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HomeMy WebLinkAbout47590-Z oSAffoji��or Town of Southold 11/5/2022 a , P.O.Box 1179 53095 Main Rd r Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43566 Date: 11/5/2022 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 3/18/2022 pursuant to which Building Permit No. 47590 dated 3/23/2022 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: 150 amp underground electric service. (17A) The certificate is issued to Rimor Development LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47590 6/29/2022 PLUMBERS CERTIFICATION DATED Authorized ignature SUFfQ1 TOWN OF SOUTHOLD BUILDING DEPARTMENT N x TOWN CLERK'S OFFICE o,� • SOUTHOLD, NY dol � dao 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#: 47590 Date: 3/23/2022 Permission is hereby granted to: Rimor Development LLC 1721-D North Ocean Ave Medford, NY 11763 To: (17A) 150A underground electric service. At premises located at: Millstone Ln., Cutchogue SCTM # 473889 Sec/Block/Lot# 102.-1-33.9 Pursuant to application dated 3/18/2022 and approved by the Building Inspector. To expire on 9/22/2023. Fees: ELECTRIC $85.00 Total: $85.00 Building Inspector pF SOUryol 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 �., Q sean.devlinCcD-town.southold.ny.us Southold,NY 11971-0959 Q BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Rimor Devel9opment LLC Address: Millstone Ln Cutchogue city:Cutchogue st: NY zip: 11935 Building Permit#: 47590 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 150A 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 Pump Other Equipment: _ Notes: Service Inspector Signature: iEl Date: June 29, 2022 S. Devlin-Cert Electrical Compliance Form �O��sOFFOL/C�o G BUILDING DEPARTMENT-Electrical Inspector o y� TOWN OF SOUTHOLD • Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959 X41, �a0� Telephone (631) 765-1802 Temporary Certificate # Date 2022 Customer Name � T F�O ��, Electrician Name Mt-m Address Phone 1 e-mail e-mail MSM, [Phone License# Zj 7 ae) M Size ►s A Phase Overhead Underground _ #of Meters Remarks #of Underground Laterals 1 2 New "H" Frame or Pole H 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 verification is va' ys a date above. Authorized by 7 _ �O�apF soOTyO� -7 �� # * TOWN OF SOUTH D BUILDING DEPT. ' co 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: S-d-frc.-� DATE !° �i`1� INSPECTOR �r �pF SOUIH � / `� � a r C O o� S r 1 # # TOWN OF SOUTHOLD BUILDING DEPT. 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 EMARKS: IAIire! �7L DATE INSPECTOR �-� BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 ZP Telephone (631) 765-1802 - FAX (631) 765-9502 ro.err@southoldtownny.gov— seand@southoldtownnvgov APPLICATION FOR ELECTRICAL INSPECTION ELECTRIUAN NFORMATION (Ail information Required)' Date: 3 2 2 Company Name: r Name: -n ' License No.: DO ME ` e rn"A i1: 1ry)�f1 e ZC. 0(-, ^�f Address: , Phone No.: JOB SITE NFORMATION (All Information Required Name: Address: Cti2VY► d C� 1 �'(-l+,�ICCI Cross Street: Phone No.: ' Bldg.Permit#:_ 9 -�7q-g6' CA] email 0-1 C. 2 612, Tax Map District: 1000 Section: �CQ, DI Block: 1 633.x0 BRIEF DESCRIPTION OF WORK (Please Print Clearly) Circle All That Apply: Is job ready for inspection?: YES NO Rough In Final Do you need a Temp Certificate?: ES O Issued On 34a-as Temp Information: (All information required) Service Siz .1 Ph 3 Ph Size: —J'50 A # Meters- Old Meter# Cewervic - Fire Reconnect- Flood Reconnect- Service Reconnected - Underground - Overhead # Underground LateralsO 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION Request for Inspection Formals