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Home My WebLink About51197-Z OF SOUT�Olo Town of Southold * P.O. Box 1179 ,0 53095 Main Rd CDUNTI Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 45702 Date: 10/26/2024 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 695 Edwards Ln Orient, NY 11957 Sec/Block/Lot: 18.-3-21 Conforms substantially to the Application for Building Permit heretofore, filed in this office dated: 08/05/2024 Pursuant to which Building Permit No. 51197 and dated: 09/17/2024 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" second floor bathroom alterations to existing single-family dwelling as applied for. The certificate is issued to: Barbara Bloom Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: PLUMBERS CERTIFICATION: Authorize ignature �o4 <o TOWN OF SOUTHOLD BUILDING DEPARTMENT F • a 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#: 51197 Date: 09/17/2024 Permission is hereby granted to: Barbara Bloom 59 W 12th St 2C New York, NY 10011 To: legalize "as built" second floor bathroom alterations to existing single-family dwelling as applied for. Additional certification may be required. Premises Located at: 695 Edwards Ln, Orient, NY 11957 SCTM# 18.-3-21 Pursuant to application dated 08/05/2024 and approved by the Building Inspector. To expire on 03/19/2026. Contractors: Required Inspections: Fees: As Built Addition/Alteration $516.00 CO-RESIDENTIAL $100.00 Total $616.00 Building Inspector $OUTyOIo - # # TOWN OF-SOUTHOLD-BUILDING DEPT. 631-765-1802 'I N S P E'C T 1 O N [ ] FOUNDATION-1ST./-REBAR [ ] ROUGH PLBG. [= ] -FOUNDATION 2ND ]�INSULATION/CAULKING [ - I FRAMING /STRAPPING -[ I. FINAL '] 'FIREPLACE &-CHIMNEY : [ ] FIRE SAFETY INSPECTION [ I. FIRE RESISTANT-CONSTRUCTION :[ :] FIRE RESISTANT PENETRATION [ ] ,ELECTRICAL (ROUGH) °.[ ] ELECTRICAL•(FINAL) [ ] CODE VIOLATION [ -] PRE C/O" f ] RENTAL REMARKS: DATE a- = . INSPECTOR i `�- MELD INSPECTION REPORT I DATE COMMENTS b to FOUNDATION (1ST) — — - --- j ------------------------------------- FOUNDATION (2ND) .i z � o ROUGH FRAMING& PLUMBING � w 1111Q.r INSULATION PER N.Y. STATE ENERGY CODE 0•/ •off FINAL ADDITIONAL COMMENTS Q 0 - �z m ro � O z � x r� E� ---- x d b y fat/(OG 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 hqps://www.southoldtommu.p-ov Date Received { APPLICATION FOR BUILDING PERMIT cc��ad� For Office Use Only DIP PERMIT NO. Building Inspector: _ 5 2024 Applications l forms must tIlApplicanttheir aPPliations wilnot be ccePed. Where the s not he owner,an B ,DINCTDT' )T Owner's Authorization form(Page 2)shall be completed. Tp�V1v, S0mUI,r Date:7/29/2024 OWNER(S)OF PROPERTY: Name: Barbara Bloom SCTM#1000- Project Address: 695 Edwards Lane Orient NY 11957 Phone#:917 340-0452 Email: bbarbarabloom@gmail.com Mailing Address:59 West 12th Street 2C New York NY 10011 United States CONTACT PERSON: Name: Barbara Bloom Mailing Address:59 West 12th Street 