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Home My WebLink About47591-Z '5 Town EFOI,�c®Gy Town of Southold 12/27/2022 P.O.Box 1179 cm o - � 53095 Main Rd y��l boon Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43 727 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. 47591 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. (#41A) The certificate is issued to Rimor Development LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47591 11/29/2022 PLUMBERS CERTIFICATION DATED Authorized Signature Q�soFFotq�o TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERIC'S OFFICE oy • 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#: 47591 Date: 3/23/2022 Permission is hereby,granted to: Rimor Development LLC 1721-D North Ocean Ave Medford, NY 11763 To: (41A) 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 o�*OF SOUTyoI h O 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 a 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#: 47591 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, 2022 S.Devlin-Cert Electrical Compliance Form pF soulyolo H 7t/� l� 4p * # TOWN OF SOUTH LD B ING DEPT. IOU ��' 631-765-1802 I �� ur 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: �e, t f/' t c a IQ DATEZ INSPECTOR < / pF 50Ulyolo # # 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 [ ] R7NTAL REMARKS: 74D,� { 0?4 DATE 117A INSPECTOR �, �, SOf01Irc®G BUILDING DEPARTMENT-Electrical Inspector y TOWN OF SOUTHOLD oy �� Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959 Telephone (631)765-1802 Temporary Certificate # l q Date 2022 Customer Name (� Electrician Name C Address tmhr W_ Phone 0 / e-mail e-mail - CQW Phone License# 0 M- Size n A Phase�_Overhead Underground #of meters. Remarks #of Underground Laterals 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 valid 9 days from the dat bove. Authorized by BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD } Town Hall Annex - 54375 Main Road - PO Box 1179 •,+ G r Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 = � rogerr@southoldtownwoov— seand( sou#holdtownny.clov APPLICATION FOR ELECTRICAL INSPECTION EL CTRIUAN NFORMATION (All Information Required)- Date:— 311 2 Company Name: IM > >_ , Name: ' V 1' License No.: -31 - ` em il: _V1 Cc- E Address: ? i- A Phone No.: JOB SITE INFORMATION (All Information Required Name: Q 9 Address: y J A L — Cross Street: ,K L Phone No.: j - BIdg.Permit#: -759 1 email: �- jj�• - y ,S.Cu Tax Map District: 1000 Section: jlDQ: (;I Block: 1 . G L-) Lo : 6 33.dd 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 Piw.o�i�c� 3•aa-�� Temp Information: (All information required) Service Siz .1 Ph 3 Ph Size: 1�b A # Meters�_ Old Meter# Cewervit - 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 Request for Inspection FormAs /�� co �V