HomeMy WebLinkAbout48008-Z fir.^-
Og0ff0l Town of Southold 12/27/2022
a y� P.O.Box 1179
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N 2-1 53095 Main Rd
WO4,- ou Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43732 Date: 12/27/2022
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 51 Millstone Ln, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 102.-1-33.8
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
6/27/2022 pursuant to which Building Permit No. 48008 dated 6/27/2022
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. (#32A)
The certificate is issued to Rimor Development LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 48008 11/29/2022
PLUMBERS CERTIFICATION DATED
Authorized Signature
�o� fat TOWN OF SOUTHOLD
a� BUILDING DEPARTMENT
y z TOWN CLERK'S OFFICE
o . iy , SOUTHOLD, NY
t 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#: 48008 Date: 6/27/2022
Permission is hereby granted to:
Rimor Development LLC
1721-D North Ocean Ave
Medford, NY 11763
To: 150A underground electric service and landlord panel. (#32A)
Replaces BP 43238.
At premises located at:
51 Millstone Ln, Cutchogue
SCTM # 473889
Sec/Block/Lot# 102.-1-33.8
Pursuant to application dated 6/27/2022 and approved by the Building Inspector.
To expire on 12/27/2023.
Fees:
PERMIT RENEWAL $42.50
Total: $42.50
Building Inspector
�o�SUFFQ1�,coG. TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y x TOWN CLERK'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#: 43238 Date: 11/26/2018
Permission is hereby granted to:
Rimor Development LLC
1721-D North Ocean Ave
Medford, NY 11763
To: 150A underground electric service and landlord panel. (#32A)
At premises located at:
51 Millstone Ln, Cutchogue
SCTM #473889
Sec/Block/Lot# 102.-1-33.8
Pursuant to application dated 11/26/2018 and approved by the Building Inspector.
To expire on 5/27/2020.
Fees:
ELECTRIC $125.00
Total: $125.00
Building Inspector
%pF SO(/ryOlo
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 �Q sean.devlinCcD-town.southold.ny.us
Southold,NY 11971-0959 OIyCQU1V I►e��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Rimor Development LLC
Address: 51 Millstone Ln city:Cutchogue st: NY zip: 11935
Building Permit#: 48008 Section: 102 Block: 1 Lot: 33.8
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:
Notes: Landlord Panel
Inspector Signature: Date: November 29, 2022
S.Devlin-Cert Electrical Compliance Form
OF SO!/Ty�� /����
# * TOWN OFVVVSOUTHOLD BUILDING DEPT.
�yco 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) [ LECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS:
(� A4 e
DATE Z INSPECTOR ``
SO(/TLf
# TOWN OF SOUTHOLD BUILDING DEPT.
�o • �o
`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) LECTRICAL (FINAL)
[ ] CODE VIOLATION ] PRE C/O [ ] RENT L
REMARKS: % d. 4 4'
DATE If INSPECTOR
✓ ENT Electrical ins
�x BUILDING D EPARTM inspector'
.C� "TOWN OF SOUTHOLD
? Town Hall Annex-, 54375 .Main Road- PO Box 1179
.00
:Southold, New York 11971- 0959
plr . 0elephone (631) 765-1802 - FAX (631) 765-9502
Ol pWN�� roger.richertla'�,town.southold.n ."us
APPLICATION FOR ELECTRICAL INSPECTION
_. Date:.. _. _ . ...
REQUESTED:BY:._.: 1-. -:. .,{.._� .�-. . .. �..
Company Name: �I�1
Name:
License No.: emi : 6 1
Address: :® . C70X_ Pe � �` -
Phone'No.: "A,00
JOB SITE INFORMATION: .(All Informatiioo' Required)
Name: /�I/ 4�P L`�-
�7
Address: a, ke-
Cross Street:
> � t�'
Phone No. .
B1dg.P.ermit
;email: 2a4m aA&a_
Tax Map District: 11000 Section: /®�'�' __� Block: 1 . 66 :Lot:
,BRIEF DESCRIPTION OF WORK (Please Print Clearly)
Circle All That Apply:
Is job ready for inspection?: F``, / NO Rough In Final
Do you need a Temp Certificate?: ES NO Issued On '
Temp Information: (All,information a uired)" j
S
U�Ph 3 Ph Size: A #Meters ! Old Meter#
NeW Servic - Fire Reconnect-FlIH
e . ect- Service Reconnected - Underground -Overhead
# underground Lateral 1 ' rame Pole Work done on Service? Y ;N
Additional'Inform ation: ZkLl
PAYMENT DUE WITH APPLICATION ��Cb
Request,fot Inspection Form.. . \11
' "
o�aSUFFot,'A 3
s� BUILDING DEPARTMENT-Electrical Inspector
Go TOWN OF SOUTHOLD
oy • �� Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959
Telephone (631)765-1802-FAX(631)76 -9502
Terpporary Certificate # LE� Dated 2018
Customer Name Electrician Name 6rrAq
AddressPhone
e-mail a-mail
Phone License# 700 -�
Size 66 A Phase / Overhead Underground #of Meters
Remarks ate
#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 for, 0 days from the date above.
Authorized by `�
. D BUILDING DEPARTMENT- Electrical
�� � BUIL N EPAR Inspector
TOWN OF SOUTHOLD
Town Hall Annex- 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
p1r elephone (631) 705-180.2.- FAX (631) 765-9502
roger.richert0_town.southold.n .'us
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED`ty .... _....._. _
_... _.. ...._. .
,. .. .e. ......... :Date: .. l..
Company Name: Tom, 6WA&I '
Name:.
License No.: 7 Od email: Q,C 1
Address: .0 . O 6VI`
a.
Phone No.:
-JOB SITE INFORMATION: .(All Informati Required)
Name:
Address: J th* -r _
Cross Street:
Phone NO.": � oZ 6'
B1dg.Permit#: -- email: led,*ai&a- Q_
Tax Map District: 1000 Section Block: , 406 Lot: ; i
BRIEF DESCRIPTION OF WORK(Please Print Clearly)
Circle All That Apply:
.Is job ready for inspection?:. Y� . / NO Rough In Final
Do you need a Temp Certificate?: CES_J NO issued On
Temp Information' (All information re ulre ,
10 S .1 Ph 3 Ph Size:_ _A # Meters ! Old Meter# _—
New Servi - Fire Reconnect-FljHr
a ect-Service Reconnected - Underground -Overhead
# Underground Lateral 1 � ame Pole Work done on I Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
Ce 1e�v
�a �j• �,�
Request for Inspection Form.xis