HomeMy WebLinkAbout51854-Z �o�apF SOUj�O`o Town of Southold
* * P.O. Box 1179
� o
53095 Main Rd
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 46750 Date: 12/31/2025
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 480 Eastwood Dr Cutchogue, NY 11935
Sec/Block/Lot: 110.-3-13
Conforms substantially to the Application for Building Permit heretofore, filed in this office dated: 03/14/2025
Pursuant to which Building Permit No. 51854 and dated: 04/21/2025
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:
"As built" interior alterations, including window replacements, to existing single family
dwelling as applied for.
The certificate is issued to: Elmont Rlty LLC
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE: 51854 10/27/2025
PLUMBERS CERTIFICATION: Tufan Simsek 12/16/2025
Au riz d Signature
*OfSO&,yo TOWN OF SOUTHOLD
~° BUILDING DEPARTMENT
' o 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#: 51854 Date: 04/21/2025
Permission is hereby granted to:
Elmont Rlty LLC
4007 Merrick Rd
Seaford, NY 11783
To:
Legalize as built interior alterations and window replacements at existing single family dwelling as
applied for.
Additional certification may be required.
Premises Located at:
480.Eastwood Dr, Cutchogue, NY 11935
SCTM# 110.-3-13
Pursuant to application dated 03/14/2025 and approved by the Building Inspector.
To expire on 04/21/2027.
Contractors:
Required Inspections:
Fees:
As Built Alteration $865.00
CO Single Family Dwelling-Addition /Alteration $100.00
To 1 965.00
Building Inspector
SOUr��l
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 G •
Southold,NY 11971-0959 'Q
�y�OUNTy,��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Elmont Realty LLC
Address: 480 Eastwood Dr City: Cutchogue St: NY Zip: 11935
Building Permit#: 51854 section: 110 Block: 3 Lot: 13
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: Axios Electric Corp License No: 45299ME
SITE DETAILS
Office Use Only
Indoor Basement I Service Solar [—
Outdoor 1- 1st Floor Pool r Spa I-
Renovation r 2nd Floor rl Hot Tub r Generator 1-
Survey IF]
Attic 1- Garage rl Battery Storage (-
INVENTORY
Service 1 ph r Heat Duplec Recpt Ceiling Fixtures 3 Bath Exhaust Fan 3
Service 3 ph [ Hot Water GFCI Recpt 6 Wall Fixtures 5 Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures 24 CO Detectors
Sub Panel A/C Blower Range Recpt Gas Ceiling Fan Combo Smoke/CO
Transfer Switch UC Lights 28' Dryer Recpt Emergency Strobe Heat Detectors
Disconnect Switches 9 4'LED Exit Fixtures
Other Equipment: Fridge, Gas Oven, DW, Micro, Hood, (15)115ArcFault, (10)120ArcFault,(2)120Combo
Notes: AS BUILT NO VISUAL DEFECTS " Kitchen & (3)Baths Renovated
New Devices Everywhere
Inspector Signature: X - Date: October 27, 2025
Sean Devlin
Electrical Inspector
sean.devlin(cD-town.southold.ny.us
S. Devlin-Cert Electrical Compliance Form 2
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NY 1971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CE;R 11FIC:ATION
Datcjz Ulu
Building Permit No. 642. f
(PIease prin.t)
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(Please print)
rs = that the solder used in the water supply system contains less than 2/10 of 1% lead.
(Plumbers Signature)
Sworn to before me this
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# # TOWN OF SOUTHOLD BUILDING DEPT.
o Hn��'' 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST/ REBAR [ ] 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=d-eilol
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DATE 0 INSPECTOR
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OF S011lh°�
# # TOWN OF SOUTHOLD BUILDING DEPT.
cou 631-765-1802
INSPECTION :
[. ] -FOUNDATION 1ST/ REBAR [ ], ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] I ULATION/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
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DATE l I INSPECTOR.
Mejia, Evelin
From: Michael Lignos <axioselectric@verizon.net>
Sent: Wednesday, November 5, 2025 10:00 AM (�
To: Mejia, Evelin
i °
Subject: [SPAM] - Re:test
t N 0 V - 5 2025
Good morning Evelin, This is Mike with Axios electric I had met Sean October 27 at 4.80 Eastwood rd
Cutchogue according to his inspection report,we have fulfilled our obligation we installed;arc fault,Breakers we
also installed combination arc fault GFCI breakers. We made sure a few items that we discussed were GFCI
protected. We also put loose wires injunction box and save them off. I'm sending over a few pictures that
would make sense to himand if you need anything else from us, please reach out to me as our customer is trying
to sell this home and I think they want to get all their paperwork in order thank you,
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FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION (1ST)
-------------------------------------- --
FOUNDATION (2ND)
ROUGH FRAMING&
PLUMBING
INSULATION PER N. Y.
