HomeMy WebLinkAbout44411-Z �O�Og11EFU( Town of Southold 1/9/2020
0
P.O.Box 1179
ca �,' 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40973 Date: 12/30/2019
THIS CERTIFIES that the building RESIDENTIAL ADDITION
Location of Property: 965 Jasmine Ln., Southold
SCTM#: 473889 Sec/Block/Lot: 69.-3-24.2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
11/4/2019 pursuant to which Building Permit No. 44411 dated 11/14/2019
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:
ADDITION INCLUDING COVERED PORCH AND DECK TO AN EXISTING ONE FAMILY DWELLING AS
APPLIED FOR
The certificate is issued to Mellas,Mark&Teresa
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 419920 05-09-1997
PLUMBERS CERTIFICATION DATED 06-13-2019 P om mb&Heating
A 4Von It
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ut ed ignature
�os�FFQj�co TOWN OF SOUTHOLD
BUILDING DEPARTMENT
C* z TOWN CLERK'S OFFICE
o 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#: 44411 Date: 11/14/2019
Permission is hereby granted to:
Mellas, Mark
PO BOX 1194
Southold, NY 11971
To: CONSTRUCT AN ADDITION WITH COVERED PORCH ON THE REAR OF EXISTING ONE
FAMILY DWELLING AS APPLIED FOR. REPLACES EXPIRED BUILDING PERMIT#38075
At premises located at:
965 Jasmine Ln., Southold
SCTM #473889
Sec/Block/Lot# 69.-3-24.2
Pursuant to application dated 11/4/2019 and approved by the Building Inspector.
To expire on 511512021.
Fees:
PERMIT RENEWAL $77.00
Total: $77.00
Building Inspector
posy��co TOWN OF SOUTHOLD
�� ay BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
o .
SOUTHOLD, NY
�apt-
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#: 38075 Date: 6/5/2013
Permission is hereby granted to:
MARK & TERESA MELLAS
P.O. BOX 1194
SOUTHOLD, N.Y. 11971
To: CONSTRUCT AN ADDITION WITH COVERED PORCH ON THE REAR OF EXISTING ONE
FAMILY DWELLING AS APPLIED FOR. REPLACES EXPIRED BUILDING PERMIT #36391
At premises located at:
965 JASMINE LANE SOUTHOLD, N.Y. 11,971
SCTM # 473889
Sec/Block/Lot# 69.-3-24.2
Pursuant to application dated 1/1/1900 and approved by the Building Inspector.
To expire on 12/6/2014.
Fees:
PERMIT RENEWAL $100.00
CO -ADDITION TO DWELLING $50.00
Total: $150.00
Building Inspector
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 #: 36391 Date. 5/17/2011
Permission is hereby granted to:
MARK & TERESA MELLAS
P.O. BOX 1194
SOUTHOLD, N.Y. 11971
To: CONSTRUCT AN ADDITION WITH COVERED PORCH ON THE REAR OF EXISTING ONE
FAMILY DWELLING AS APPLIED.FOR. REPLACES EXPIRED BUILDING PERMIT # 23648
At premises located at:
965 JASMINE LANE SOUTHOLD, N.Y. 11971
SCTM # 473889
Sec/Block/Lot# 69.-3-24.2
Pursuant to application dated 1/1/1900 and approved by the Building Inspector.
To expire on 11/16/2012.
Fees:
PERMIT RENEWAL $150.00
Total: $150.00
Building Inspector
FORM NO. A
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
23648 Z Date ..... ....Y&4eZy........ >I .. .
Permission is hereby granted t
................
...........� ..................................
totom. &4a�,
........................
.. .......... . ...............
located at ............. ... ..�e ...................
at premises ........... ...... .
....................................................... . . .....................................................................
................................................................................................................................................................
County Tax Map No. 1000 Section ........ . ..... Block ...........�..... Lot No.
pursuant to application dated ................/Xt ....... 19-2� and approved by the
Building Inspector.
Fee
... . ............ ... ... .. ........
.................
BuildingI r
Rev. 6/30/80
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For new building or new use:
1. Final survey of property with accurate location of all buildings,property lines,streets,and unusual natural or
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1%lead.
5. Commercial building, industrial building,multiple residences and similar buildings and installations, a certificate
of Code Compliance from architect or engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings(prior to April 9, 1957)non-conforming uses,or buildings and "pre-existing"land uses:
1. Accurate survey of property showing all property lines,streets, building and unusual natural or topographic
features.
