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�O4, pF SOUlyylo Town of Southold * * P.O. Box 1179 o0 53095 Main Rd Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 46768 Date: 01/08/2026 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 2835 Harbor Ln Cutchogue, NY 11935 S ecB lock/Lo t: 13 6.4-21 Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 10/23/2025 Pursuant to which Building Permit No. 52509 and dated: 12/04/2025 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" HVAC as applied for. The certificate is issued to: 275 Oak LLC Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: 52509 12/19/2025 PLUMBERS CERTIFICATION: Au ho zed Signature ofSOUTyD(o TOWN OF SOUTHOLD BUILDING DEPARTMENT k, 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#: 52509 Date: 12/04/2025 Permission is hereby granted to: 275 Oak LLC 115 Sutton St Brooklyn, NY 11222 To: legalize "as built" HVAC as applied for. Premises Located at:. 2835 Harbor Ln, Cutchogue, NY 11935 SCTM# 136:1-21 Pursuant to application dated 10/23/2025 and approved by the Building Inspector. To expire on 12/04/2027. Contractors: Required Inspections: Fees: HVAC $500.00 CO-RESIDENTIAL $100.00 Total $600.00 g Inspector O��pF SO(/j�ol � o Town Hall Annex Telephone(631)765-1802 54375 Main Roadell- N P.O.Box 1179 Southold,New York 11971-0959 ��iY�0UNT1,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: 275 Oak LLC Address: 2835 Harbor Ln City: Cutchogue st: NY zip: 11935 Building Permit#: 52509 Section: 136 Block: 1 Lot: 21 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Electrician: Electric Life Inc. License No: 62536ME SITE DETAILS Office Use Only Commercial Indoor X Basement Service Solar Residential X Outdoor 1st Floor Pool Battery Storage As-built Renovation 2nd Floor Hot Tub EV Charger New X Addition Attic Spa Generator Survey X Mezzanine Garage Dock INVENTORY Service 1 ph In-wall Heater Recpt Ceiling Fixtures Smoke Detectors Pump Service 3 ph Hot Water GFCI Recpt Wall Fixtures CO Detectors Heater Main Panel A/C Condenser Single Recpt RecessdFixtures Combo Smoke/CO Transformer Sub Panel A/C Blower Range Recpt Ceiling Fan Heat Detectors Salt Gen Transfer Switch Mini Split X Dryer Recpt UC Lights Fridge AutoCover ARC Blower Heads 4 Switches Pucks Lights Dishwasher Mini Fridge GFI SepticDisconnect Emrgency Strobe 4'LED Microwave Garbage Disp. ARC/GFI ERV Exit Lights Bath Exhaust Hood Dehumidifier Other Equipment: Notes: Minisplit HVAC Inspector Signature: Date: December 19, 2025 OF SOUTyO } # TOWN OF SOUTHOLD BUILDING DEPT. y'rouffm ' 631-765-1802 INSPECTION [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I ULATION/CAULKING [ ] FRAMING /STRAPPING [ FINAL ] FIREPLACE &-CHIMNEY [ ] FIRE SAFETYINSPECTION [ ]. FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) . [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O ( ] RENTAL REMARKS: r DATE INSPECTOR SOUIyO l� f � # # TOWN OF S UTHOLD BUILDING 6T. cou ,N 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: \ a4J- Twwr y " U''to DATE INSPECTOR pF SOUTyo� �/� 7,< qq�-��J TOWN OF SOUTHOLD BUILP11 DEPT. 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 1 1 ► �1 9c� REMARKS. �t Prl�dh P DATE INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS CT -o FOUNDATION (1ST) — ------- —____-.— __ -------------------------------------- FOUNDATION (2ND) z � o ROUGH FRAMING& PLUMBING a 1 — S r r INSULATION PER N. Y. STATE ENERGY CODE — - -. FINAL ADDITIONAL COMMENTS U - . 1-ate c.tk \I -= -- o z rn z — — r — - x r a S�fFO �04° co� M TOWN OF SOUTHOLD—BUILDING DEPARTMENT y x Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 �y�o• �ao� q Telephone(631) 765-1802 Fax (631) 765-9502 https://www.southoldtowmy_gov Date Received APPLICATION FOR BUILDING PERMIT or Office Use Only /)PERMIT N0. 