HomeMy WebLinkAbout48610-Z i
i
�O�Og�fFO(A'oG Town of Southold 1/14/2023
a y� P.O.Box 1179
o _ 53095 Main Rd
Southold,New York 11971
I
CERTIFICATE OF OCCUPANCY
No: 431762 Date: 1/14/2023
,I
THIS CERTIFIES that the building ELECTRICAL
I
Location of Property: 620 Traveler St, Southold Southold
SCTM#: 473889 Sec/Block/Lot: 61.-1-13.1
Subdivision: Filed Map No. Lot No.
i
conforms substantially to the Application for Building Permit heretofore filed in this office dated
12/16/20221 pursuant to which Building Permit No. 48610 dated 12/16/2022
was issued, andl conforms to all of the requirements of the applicable provisions of the law. The occupancy for
which this certificate is issued is:
electrical survey of service for Unit 2,meter 25.
I
I
I
I
I
I
I
I
The certificate is issued to 2245 MCR LLC
I
I
I
I
I
of the aforesaid building.
SUFFOLK COU INTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 48610 12/16/2022
PLUMBERS CERTIFICATION DATED
i
Authorized Signature
I
I
i,
i
TOWN OF SOUTHOLD
sueEnt,r�, ,
BUILDING DEPARTMENT
0
TOWN CLERK'S OFFICE
H $
"oy • o� y SOUTHOLD, NY
A,
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 #: 48610 Date: 12/16/2022
Permission is hereby granted to:
2245 MCR LLC
c/oAarcello Pica Mng Mbr
PO BOX 652
Centereach, NY 11720
To: New Service
At premises located at:
620 Traveler St, Southold
SCTM # 473889
Sec/Block/Lot# 61.-1-13.1
Pursuant to application dated 12/16/2022 and approved by the Building Inspector.
To expire on 16/16/2024.
Fees:
ELECTRIC $125.00
Total: $125.00
i
Building Inspector
0? SO!/T�,ol
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 �Q sean.devlin(cD-town.southold.ny.us
Southold,NY 11971-0959 Q�yCOUNVI
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: 2245 MCR LLC
Address: 620 Traveler St city:Southold st: NY zip: 11971
Building Permit#: i 48610 section: 61 Block: 1 Lot: 13.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: Modern Electric East License No: 55647ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service X
Commerical Outdoor 1 st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors
Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO
Transfer Switch UC Lights Dryer Recpt Emergency Strobe Heat Detectors
Disconnect Switches 4'LED Exit Fixtures Sump Pump
Other Equipment: 100A Panel 20 Circuits / 20 Used
Notes: Inspection of Service Unit 2 Meter 25
I
Inspector Signature: Date: December 16, 2022
S.Devlin-Cert Electrical Compliance Form
ho��OFSOUIyO� ��� S /3 L4 llpi A�
# # TOWN OF SOUTHOLD BUILDINGDEPT.
• 2
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) ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS: % V Gam/
MAS -
pea �-
DATE 7i INSPECTOR -
BUILDING DEPARTMENT-Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
Ca
Southold, New York 11971-0959
E®�®� ��p Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr(aDsoutholdtownny.aov - seand(cDsoutholdtownnygov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: 12/16/2022
Company Name: Modern Electric East, Inc.
Electrician's Name: Carl Rurhinoski
License No.: ME-55647 Elec. email:cariruthinski@hotmail.com
Elec. Phone No: 631-903-1430 1 request an email copy of Certificate of Compliance
Elec. Address.: PO Box 321, Mattituck, NY 11952
JOB SITE INFORMATION (All Information Required)
Name: 2245 MCR LLC 1
Address: 53345 Main Rd Bldg 11 Unit 2, Southold, NY 11971
Cross Street: Horton Lane 5-
Phone No.: 516-841-7634
Bldg.Permit#: LIG(o /b email: Featherhillvillage@gmail.com
Tax Map District: 1000 Section: Block: Lot:= -
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Survey of Electrical Service
Square Footage:
Circle All That Apply:
Is job ready for inspection?: YES ❑ NO ❑Rough In ❑ Final
Do you need a Temp Certificate?: ❑ YES 7V NO issued On
Temp Information: (All information required)
Service Size71 Ph❑3 Ph Size: A # Meters Old Meter#
❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead
# Underground Laterals D 1 2 H Frame M Pole Work done on Service? MY FIN
Additional Information:
PAYMENT DUE WITH APPLICATION I L�
C- #-CD (Q
PERMIT# Address:
Switches
Outlets
G F I's
Surface
Sconces
H H's
UC Lts
Fans Fridge HW
Exhaust Oven WAD
Smokes DW Mini
Carbon Micro Generator
Combo Cooktop Transfer
AC AH Hood Service
Amps Have Used
Special: /VV L9n' L� nl
Comments r
2'
BUILDING DEPARTMENT-Electrical Inspector
TOWN OF SOUTHOLD
o Town Hall Annex- 54375 Main Road - PO Box 1179
o ® Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr .southoldtownny.gov — seand&southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: 12/16/2022
Company Name: Modern Electric East, Inc.
Electrician's Name: Carl Rurhinoski
License No.: ME-55647 Elec. email:carlruthinski@hotmail.com
Elec. Phone No: 631-903-1430 01 request an email copy of Certificate of Compliance
Elec. Address.: PO Box 321, Mattituck, NY 11952
JOB SITE INFORMATION (All Information Required)
Name: 2245 MCR LLC
Address: ,
Cross Street: Horton Lane 5-
Phone No.: 516-841-7634
Bldg.Permit#: email: Featherhillvillage@gmail.com
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Survey of Electrical Service
Square Footage:
Circle All That Apply:
Is job ready for inspection?: YES ❑ NO ❑Rough In ❑ Final
Do you need a Temp Certificate?: ❑ YES 0 NO Issued On
Temp Information: (All information required)
Service Size -11 Ph❑3 Ph Size: A #Meters Old Meter#
❑New Service❑Fire Reconnect❑Flood Reconnect[]Service Reconnect❑Underground❑Overhead
#Underground Laterals 0 1 2 H Frame El Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATIONI �� 22 T>alr , , 2�
��G --3--2S 02,