2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is
denied,the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00, Alterations to dwelling$50.00,
Swimming pool $50.00,Accessory building$50.00,Additions to accessory building$50.00, Businesses$50.00.
2. Certificate of Occupancy on Pre-existing Building- $100.00
3. Copy of Certificate of Occupancy-$.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential $15.00, Commercial $15.000
Date. L�1� �
New Construction: Old or Pre-existing Building: (check one) �p
Location of Property:_ � S� cLs j ncv,_a SO lam_ ���
House No. Street Hamlet
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section Block Lot
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
Applicant Signature
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DEC 2019
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Town Hail,53095 Main Road Fax(631)765-9502
P.O.Box 1179 � � Telephone(631)7651502
Southold,New York 11971-0959
BUILDING DEPARTMENT
TNM OF SOUT-11H,om L!
DEC - 4 2019
CERTIFICATION
Date:
Building Pert No.
'/Lj / /
Owner. Z &;t LX-3
(please Pr-*
Plumber: Le-covv*tc- Pfam6�4 tRe,�7
(please paint)
I certify that the solder used in the water supply system contaiw less than 2/10 of 1%
lea&
lunxber i face)
Sworn to before ale this
day of - 20�
� �Y�{VFFt'tiq���t117 5
Notary Public, Co Oouuty __
765-1902
B.UItDING DEPT.
SPECTION
[ ] UNDATION IST [ ] ROUGH PdBG.
FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS• of
4&—
DATE � INSPECTO
J
yrs-isos
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST 4:1,-[ OUGN PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
Of-FRAMING [ ] FINAL
[ ] FIREPLACE 8 CHIMNEY
REMARKS:
DATE ` INSPECTOR
LiLi f 1 ) 765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FO NDATION 2ND [//rINSULATION
FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
n /
REMARKS: z4
DATE INSPECTO ����
LfLi
765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUG.
[ ] FOUNDATION 2ND SOLATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE 8 CHIMNEY
REMARKS: ! L/
— S cM�
1-11 7t
DATE INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSU ION
[ ] FRAMING [ INAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
z e5i
DATE INSPECTOR
L4ggt \
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLSG.
[ ] FOUNDATION 2ND [ ] I SSAY
[ ] FRAMING /STRAPPING [ FINA
[ _] FIREPLACE & CHIMNEY [ ] FIREINSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARK 31�1-
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DATE `� INSPECTOR
pF SOOIy��
* # TOWN OF SOUTHOLD BUILDING DEPT.
�ycourm��' 765-1802
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] LPIgULATIOWCAULKING
[ ] FRAMING/STRAPPING [ FINAL
[ j FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] °FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS: I inA -fly aimqp,
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DATE INSPECTOR �fk
# TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROU PLBG. `
[ ] FOUNDATION 2ND [ ] -IN
I ULATION/CAULKING
[ ] FRAMING/STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION -
FIRE
NSPECTION -
FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ : ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
DATE fol INSPECTOR
tl sv IL I I Ura RI,t,o it I. D Al V. C'OHM E N I S
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FOUNDATION IST II
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ADDIVIONAI. COMIENTS!
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BOARD OF HEALTH . . .
FORM N0. 1 3 SE'T'S ONS _ _ . . . /.. . . . . . . .
TOWN OF SOUTHOLD SURVEY . .y�.�j
f BUILDING DEPARTMENT CHECR�: .:125- - • - - - - - - - - -=- - - -
r Ug '912 J TOWN HALL SEPTIC FORM" . ..- - - - - - - - - - - - - - - - -
SOUTHOLD, N.Y- 11971
BLDG.DEPT. TEL: 765-1802 NOTIFY:
TOWN OFSOUT1iOL® gLtq ( l
Examined .11` 19. ' MAIL T0: . .
Approved. , 191,W Permit NoA �./, ....................................
Disapproveda/c .................................. ....................................
.......................................... ...........
... ........ �.. ..,
Building Inspector)
AP CATION FOR BUILDING PERMIT
Date. . . . . . . . . . . . . . . . . 19. . . .
INSTRUCTIONS
a. 'This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wit,
3 sets of plans, accurate plot plan to scale. Tee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public
streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of
this application.
c- the work covered by this application may not be commenced before issuance of Building Permit.
d- Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such
permit shall be kept on the premise's available for inspection througkhout the work.
e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of
Occupancy shall have been granted by the Building Inspector.