502 0 CT 2 3 2025�v Building Inspector: Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted. Where the Applicant is not the owner,an t Owner's Authorization form(Page 2)shall be completed. Date: OWNERS)OF PROPERTY: Name: SCTM#1000- _ . . 2- 5 0-0V_ s� �� �- C. __ _ _ I- a .I Project Address: Phone#: .. _ _ I"�'. 0- _ Email: LU P RUC-« 1i - _ Mailing Address: iD NY CONTACT PERSON: Name: L_V5©Kl y- ran, Mailing Address: .. . . . LLJ. .. S� l l 13.N. _ �C-L �O�P .. . ((22Z YV- Phone#: __.�._ - 1JC- a . Email: �,.fl 0�•- ,qcc) DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: $0� Phone#: S 1l0 co _ Email: �,r✓��-�� CONTRACTOR INFORMATION: II Name: , M ailing Address: Phone#: IS 3( u Email: �r �'� t��1�EI NC �j Y f("iop e coll DESCRIPTION OF PROPOSED CONSTRUCTION El New Structure Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other' $ 7-7 Will the lot be re-graded? ❑Yes.kNo Will excess fill be removed from premises? ❑Yes ONO 1 i BUILDING DEPARTMENT-Electrical Inspector �.� yam► TOWN OF SOUTHOLD o '` Town Hall Annex- 54375 Main Road - PO Box 1179 oy • Southold, New York 11971-0959 ,fj01 Sao Telephone (631) 765-1802 APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 10/10/2025 Company Name: ELECTRIC LIFE INC. Electrician's Name: John Calabrese License No.: ME-62536 Elec. email:electriclifeinc@yahoo.com Elec. Phone No: 516-643-0423 El I request an email copy of Certificate of Compliance Elec. Address.: PO Box 657 - 27 Gabriel Mills Road, Wading River, NY 11792-1505 JOB SITE INFORMATION (All Information Required) Name: Lu Prucha Address: 275 Oak Street, Cutchogue, NY 11935 is 2,S35 1'1R��jOR !~ENE Cross Street: Phone No.: �?�q Bldg.Permit#: 52 50 email: Q AOL .Ca Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): AC-Split Unit-Electric Square Footage: °1c-0 Circle All That Apply: Is job ready for inspection?: ❑✓ YES ❑ NO ❑Rough In ❑✓ Final Do you need a Temp Certificate?: ❑ YES Fv-] 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 1 D2 H Frame Pole Work done on Service? 0 Y N Additional Information:AC-Split Unit-Electric: -Installed AC disconnect on exterior of home. -Installed 10 gauge 240v 25a home run from AC disconnect to main panel. -Wired exterior unit to AC disconnect. -Brought wires from 4 interior units into exterior unit& terminated them. PAYMENT DUE WITH APPLICATION 4S�f�p��c BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 ® v N Southold, New York 11971-0959 ✓�� ,�o�`' '�' Telephone (631) 765-1802 APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 10/10/2025 Company Name: ELECTRIC LIFE INC. Electrician's Name: John Calabrese License No.: ME-62536 Elec. email:electriclifeinc@yahoo.com Elec. Phone No: 516-643-0423 Ell request an email copy of Certificate of Compliance Elec. Address.: PO Box 657 - 27 Gabriel Mills Road, Wading River, NY 11792-1505 JOB SITE INFORMATION (All Information Required) Name: Lu Prucha Address: 275 Oak Street, Cutchogue, NY 11935 2�J�� hAR�OR t~ANE Cross Street: Phone No.: "11'} 53°I 4 5 80 Bldg.Permit#: 52 60 2 email: I.VPK\)r,"9 Q AOL. .Co Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): AC-Split Unit-Electric Square Footage: qa® Circle All That Apply: Is job ready for inspection?: ❑✓ YES ❑NO ❑Rough In ❑✓ Final Do you need a Temp Certificate?: ❑ YES Fv-1 NO Issued On Temp Information: (All information required) Service Size❑1 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 Pole Work done on Service? MY N Additional Information:AC-Split Unit-Electric: -Installed AC disconnect on exterior of home. -Installed 10 gauge 240v 25a home run from AC disconnect to main panel. -Wired exterior unit to AC disconnect. -Brought wires from 4 interior units into exterior unit &terminated them. PAYMENT DUE WITH APPLICATION aVA APP 0 ED AS NOTED DATE 5B.P.