HomeMy WebLinkAbout46155-Z �oguFfBL Town of Southold 12/27/2022
y� P.O.Box 1179
m , 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43723 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. 46155 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.(#33A)
The certificate is issued to Rimor Development LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 46155 11/29/2020
PLUMBERS CERTIFICATION DATED
r
Authorized Signature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
x TOWN CLERK'S OFFICE
oy • � . 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#: 46155 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.(33A)
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
SO!/j�Ql
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 �Q sean.devlinOtown.southold.ny.us
Southold,NY 11971-0959 Q�yCOUA�'��\
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Rimor Development LLC
Address: Millstone Ln city,Cutchogue st: NY zip: 11935
Building Permit#: 46155 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 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, 2020
S.Devlin-Cert Electrical Compliance Form
10
OF SO(/T
* # TOWN OF SOUTHOLD BUILDING DEPT./
cou631-765-1802
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:
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DATE INSPECTOR
OE SO(/T /Gs'
* # TOWN OF SOUTHOLD BUILDING DEPT.
courm,NE`' 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 [ ] RENTA
REMARKS:
s `
DATE INSPECTOR '-�
S1qf:FGkhr'^ BUILMNG DEPARTMENT- Electrical [Inspector
TOWN OF SOUTHOLD
Town Hall Annex 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
i-oger.richert(cD,town.southold.ny.us
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: N 1 �(t 1:1/-\ �co)I-� Date:
Company Name:
Name:
License No.: email: 1�1'1^ El�jf C (-�, \4(l kr
Z13 ,o . CZ lein
Address: V,\\,, co'/
JPhone No.. 7-0 69 CP P1
JOB SITE INFORMATION: (All Information Required)
Name: I ichrvou-C-
IIJ
HaRl L&Dows+,( La, N Lfish 0 Q Ue
Address: 33A
Cross Street: S+D(ye- -LcA
Phone No.: 49� _U
Bldg.Permit#: email:
If to -�?rj �4 CA iCA C"-C\VVV-1 3'
Tax Map District: 1000 Section: ja 3-
BRIEF
L8? 3,
BRIEF DESCRIPTION OF WORK(Please Print Clearly)
Circile All That Apply:
Is job ready for inspection?: YES I NO Rough In Final
Do you need a Temp Certificate?: <aSy NO Issued On 4- 22�- a
Tamp pnformatlon: (All information required)
Service Size GIh 3 Ph Size: _t5b A # Meters Old Meterft
Rp�wSer�\ Fire Reconnect- Flood Reconnect- Service Reconnected - Underground - Overhead
# Underground Laterals( 1 )2 H Frame Pole Work done on Service? Y) N
Additional Information:
PAYMENT DUE WITH APPLICATION
N
.51
82-Request for Inspection Formals
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