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Home My WebLink About1000-114.-8-2 TOWN OF SOUTHOLD Rental Permit 0352 Owner Chad Mello Occupied as Single Family Dwelling Located at 2490 Pike Street Mattituck 114-8-2 Maximum Permitted Occupancy 5 Is in compliance with all of the provisions of the code of the Town of Southold, the laws and sanitary and housing regulations of the County of Suffolk and by the laws adopted by the New York State Fire Prevention and Building Code Council. Expiration is two (2) years from date of issue. The operator is responsible for arranging for the bi-annual inspection. 10/18/2022 e re t ficial This Notice must be posted by the main entrance at all times 14e,.,o qnW SOUTHOLD I 831 -765.1802 WL 0 ELM INSPECT101110 [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATIOWCAt [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN! [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FII CODE VIOLATION PRE C/O REMAR Sit Vb DATE 01 INSPECTOR Town Hall Annex Telephone(631)765-1802 54375 Main RoadFax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 d 1 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PROPERTY CERTIFICATION Form is to be completed by a license architect, licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit Pro essldnal seal re uired for Architect or En (neer,licensed Nome Inspector must provide copy of valid current certlikation Rental Property SCTM Number:MOO - IN - 2. n --l-D V 0 I'V-1. Rental Property ress: Owner/Name: Rental Dwelling Unit Identifier: Number&Square footage of each bedroom as depicted in the attached floor plan: V d oom#1-100 sq., Bedroom#2-90 sq., etc.) 1V Z 19- Property�DIes cription (include all improvements indicated on survey) I certify that I have done a physical inspection of the subject rental dwelling unit and find that it fully complies with all the provisions of the Code of the Town of Southold,the Residential Code of New York State,the Building Code of New York State,the Plumbing Code of New York State, the Fuel Gas Code of New York State, and the Energy Conservation Construction Code of New York State. Anthony Portillo, R.A Print Name and Title Origi 1LIM , 0 Please place professional seal: , k ,p � 1 �op TOWN OF SOUTHOLD Rental Permit �► '` Permit No. 0352 Owner Chad Mello Occupied as Single Family Dwelling Located--at 2490 Pike Street Mattituck 114-8-2 Village s/B/L Maximum Permitted Occupancy 5 Is in compliance with all of the provisions of the code of the Town of Southold, the laws and sanitary and housing regulations of the County of Suffolk and by the laws adopted by the New York State Fire Prevention and Building Code Council. Expiration is two (2) years from date of issue. The operator is responsible for arranging for the bi-annual inspection: 10/14/2020 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times jam ' r, IA hone Tele 631 765-1802 Town Hall Annexi P ( ) 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 V rg BUILDING DEPARTMENT TOS OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two years) • f Section A. s JUN - 4 2020 Property Information: Rental Property Address: r--- 2-q'7-o P I IL-E- S; tit�}G! I T y Tax Map Number: 1000 SECTION 1 -BLOCK -LOT SECTION R. OWNER INFORMATION: Property Owner Name: G� D M L'-0 Property Owner Legal Address: Property Owner Mailing Address: Telephone Number(s): Daytime Rl987Scfy4vening Y`U`'''Q' Emergency Property Owner Email Address: Page 1 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Roads '� Fax(631)765-9502 . '• P.O.Box 1179 a�. Southold,NY 11971-0959 .s, � .'V BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. 'Authorized Agent information: Name of Authorized Agent of dwelling unit, if any: Wh Address of Authorized Agent(no P.O. Boxes): Mailing Address of Authorized Agent: Telephone Number (s): Daytime Evening Emergency Email Address: Section D. Managing Agent Information: (Name of Authorized Agent of dwelling unit, if any: Address of Authorized Agent(no P.O. Boxes): Mailing Address of Authorized Agent: Telephone Number(s): Daytime Evening Emergency Email Address: SECTION E. SITE MANAGER INFORMATION:(required for rental properties containing 8 or more rental units) Name of Managing Agent of dwelling unit, if any: --.Al/A, Address of Managing Agent (no P.O. Boxes): Page 2 of 5 ��'q So�r�� Town Hall Annex ,r?3 yyy':. Pr-�, �, Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 ' Southold,NY 11971-0959 , BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: ZLl4o I?c Kk, fr M A-TT_I Tax Map Number: 1000 SECTION 1 q -BLOCK 0S -LOT 0® - Z- SECTION B. OWNER INFORMATION: Property Owner Name: CN. "�-O Property Owner Legal Address: Property Owner Mailing Address: 303o 0c, dvZ_z: G.9,••f-s S4�,.� M A-Ti-i r,i c-t,-- Telephone ,—Telephone Number(s): Daytime�3/L90 S�57?