# 7� FEE - BY NOTI BUILDING DEPARTM NTAT 631.765-1802 8AM TO 4PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION-TWO REQUIRED FOR POURED CONCRETE 2. ROUGH-FRAMING&PLUMBING 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 COMPLY WITH ALL CODES OF NEW YORK STATE &TOWN CODES AS REQUIRED AND ONDITIONS OF SO LD TOWN ZBA SO OLD TOWN PLANNING BCn 80 OLD TOWN TRUSTEES N -S,DEC UTHOLD HPC SCHD OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY ELECTRICAL INSPECTION REQUIRED Page No_ 1 of 2 pages 11500 Old Sound Avenue,Pb Box 106 59kolb Mattituck,New York 11952 P 631-298-5527 J F 631-298 5534 HEATING + COOLING www.1,oiomecnanfcal.com 2855 HARBOR LANE CUTCHOGUE 11935 E yfciteraDY �bmitap�drteaiorsand�arntcfm Provide:and install a new four(4)zone Mitsubishi ductless Variable Refrigerant Flow high efficiency heat pump heating and air conditioning system to consist of the followings Zane#1: Kitchen. • One(1) Mitsublshi, model#MSZ-GS09NA, 9,000 BTU, ductless high efficiency fully modulating wall mounted fan coil unit to be installed in the Kitchen, exact location to be determined. Zone#2: Living Room. • One.(1) Mitsubishi, model *MSZ-GS09NA,9,000 BTU, ductless high efficiency Fully modulating wall mounted fan coil unit to be installed in the Living Room, exact location to be determined. Zone.#3:Bedroom #1. • One (1)Mitsubishi, model #MSZ-GS06NA, 6,000 BTU, ductless High efficiency fully modulating wall mounted fan coil unit to be installed in the Second Floor Bedroom#3, exact location to be determined. Zone 94: Bedroom #2: • One(1)Mitsubishi, model #MSZ-GS06NA, 6,000 BTU, ductless high efficiency Fully modulating wall mounted fan coil unit to be installed in the Second Floor Bedroom #4, exact location to be determined. Beat Pump: • One (1) Mitsubishi, model#MXZ-4C36NA, 36,000 BTU, multi-port Variable Refrigerant Flow high efficiency outdoor heat pump condensing unit to be installed at the residence exterior, enact location to be determined. Unit shall be set on a pre-cast slab. f Upon accepter pies---dale,sign by the-r and return yetlmv copy with your depcSiL KQLB MECHANICAL H11tTING a AtR CONCITIQNING In the event crns a=otml is iolvimved io cowma7 for cam;t-m Fho purchaser shall be 6abte for ail reasonable teea of Kolb MedwficAl Corp., It Is the iesp=iba_y of he Homecwna to have quaifind Scmco i4ochanics maintain heating and air eor)d&rimg,-,4ulpment as aequired by man- eiaacterin'order to aeserve warrantee. A6 Mixr w shalt rarrreln prop"of Koib Mechanical Corp-urtt'1 Fully pair A8 past duo accounts shag be wnafged inwesi ct i.s%w month_ An par.onts 64:u upon Rece%r' ' 02 TIOpOSt herityj to famth ma.'arial and kbor-cm-plate in amarda�A)e wtfh above spe,__iA Mans,for the Eum at Base TOM) 00ons Total Grand Toral Payment to be mice as for*ws: At t vaW c t;;matmra ta oo as,-,=ai Al sa+;b to mq*W x;4?.W=l'.sa a ama axrrtTn;udsrdyade�clAyHi�llnQeea;�ntanGeTtskrero.bjeva Authorized m9yrl ttl tiso.L�f t/tTttwtf5:tlat�a�eil bey-woes Caro azl:Siet`e Signmwe c,s:-ra ad agcc-xr�aaag:rt.zt:�sa�ics�txyrrevcaucc:trsm+ts txrtGGm'sti�aeLtCJccc: iry'ha^Sdd:la. C+eM7FAt5as11A1rc.erxth155br:7�'i3 ha:n:lt:i.proj=rraYbo ca-Pmwan NSLL'dKE vMrEravis byesit nst.acccptad W+hm is eandi ns am:aQlilwz ElIfOlUt Of ry atd ata tuft amEp:ed. Ycu ara evbtmzed to do Ce mit as speraTisd. Pratt Nama Cz:e of Accer"ce 1(sig tatiae