APPLICATION IS 1EM, Y HVM 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 or alterations, or for renoval 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 for gecessary in t ons.
.. .. . ... ... .......
Signature of applicant, or name, iff�a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, pltmber or Ixuilder.
.._.a. l ............................................---......................................................._
Name of owner of premises .A`--��(.�.i�!i.( 5..............................................................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
.........................................................
(Nano and title of corporate officer)
Builders License No. ....Ti!�.............
Plunhers License No. ... l.u� ..............
Electricians License No.• Tbko.............
Other Trade's License No. ....................
1. Iocation of land on which proposed work will be done.....................^ ... ...........................
A.5�................J . (!? ..d� ........................ 1.��'.� ............................
11ouse Number Street Hamlet
County Tax Map No. 1000 Section ....6"_1....... Block ..... ....... Lot .. y. ...
Subdivision ...................................... Filed Map No. ............... Lot ...............
(Nave)
2. State existing use and occupancy of premri s and intended use and occupancy of proposed construction:
a. Existing use and occupancy .......(..�I J(Q P.) ......................................................
ih. Intended use and occupancy ..........................•......_...........................................
V--*"-
)_ N)ture of cork ((Jk wlTidi ap.t)licable): Nan Milding .......... AckliLion .....
)ec •... A1Leration ..........
Repair ......... RaixNaI ............. Denx)litioil ............ Other Work ...................................
(Desc:ription)
Axe_ a 4
I . Es(_inkrted Cost. ... _.t.� Gf.......... fee ..............................................
(to he laid on filing Lhis application)
5. 1 f dvml l ing, rxxd)er of &-ell ing uni is ........_... tkid)er of (hael 1 ing units co) each floor ............. ...
If garage, rxxTJ)er of cars ......................................
G. If business, cxxnnercial or rniml occupancy, specify nature arxl extent of each type of use......................
7. Dimensio+)s of existing structures, if any: I?ro4iL............ .. Rear ............... i?eplli .................
ilei0Tt ......................... Mb
ner of Stories ...4- l L ........... / /
Dimensions of sane sln►eture will► alterations or w1ditions: Front ....v?G ... Rear ..c:-1?A ....._
Depth .................... ileiglTL .................. .. NTxd)er of Stories ...............
13. Dimensions of entire oew consLnjctim: Front- ................ Rear ............... Depth ..............
lie ipont. ......................... NTni)er of Sl_ories .....................
9. Size of lot.: front .................... Rear .................... Depth ....................
10. hale of Purchase ..................... Raw- of Dormer Owner ........:.. ............................ .
II. ZcxTe or use district in xh icln praxises are situated ....................................... ............... .... .... ...
12. i)oes prolmed consl.rucLion violate any zoning law, ordinance or regulation: .....<!`!.Q............
13. Will lot be regraded ........,......�........_. Will excess fill he reinwed fran premises: YES NO
14. NaT�es o[ OL-mer of prennises .� Acklress � .��9 /�(C :..... Phone No. �b�^S•Z5!3
Mmeof Architect .................................... Address ......... . .................... 11 lone No. ..............
N-xTm of Cont.racLor ................................... Acklress ................,..../...........Phone No. ..............
15. is Lhis properly within 300 feet of a Lidal wetlarx]? * YES .......... NO ...4/...
*IF YES, Stxllll(]iI) ium '1iZ11Silog l'Eimrr my mr, Rriky RE).
1'1.0'1' DIAGRAM
incaLe clearly and distinctly all buildings, whether existing or proposed, aTxl imlicaLe all set—back dimensions
f-rcxm properly lines. Give street and block rxxd)er or description according to Gleed, and show street nares aril indicate
iAwther interior or comer lot.
SS
MINly U.,
....
/`.!`... l (,•// S............ .. ..........being duly worn, depx)ses aixl says 1-hat. he is the applicant
(Name of imlividual. signing contract-)
illx)ve Ivirrie 1,
Ikei:; [lie .............................0!`;"..............._...............................................
(C n t-raclor, agent, corp orale officer, etc.)
of said owner or (Miers, mol is duly .n)Lhorized to perfonn or have perloniled Lhe said work aixl Lo mice and file this
vppl ication; Lhal. al l stalenents contained in this aprO1 icalion are true Lo the best. of his kTx)wledge aril belief; mol
(hal Lhe work wi I1 1)e perforiTied in (lie twinner set forth in the appl ical_ion filed Lherewith.
`Xaorn to 11bVIFor nn this
......� of ..... .. S. 19..C._
r
NoLary IV) I ... .......... ......... /C �-:�G' ._..