STATE ENERGY CODE
67
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FINAL
I xti�
C�N
ADDITIONAL COMMENTS
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4���gOfFO(y�oA�v TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone(631) 765-1802 Fax(631) 765-9502 https://www.southoldtownny.gov
Date Received
APPLICATION FOR BUILDING PERMIT � NJ
For Office Use Only
PERMIT N0. ✓�o S Building Inspector: Mai L
went
Applications and forms must be filled out m their entirety Incomplete Bui�din90 S�t odd
applications wilt not be accepted .Where the AppUcant Is not.the.owner,an �(oVdr1
Owner's Authoraatton;form;(Page 2)shaltbe:completed
Date:
OWNER(Sj OF.PROPERTY::
Name: t-Mo T KCA LTY LGC SCTM#1000-
Project Address:: W E14S'TG'�, OOD )9. CU-TC#0 GU G N Y � � 513`�
Phone#: s�u _ 311 — 4 b 9 1' Email: i:-,,vAt s Cil�•�f G�+1�,����, COMA
Mailing Address: 607 M C P P,fcl< -0� S�KF6kD Y )-]�3
Name: DEKAC--MoS -P --TIZAKIS
Mailing Address: db� SE AF-O P D N� 1 ) --793
Phone#: 5A� 319 ' Lf 6 EmaiL
DESIGN PROFESSIONAL INFORMATION
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION
Name: v •At W1(2
Mailing ddress: G o � V,
7.Phone#: Email: 6L P4:5w Al. Gw
.DESGRIPTIQIY O�PROPOSED DOINSTRVGTiON •. - -'.
❑New Structure ❑Addition ❑Alteration Repair ❑Demolitip EstimatecLCost of Project:
❑Other 0
Will the lot be re-graded? ❑YesJ No Will excess fill be removed from premises? ❑Yes NrNo
1
PROPERTY INFORMATION
Existing use of property: Sl NGL FAMILY 1-4zOAE Intended use of property: �CjN(.Le F�NR 1 L'/ )-ta�jiNj
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes VNo IF YES, PROVIDE A COPY.
1Ct Chec1C 16®X After Reading,: The owner/contractor/design professional is responsrble.forall dreinage:and storm,water issues as provided by
drapter 236 ofthe Town Co M eisne 4a T pr rh ding PermR pursuant to theaiudding Zone
Ordinance of the Town of5orthold,Suffolk,County,New;York and other applicable Laws Ordinances or Regulatrong for the construction of buildings
addrhons;alterations or for removal or demotrbon as herein desrnbed fhe applicant agrees to comply with all applicable laws;ordinances,6urlding code
=;housingtode and regutatronsand to admit authoraed inspectors on premises and rn builtlmg(s)for necessary mspecEions.False staternents made herein are
punishable as a doss A misdemeanor pursuantao Sectioni210 45 of he New:York State;Penal Law _
Application Submitted By(print name): DC KR E 79 W pETP IS ❑Authorized Agent §owner
Signature of Applicant: �G" Date: 3 `' 1 3 02
STATE OF NEW YORK)
SS:
COUNTYOF NNSEALA )
being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,(S)heisthe_r,&C-,M13C-_9, M0,NAGQK 0rf C—LMOMT �(-W y LLC
(Contractor,Agent,Corporate Officer,etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
application;that all statements contained in this application are true to the best of his/her knowledge and belief;and
that the work will be performed in the manner set forth in the application file therewith.
Sworn before me this
day of 1► � (,� 20 `�'�
Notary Public
BRIAN BMERWORTH `
Notary Public-State of New York
PROPERTY OWNER AUTHORIZATION ouaNfiiedinNa°ssauCou
(Where the applicant is not the owner) W Commission E*ires February 2Z2o
I, residing at
do hereby authorize to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
Owner's Signature Date
Print Owner's Name
2
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' BUILDINGDEPARTMENT- Electric < i •Spe
5 2025
TOWN OF SOUTHOL#
•Ildinq
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Town Nall Annex - 54375 Main road - P(� �,arty-ne,a4
molht,id
f Southold, New `fork 11971-0959
Telepnon;. (63 1 765-3 802 - FAX (631) 765-9502
rn �h{a�soutl�olohnor ssendsouthoidt oov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company game: f X &s L(e-C4,'c
Electrician's Name:
License No.: 44S &5g M C Elec. email: aX oS el �c��►
lJ Pf ZJ� • n.,�
Elec. Phone No: �-/G-yl 9 - 2-b►-7 112/ii request an email copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATION, (All Information Required)
Name: � 46 q'7- L -TY LLC
Address: i-Ie0 (�'%C 'G X V Sl�3C
Cross Street: M Q)W 0 6 D 0 A 1-
Phone No.:
BIdg.Permit#: b\Y)F71)� k email: da
Tax Map District: A000 Section: ( Block: - 2 Lot:- '
BRIEF DESCRIPTION OF VVO �, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
% -?,A-I\.s
Square Foot -
CircK All That.Apply:
is job ready for inspection?: YES I�IC Rough In [?J"Finai
Do you need a Temp Certificate"?: 0 YES NC� Issued On -
Tenip Information: (All information required)
Service Size❑1 PhFJ3 Ph Size: # deters - Old Meter#
❑Now ServicoM Pro PoconnectOP-lood Reconn€of DService Reconnect Underground®Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y I IN
Additional Information:
PAYMENT DUE WIT APPLICATION
U- I �-a5
Pd 150 ,c#
F'd ¢ 1 s-0 irc-st 1 2.0
5 2029,
;S3 f F"I't tr:21 speg
BUM-Ni'41(i f)�PARTIVIENT - Ele c
TOWN OF SOUTHOLD
I d' 11 zir ie-M
W,,na, le kg
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Town 1--.?!! Annex - 5437'� ;~flan:n Road - PCIf&
J'.
