
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#: 41917 Date: 8/28/2017
Permission is hereby granted to:
Grib, Sonia
4520 Walden Way
Flowery Branch, GA 30542
To: Electric Service
At premises located at:
2820 Shipyard Ln Unit 2131, East Marion
SCTM # 473889
Sec/Block/Lot# 38.2-1-21
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
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Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 �Q roger.richert(D-town.southold.ny.us
Southold,NY 11971-0959 Q
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To- Grib - Cleaves Point Club -
Address: 2820 Shipyard Lane Unit 2D1 city East Marion st: New York zip: 11939
Building Permit#- 41917 Section: 38.2 Block: 1 Lot: 21
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
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 Fixture 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
0-Cert Electrical Compliance Form.xls
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Town Hall Annex e� J Tdepbo�( i8o
nn�e(63771)765-1804
54375 Main P.O.Boar 1179 roger.dchert(CDtOWnMny,us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date:S111
Company Name: a>71 su
Name: M
Ucense No.: ?�sc1
Address: p X ((DqS iL1 S
Phone No.. or)
JOSSITE INFORMATION: (*Indicates required information)
*Name: CQUC��hr n-1- -l ub � �-Un nC. l'
*Address: v tiq
*Groes Street:
*Phone No.:
Permit No.: 400 _
Tax Map District: 1000 Section: 1 Block: �_ Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
(Please Circle All That Apply)
*Is.job ready for l ton: e S Rough in Final
*Do you need a ernp rtilicate: YES NO
Temp Information if needed)
*Service Size: hese 3Phase 100 150 200 300 350 G) Other
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*New Service: Re-conned nde round umber of Meters Change of Service Overhead
Additloal Information: PAYMENT DUE WITH APPLICATION
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