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Home My WebLink About51844-Z yo�,�Of SOUl�,olO Town of Southold * * P.O. Box 1179 c4 53095 Main Rd Southold, New York 11971 i CERTIFICATE OF OCCUPANCY No: 46541 Date: 10/01/2025 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 4600 Old North Rd Southold, NY 11971 Sec/Block/Lot: 55.-2-6 Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 03/12/2025 Pursuant to which Building Permit No. 51844 and dated: 04/18/2025 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 a finished basement to an existing single-family dwelling as applied for. The certificate is issued to: Alison Bloomer Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: 51844 9/30/2025 PLUMBERS CERTIFICATION: tho a Sig ture �*0sftr TOWN OF SOUTHOLD BUILDING DEPARTMENT ' 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#: 51844 Date: 04/18/2025 Permission is hereby granted to: Alison L Bloomer 4600 Old North Rd Southold, NY 11971 To: Legalize "as built" interior alterations to include a first-floor bathroom and finished basement to an existing single-family dwelling as applied for. Additional certification may be required. Premises Located at: 4600 Old North Rd,Southold, NY 11971 SCTM#55.-2-6 Pursuant to application dated 03/12/2025 and approved by the Building Inspector. To expire on 04/18/2027. Contractors: Required Inspections: Fees: As Built Addition/Alteration $1,222.00 CO Single Family Dwelling-Addition /Alteration $100.00 Total $1,322.00 Building Inspector _____ SOUj��l 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 G • Southold,NY 11971-0959 �Q �yC4UNT`I,Oc� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Alison L Bloomer Address: 4600 Old North Rd City: Southold St: NY Zip: 11971 Building Permit#: 51844 Section: 55 Block: 2 Lot: 6 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: AS BUILT License No: SITE DETAILS Office Use Only Indoor r%0— Basement I✓ Service Solar (— Outdoor 5-0 1st Floor F Pool F Spa r Renovation F 2nd Floor r Hot Tub r Generator (— Survey rr"I Attic rF I Garage Battery Storage (— INVENTORY Service 1 ph F70, Heat Duplec Recpt 9 Ceiling Fixtures 3 Bath Exhaust Fan Service 3 ph r Hot Water GFCI Recpt 3 Wall Fixtures 2 Smoke Detectors Main Panel 200A A/C Condenser Single Recpt Recessed Fixtures 10 CO Detectors Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transfer Switch UC Lights Dryer Recpt 30A Emergency Strobe Heat Detectors Disconnect Switches 9 4'LED Exit Fixtures Other Equipment: 200A Panel 40 Circuit/ 29 Used Notes: " AS BUILT NO VISUAL DEFECTS " Finished Basement & Service Inspector Signature: X Date: September 30, 2025 Sean Devlin Electrical Inspector sean.devlina-town.southold.nv.us 46000ldNorthBasement pF SOUIyOIo 'F # TOWN OF SOUTHOLD ,BUILDING DEPT. coum, 631-765-1802 INSPECTION , [ ] FOUNDATION 1 ST/ REBAR [ ] ROU PLBG. [ ] FOUNDATION 2ND [ ] SULAnTION/CAULKING- [ ] FRAMING /STRAPPING [ FINAL ttJ aL kiks [: ] .FIREPLACE &-.CHIMNEY [ : ] FIRE SAFETY INSPECTION [ : ] FIRE RESISTANT.CONSTRUCTION [. I FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) . ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: DATE INSPECTOR \ �apF 50//T,�o o (n^ SOU O # # TH LD BUILDING DEPT. TOW OF 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) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: ` '�-,!1 w,4AIA /6 ta� Q (di6� f221- �Ertdoe - crux�-- 0 i206A G t-AYEA (00M C DATE INSPECTOR FIELD INSPECTION REPORT' COMMENTS .......... FOUNDATION (1ST) -------------------------------------- --- FOUNDATION (2ND) ROUGH FRAMING & ---- PLUMBING ---------- ................ INSULATION PER N. Y. STATE ENERGY CODE ------- --------------- ...............- FINAL ADDITIONAL COMMENTS 00 0 ............. ........ ------------- ------------- ------------------- - ---------- .... ;rp S,004co`= TOWN OF SOUTHOLD -BUILDING DEPARTMENT y x t Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 • � Telephone(631) 765-1802 Fax (631) 765-9502 https://wm,\v.sotitholdtowno.ggov Date Received APPLICATION FOR BUILDING; PERMIT % ,q S For Office Use Only Lj�, 1 2 2025 PERMIT NO. 51 3 I�. I Building Inspector: _IZUM0 Applications and forms must be filled out in their entirety. Incomplete ing Oepa Old applications will not be accepted. Where the Applicant is not the owner,an g.To O n ofoa Owner's Authorization form(Page 2)shall be completed. Date: fA lkf e,4 10 1LO el,5- OWNERS)OF PROPERTY: Name:Alison Lew Bloomer SCTM#i000- Project Address:4600 Old North Road Southold NY 11971 Phone#:917-873-7306 Email:alisonlew7@gmail.com MailingAddress:4600 Old North Road Southold NY 11971 CONTACT PERSON: Name:Joan Chambers Mailing Address: 'P- 0Z +ct S p ��,r) M%J ( JCL -1 Phone#: Of — 2-q4— 0 4t Email: i oar\C-k&Mb.1-rJ to @ mat C a ffx• DESIGN PROFESSIONAL INFORMATION: Name: �_v U S C.hWa^Z. Mailing Address: -7 f�,l p&ewoQD s7r. 'Bit- s t-w 46b Phone#: (o 31 — -410 "- (o83$ Email4 0(-e �v►n�e�► @ rria� � - COrr�. CONTRACTOR INFORMATION: Name: (V[ZeQ LVVt —AS 80IL- Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: DOther as-built $ Will the lot be re-graded? ❑Yes ONO Will excess fill be removed from premises? ❑Yes El No 1 PROPERTY INFORMATION Existing use of property:Single family residential Intended use of property:Same Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to C this property? Dyes BNo IF YES, PROVIDE A COPY. R 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): §I;Gthorized Agent ❑Owner Signature of Applicant: Date: 3-12 STATE OF NEW YORK) SS: COUNTY OF 5U-WO I I( ) 0AN C RAYY�BO- Zs- being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the 46tw-v- (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 � fidayof I`�IarG ,20 _d5 J0 ar-W Luic�l tary Public TPAOCY L. EQjyER NOT,aRY PLIPLIC,STATE OF NEW YORK NO.01 DWf,306900 PROPERTY OWNER AUTH0RlZATl0Nr,UAU PIED IN SU-FOLKcOWi (Where the applicant is not the owner) COMM",S;ora E7" V: MS JUNE 30,2Qg* )� Alison Lew Bloomer residing at 4600 Old North Rd Southold NY 11971 do hereby authorize Joan Chambers to apply on my behalf to the Town of Southold Building Department for approval as described herein. March 10, 2025 Owner's Signature Date Alison Lew Bloomer Print Owner's Name 2 BUILDING DEPARTMENT-.Electrical Inspector TOWN OF SOUTHOLD =` Town Hall Annex- 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 jamesh southoldtownny.gov — seand(oD-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: S— 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) ;e- Name: �E)m2� Address: QQ p I✓ Cross Street: Phone No.: Bldg.Permit#: 57 9LILI email: 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?: ❑ YES ❑ NO ❑Rough In [] Final Do you need a Temp Certificate?: ❑ YES ❑ 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 1 2 F H Frame Pole Work done on Service? Y FIN Additional Information: PAYMENT DUE WITH APPLICATION A V O aS_ � o�®SUFFO(�.�� BUILDING DEPARTMENT- Electrical Inspector �� yea TOWN OF SOUTHOLD o '` Town Hall Annex- 54375 Main Road - PO Box 1179 N Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 jamesh(ab-southoldtownny.gov - seand(aD-southoldtownny.aov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 4/22/25 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: Alison Lew Bloomer Address: 4600 Old North Road Cross Street: North Road and Mount Beulah Phone No.: 917-873-7306 BIdg.Permit#: 5-7 email: alisonlew7@gmail.com Tax Map District: 1000 Section: 55 Block: 2 Lot: 6 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): as-built bathroom Square