HomeMy WebLinkAbout52495-Z ho��oe soujyo`o Town of Southold
* P.D. Box 1179
�oQ 53095 Main Rd
`��nuxrr a Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 46756 Date: 01/06/2026
THIS CERTIFIES that the building AS BUILT HVAC
Location of Property: 475 Lilac Ln Cutchogue, NY 11935
Sec/Block/Lot: 104.-1-17
Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 10/16/2025
Pursuant to which Building Permit No. 52495 and dated: 11/25/2025
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" central air conditioning as applied for.
The certificate is issued to: Alexis Livanos
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE: 52495 12/17/2025
PLUMBERS CERTIFICATION:
LthorUd Signature
ofSOO TOWN OF SOUTHOLD
BUILDING DEPARTMENT
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#: 52495 Date: 11/25/2025
Permission is hereby granted to:
Alexis N Livanos
24 Decatur St Unit 2
Cos Cob, CT 06807
To:
legalize "as built"central air conditioning as applied for.
Premises Located at:
475 Lilac Ln, Cutchogue, NY 11935
SCTM# 104.1-17
Pursuant to application dated 10/16/2025 and approved by the Building Inspector.
To expire on 11/25/2027.
Contractors:
Required Inspections:
Fees:
As Built HVAC $500.00
CO-RESIDENTIAL $100.00
Total S600.00
Building Inspector
SO(/j�Olo .
Town Hall Annex Telephone(631)765-1802
54375 Main Road G
P.O. Box 1179
Southold,New York 11971-0959 �lif'COU '�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Alexis N Livanos
Address: 475 Liliac Ln City: Cutchogue st: NY zip: 11935
Building Permit#: 52495 Section: 104 Block: 1 Lot: 17
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Electrician: AS BUILT License No: N/A
SITE DETAILS
Office Use Only
Commercial Indoor X Basement Service Solar
Residential X Outdoor X 1 st Floor Pool Battery Storage
As-built X Renovation 2nd Floor Hot Tub EV Charger
New Addition Attic Spa Generator
Survey X Mezzanine Garagel I 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 1 Single Recpt RecessdFixtures Combo Smoke/CO Transformer
Sub Panel A/C Blower 1 Range Recpt Ceiling Fan Heat Detectors Salt Gen
Transfer Switch Mini Split Dryer Recpt UC Lights Fridge AutoCover
ARC Blower Heads 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: 40A Breaker
Notes: "AS BUILT NO VISUAL DEFECTS " HVAC
Inspector Signature: Date: December 17, 2025
0f SOUIyo�
TOWN 'OF SOUTHOLD BUILDING DEPT.
co 631-765-1802
INSPECTION ,
[ ] FOUNDATION 1ST/ REBAR ' [ ] ROUGH PLBG.
[ ] . FOUNDATION 2ND [ ] INSULATIIOWCAULKING
[ ] 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: �44 . D. M G(A�u
DATE /off- INSPECTOR
OF SObT 7(g Z
T e �
# THOLD BOLDING DEPT.
�o OU
°ycou <631-765 1802___,
INSPECTI-ON
[ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG.
[ ]: FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] .FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [. ] FIRE-RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) PADELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS:
[0. ��j 0 n A e)M-e r
DATE S INSPECTOR
UF SOUTyOIo AV,l - -
# # TOWN CIF-�OUTHOLD BOIL<DING DEPT.
IOU 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: c r mil, l�
DATE f INSPECTOR c
FIELD INSPECTION REPORT I DATE COMMENTS
FOUNDATION (1ST) — — ---- — --- -j
---�
-- — - - am
--------------------------------------
FOUNDATION (2ND) —
- On
ROUGH FRAMING&
PLUMBING
i
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r
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INSULATION PER N.Y. - -
STATE ENERGY CODE —
2 c. 9. cam.
