HomeMy WebLinkAbout48004-Z �O��S11Efalr Town of Southold 1/28/2023
y� P.O.Box 1179
0
v' 2-1 53095 Main Rd
Way o� if Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43729 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. 48004 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. (Club House)
The certificate is issued to Rimor Development LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 48004 11/29/2022
PLUMBERS CERTIFICATION DATED
Authorized Si ature
o�suFFnc TOWN OF SOUTHOLD
BUILDING DEPARTMENT
H TOWN CLERK'S OFFICE
"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#: 48004 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. (Club House)
Replaces BP 42892.
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 nspector
hO��pE SO!/r�ol
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 �Q sean.deylin(Qtown.southold.ny.us
Southold,NY 11971-0959 OIyCQUIY
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* 48004 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 X 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(/jyplo • V h4i,� �-e f"l�
* # TOWN OF SOUTHOLD BUILDING DEPT.
^oum, 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) 1)4 ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS:
G✓l � �
DATE Aq INSPECTOR
I \
#�pF SOUTy�* Li0 0 ii
y TOW OF SOUTHOLD BUILDING DEPT.
`ycouHr+, 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 [ ] RE TAL
REMARKS:
irit A ILI
f wig
DATE INSPECTOR
g�EFi'u,� BUILDING DEPARTMENT- Electri �I
TOWN OF SOUTHOL
D)i
00 Town Hall Annex- 54375 Main Road - P0 .9& 111 92018
o Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 7954MWDEPT.
' roger.richertCc-)town.southold ny!us''I 07 i�°O OLD
,APPLICATION FOR ELECTRICAL INSPECTION
RREQUESTE.D'BY:
_. .� Date: ..
Company Name: T
Name:
License No.: N email: m G 1
Address: ;� OX
Phone No.: A i0o SU I
JOB SITE INFORMATION: (All informatioji Required)
Name: tiv (fro° (.
Address:
Cross Street: a
Phone No.:
Bld.g.Permit M vu V .email:
Tax Map District: 1000 Section: /Oo2. 041 Block: . ® ® Lot:
BRIEF DESCRIPTIONF WORK (Please Print Clearly)
�
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). J
S
(Lft) 3 Ph Size: � . A #Meters / Old Meter#
New Servic - Fire Reconnect- Flood Reconnect -Service Reconnected - Underground - Overhead
# Underground Lateralv? H Frame Pole Work:done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
Request for Inspection FormAs
( "
I