2C New York NY 10011 United States Phone#:917 340-0452 Email: bbarbarabloom@gmail.com DESIGN PROFESSIONAL INFORMATION: Name: Norman Cox-Union Street Studio Mailing Address: 78 Union Street Brooklyn, NY 11231 Phone#:718 596-3040 Email: ncox@unionstreetstudiollc.com CONTRACTOR INFORMATION: Name: Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition IRAlteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other As Is alteration of upstairs bathroom $ Will the lot be re-graded? ❑Yes RNo Will excess fill be removed from premises? ❑Yes ®No \ 1 PROPERTY INFORMATION Existing use of property: Intended use of property: Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes BNo IF YES, PROVIDE A COPY. 8 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. APPUCATION 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 e): /(/� � �/ , ❑Authorized Agent BOwner Signature of Applicant: _ _ y Date: STATE OF NEW YORK) SS: COUNTY OF Me-4) � ) ,3 Zoom being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the (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 L ,20 Notary Public KEDA WILLIAMS Notary Public-State of New York PROPERTY OWNER AUTHORIZATION No.OIN6443703 Qualified in Bronx County (Where the applicant is not the owner) My C38W11019rn Dpir§@ 11197/2-020 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 Barbara Bloom �0 bbarbarabloom@gmail.com 917 340-0452 2 202� OCR d6�°Q Susan Pontino �®c�° 06 Senior Office Assistant ��° Southold Town Building Department V PO Box 1179 Southold NY 11971 631-765-1802 Re: Building permit 695 Edwards Lane Orient, NY 11957 According to correspondence for your office, a building permit has been issued to legalize the second- floor bathroom of my home. The fee for the permit is$616. Enclosed is a check for$616. Will you please schedule an inspection as soon as possible. I will not be in Orient every day,so I would very much appreciate speaking with you about the inspection date. (There was no new electric done,so there is no need of an electrical inspection.) Thank you, Barbara Bloom V—A '%3 r- t7 aCl�ta g qh>7 1 7 �+ J��"7 7..Y_____`?S'y ao�ea�gtS7•y"''Ey� �� /�w � NCJINdNO • Y�t�rlLjv&^JV0 _ al6'61'h'�1'aP+`�k^'t7 �266t r'"/EvAt. So SRsra+o .�`roy �`: Li'2%21{ - YN..OI.b�.Firc N -r aim, a}.per?�1�qb' ,k °H- ••:`�+,�.,� ! t-i,� •,k ggarrvrA tx+acr:r::::'�Ju SON71FJf?t7C1 ts.m9Si977D dauv^t�ouvyv+a��ockxH.c s~�awowwr��w�v N N 2amemcaw.aaa Ul - wei�wkouwwro- • mrosaaxae>�wa:+o .�.staLx'illptu c Pl , kayxgwuaemaavassuow�?�v N � .are<n nMow�ztmws „1�.d�. at _ Nuyu�wr!hnu�r yaa 1 :A 714 I --jO NMQ_L ` NV � fN.ifP17t']9�+.to45737D—Q fA �.>• '�:� . ^�,��5/T _ o - a. ��+`ors � '. 1 {q \ -Have �,w: `" �a�:�•=.e�ca-ter �' o-�,z .�T' r 31 'S, �trl+1! _40 ...4"3>'SYc" 'a..�_.._ao.., <. .,: ._ .. .. .._ _ rh;. � .r ...�. _ .,sv_., �.,.... .� ._.-.. �..._.._...... .„ .. _.. ..-.... .._..o,_•>'a:e.-, ....... ';,�-4.