HomeMy WebLinkAbout46766-Z S�EFOi+ � Town of Southold
�o� µ �Gy1/28/2023
o P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43 725 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
9/1/2021 pursuant to which Building Permit No. 46766 dated 9/1/2021
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. #76A)
The certificate is issued to Rimor Development LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 46766 11/29/2022
PLUMBERS CERTIFICATION DATED
Authorized 5lignature
s TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y x 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#: 46766 Date: 9/1/2021
Permission is hereby granted to:
Rimor Development LLC
1721-D North Ocean Ave
Medford, NY 11763
To: (76A) 150A underground electric service.
At premises located at:
Millstone Ln., Cutchogue
SCTM #473889
Sec/Block/Lot# 102.-1-33.9
Pursuant to application dated 9/1/2021 and approved by the Building Inspector.
To expire on 3/3/2023.
Fees:
ELECTRIC $125.00
Total: $125.00
Buil 'ng Inspector
pE SO!/j�Ql ,
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 Q sean.deviinta7_town.southold.ny.us
Southold,NY 11971-0959 Q
Comm
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#: 46766 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 1 st Floor Pool
New X Renovation 2nd Floor Hot Tub
Addition Survey 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 FixturesTime 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
SOUTy�Io L 7 "o 4a 1 + U
* # TOWN OF SOUTHOL B DING DEPT.
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:
OAA
DATE !/ INSPECTOR
OF SOUTy��
# # TOWN OFee+SOUTHOLD BUILDING DEPT.
�ycou631-765-1802
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 [ ] REN AL
REMARKS:
AAF OrK
DATEI I I-A t7v INSPECTOR `
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BUILDING ILE)IN DEP"ARTf�II N s-kleCt Cal inspecr(or
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_ I own•HaIC Iinex 5.437'5'"Win Road -.Aa. Sort,.`1.'179
SEP 'I '20 Southold, New°Yorfc 51971-0959
Telephone (631) 765-1802- FAX(631) 765-•9502'
# �; ,�E rbgerxichert��town.southold ny"us
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_ APIPLICA i.IQN FQR ELECTRICAL INSPECTION
REQUESTED BY: '1 1 ... I " Date:
Company Name: I S-M
1 I
Name:
;License No,- email:ema : 17,
�i�" �1
!Aciclress: `S : LA
;Phone No.
rJOS SITE INFORMATION: (All Information Required)
.Name: pj r = -te. s � i.; k``
jiddress: Mi re t.tAaGh
Cross Street: '6 %� LGA 06w leel I
IPhone No.. -Ilk �s
'Bldg-Permit e►nall:
`-�!Tax Map District: 'i OQo Section: .0 t Mock: Let: 3,
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?: Y NO Issued Qn�` "e'a-1 -2-1.
� ? no .b (Alf information required)
Service Size ; , 3 Ph Size:. .t.` {} A #Meters Old Meter#
i lei�Serf c -Fire Reconnect- f=lood Reconnect-Service Reconnected -Underground-Overhead
Underground Laterals`.1 1'2 H Frame Pole Work done on,Service? . Y', N
Additional"Information:
PAYMENT.DUE WITH APPLICATION
re
quest fl sp c' a .xts
BUI;LDFN DEPT-