HomeMy WebLinkAbout46154-Z A gaFfaq Townf Southold oGy� of 12/27/2022
P.O.Box 1179
0
x 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43 722 Date: 12/27/2022
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
4/27/2021 pursuant to which Building Permit No. 46154 dated 4/27/2021
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:
150A underground electric service and landlord panel. (#28A)
The certificate is issued to Rimor Development LLC
of the aforesaid building._
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 46154 11/29/2022
PLUMBERS CERTIFICATION DATED
Authorized gKgnature
O�g�FFQ1 TOWN OF SOUTHOLD
BUILDING DEPARTMENT
C, 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#: 46154 Date: 4/27/2021
Permission is hereby granted to:
Rimor Development LLC
1721-D North Ocean Ave
Medford, NY 11763
To: 150A underground electric service .(28A)
At premises located at:
Millstone Ln., Cutchogue
SCTM #473889
Sec/Block/Lot# 102.4-33.9
Pursuant to application dated 4/27/2021 and approved by the Building Inspector.
To expire on 10/27/2022.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
pF SOUryolo
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 �Q sean.devlinO-town.southold.ny.us
Southold,NY 11971-0959
QIyCOU�s��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
S+A11:Y221TE LOCATION
Issued To: Rimor Development LLC
Address: Millstone Ln city:Cutchogue st: NY zip: 11935
Building Permit#: 46154 Section: 120 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 X 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: 150A Panel
Notes: Landlord Panel
Inspector Signature: Date: November 29, 2022
S.Devlin-Cert Electrical Compliance Form
sou yob Li fo C S- ,M r 111J
* # lieTOWN 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
REMARKS:
DATE INSPECTOR
OF SOUIy°�O ,7 -
# * TOWN OF SOUTHOLD BUILDING DEPT.
ycourm��` 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: mL /
DATE INSPECTOR
iV
BUILDING DEPARTMENT- Electrical Inspector
T0 WN OF SOUTHOLD
Town Hall Annex 54375 Main Road - PO Box 1179
Southold, New York 1 1 971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
rcvqei*.ric,hertp,town.southold.nv.us
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: ---- Date.-
Company Name: yy�_ -Pr 'k—A 'Cie
Name:
email: 1)1-T Vh E I e L (I C
License No.: CIIC�V'1\6
Address:
Phone No.:
V
JOB SITE INFORMATION: (All information Required)
0u
Name: 4 'D
\ — C, P11
Address:
(fk I (i I q
5[ IQ
Cross Street:
Phone No.:
Bldg.Permit 115q email: �4 (t C\;,v- �_Cj d-iq
Tax Map District: 1000 Section: Block:
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Circlie Ail That Appiy:
Is job ready for inspection?: YES I NO Rough In Final
Do you need a Temp Certificate?: (_ YES y NO Issued On 2_1_
Tamp InformaMon: (All information required) A
Service Size �Ih 3 Ph Size: L5 _ I #
C) A # Meters Old Meter
Fire Reconnect - Flood Reconnect- Service Reconnected - Underground - Overhead
# Underground 02 H Frame Pole Work done on Service?
U Laterals N
Additional Information:
PAYMENT DUE WITH APPLICATION
N
82-Request for Inspection Form As
v
PERMIT# Address:
Switches
Outlets
G FI's
Surface
Sconces
H H's
UC Lts
Fans Fridge HW
Exhaust Oven Dryer
Smokes DW Service
Carbon Micro Generator
Combo Cooktop Transfer
AC AH Mini
Special:
Comments
BUILDIING DEPARTMENT- Electricai inspector
TOWN OF SOU'> HOLD
y Town Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
i-oclei-.ric,hert@town.southold.iiv.us
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: ��� 4-���'�+� Date:
Company Name: n c ,
Name:
License No.: email: kco . C
Address: 0,3c� a a A��
Phone No.: 2C�
JOS SITE INFORMATION: (All Information Required)
Name: �� - I �'.0 7 3 _
,Address: a Vo& $b,KleC.Q/10 3S
Cross Street:
:Phone No..
BIdg.Permit#: (p 1 ���
J``i email: r �►
Tax Map District: 1000 Section: Block: Lot. 3 3.
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?: (- YES NO Issued On �-��''a 2,1
Tamp Information: (All information required)
Service Size G�:h)3 Ph Size: ,�b A # Meters_ _ Old Meter#
w Servi - Fire Reconnect- Flood Reconnect- Service Reconnected - Underground - Overhead
# Underground Laterais 1 )2 H Frame Pole Work done on Service? Y ' N
Additional Information:
PAYMENT DUE WITH APPLICATION
N
82-Request for Inspection Form.xls
i
a�v �