CLAIRE L.GL.EW
NotefY Public,State of New York fSignature of Applicant)
No.41379505
Qualified in Suffolk County
Commission Expires December 8,19
S C.T M NO DISTRICT 1000 SECTION 59 BLOCK- 3 LOT(S) 24 2
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P/ EDOf
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LOT 3 00' eC cr cLRe 44
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, SpeNiC fASEMeNT \ �
73'5 N7So43y0„W
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FL OW ft pOL pUTH Cp CpR 105,sp REBAR OSE
AREA OF LAWN
MAINTAINED BEYOND
PROPERTY LINES 10
THE-WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL
LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS
AND OR DATA OBTAINED FROM OTHERS
AREA 16,609 55 SQ FT or 0 38 ACRES ELEVATION DATUM -------------------------
UNAUTHORIZED ALTERATION OR ADDITION 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 TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION
LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES 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 ERECTION OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS EASEMENTS
AND/OR SUBSURFACE STRUT TURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY
SURVEY OF LOT 2 CERTIFIED TO: EDWIN ROLAND MORAN MONTENEGRO,
MAP OF•SOUTHOLD VILLAS SECTION TWO CANDI GRISELDA PEREZ GIRON,
FILED AUG 24, 1993 No 434 FIDELITY NATIONAL TITLE INSURANCE SERVICES, LLC,
SITUATED AT.SOUTHOLD MORTGAGE ADVANTAGE; QUICKEN LOANS INC,
TOWN OF SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC
SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design
�} P.O. Box 153 Aquebogue, New York 11931
PHONE (631)298-1588 FAX (631) 298-1588
FILE #220-01 SCALE 1"=30' DATE ,IAN 8, 2020
N YS LISC NO 050882 maintaining the records of Robert J. Hennessy & Kenneth M. Woychuk
I�.n
pF SO(/r�®l
0
Town Hall,53095 Main Road Fax(631)765-9502
P.O.Box 1179 G • Q Telephone(631)765-1802
Southold,New York 11971-0959 '®
COUNTY,
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
December 19th, 2006
Mark Mellas
P.O. Box 1194
Southold,N.Y. 11971
RE: 965 Jasmine Lane(addition)
SCTM#69 3 24 2
Dear Mr. Mellas,
Please be advised that your Building Permit#23648 issued August 28th, 1996 has
expired. According to the Code of the Town of Southold, a Certificate of Occupancy
must be issued prior to use of the structure.
To renew your Building Permit,please submit a fee of$150.00 at that time we can
schedule an inspection by one of our Building Inspector's.
If you have any questions,please call us at 631-765-1802.
Respectfully,
SOUTHOLD TOWN BUILDING DEPT.
Southold Town Building Department ;
54375 Main Road Permit#: 23648
Southold,New York 11971 Permit Date: 8/28/1996
(631)765-1802
Expiration Date: 2/28/1997
Parcel ID: 69.-3-24.2
BUILDING PERMIT RENEWAL LETTER
FINAL NOTICE
Dated: 2/23/2011
Applicant: MARK H&TERESA M MELLAS
Location: 965 JASMINE LANE SOUI`HOLD,N.Y. 11971
Work Description: RESIDENTIAL ADDITION
CONSTRUCT AN ADDITION WITH COVERED PORCH ON THE REAR OF EXISTING ONE
FAMILY DWELLING AS APPLIED FOR.
A FEE OF $150.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT.
Owner: MARK &TERESA MELLAS
Address: P.O. BOX 1194
SOUTHOLD,N.Y. 11971
The permit listed above has expired. Please contact our office as soon as possible to begin the renewal
process. All work on the project must stop on the expiration date.
yp 'aZg6 0�0�
THANK YOU,
SOUTHOLD,TOWN BUILDING DEPT.
Southold Town Building Department
54375 Main Road Permit#: 23648
Southold,New York 11971
(631)765-1802 Permit Date: 8/28/1996
��. Expiration Date: 2/28/1997
,. Parcel ID: 69.-3-24.2 p
Dated: 5/3/2011
Applicant: MARK H&TERESA M MELLAS
y Location: 465 JASMINE LANE SOUTHOLD,N.Y. 11971
Work Description: RESIDENTIAL ADDITION
CONSTRUCT AN ADDITION WITH COVERED PORCH ON THE REAR OF EXISTING ONE
FAMILY DWELLING AS APPLIED FOR.
nlj�
Owner: MARK &TERKA MELLAS
Address: P.O. BOX 1194
SOUTHOLD,N.Y. 11971
Your BUILDING PERMIT#23648 has been referred to me because you have not responded to requests
.to obtain your Certificate of Occupancy as required by Southold Town code.