—Evening Emergency&"31 so Property Owner Email Address: M r; c,�oTt �Ei�✓�p�w,w 'Go�, Mb Y - 7 2020 Page 1 of 5 4 � ��o sore Town Hall Annex art, -� F Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 d% Q Southold,NY 11971-0959 r BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: Address of Authorized Agent(no P.O. Boxes): Mailing Address of Authorized Agent: Telephone Number(s): Daytime Evening Emergency Email Address: Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: Address of Authorized Agent(no P.O. Boxes): Mailing Address of Authorized Agent: Telephone Number (s): Daytime Evening Emergency Email Address: SECTION E. SITE MANAGER INFORMATION: (required for rental properties containing 8 or more rental units) Name of Managing Agent of dwelling unit, if any: Address of Managing Agent (no P.O. Boxes): Page 2 of 5 e r soy Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Q Q Southold,NY 11971-0959 Out BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: Telephone Number(s): Daytime Evening Emergency Email Address: SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: For each Rental Dwelling Unit set forth the Rental Dwelling Unit identifier(for example, Unit 1, Unit 2, Unit 3 or Apt A, B, C);the use of each room in the Rental Dwelling Unit (for example, Kitchen, Bedroom 1, Bedroom 2, Living Room) and the dimensions of each room. For properties with multiple Rental Dwelling Units use "Rental Permit Application Addendum." Rental Dwelling Unit Identifier: �J Requested Maximum number of persons allowed to occupy Dwelling Unit: 6 Number of rooms in Rental Dwelling Unit: r; Use and Dimensions of each room in Rental Dwelling Unit: k-9 AVA- WI K(S Page 3 of 5 o< Town Hall Annex Telephone(631)765-1902 54375 Main Road Fax(631)765-9502 P.O.Box 1179 � - Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD SECTION G. INSPECTION: Pursuant to the Town Code of the Town of Southold Chapter 207 (Rental Properties), a safety inspection by Code Enforcement Official is required. If the owner chooses not to have said inspection performed by the Town, a certification from a licensed architect, a licensed professional engineer or a home inspector who has a valid New York State Uniform Fire Prevention Building Code Certification is required stating that the property which is the subject of the rental permit application is in compliance with all of the provisions of the code of the Town of Southold,the laws and sanitary and housing regulations of the County of Suffolk and by the laws adopted by the New York State Fire Prevention and Building Code Council. am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold ❑ 1 am submitting a completed Town of Southold certification form from a licensed architect or a licensed professional engineer. SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF SUFFOLK) I 6Hiar1) +"`EL---0 ,,certify under penalty of perjury,the following: 1. 1 am the owner of the property identified in "Section A" of this application. 2. The property owner's legal address set forth in "Section B" of this application is my legal address and I understand the Town will use the address for service pursuant to all Page 4 of 5 so Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179vP'' Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD applicable laws and rules. I further acknowledge that I will notify the Town of Southold Building Department of any changes of address within five (5) days of any changes thereto. 3. 1 have read and received a copy of Chapter 207 of the Code of the Town of Southold and agreed to abide by the same. 4. 1 will notify the Town within five (5) business days as to any change to the information regarding Authorized Agent, Managing Agent, or Site Manager. Property Owner's Name:- G �� Property Owner's Signature r- Sworn to befo me this ( day of 20� Official Notary Public Signature and Original Notary Stamp `SZ ATE pR•., Deborah Odoeski Notary Public,State of New York *� *_= No.01OR6290392 t PUBLIC t Qualified in Suffolk County �'•.,'�iv"vti�'��`� Conlmiselolf�xpiraa 05/13/20�( �111111111�11, Page 5 of 5 ®F•so, Town Hall Annex ~ J�qt Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 • Q Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD r RENTAL PROPERTY CERTIFICATION Form is to be completed by a license architect, licensed engineer or licensed home Inspector Separate form is required for each individual Rental Dwelling Unit Professiondl'seal''reautred-for_'Arc'lutect.or Engineer;licensed,"Home-•vector must provide copyrof valid=carrent ce'`*Cation - _ Rental Property SCTM Number: Rental Property Address:_ _ ____ Q_ Owner/Name• - - =-= - ---- - - Rental Dwelling Unit Identifier:. Number&Square footage of each bedroom as depicted in the'attached floor plan: (I.e. Bedroom#1-100 sq.,Bedroom#2-90 sq., etc.)ReAmII (C) L _. ___ - ./-_ 1- Property Description (include all improvements indicated on survey) ,, 3 t I certify that I have done a physical inspection of the subject rental dwelling unit and find that it fully complies with all the provisions of the Code of the Town of Southold,the Residential Code of New York State,the Building Code of New York State,the Plumbing Code of New