HomeMy WebLinkAbout46765-Z �OS0fF0 py Town of Southold 7/25/2022
'a P.O.Box 1179
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`n 53095 Main Rd
oy obi Southold,New York 11971
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CERTIFICATE OF OCCUPANCY
No: 43286 Date: 7/25/2022
THIS CERTIFIES that the building ELECTRICAL
Location of Property: Millstone Ln.,Cutchogue
SCTM#: 473889 Sec/Block/Lot: 102.-1-33.9
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/1/2021 pursuant to which Building Permit No. 46765 dated 9/1/2021
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:
100 amp underground electric landlord panel. (56A)
The certificate is issued to Rimor Development LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 46765 6/29/2022
PLUMBERS CERTIFICATION DATED
uthorized 'gnature
�gUFfo� TOWN OF SOUTHOLD
�o kcooy� BUILDING DEPARTMENT
y 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#: 46765 Date: 9/1/2021
Permission is hereby granted to:
Rimor Development LLC
1721-D North Ocean Ave
Medford, NY 11763
To: 150A underground electric service.(56A Millstone)
At premises located at:
Millstone Ln.,Cutchogue
SCTM #473889
Sec/Block/Lot# 102.-1-33.9
Pursuant to application dated 9/1/2021 and approved by the Building Inspector.
To expire on 3/3/2023.
Fees:
ELECTRIC $125.00
Total: $125.00
Bui i -I ector
OE SOpT�O�
TOWN OF SOUTHO IJILDING DEPT.25
631-765-1802
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 [ ]' RENTAL
REMARKS: \,� r t/�r e-e
I/V
DATE INSPECTOR
( Dolor
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 �Q sean.devlin(&-town.southold.ny.us
Southold,NY 11971-0959 Q
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Rimor Development LLC
Address: Millstone 56A 23 Sweet Meadow Ct city:Cutchogue st: NY zip: 11935
Building Permit#: 46765 Section: 102 Block: 1 Lot: 33.9
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: MTM Electric License No: 3700ME
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 X Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel 100A A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors
Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO
Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 4'LED Exit Fixtures 11 Pump
Other Equipment: 100A Panel 12 Circuit/ 6 Used
Notes: Landlord Panel
Inspector Signature: `a Date: June 29, 2022
S.Devlin-Cert Electrical Compliance Form
OFFOI/r
BUILDING DEPARTMENT-Electrical Inspector
C z TOWN OF SOUTHOLD
oy • �� Town Hall Annex-54375 Main Road-PO Box 1179-Southol;d, NY 11971-0959
�Ol �y0 Telephone (631) 765-1802-FAX(631) 765-9502
Temporary Certificate # O S-LI Date 2021
Customer Name Q M� (�`� Electrician Name M---q
Address k MLlrJV jf,,r1_g,94U one C"1/p -9-14--&
e-mail e-mail LL S4,-
Phone License# 0-0,44,f,_
Size_J!��A Phase�_ Overhead Underground #of Meters
Remarks
#of Underground Lateralsi 1 2 New.
"H" Frame or Polel HI P Fire Reconnect
Was work done on Service? Y/N 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 verification is valid for 90 days4rom the date above.
Authorized by
%,aiFOL�, DIING ®EP ARTMNT- (ecrical 9nsp ector
TOWN OF SOUTHOLD
. . : _ z __
SEP 1 20�wri I�all Annex - 54375 Main goad - PO Bo- 1179
Southold New York 11971-0959
DEPT elephone (631) 765-1802 - FAX (631) 765-9502
roger.r-ichert(a7.town.southold.ny.us
APPLICATION FOR ELECTRICAL INSPECTION
';REQUESTED BY: ' ���� �tf, Date:
(Company Name:
Name:
License No.: p email: .
Address: Os S?
(Phone No.:
t '
°CCB SITE E INFORMA 1 ION: (All Information Required)
Name: I � �� � _ Pz)t 6 \-t 0 P(_,. _hr-%C�i a-C l
Address: �� �� ��5��►c l-Li � Cwct lo9ue�'
Cross Street:
Phone No..
Bidg.Permit#: L emailCPO U C� _
,I-L'C'` •moi �
Ta,*,,, Map District: 1000 Section: _ Block: �,�� Lot, 3- �
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Ciirrcile ABS That App6y:
Is job ready for inspection?: YES / NO Rough In Final
Do you need a Temp Certificate?: YES-'Y NO Issued On em s q-l-21
y erne 9c�fop�atl��u���.� (Ail information required)
Service Size ^'I Ph,'13 Ph Sizer{:1 A # Meters Old Meter#
�i�°erry S rve Ice - Fire Reconnect- Flood Reconnect- Service Reconnected - Underground- Overhead
�# Underground Laterals( 1. 2 I-1 Frame Pole Work done on Service? Y' N
Additional Information:
PAYMENT DUE WITH APPLICATION
/ o�
82-1Request for Inspection Formals �\U�l�✓�
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