Footage: 130 Circle All That Apply: Is job ready for inspection?: ✓0 YES ❑ NO ❑Rough In ❑ Final Do you need a Temp Certificate?: ❑ YES ❑ NO Issued On Temp Information: (All information required) Service Size❑1 Ph❑3 Ph Size: A # Meters Old Meter# El New Service❑Fire Reconnect[]Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals 1 2 R H Frame Pole Work done on Service? M Y DN Additional Information: PAYMENT DUE WITH APPLICATION 0�_� PERMIT# Address: Switches j Outlets G F I's Surface Sconces H H's UC Lts Fridge HW POOL Fans Mini Fr. W/D�� 1 Panel Pump Exhaust Oven Sump Heater Trnsfmr Smokes DW Generator Salt Gen. Carbon Micro GrbDis Water Bond Lights Heat Pucks ERV HOT TUB/SPA Inst Hot DeHum Transfer Disc Combo Cooktop Minisplit Blower AC AH Hood Blower Service Amps2QO Have�y Used Sub Amps Have Used Comments 213/25,3:41 PM IMG_7214.jpeg "n•#«•i•,ra•►•�•rgY rirar�r�Ygrt�r•�R.�.1►Y t�rrr#Y►1�#►i•�.•.rrq..►........ ..... , Old Wo#' h •�a ''` MAD WAY �, 1n�;ry��Yl�\.gwry,yy*•.pM•►siA Y►►►Y•at#4 rr.i#Y•►sr�y►Misb'.%w•riai�pi 4-r«atirllr4Yr�4��4�ObPfiljjfWlYla4YV e�7aq.p.,l.' � .. , e � � . UPRome so p4 t Q. UL qr r«r •rrs•r !N°21' 110* " 4g ,fit , 1, :,t�' .+"Qr!r��4u� � • ' .kxhri r•,+�i�s��e�ir�,�'��,1�1isc1 +5►fo'wf>�kt, ,. ' , . !. https://mail.google.com/maiVu/O/?ogbiffinbox?projector--1 1!I PLUMBER CERTIFICATION " COMPLY WITH A ON LEAD CONTENT BEFORE �� PROVED AS NOTED ALL CODES OF � NEW YORK STATE&TOWN CODES CERTIFICATE OF OCCUPANCY AS REQUIRED AND CONDITIONS OF SOLDER USED IN WATER DA '� �5 B.P# �' SOUTHOI DT4WNZBA SUPPLYSYSTEM CANNOT �,34 as•O� BY Sa INLDT0N UMMO BOR EXCEED 2110 OF I%LEAD. NOTIFY BUILDING DEPARTMENT AT � �U$ _ _ 631-765-1802 8AM TO 4PM FOR THE N.Y.S.DEC 4600 OLD NORTH ROAD FOLLOWING INSPECTIONS: 50UTNOLDF�?C FOUNDATION=1'WO REQUIRED SCH� FLOORPLAN FOR POURED CONCRETE ROUGH-FRAMING&PLUMBING t INSULATION HW4 �' FINAL-CONSTRUCTION MUST �'1�* Additional BE COMPLETE FOR C.O. 77006 V2 Certification FRONT STAI RS TO ENTRY ALL CONSTRUCTION SHALL MEET THE Q� SO , May Be Required. REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS ELECTRICAL SMOKEICO2DETECTOR INSPECTION REQUIRED SMOKE DETECTOR 41' CEILING HEIGHT;8' WINDOW 110 x 56"--� a-- WINDOW63x42" --d @— WINDOW68x42` —► 24" 36'—*j 1 �4 FRONT I ENTRY n �.. 0 o l ' '. m 116" m ~ T 91" � BEDROOM 02 BEDROOM#3 LIVING ROOM m v 125 x I0.5' p_27„ 10.75 x 10.5' 17-S 1235' 4 126" 126" 154" m 0 w O SIDE STAIRS TO DECK f ._a El 129" -- 8 � 100" zu" t t w w 144" 23S' 1 75" 1 280" 150" .4--35 60"—► I 136" 76" �70" HALL I 0 35" �? STAIRS TO BASEMENT 30" PANTRY 1 POCKET DOOR 144" � 241— d 92.5" I t6r BATH 42 44" m 152" z (added by previous owners) �_? O BEDROOM#11 75x375' m0 12.5x12S' r KITCHEN 108" 19.5 x 9' BATH N1 9 x 5' 60" 232" 108" t I SLIDING DOOR ENTRY -.— WINDOWS x42" ---P d _24'-9 70'--> ®-- WINDOW70xW —n ' BILCO ENTRY TO BASEMENT DECK BACK STAIRS TO DECK w y F � * y r * 4600 OLD NORTH ROAD 77006 BASEMENT >=•BASEBOARD HEAT RUNS o SHEETROCK WALLS+INSULATION -- SHEETROCK WALLS • SMOKE/CO2 DETECTOR BASEMENT CEILING HEIGHT:T DROP CEILING,EXCEPT IN UNFINSHED AREAS NO INUULATION BETW DROP CEILING AND FLOOR ABOVE CEMENT FLOORS THROUGHOUT DOOR HEIGHT:80" EGRESS WINDOW 32.18" A � u O i L 224" I UNFINISHED O t2 84" UNFINISHED in150" BOILER/OIL TANK Z o UTILITY ROOM w UTILITY AREA 1&2" 68" 160" dt � N f I 298" I UN FINISHED t I i STORAGE ROOM j a f CLOSET r—UP T01sr FL 30" d 160" 6" Ii i f tE6^ 186" rs o! 4f $ 110, .0 s 68" ao" i f—EGRESS I 32"—� BI LCO EXIT TO BACKYARD l' F � 4600 OLD NORTH ROAD �0 770a8 BATHROOM#2 (added by Previous owners) p SKYLIGHT:19■26" POCKET DOOR 24" TILED SHOWER F7- 28" ! 59" 92.5" s t e � u �SILLy P 557 & R t 28"- u. R 144" r � 50.5" r o 3 m PEDESTAL SINK Y8" O 22" 5 O Vl N = O 18" • m a TOILET r , r 19, 6" 5"