HomeMy WebLinkAbout46156-Z 4 fo�SUFFUI o Town of Southold 12/27/2022
P.O.Box 1179
o • 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43724 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. 46156 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. (#84A)
The certificate is issued to Rimor Development LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 46156 11/29/2022
PLUMBERS CERTIFICATION DATED
Authorized Signature
SUFfill
/ TOWN OF SOUTHOLD
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BUILDING DEPARTMENT
N z ' TOWN CLERK'S OFFICE
�y • SOUTHOLD, NY
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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#: 46156 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.(84A)
At premises located at:
Millstone Ln., Cutchogue
SCTM #473889
Sec/Block/Lot# 102.-1-33.9
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 sean.devlinta'�.town.southold.ny.us
Southold,NY 11971-0959 Q�yCOU�'�,��\
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#: 46156 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 RR
Commerical Outdoor X 1st Floor Pool
New 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
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OUTHOLD BUILDING DEPT.
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coum, 631-765-1802
INSPECTION'
[ ] FOUNDATION 1 ST [ ] 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
�o��OF SOGlyolo 9
* # TOWN OF SOUTHOLD BUILDING DEPT.
�ycoum, 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [yQ ELECTRICAL (FINAL)
[ ] CODE VIOLATION [/ ] PRE C/O [ ] RENTA
REMARKS:
DATE INSPECTOR ��
y:i•
BUILDIING DEPARTMENT- Electrical Mspector
TOWN OF SOUTHOLD
Town Hall Anne; - 54375 Main Toad - PO Sox 'i 179
�. Southold, New York 11971-0959
' I elephone (631) 765-1802 - FAX (631) 765-9502
roper.richert(c`i.town.southold.ny.us
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: 1, 1 V': i/'�`� � Date: 3 a
Company Name: iiia-T V11 -Ij +� °- I C-
I r
Name:
[License No.: , �" email: ; �I t y '� �:
Address: , � �=�' �' �,`�`� ! � � y �,��� �� C'I
Phone No..
�J0B SITE INFORMA 1 ION: (All Information Required)
Name: C$ � ,'�f
[Address:
Cross Street:
Phone No.: ( I
email: ��, ( k�I (- C, ^ �SIdg.Permit �I
9 -
Tax I�flap District: 1000 Section: Block: _ Lot: 33,
SRiEF DESCRIPTION OF WORK (Please Print Clearly)
Cir de A1111 That Alopiy:
Is job ready for inspection?: YES / NO Rough In Final
Do you need a Temp Certificate?: Qllt—is'-'yNO issued On q -28- 2, I
J T emus (All information required) ,
Service Size 1 3 Ph Size: 15C> A #Meters Old Meter#
ew Servlc� - Fire Reconnect - Flood Reconnect- Service Reconnected - Underground - Overhead
l# Underground Lateralsi 1 ,)2 H Frame Pole Work done on Service? Y.j N
Additional Information:
PAYMENT DUE WITH APPLICATION
82-Request for Inspection Form.xis CV
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