York State, the Fuel Gas Code of New York State, and the Energy Conservation Con i Code of New York State. s• • A ri�r D - - - Print Name and T tleOrig nature ID AR `4 M. po �V .ZOO 0 �f Please place professional seal: s, A r r' cs� - 1 037415 F , �OFSOOI f # TOWN OF-SOUTHOLD BUILDING DEPT. - °`ycou765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. -[ ' ] ,-FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] FRAMING /STRAPPING [ ] F AL Q INS [ ] peto�)� FIREPLACE & CHIMNEY [ FIRE SAFETY PECTION [ ] FIRE RESISTANT-CONSTRUCTION j ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMAR S: IV DATE 0 INSPECTOR CD t t c c TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST.'i SUB. LOT Elk FOR yjOWNE� N7�'lrI E ACR. c" S w TYPE OF BUILDING ky 4-/ SEAS. VL. FARMCOMM CB. MICS. Mkt. Value LAND IMP. TOTAL DATE I REMARKS Z r*�)CO a /d(' '4�33, err )4�> A 9 3- es 11 / C 19111 e�0 '5&FZ6 akr&k?)Ia4 • .44) 76`7-,��Jlear (e99DC1 AGE I BUILDING CONDITION NEW i NORMAL BELOW ABOVE FARM Acre Value Per Vclue Ac re Tillable FRONTAGE ON WATER Woodland k FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD Total DOCK 1 _ ■■■■N■■■■!!!■■!■N■■ ■�■■■ ¢` ` !■■!■!!■!■!■■■!!■■! ■■■0 ■■■ ■ E I NOMMOMMIMEN !B■■!■Ifs!■■■■■■N!■■■ • ■■N!■■■■ammmm■■!■■■■■■■■■■■ IN IME MINSEENIONEENE■ii M1ON �■ . .. .n Both .. Ext. Walls Interior Finis Fire Place ! •• t ) - FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. 26949. . . . . . Date . . . . . . . . . . . . . . 10 s . . 2 . . . . . ., 19.76. THIS CERTIFIES that the building located at .School. Rd.& Pike. St. extStreet Map No. .X=. . . . . . . . Block No. . . . . . .Lot No. . .X3X. . )4tt1tm*k N.Y.qiz , conforms substantially to the it a tst f , o f 1 d e1 built certificate of occupancy dated . . .beforo. Apr.. 23 19. 7. pursuant to which $IND= Z No.Z"09. . . dated . . . . . . . . . .4T. . . 2 . . . ., 19.70., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . .PrtT0@. P49. really dyellin;. . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . The certificate is issued to . . . .Urold. Ruda= . . . . . .vvner. . . . . . . . ... . . . . . . . . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval Pre— eaigtin . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE No. . .Pr". AXtWOAL. . . . . . . . . . . . . . . . . . . . . . . . . . . HOUSE NUMBER . . - 2490. . . . . . Street Me.OX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Cup Building Inspector HOUSING CODE INSPECTION March 2, 1976 2490 Pike Street R-1 Mattituck New York Tax Roll: Harold L. Hudson Unoccupied Upon receipt of an application for a Pre-existing Certificate of Occupancy, I made an inspection of this two story framed dwelling. I, admitted myself to building at south side entry which was open. Carpenter was inside building making repairs to second floor bathroom. Inspection began at approximately. 10:25 A.M. First floor onsists of kitchen, half throom off kitchen, dining ro m and li ing room. Second floor ha three bedrooms and one fu l bathroom. Heat is supplied to all rooms from an oil fired hot water furnace located in full cellar. The following violations of the Housing Code, Chapter 52, Town of Southold, were found: \ Bathroom: second Ofloor, section of floor under sink, floor covering missing - previously position of a sink's pedestal. Article III, Section 52-32 D. Cellar: Hot water heater, gas fired, no shutoff valve at unit. Article V, Sec. 52-52, B.2. Gas vent from hot gas fired water heater connected to smoke stack of oil fired furnace. 'Article V, Sec. 52-53 H.l. Two water pipe leaks, one at pressure relief valve on hot water toter, ,one at elbow on cold water line to kae bibb, north side of building. Article V, Sec. 52-51 A.2. Two open electric junction boxes, Article V, Sec. 52-56 A.l. - Cellar window and sash, glass broken, sash deteriorated. Article III, Sec. 52-31 A. Exterior:Fresh Air Vent for house soil system requires perforated plate. Article V, Sec. 52-51 C.8 . Window sash requires painting, paint peeling and cracking. Article III, Section 52-31 B. Housing Code Inspection -2- March 2, 1976 Harold L. Hudson 2490 Pike Street, Mattituck Inspection completed at approximately 11:10 A.M. Key sent with application was returned to the office of Wickham & Lark. ZRe :ectfully submitted, EH:mm Edward Hindermann Building Inspector r' L�G� �D��FFatkc Town of Southold 7/6/2020 �o Gyp P.O.Box 1179, 0 53095 Main Rd oy o� �ySouthold,New York 11971 �0 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 or' e Signature U r- O O � C> r+ n \ rD 'a CD�00 0 a" wk CO) CU R" O CDAt N ��,' � N m N cn CD- O o .< =:r O 3 0 n CD b o cnv' X o' cnQ cn EL O N o CD 3 3 3 0 3 0C:r 0 rt � m CD s CD 0 O -z N 0z - 3 o CD s m 0 0 wn —:3 0) O VIP CD C T C n CD m o m o , `C FD a n� m (� CD ..wowu CD_ r) �« cg 5. a) �< co Es * CD v En JO% CD CL CD W L7 0_ C.L2M 0 CDcn Q- -0 o 0 n CD I--, c cn O 0. to � -P O - 00 m < CO N O W' m W O O N = cn cn O r !Z�>c 0 m M m Ol- V) z 0 CO C) M r Ono `' toni m rri Sh to i 13 C) 03 In 0 !2 Ilz ZZ 1 zm co