4�
o�"hold, Nev )/ork 197110959' U L
T e 7
b 5-95 02
APPLICATION, FOP, ELECTRICAL !NS' PECTION
ELECTRICIAN INFORIMATION kAH Infor mation ReqUired) H Date.,
Company Name: #4 )4,&S (--(e- -,'c Co.� C+f T
Electrician's Name: 4V
L L
License No.: 445- &Sq rr, tiec. ernaii: o_)oos e
Elec. Phone No:
-5-/6 -7 1 - ?-'6 1-7 L -11 request an email copy of (_`Iertilicate of Compliance
Elec. Address.:
-BY-112—
JOB SITE INFORMATION (All information Reqiffed',
Name: � t TY L L
Address: .S-7- (.D, // 3
4
Cross Street: IVI _b ul 0 L)
Phone No.:
Bldg.Permit*:
Tax Map District.- 1000 Section: Block- Lot--
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly;:
Square Footage.-
Circle_:All That Apply:
:_
is job ready for inspection?-, E.:s N CJ. C;U r i r
Do you need a Temp Certificate?- YPS �,J 0 ,ssued On
Temp Information: (All information required)
Service Size 1-11 PhFJ3 Ph Size- I---A Meters Old Met--r#-
New gorvicn0 Pire Pe60nnc-.,ctI7PJ00rJ [J ,, round 7- r r3 n.,rg _710verhoad
# Underground Laterals 1 2 17 H Frame role V-Vork done ry Seicel?
Additional Information:
PAYMENT DUE WITH APPLICATION
� � � a5
10 -VZ-2-1; Ree C*)'I I I Z 0
PERMIT# Address:
Switches w
Outlets
G F I's
w
Surface ( �f
Sconces
H H's
UC Lts '2CJ� Fridge ! HW POOL
Panel
Fans Mini Fr. W/D Pump
Exhaust Oven � Sump Heater
9 Trnsfmr
Smokes DW Generator Salt Gen.
Water Bond
Carbdn M.i;cro Grb.Dis Lights
Heat Pucks ERV
HOT TUB/SPA
Inst Hot DeHum Transfer Disc
Combo ,/Cooktop Minisplit
Blower
AC AH Hood Blower
Service Amps Have Used
Sub Amps Have Used
Comments f ::�2 lo ,
SCOPE OF WORK:
At 480 Eastwood Drive, Cutchogue, NY,the homeowners have asked me to complete the
following:
1. Kitchen:
Remove all existing kitchen cabinets,appliances and tile.
Install new tile.
Direct replacement of kitchen cabinets.
Install new appliances.
Install new counter top and back splash chosen by homeowner.
2. First Floor Bathroom:
Remove first floor toilet,vanity and shower enclosure.
Install new tile,toilet,vanity and shower.
3. Second Floor Main Bathroom: OCCUPANCY OR
Remove tile,shower,toilet and vanity.
Install new tile selected by homeowner. USE IS UNLAWFUL
Install new vanity and toilet. WITHOUT CERTIFICATE
4. Master Bathroom: OF OCCUPANCY
Removal of tile,vanity,toilet,shower and tub.
Install new tile chosen by homeowner.
Install new vanity,toilet, shower and tub.
COMPLY WITH ALL CODES OF
A NEW
U EONTNP ROVED AS NOTED S QRD AND C OS OF
DA E• �'SB.P. .K S�1J31lO1� ONINBR
J � � BY: ,, ,,,,.S0UTi10 100 PIAWNG BOARD
EM
NOTIFY BUILDING DEPARTMENTATTOWNTEES
631-765-1802 8AM TO 4PM FOR THE )I.I S
FOLLOWING INSPECTIONS: � I
1. FOUNDATION-TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH-FRAMING&PLUMBING s�
3. INSULATION
4. FINAL-CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTON ERRORS Additional
Certification
May Be Required.
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