pA,tktt,ilti, -
FINAL
r ,
ADDITIONAL COMMENTS C
- -- X
cn
a
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-- b
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Docusign Envelope ID:43F34056-FE6B-49B6-9FCE-26324215C9CA
511ffotAc�Gy� TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
oy °` Telephone(631) 765-1802 Fax(631) 765-9502 haps://www.southoldtownny.RO
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
1(, q F�
PERMIT NO.5� Building Inspector: S O CT I 5 2025
c
Applications and forms must be filled out in their entirety.Incomplete 030di~10 Department
applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. Town r� �, l f h,�id
Date: 5/19/2025
OWNER(S) OF PROPERTY:
Name: Alexis Livanos SCTM# 1000- 104-00-01-00-017-000
Project Address: 475 Lilac Lane cutchogue NY
Phone#: 914-924-3678 Email: andrew.livanos@gmail.com
Mailing Address: 475 Lilac Lane cutchogue NY 11935
CONTACT PERSON:
Name: Melissa Pri nci pi
Mailing Address: Po Box 948 cutchogue NY 11935
Phone#: 631-745-0875 Email: principi .melissa@gmail.com
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
Name:
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
K7other
Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? ❑Yes NNo
1
Docusign Envelope ID:43F34056-FE6B-49B6-9FCE-26324215C9CA
PROPERTY INFORMATION
Existing use of property: Residential Intended use of property: Residential
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? []Yes D No IF YES, PROVIDE A COPY.
® Check Box After Reading: The owner/contractor/design professional is responsible for all drainage and storm water Issues as provided by
Chapter 236 of the Town Code. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone
Ordinance of the Town of Southold,Suffolk,County,New York and other applicable Laws,Ordinances or Regulations,for the construction of buildings,
additions,alterations or for removal or demolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code,
housing code and regulations and to admit authorized inspectors on premises and in building(s)for necessary inspections.False statements made herein are
punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law.
Application Submitted By(print name): Melissa Pri nci pi ]Authorized Agent ❑Owner
Signature of Applicant: Date_
CONNIE D.BUNCH
STATE OF NEW YORK) Notary Public;State of New York
SS: No.01 BU6185050
Qualified in Suffolk County
COUNTY OF
Commission Expires April 14,2 UOa
being duly sworn,deposes and says that (s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the Agent
(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
p
I_ -ay of �� 20� 41 -1-)17� k�' `V�'�
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
I� Alexis Li vanos residing at 475 Lilac Lane, cutchogue NY 11935
do hereby authorize Melissa Pri nci pi to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
Signed by:
SE411 EA009F 7...
Owners Signature Date
Alexis Livanos
Print Owner's Name
2
LL
�511fFDt�, !UILDING DEPARTMENT-Electrical Inspector
TOWN OF SOUTHOLD
;z OCT 1 5 20�own Mall Annex- 54375 Main Road - PO Box 1179
co
o • Southold, New York 11971-0959
F'W,u,,- . nm,m?ent Telephone (631) 765-1802
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: b IN 2
Company Name:
Electrician's Name:
License No.: Elec. email:
Elec. Phone No: ❑I request an email copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATION (All Information Required)
Name: A U/-a S 1, Va t b5
Address: 5 L %- l OiC L
Cross Street:
Phone No.: _ _ —)
Bldg.Permit#: 5Nq15 email: G �,1rQb
Cow
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
LP -Ci Z2 ��Q P/C (fQS-I�u o
Square Footage:
Circle All That Apply:
Is job ready for inspection?: YES ❑ NO ❑Rough In ❑ Final
Do you need a Temp Certificate?: ❑ YES�1O 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 1 F12 0 H Frame Pole Work done on Service? Y F1N
Additional Information:
PAYMENT DUE WITH APPLICATION
G�
Fop �J UILDING DEPARTMENT- Electrical Inspector
y TOWN OF SOUTHOLD
-Town=Hall Annex - 54375 Main Road - PO Box 1179
,o try�! Southold, New York 1 1 971-0959
Telephone (631) 765-1802
of ,� ��:<.• - �;_`_
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: Z
Company Name:
Electrician's Name:
License No.: Elec. email:
Elec. Phone No: ❑I request an email copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATI�O"N� (All Information Required)
Name: A 1 S L \/O K v5
Address: 5 L- It Ot L
Cross Street: (
Phone No.: ol I —
Bldg.Permit#: 5� cj email: Ct leb i r 5 F-)C,'iy
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
L0-C
CAL ZA C� �-c- P/C- aQS-I-Dv* 1 k
Square Footage:
Circle All That Apply:
Is job ready for inspection?: Er YES ❑ NO []Rough In ❑ Final
Do you need a Temp Certificate?: ❑ YES �1O 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 0 1 FJ2 H Frame M Pole Work done on Service? Y MN
Additional Information:
PAYMENT DUE WITH APPLICATION
� � I � �330
PERMIT# Address:
Switches
Outlets
G F I's
Surface Q
JC/
Sconces
H H's
UC Lts Fridge HW POOL
Panel
Fans Mini Fr. W/D Pump
Exhaust Oven Sump Heater
Trnsfmr
Smokes DW Generator Salt Gen.
