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Home My WebLink About45477-Z O�SUFFO4COG Town of Southold 1/30/2021 P.O.Box 1179 a o • . ' 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41790 Date: 1/30/2021 THIS CERTIFIES that the building ELECTRICAL Location of Property: 670 Circle Dr., East Marion SCTM#: 473889 Sec/Block/Lot: 21.-3-15 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 11/20/2020 pursuant to which Building Permit No. 45477 dated 11/20/2020 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: two 200a underground electrical services with 2 meters and 2 panels. The certificate is issued to Pederson,Katarina of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45477 1/22/2021 PLUMBERS CERTIFICATION DATED c Authorized Signature "rTu,f a TOWN OF SOUTHOLD �y BUILDING DEPARTMENT a TOWN CLERK'S OFFICE Cn o . SOUTHOLD, NY �a�s� 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#: 45477 Date: 11/20/2020 Permission is hereby granted to: Pederson, Katarina 133 W 22nd St#10D New York, NY 10011 To: Two 200A underground electrical services with two meters. At premises located at: 670 Circle Dr., East Marion SCTM # 473889 Sec/Block/Lot# 21.-3-15 Pursuant to application dated 11/20/2020 and approved by the Building Inspector. To expire on 5/22/2022. Fees: ELECTRIC $105.00 Total: $105.00 Building Inspector t ®f SID Town Hall Annex _" Telephone(631)765-1802 54375 Main Road `zs' = "sir., r' Fax(631)765-9502 P.O.Box 1179 r =-; Southold,NY 11971-0959 �. -" �® sean.deviin(aD-town.southold.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Katarina Pederson Address: 670 Circle Dr city East Marion st. NY zip: 11939 Budding Permit#: 45477 Section. 21 Block 3 Lot 15 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Lademann Electric License No: 4141 ME SITE DETAILS Office Use Only Residential X Indoor X Basement X Service X Commerical Outdoor X 1st Floor Pool New X Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph X Heat Duplec Recpt Ceding Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel 200X2 A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower Range Recpt Ceding Fan Combo Smoke/CO Transfer Switch UC Lights Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 4'LED Exit Fixtures Pump Other Equipment Notes New Service Two Meters, Two Panels Inspector Signature: �ic Date: January 22, 2021 p 9 S Devlin-Cert Electrical Compliance Form As �f OFSOUTyo� Ll 5-4-7 -7 4; 70 0j=�� # TOWN OF SOUTHOLD BUILDING DEP . ��`y�ou►m � 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE-RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [� ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: &�� DATE INSPECTORK tgyfFO4�oGy BUILDING DEPARTMENT-Electrical Inspector o TOWN OF SOUTHOLD o _ Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959 yjj�l �a0� Telephone (631) 765-1802-FAX(631)765-9502 Temporary Certificate # i Date 1\jOVI'ML1Y.r a0, 2020 Customer Name k Electrician Name Lade maw Ele rit, Address R Phone 31 -12)4— IAQ�e e-mail 3 — e-mail mark, On Imall , Conn e-mail Phone (D — License# Size acro A Phase Overhead Underground )< #of Meters _ Remarks :Th(',`ua �sryicc5 aM ±wme,+P.I:S #of Underground Laterals1 2 New "H" Frame or Pole ' P Fire Reconnect Was work done on Service? Y Flood Reconnect Old Meter# 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 veritication i!:2±Z2t- Ir Authorized byZZZZZZZZZZZZZZIFIFV 7 777 7 iIV!!VZ!—ZZVVVVVVZ===Z `� 'of flit , , \ y` ,i'Vi, s BUILDING DEPARTMENT Electrical Inspector " TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 .� �10�J 1 8 2028 Southold, New York 1197;1-095'9 Telephone (631) 765-1802 - FAX (631) 765-9502 roger richert@town.sout old.ny.us APPLICATION FOR ELECTRICAL INSPECTION Date: REQUESTED BY: Company Name: - Av62 e: AD i;-m License No.: email: �,�,��s,.,, e� to n.) I, A)V a AJ' Address: l L r Phone No.: 31 - 73 - 7 JOB SITE INFORMATION: (All Information Required) - Name:--- Address: . ame`-Address: - O ✓' �'' L Cross Street: Phone No.: - °� - v #: �5 � � email:� Gr»nl) Btdg.Permit •c Block: Lot: Tax Map District: 1000 Section: BRIEF DESCRIPTION OF WORK(Please Print Clearly) J-- / CS 3 "V ^'t 1, CJ� Circle All That Apply= Final Is job ready for inspection?: YES /� Rough In Do you need a Temp Certificate?: ES NO Issued On VService nformation: (All information required) Size P 3 Ph Size: _ v v A #Meters Old Meter# - Fire Reconnect- Flood Reconnect- Service Reconnected ncSer rou -Overhead rground Laterals 1 2 H Fra Pole W rk done on Service? Y Additional Information: (IV n, PAYMENT DUE WITH APPLICATION 82-Request for inspection Form As y�fFaLK�Q BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD 20120 Town Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 roger richert@town.southold.nV.us APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Date: Company Name: 1 J Name: p) ° `' email: A✓ Fm C) tv;u I;Alco License No.: o Address: l l L e Phone No.: JOB SITE INFORMATION: (All Information Required) Ic Name: r 1 L �� - Address: r Cross Street: A Phone No.: - g 50 -20 email;,��,. B[dg.Permit#: 5 y Block: Lot: Tax Map District: 100.0 Section: BRIEF DESCRIPTION .OF WORK{Please Print Clearly) 0 0r ' to der ' � a s Circle All That Apply= YES l(fq-o-) Rough In Final Is job ready for-inspection?: _ Do you need a Temp Certificate?: NO Issued On �rtiM L�D� I" D (Ail information required) Temp Information: _ -- ?% � Meters Old Meter# Service Size op 3 Ph Size: A # _ ew Se - Fire Reconnect- Flood Reconnect- Service Reconnected -Ovefiead ' nder roun # Underground Laterals 1 2 H Fra Pole W rk done on Service? Y N Additional Information: 0rv_,n. PAYMENT DUE WITH APPLICATION 82-Request for InspecUon Focm.xis PERMIT# Address: Switches Outlets G FI's Surface Sconces H H's UC Lts Fans Fridge HW Exhaust Oven Dryer Smokes DW Service Carbon Micro Generator Combo Cookto p Transfer AC AH Mini Special: Comments s - els