HomeMy WebLinkAbout36825-Z �p Town of Southold 7/6/2020
P.O.Box 1179.
o
* _ 53095 Main Rd
1 Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41227 Date: 7/6/2020
THIS CERTIFIES that the building RESIDENTIAL REPAIRS
Location of Property: 2490 Pike St, Mattituck
SCTM#: 473889 Sec/Block/Lot: 114.-8-2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
11/7/2011 pursuant to which Building Permit No. 36825 dated 11/18/2011
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:
minor alterations in place in kind(porch repair)to an existing one family dwelling as applied for.
The certificate is issued to Mello, Chad
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
ut o ' e Signature
a�g1}FFat/ oTOWN OF SOUTHOLD
BUILUING DEPARTMENT
W 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#: 36825 Date: 11/18/2011
Permission is hereby granted to:
Mello, Chad
2490 Pike St.
Mattituck, NY 11952
To: construct minor alterations in place in kind to an existing single family dwelling
At premises located at:
=- 2490 Pike St, Mattituck
SCTM #473889
Sec/Block/Lot# 114.-8-2
Pursuant to application dated 11/7/2011 and approved by the Building Inspector.
To expire on 5/19/2013.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00
CO -ALTERATION TO DWELLING $50.00
Total: $250.00
Building Inspector
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 2110 of 1% lead. .
5_ Commercial building,industrial building, multiple residences and similar buildings and installations,a certificate
of Code Compliwice-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. Certificaie 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$15-00
Date. /( 9- L
New Construction: Old or Pre-existing Building: (check one)
Location of Property: 16"q0 5 % V1 f L"PL/�
Housd No. Street Hamlet
Owner or Owners of Property: 6?5 �Ja1
Suffolk County Tax Map No 1000,Section .<< '}' �y_ /l {P Bicek Lot Z
Subdivision Filed Map. Lot:
Permit No. Date of Permit. ApplicanG
Health Dept,Approval: Underwriter's Approval:
Planning Board Approval:
Request for. Temporary Certificate Final Certificate: (check one)
Fee Submitted:$
Applicant Signature
i?.
MLD fiIV w CbA'IlV I ITS.
VOUNDA17ON(TST)
errrrMrrrrrrr�rrr,rrrrrrrr.rro�wrP .
j 0
FOILINI ANION(2ND) (,,Ztb
ROUGH FRAMVQ& (�
PLUMING
17
]X$UL•=ON PRAN.Y.
STATE EDGY CODS
Y
rZ
•—V _
FINAL
aDIT ib-x .L COTY=?E TS
4---C4-b ' G S
i
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATIONrCHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD, NY 11971 4 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 ��, Survey
SoutholdTown.NorthFork.net PERMIT NO. 'All Check
Septic Form
MY S.D E.C.
Trustees
C O.Application
Flood Permit
Examined ] 20� Single& Separate
DE V E U E Storm-Water Assessment Form
ntact:
Approved l 20 NOV 7 2011 Mail to: 1
Disapproved a/c
BLDG DEPT. Phone:
TOWN OF SOUTHOLD
Expiration 20
Building Inspector
APPLICATION FOR BUILDING PERMIT
Date Al � ?� , 20 l�
INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plans, accurate plot plan to scale. Fee 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 waterways.
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 Budding Permit to the applicant. Such a permit
shall be kept on the premises available for inspection throughout the work.
e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an
addition six months. Thereafter, a new permit shall be required.
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, or 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 for necessary inspections.
I; OR
(Signature of applicant or name, if a corporation)
VVIT F101111CERTIFICATE (Mailing address of applicant)
nr,
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
iX�` GED
Name of owner of premises
(As on the tax roll or list ee
If applicant is a corporation, signature of duly authorized officer FEE: BY
NOTIFY BUILDING DEP RTMENT V
O M
(Name and title of corporate officer) 765-1802 8 AM T 4 PFOR THEFOLLOWING INSPECTIONS-
Builders License No. 1. FOUNDATION-TWO REQUIRED
Plumbers License No. FOR POURED CONCRETE
Electricians License No. 2 ROUGH-FRAMING,PLUMBING,
hjC
Other Trade's License No. STD°pDI, ELECTRICaL R CAULKII
3 AS JL-;I, v `'
STRUC-;�Sw CrT ^1
1. Location of land on which proposed work will be done: n�pi�_c "L
TTAC7IGkZ A�,4T
House Number Street QK Ha�iiT&THE C: S �u
vC`'
�J1!"N OC�NJTr2
County Tax Map No. 1000 Section p UC7iut,r
/ Block ,� �� F' Z
Subdivi4on Filed Map No. Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy X/ C, C r
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost �r®�� , __ _ .F_ ee
? (To be paid on filing this application)
5. If dwelling, number of dwelling units;:: ; (�_._ Number-of dwelling units on each floor
If garage, number of cars
{ .:_.' i fir+
6. If business, commercial or mixed oceuparl'cy, specify nature and;extent of each type of use. AIZ4
7. Dimensions of existing structures, ifiany� Front'"" '2�' Rear y�i Depth 2
Height Number of Stories Z.
