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