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HomeMy WebLinkAbout47592-Z �OS�F�f i p Town of Southold 12/27/2022 a P.O.Box 1179 o - �' � 53095 Main Rd Way o Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43 728 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 3/23/2022 pursuant to which Building Permit No. 47592 dated 3/18/2022 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. 046A) The certificate is issued to Rimor Development LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47592 11/29/2022 PLUMBERS CERTIFICATION DATED -, \;�Z Authorized Signature SUFEo kc TOWN OF SOUTHOLD BUILDING DEPARTMENT N TOWN CLERK'S OFFICE oy�ol �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#: 47592 Date: 3/18/2022 Permission is hereby granted to: Rimor Development LLC 1721-D North Ocean Ave Medford, NY 11763 To: (46A) 150A underground electric service. At premises located at: Millstone Ln., Cutchogue SCTM # 473889 Sec/Block/Lot# 102.-1-33.9 Pursuant to application dated 3/23/2022 and approved by the Building Inspector. To expire on 9/22/2023. Fees: ELECTRIC $85.00 Total: $85.00 Building Inspector OF SO!/r�ol � o Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 sean.devlin(-5-town.southold.ny.us Southold,NY 11971-0959 Q C4UNVI 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* 47592 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 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 SOUIyo75 1, u # # TOWN OF SOUTHOLD 1BUILDING DEPT. 2s KP °ycoutm, 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: S"�: ry r l DATE INSPECTOR pF SOUThp�o -G !S # # TOWN OF SOUTHOLD-BUILDING DEPT. 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) ELECTRICAL (FINAL [ ] CODE VIOLATION [ ] PRE C/0 [ IRE TAL REMARKS: . DATE INSPECTOR �o�suFFoc,��o n BUILDING DEPARTMENT-Electrical Inspector y TOWN OF SOUTHOLD • Town Hall Annex-54375 Main Road-PO Box 1179-Southol;d, NY 11971-0959 Telephone (631) 765-1802 Temporary Certificate #_j2_./ 0 Date 3 11A 2022 Customer Name I pr; ; Electrician Name /�T/lti Address Phone rj�p e-mail a-mail M e0 , Phone License# 60 Size 1 . �A Phase Overhead Underground #of Meters Remarks #of Underground Laterals fl 2 New "H" Frame or Polel H 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 for 90 days from the date above. Authorized by BUILDING 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 rogerrtholdtownny sou .gov — seand@southoldtownny.gov @ APPLICATION FOR ELECTRICAL INSPECTION ELECTRUAN NFORMATION (All information Required) Date: C- Company Name: M-T m t Name: -Zin 5A I ICA License No.: f'Y) C C- Oil)00- c_cvn Address: e Phone No.: i-L 15 JOB SITE INFORMATION (All Information Required Name: LLC AWWA! 0' CLIkiy'r Address: 14k'A Hxav).64 Poinkt L6 , CU t:k-w-e,6-11111 Cross Street: TW� L-C., Phone No.: cu-!Si U 13- '4 U(.D;,l Bldg.Permit#: email Aetu. Tax Map District: 1000 Section: IC-),D, 01 Block: D C) L61: 9- BRIEF DESCRIPTION OF WORK (Please Print Clearly) Circle Ali That Apply: Is job ready for inspection?: 0 Rough In Final Do you need a Temp Certificate?: NZ Issued On Temp Information: (All information required) Service Size(& 3 Ph Size: _J_S�- A # Meters Old Meter# Cew Servid- - Fire Reconnect- Flood Reconnect-Service Reconnected - Underground - Overhead E Underground Laterals cil 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION `P— , N?9 Request for Inspection FormAs 4