Dimensions of same structure with alterations or additions: Front Rear
Depth 2 f r Height :F'V, " Number of Stories -2-
8.
8. Dimensions of entire new construction: Front Rear Depth
Height 30 Number of Stories �Z_
9. Size of lot: Front Rear l0' Depth
10. Date of Purchase /tol/° 3S 2-0 t< Name of Former Owner
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO
13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO
14. Names of Owner of premises Address Phone No.
Name of Architect Address Phone No
Name of Contractor Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _. NO
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NO
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
18. Are there any covenants and restrictions with respect to this property? * YES NO
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
or S -,-,
lv dY`wi90 ir:
COUNTY OP3,u 1
being duly'sworn, deposes and says that(s)he is the applicant
(Name of individual siiitg_coi�tcat,cSt�-ab`ove-rtaiiied,
!ii_9 Y...„� _r:l
(S)He is the
of ti•akct6-"� g�i�t;)Coi�porate Officer, etc.)
�74r, , ,:_, rt
of said owner or owners, and)is,dulycautlaoxu2,edito,,pei•'form or have performed the said work and to make and file this application;
that all statements contained iii this application are true to the best of his knowledge and belief; and that the work will be
performed in the'manner set forth in the application filed therewith.
Sworn to before me thi l ` _
day of y �1 t _ t'
VIralTH____�
L ” Notary Public,
ork
UCS Notary Public Qualified in u o oun y iQnature of Applicant
Commission Expires July 28,201� b
SO�j��®l
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G • Q
Southold,NY 11971-0959 'Q a
lyC®UNTV
July 18, 2014
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Chad Mello
3030 Ole Jule Lane
Mattituck, NY 11952
Re: 2490 Pike St, Mattituck
TO WHOM IT MAY CONCERN:
The Following Items(if Checked)Are Needed To Complete Your Certificate of Occupancy:
'NOTE: This Building Permit was never paid for however the work has been completed. Please
submit payment of$250.00 so that we may issue a certificate of occupancy for this project.
Application for Certificate of Occupancy. (Enclosed)
Electrical Underwriters Certificate.
A fee of$50.00.
Final Health Department Approval.
Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84)
Trustees Certificate of Compliance. (Town Trustees#765-1892)
Final Planning Board Approval. (Planning#765-1938)
Final Fire Inspection from Fire Marshall.
Final Landmark Preservation approval.
Final inspection by Building Dept.
Final Storm Water Runoff Approval from Town Engineer
BUILDING PERMIT — 36825 — Minor Alteration
��QSUFFoc,�CQ�
Town Hall Annex �•Z. y►, Telephone(631)765-1802
54375 Main Road ® Fax(631)734-9502
P. O. Box 1179coo
Southold, NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD'
June 22, 2020
Chad Mello
3030 Ole Jule Lane
Mattituck, New York 11952
RE: 2490 Pike Street, Mattituck
Dear Mr. Mello:
On March 11, 2011 a build ingpermit was issued for a porch repair. This
permit was never paid for. Before a rental permit can be approved the
building permit must be paid for. Once we receive your check made
payable to the Town of Southold, we can schedule an inspecti�r for a
Certificate of Occupancy.
We will contact you for the rental inspection at a later date.
Respectfully, Vcr
Southold Town Building Dept.
Connie Bunch
i
A—F
61/?1-1-f �-�3 G. � �X!ri Z. V itr e,
1JA-Ra, OF- PROPERTY
J.
SCHOOL HOUSE LANE SUWMD MRLIND
QruE
v
- � cp .A ..
tp
i _ h
cl
3 ,
.ri
■ ' , = {
rn
FNCEi
S•Tj' 4 W. -
10633 = 4` ' :. i ;�tQ�+�LbM SIT -- T.
- -
WtHILL j .
sae WM M OF rid�►ealst RAN C"RMTEEPI V =,
iaa��aawae�y<e�x��us��"No
Tims a�u " Kwoo
C
WKWW UM WAU 6371E CON __ ,°;�'? � ` a= NWT 3a
t` ij Q�„�C4•rAY MAP DEEStGNAfiipi�! 101!A wura 11J14 ccrr. : ' -
', -- --�+�- ��L' 01k1�A111 Vor— m i WM4!I{K►
am TO fm wmm
tlu
b' =u oor-mm awfumuA. a