•�.p(ty�' f "UNION d6L STREET STUDIO ARCHITECTS, PLLC 5 August,2024 Southold Town Building Department Re:Application for Building permit for 695 Edwards Lane Orient; NY 11957 I have provided sealed and signed plans for a building permit for 695 Edwards Lane, Orient, NY 11957. The plans show the 2nd floor bathroom exisiting, and proposed with an addition of a bathtub. It has come to my attention that you need to know the ceiling height of the bathroom. The height of the bathroom measures 901/2 inches. The owner of the property, Barbara Bloom, has provided you with four copies of my signed and seal plans. Please add this information reagrding the ceiling height to the application file. Sincerely, ED, RRC'Sij► .. c0 Norman Cox. Principal Union Street-Studio Architects PLLC NJ► 0163ro �Q' FOF NE44� 'UGST 311t70-- �ii -M OAId bRYLO DM KlpOM i PA Wo 1— ANb 1 mot poW OATROOM § B.AtIRPP. }t O ITLLV MOM O 9ATMM 01.OH9 flAL 1CtGnT-.-.— - rxm e<nr rlc." Frwsr vAun ewsr lac. loasrvwTr uv swc uv awe i ►ARRTtGtG M RWNN- O van 2NDFLOORSATNROOM•OUSTING %�'.�• O 2N0 FLOOR BATHROOM-PROPOSED wD'�b• ro• BLOOM RESIDENCE e%EDWARDSIANE ORIENT,NY 11e57 4af�D� UnanStrUetSud*kd*ect&PLLO 2aUNen Street Srootlyq W 11281 -• .� T1asPaT000 1 e.p„ OP �'OF NE�y SHEET 1 OF t 23 February 2024 Union Street Studio Architects, PLLC 178 Union Street,Brooklyn, NY 11231 1 718 596 3040 www.unionstreetstudiolic.com a 5HELVE5 TILED 5HELVE5 i PLATFORM EX15T 24X36 EX15T 24X36 SAME HT •D.H. WINDOW D.H. WINDOW A5 TUB 24" x 80" i 24" x 80" EX15T DOOR EX15T DOOR Additional BATHROOM N BATHROOM iv Certification (TILED FLOOR) May Be Required. NEW 50"X60" BATHTUB # 5HOWER PLUMBER CERTIFICATIL, FULL HEIGHT ON LEAD GONTENT.BEFOr TILE WALL CERTIFICATE OF OCCUPAA. 0 FIN 15H SOLDER USE0.'1N WATEF .sPPLYSYSTEM•CANNC EXIST W.G. EX15T VANITY EX15T W.G. EX15T VANITY EXCEED yi 0 OF 1% L F� � LAV 51 NK & LAV 51 NK ALL EX15TINO PARTITIONS TO REMAIN - NO ALTERATION P ,. N N AI:L PLUMB`IN�GAS :: 2ND FLOOR BATHROOM - EXISTING 2ND FLOOR BATHROOM - PROPOSED :&WATER L-INES•NEED ` O scale 3/8" = 1'-0" O scale 3/8" = 1'-0" 1=5TING:BFFQRE„COV.ERIN•G_ COMPLY WITH ALL CODES OF NEW YORK STATE &TOWN C ES APP 0 ED AS NO D AS REQUIRED AND CONDITI S OF n SOUTHOLD TOWN FEE BY: SOUTHOLD TO PLANNING BO ARD ;��FtED ARC, � SOUTHO OWN TRUSTEES • g:_ y NOTI BUILDING DEPARTMENT AT N.Y.S. MAN. 631-765-1802 FOLLOWING INSPECTIONS:S $0 OLDHPC FOR THE ��vc� �o� 00� ��,� BLOOM RESIDENCE 695 EDWARDS LANE 1. FOUNDATION-T*tA - REO' �,r-„ Hp "n �� FOR POURED 00''-N r F * _ * ORIENT, NY 11957 2. ROUGH- FRAIMIIN 3. INSULATION 016362 0 4. FINAL-CONSTRUCTION MUST FpF NE\14� Union Street Studio Architects, PLLC BE COMPLETE FOR C.O. OCCUPANCY-OR 78 Union Street ALL CONSTRUCTION SHALL MEET THE Brooklyn, NY 11231 REQUIREMENTS OF THE CODES OF NEW USE IS UNLAWFUL 718-596-3040 YORK STATE. NOT RESPONSIBLE FOR _ DESIGN OR CONSTRUCTON ERRORS WITHOUT CERTIFICAT SHEET 1 OF 1 OF OCCUPANCY 23 February 2024