Water Bond
Carbdn, Micro , . ; Grb.Dis Lights
Heat Pucks ERV
HOT TUB/SPA
Inst Hot DeHum, Transfer Disc
Combo ;' Cooktop Minisplit
Blower
AC
dH \ Hood Blower
Service Amps Have Used
Sub Amps Have Used
Comments
S.C.T.M. NO. DISTRICT: 1000 SECTION: 104 BLOCK: 1 LOT(S):17
IT
• a
o LAND N/FOF
M
� BOURGRCUIGNON
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I 6 .ST elan£:FENCE 't4 PIP.£
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LAND N F
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'A"5
Gi CODOOR
NC. PATIO 9.5 SHOWER.
w00o
I: 'n GATE"' DEC*
0.6'W
- -26.7'
RpiSED W►iCH GAS
ln 64.0� �V
1.7' OWTIL co
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a: p O
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CA 0
440•p8
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L PIPE
1528' -
I' Moiv Sgg°48 30•� '
BONE � ..... _ _..
_ I �DSH�
'U.P. \
THE WATER SUPPLY, WELLS AND CESSPOOL
LOCATIONS SHOWN ARE'FROM FIELD OBSERVATIONS
AND OR DATA OBTAINED FROM OTHERS.
AREA: 23,960.38 SQJT. or 0.55 ACRES ELEVATION DATUM:
UNAU7140RIZED ALTERATION OR ADD177ON TO THIS-SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW, COPIES OF THIS SURVEY
MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE 77TLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INS77TU77ON
LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEE'S ARE NOT TRANSFERABLE,
THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE
NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE EREC77ON OF FENCES, ADD177ONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS
AND/OR SUBSURFACE S7RUCfiURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON 7HE PREMISES AT THE TIME OF SURVEY
SURVEY OF: DESCRIBED PORTION OF LOT 105 CERTIFIED T0: ALEXIS C. LIVANOS;
MAP OF: NASSAU FARMS FIRST AMERICAN TITLE INSURANCE COMPANY;
FILED: MARCH 28, 1935 No.1179
SITUATED AT: PECONIC
TOWN OF: SOUTHOLD KENNETH. .M. WOYCHUK L.S.
SUFFOLK COUNTY, NEW YORK Land Surveying and Design
f, l P.O. Boa 3, Mattituck, New York, 11952
FILE 12-59 SCALE: 1"--30' DATE: MARCH 21, 2012 PHONE (031) 298-1568 PAX (831) 296-1586
N, Y. S. LIC NO, 50227 maintaining the records of.Robert J. Henne_e!q,
6Q
APP OV D'A NOTED
DA .P.
FEE BY
NOTIFY BUILDING DEPARTMENT AT
631-765-1802 8AM TO 4PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION-TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH-FRAMING&PLUMBING
3. INSULIJION
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
ELECTRICAL
COMPLY WITH ALL CODES OF INSPECTION REQUIRED
.NEW YORK STATE&TOWN CODES
AS REQUIRED AND CONDITIONS OF
SOUTHOLD WN ZBA
SOUTHO OWN PLANNING BOARD
SOUTH TOWN TRUSTEES
._N.Y.S. C
OLD Hpc
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
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REFRIGERANT R410A DESIGN PRESSURE: 550 Psi
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