Pursuant to 144-15A, of the Southold Town Code, "No building hereafter erected shall be used or
occupied in whole or in part until a certificate of occupancy shall have been issued by the Building
Inspector."
Therefore,you have ten days from the receipt fo this letter to submit a check made out to the Town of
Southold in the amount of$150.00 to renew the building permit, or legal action will be taken against you.
Should you have any questions, call the building department between the hours of 8:00 a.m. and 4:00
p.m.
Respectfully Yours,
—eA�w 4., �
Michael Verity: Chief Building Inspector
Southold Building'Department
cc: Damon Rallis Zoning Inspector
Southold Town Building Department
$OFQpr,oG P.O.Box 1179
Permit#: 38075
53095 Main Rd
Southold,New York 11971 Permit Date: 6/5/2013
`�y.�jQlao� (631)765-1802 Expiration Date: 12/6/2014
Parcel ID: 69.-3-24.2
BUILDING PERMIT RENEWAL LETTER
Dated: 5/17/2017
Applicant: MARK H& TERESA M MELLAS
Location: 965 JASMINE LANE SOUTHOLD,N.Y. 11971
Work Description: RESIDENTIAL ADDITION
CONSTRUCT AN ADDITION WITH COVERED PORCH ON THE REAR OF EXISTING ONE
FAMILY DWELLING AS APPLIED FOR. REPLACES EXPIRED BUILDING PERMIT#36391
A FEE OF $76.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT.
Owner: MARK &TERESA MELLAS
Address: P.O.BOX 1194
SOUTHOLD,N.Y. 11971
The permit listed above has expired. No work is permitted or authorized beyond the expiration date. Please
submit the above fee made payable to the Town of Southold. Mail to the Town of Southold Building
Department, P.O. Box 1179, Southold,New York 11971
THANK YOU,
SOUTHOLD TOWN BUILDING DEPT.
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
SINGLE FAMILY DWELLING ONLY
✓� Approval of Constructed Works
CC% - - H.D. Ref. Na.
.[�• �,/ ; : The sewage dispose{ and mater supply facilities at this location
have been sat:stactorily inspected by this Department and are
'3? p ,, In compliance -with these as-built plans
,; n> c.'� 2 ,993 Q : Com-
8S DATE CHIEF OF GENERAL
ENGINEERING SERVICES
r �-
S> o 3°S 64• SUR VEY OF
4� ,5.� � r•�t ,L LOT -f_ -
2 2poo ,q�d U �� �
RP2S : "MAP.OF SOUTHOLD VILLAS, SECTION TWO"
s3 o FLED ALa 24,NO FAEIVO. A-494
or 3 +� `33 „ A T SOUTHOLD
TOWN OFSOUTHOLD
.ti`s oT SUFFOLK COUNTY, N. Y.
1000 - 70 - 01-P!0 6
Scale: I"= 40'
CERTIFIED TO, Mar. 15, 1993 -
_ Aug.- 24 1993 (foundation)
ls�cen/c MARK H. MELLAS No V. 18, 1993 (final)
?:57-,q370. Eose�'en f ` THE ELONG ISLAND SAVINGS BANK --
N: € SUPERIOR ABSTRACT
N/Oip
FtOy,E
RP
The locations of wells, and cesspools __ pt NEW
J,
hereon are from field observations ��i ,`'�� y,
and or from data obtained from others. AREA = 16,�'® 3C].f t. ��� \tea \ � SP �N�"�'��Zc
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
Prepared in accordance with the minimum The water supply and sewage disposal 1`7- � T !�` h•'
FOR APPROVAL OF CONSTRUCTION ONLY P
standards for fille surveys as established systems for /his residence will conform T f "'``' N* LIC. NO. 49618
"93 SO 20 - by the L_I.A.L.S and approved and adopted to the standards of The Suffolk County f ��
DATE - wS, Rte, �, for such use by The New York Stole Land Department of Health Services. - PECON%!10V
P.C.
Title Association. ~". (516)
ELEVATIONS ARE REFERENCED R �' Y P. O. BOX . 909
APPROVED TO AN ASSUMED DA TWA MAIN ROAD
SOUTHOLD, N.Y. 11971