HomeMy WebLinkAbout47453-Z Town of Southold 2/16/2023
P.O.Box 1179
o _ 53095 Main Rd
y� ap�•,;S Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43854 Date: 2/16/2023
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 16109 Route 25,East Marion
SCTM#: 473889 Sec/Block/Lot: 23.-1-10.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
2/11/2022 pursuant to which Building Permit No. 47453 dated 2/15/2022
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:
electric wiring to existing accessory barn.
The certificate is issued to Osvaldo Landvik LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 47453 1/11/2023
PLUMBERS CERTIFICATION DATED
Authorize ignature
SofFnl TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y x TOWN CLERK'S OFFICE
SOUTHOLD, NY
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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#: 47453 Date: 2/15/2022
Permission is hereby granted to:
Osvaldo Landvik LLC
167 Bowery #4
New York, NY 10002
To: Electric wiring to existing accessory barn.
1
At premises located at:
16109 Route 25, East Marion
SCTM #473889
Sec/Block/Lot# 23.-1-10.1
Pursuant to application dated 2/11/2022 and approved by the Building Inspector.
To expire on 8/17/2023.
Fees:
ELECTRIC $185.00
Total: $185.00
Building Inspector
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 �Q sean.devlini-town.southold.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Osvaldo Landvik LLC
Address: 16109 Route 25 city:East Marion st: NY zip: 11939
Building Permit#: 47453 section: 23 Block: 1 Lot: 10.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: Platinum East Electric License No: 34091 ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service
Commerical Outdoor X 1st Floor Pool
New X Renovation 2nd Floor Hot Tub
Addition Survey Attic Barn X
INVENTORY
Service 1 ph X Heat . Duplec Recpt 25 Ceiling Fixtures 6 Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt Wall Fixtures 10 Smoke Detectors
Main Panel 200A A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors
Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO 2
Transfer Switch UC Lights Dryer Recpt Emergency StrobeHeat Detectors
Disconnect Switches $ 4'LED Exit Fixtures Sump Pump
Other Equipment: 200A Panel 54 Circuit/ 12 Used
Notes: Barn
Inspector Signature: ate: January 11, 2023
S.Devlin-Cert Electrical Compliance Form
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# # TOWN OF SOUTHOLD BUILDING DEPT.
courm, 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] 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 [ ] RENTAL
REMARKS: "A
DATE INSPECTOR
guFFQL,�c BUILDING DEPARTMENT- Electrical Inspector
�i TOWN OF SOUTHOLD
~ Town Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
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Telephone (631) 765-1802 - FAX (631) 765-9502
1 roger.richert(&-town.southold.ny.us
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date:
Company Name: — Ce`C l
Name:
License No.: Mr- 3 YO 1 email: ,Q u rn .r est s{ 1 c,`foo. Coir
Address: 3 In – !V-- vvcD i(J . 5/71
Phone No.: -
JOB SITE INFORMATION: (All Information Required)
Name: L a Ai,00c LLC
Address: o Q
Cross Street:
Phone No.: 6 31 - 9C2 -
Bldg.Permit#: L(74 email la f tnu,-ea �► oe.t�
Tax Map District: 1000 Section: Block: 1 Lot: p.
BRIEF DESCRIPTION OF WORK (Please Print Clearly)jrx
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Circle All That Apply:
Is job ready for inspection?: YES /� Rough In Final
Do you need a Temp Certificate'?: YES &ND6 Issued On-
Temp Information: (All information required)
Service Size 1 Ph 3 Ph Size: A #Meters Old Meter#
New Service - Fire Reconnect- Flood Reconnect- Service Reconnected - Underground -Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
16
Additional Information:
PAYMENT DUE WITH APPLICATION
Request for Inspection FormAs �� J
�gpFFo[,�c BUILDING DEPARTMENT- Electrical Inspector
�i TOWN OF SOUTHOLD
~ Town Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
• p� Telephone (631) 765-1802 - FAX (631) 765-9502
1 > roper richertCcb-town.southold.ny.us
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date: =)1=
Company Name: — Cmc t :(J
Name: /,,
License No.: Mr- 3 YD 91 email: a r ,�reasi .1 a'(oo_ Cori
Address: 3 �— vvcD V57 f*
Phone No.: CSS -9 V'12
JOB SITE INFORMATION: (All Information Required)
Name: L L
Address: MA,Aj 640 kZ
Cross Street:
Phone No.: 63 % i
Bldg.Permit#: Lqq email: IUf1nuM.-etas'
Tax Map District: 1000 Section: Block: ! Lot: 10.
BRIEF DESCRIPTION OF WORK (Please Print Clearly) 1f7�
Xt� .t/C� f lVU SCS f�F OZ k) 1,461-L4
Circle All That Apply:
Is job ready for inspection?: YES /i'' Rough In Final
Do you need a Temp Certificate?: YES 4NO Issued On
Temp Information: (All information required)
Service Size 1 Ph 3 Ph Size: A # Meters Old Meter#
New Service - Fire Reconnect- Flood Reconnect - Service Reconnected - Underground -Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION C1
Request for Inspection Form-As �� J
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