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
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�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