HomeMy WebLinkAbout47589-Z o�Os�IFQI�coG.. . Town of Southold 12/27/2022
y�. P.O.Box 1179
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53095 Main Rd
oy�d! Southold,New York 11971
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CERTIFICATE OF OCCUPANCY
No: 43726 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
3/18/2022 pursuant to which Building Permit No. 47589 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:
150A underground electric service and landlord panel. (#7A)
The certificate is issued to Rimor Development LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 47589 11/29/2022
PLUMBERS CERTIFICATION DATED
uthorized 1gnature
�o�SUFFotq��o TOWN OF SOUTHOLD
�y BUILDING DEPARTMENT
N TOWN CLERK'S OFFICE
o . 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#: 47589 Date: 3/23/2022
Permission is hereby granted to:
Rimor Development LLC
1721-D North Ocean Ave
Medford, NY 11763
To: (7A) 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
i
Building Inspector
oF SO!/r�,o!
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 Q sean.devlinc@-town.southold.nv.us
Southold,NY 11971-0959 • ��
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#: 475$9 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 P1 Switches 4'LED Exit Fixtures 11 Pump
Other Equipment: 150A Panel
Notes: Landlord Panel
Inspector Signature: Date: November 29, 2022
S. Devlin-Cert Electrical Compliance Form
SOUTyO6 � � �6J II
* TOWN OF OUTHOL BUILDING D P .
°`ycourmN�'' 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:
P-LOA& pa� dol
DATE INSPECTOR ''
OF SOUTyolo '4 15 o
# # TOWN OF SOUTHOLD BUILDING DEPT.
`ycou631-765-1802
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 [ ] RENT L
REMARKS: LAAAlal(l 119&A fr
iKi 06, iia-) r ox
DATE INSPECTOR r
�o�SUFFot,��o
BUILDING DEPARTMENT-Electrical Inspector
CA TOWN OF SOUTHOLD
oy • �� Town Hall Annex-54375 Main Road-PO Box 1179-Southol;d, NY 11971-0959
�Ol �a0 Telephone (631) 765-1802 cc
Temporary Certificate # 1207 Date /p 2022
Customer Name ZlKaf Tktle�j2w011 C Electrician Name �G
AddressAr ap,M T c Phone / 22('j „S786/
e-mail e-mail91-
Phone
L
Phone i License# 3700 M ,
Size 190 A Phase 1 Overhead Underground #of Meters
Remarks
#of Underground Laterals Y 2 New
"H" Frame or Pole P Fire Reconnect
Was work done on Service? Y/N 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 for 90 da from the date above.
Authorized by
r% _�' ��► p;' BUILDING DEPARTMENT-Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
�- Southold, New York 11971-0959
ss �` Telephone 631 765-1802 - FAX 631 765-9502
- rogerr@southoldtownny.gov b seand0southoldtownny qov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTi MUAN NFORMATION (Au information Required) Date: I 2 2
Company Name:
Name: V' 1
License No.: Mc- em il: —j V11 Cc� �
Address: ro 3
Phone No.: 0
1
JOB SITE NFORMATION (All Information Required
Name: 1r, , 4 LLC1UA ill CIL
Address '
Cross Street:
Phone No.: '
Bldg.Permit#: Ll 75,91_, f_; _ email: i
Tax Map District: 1000 Section: ib,); fwd Block: Lot:(j33
BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Circle Ali That Apply:
Is job ready for inspection?: YES NO Rough In Final
Do you need a Temp Certificate?: ES O Issued On e(YVAJO 3-yV"a a-
Temp Information: (All information required)
Service Siz _1 Ph 3 Ph Size: vi.`�- ' A # Meters�_ Old Meter#
Cew,S:e3rv�I-B - 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
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Request for Inspection Form.xls \� 60