HomeMy WebLinkAbout36215-Z �o�aoF soolyo`o Town of Southold
* * P.O. Box 1179
�o9 53095 Main Rd
xrr.N Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 47148 Date: 06/18/2026
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 680 Private Rd #17 Southold. NY 11971
SecBlock/Lot: 81.-3-27.2
Conforms substantially to the Application for Building Permit heretofore, filed in this office dated:
Pursuant to which Building Permit No. 36215 and dated: 03/03/2011
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:
200 amp electric service.
The certificate is issued to: Donald Laventhall
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE: 36215 6/9/2026
PLUMBERS CERTIFICATION:
Authorized Signature
�o��pFS00ryO`o TOWN OF SOUTHOLD
BUILDING DEPARTMENT
• SOUTHOLD, NY
C0UNT1.�`�
BUILDING PERMIT
RENEWED
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 36215 Date: 03/03/2011
Permission is hereby granted to: Renewal Date: 06/05/2026
Donald Laventhall
165 E 72nd St Apt PHG
New York, NY 10021
To:
New electric service as applied for.
Premises Located at:
680 Private Rd#17, Southold, NY 11971
SCTM#81.-3-27.2
Pursuant to application dated and approved by the Building Inspector.
To expire on 06/04/2028.
Contractors:
Fees:
Renewal Fee $42.50
Tota I $42.50
Building Inspector
ho��pF SO(/T�,olo ,
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O. Box 1179 �O
Southold,New York 11971-0959 ycoi'JNT`I,Nc�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Donald Laventhall
Address: 680 Private Rd #17 City: Southold St: NY zip: 11971
Building Permit#: 36215 Section: 3 Block: 27 Lot: 2
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Electrician: Jim Shaw License No: 33381ME
SITE DETAILS
Office Use Only
Commercial Indoor X Basement Service X Solar
Residential X Outdoor X 1st Floor Pool Battery Storage
As-built Renovation 2nd Floor Hot Tub EV Charger
New X Addition Attic Spa Generator
Surveyl IMezzanine Garagel IDock
INVENTORY
Service 1 ph X In-wall Heater Recpt Ceiling Fixtures Smoke Detectors Pump
Service 3 ph Hot Water GFCI Recpt Wall Fixtures CO Detectors Heater
Main Panel 200 A/C Condenser Single Recpt RecessdFixtures Combo Smoke/CO Transformer
Sub Panel A/C Blower Range Recpt Ceiling Fan Heat Detectors Salt Gen
Transfer Switch Mini Split Dryer Recpt UC Lights Fridge AutoCover
ARC Blower Heads Switches Pucks Lights Dishwasher Mini Fridge
GFI SepticDisconnect Emrgency Strobe 4'LED Microwave Garbage Disp.
ARC/GFI ERV Exit Lights Bath Exhaust Hood Dehumidifier
Other Equipment: 200A Meter Main Disconnect,42 Circuit Panel 42 Used
Notes: Service
Inspector Signature: - Date: June 9, 2026
sU EF alp c TOWN OF SOUTHOLD
BUILDING DEPARTMENT
x TOWN CLERK'S OFFICE
o . 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 #: 36215 Date: 3/3/2011
Permission is hereby granted to:
Laventhall, Donald
1041 Madison Ave
New York, NY 10075
To: New electric service as applied for.
At premises located at:
680 Private Rd #17, Southold
SCTM # 473889
Sec/Block/Lot# 81.-3-27.2
Pursuant to application dated 1/1/1900 and approved by the Building Inspector.
To expire on 9/1/2012.
Fees:
CO -ALTERATION TO DWELLING $85.00
Total: $85.00
Building Inspector
o sou yOo 36 -2r'!5- If t V-4�
# OWN OF SOUTHOLD BUILDING DEPT.
couffm 631-765-1802
INSPECTION
[ ] FOUNDATION 1 ST/ REBAR [ ] 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 [ ] RENTAL
REMARKS:? f Crl,
DATE 6 1112,4 INSPECTOR r
�6OF SQ�j�Ql
0
Town Hall Annex J Telephone(631)765-1802
54375 Main Road G � 5-951a
dP.O.Box 1179 roger.richertowO ny.us
Southold,NY 11971-0959
�yC4UNT'I,Nct1�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: <<;l„ Date:
Company Name: ;M S ►� �-t� � y,�c .
Name:
License No.:
Address: 530
Phone No.: 693 f - SS3- 5-3 L(
JOBSITE INFORMATION: (*indicates required information)
*Name:
*Address: /47t XzDA1 O �.,sR T
*Cross Street 0 N
*Phone No.: 6 3)- 5-5-3- S- 7
Permit No.: j to D_ 15
Tax Map District: 1000 Section: I Block: Lot:�,a
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Sz,A:,-ue - f s l�`� M J.A V-Ads S,`� use T7) emu,
(Please Circle All That Apply)
*Is job ready for inspection: *YES
0. Rough In Final
*Do you need a Temp Certificate: O
Temp Information (If needed)
*Service Size: 1 Phase 313hase 100 150 Cam' 300 350 400 Other
*New Service: Re-connect Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
82=Request for l specton Form C