HomeMy WebLinkAbout48009-Z �o�OS�fFaLxCpGd Town of Southold 12/27/2022
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P.O.Box 1179
53095 Main Rd
Gy?jp� �ao�z;S Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43733 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
6/26/2022 pursuant to which Building Permit No. 48009 dated 6/27/2022
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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. (#12A)
The certificate is issued to Rimor Development LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 48009 11/29/2022
PLUMBERS CERTIFICATION DATED
Authorized Signature
� SUFFa�i TOWN OF SOUTHOLD
o�o
5 BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
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 #: 48009 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. (#12A)
Replaces BP 43239.
At premises located at:
51 Millstone Ln, Cutchogue
SCTM # 473889
Sec/Block/Lot# 102.-1-33.8
Pursuant to application dated 6/26/2022 and approved by the Building Inspector.
To expire on 12/27/2023.
Fees:
ELECTRIC $42.50
Total: $42.50
Building Inspector
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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y a TOWN CLERK'S OFFICE
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#: 43239 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. (#12A)
At premises located at:
51 Millstone Ln
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
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 sean.deviin(cD-town.southold.ny.us
Southold,NY 11971-0959 Q�ycOUNTV,��
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* 48009 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 11 Pump
Other Equipment:
Notes: Landlord Panel
Inspector Signature: Date: November 29, 2022
S.Devlin-Cert Electrical Compliance Form
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# # TOWN OF SOUTHOLD BUILDING DEPT.
�y000rm��' 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLDG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
[ ] CODE VIOLATION 6 PRE C/O [ ] RENTAL
REMARKS:
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DATE v INSPECTOR
SOUIyOIo
# TOWN OF SOUTHOLD BUILDING DEPT.
courm, 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: -a
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DATE INSPECTOR
�o��g11FFOl��o ,
o Gym BUILDING DEPARTMENT-Electrical Inspector
H x TOWN OF SOUTHOLD
• Town Hall Annex-54375 Main Road-PO Box 1179-Southold, NY 11971-0959
Telephone(631)765-1802-FAX(631T61)
5-9502
Temporary Certificate # Z`� Date 2-0 2018
Customer Name 642vC5T b/u(c-�61 v7_ bCsu6_ Electrician Name ATy? 6�-4.tfe_9f-2/e--
Address .17A /0/115;r64/67 Gu LraTe�ctUr- Phone S/6- ZZa SQL l
e-mail a-mail /tij/�(, � � �,r'
�IWA66-
Phone License#
Size DG A Phase Overhead Underground #of Meters
Remarks f'�,c-.2Utd,_,7 Fc-,
#of Underground Laterals 1 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 90 days from the date above.
Authorized by �(
BUILDING DEPARTMENT=Electrical Inspector
�O 'TOWN OF SOUTHOLD
v 2 0..201 Town Hall Annex- 54375 Main.Road - PO Box 1179
a ` -Southold, New York 11971-0959
ply 'telephone (631) 755-1802 -FAX (631) 765-9502-
5 .0S roger.richertcc town.southoldmy..us
Tow
APPLICATION .FOR ELECTRICAL INSPECTION
REQUESTED BY:_.. Date:"
/UJ.Ir
Company Name: 'Cl-
Name:
License No.: M email:
Address: ex . ox 1 /l
Phone No.:
JOB SITE INFORMATION: "(Ali information Required)
Name: ( '+
Address:
Cross Street: 6wv
Phone No.: 4� 6 7J
BIdg.Perm t#: ;email: fea,4*1 a&a
Tax Map District: 1000 :Section: ,f J Block: 1 , 60 Lot: r
BRIEF DESCRIPTION OF WORK(P"lease Print Clearly)
Lyle r LkrV,C
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Circle All That Apply:
Is job ready for inspection?: .Y / NO ;Rough In final
Do you need a Temp Certificate?: ES NO 'Issued On
Temp Information: (All information re uired).
Size: ' 10 . A #Meters Old Meter#
S 1 Ph 3 Ph I _�.____
New 8ervi :Fire Reconnect- Floo ec n)et-Service Reconnected - Underground -Overhead
# Underground Lateral I ` 'H FramePole, Work done on Service? Y N
Additional Information:
'PAYMENT DUE WITH APPLICATION
Request for Inspection Form.xls