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Home My WebLink About1000-114.-9-4 £ � -� TOWN OF SOUTHOLD Rental Permit 0521 Owner Chad Mello Occupied as Single Family Dwelling Located at 14500 Route 25 Mattituck 114.-94 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. 8!14/2023 Code E arc Official This Notice must be posted by the main entrance at all times 631 -1765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION TND [ ] INSULATION/CAl [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INr [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI [ ] CODE VIOLATION [ ] PRE C/O [ REMARKS: 05"PJ ole-e Ate, .cin es 6 el DATEs-- -. - INSPECTOR Town Hall Annex Town of Southold 54375 Main Road Rental Inspection Report PO Box 1179 Southold, NY 11971-1179 Tel: 631-765-1802 -1-11. 11 a,t,e SCTM # D Phone Owner 2 3 Visible Address Hamlet 'Inspector , 3 -Flow. or Level Quantities Sub, 2 Smoke Detectors (not located in bedrooms) Carbon Monoxide Detectors Fire Extinguishers Exits ....... ......... Bedrooms 1 2 3 4 5 6 Smoke Detectors Egress Occupant Count "' Building Systems Maintained &Operational Condition of Property Heating Building interior Hot water Building exterior Electrical Property clean, maintained &safe ..........._ -11- 11— 1-11 Mechanical Handrails&guards installed &secure Pool Safety Pool on Site Surface water alarm Date of CO issuance Door alarms Pool completely enclosed .. ......... Self closing latching gates Pool fence to code requirements CO's for all items present Prior Rental Comments: ........... ® AfF�'u TOWN OF SOUTHOLD jig Rental Permit 0521 Owner Chad Mello Occupied as Single Family Dwelling Located at 14500 Route 25 Mattituck 114-9-4 Maximum Permitted Occupancy 5 Is in compliance with all of the provisions of the code of the Town of Southold, the lacus 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. 8/17/2021 Co a Enf rce e t fficial This Notice must be posted by the main entrance at all times f � .s, ^',. Town Hall Annex �',;;: l "`R v' Telephone(631)765-1802 54375 Main Road t Fax(631)765-9502 P.O.Box 1179 £' Southold,NY 11971-0959 z ��,, ` '' •'°+ BUILDING DEPARTMENT TOMN OF SOUTHOLD U11M NOV -4, 2020 RENTAL PERMIT APPLICATION DEE Rental Permit Fee$200 (Application must be renewed every two yearsy0Y7�q Cy"`''l'a Y'10 LD Section A. Property Information: Rental Property Address, C AA C.ffr �u d - /J,VK Tax Map Number: 1000 SECTION -BLOCK 9 -LOT L - SECTION R. OWNER INFORMATION: Property Owner Name: G F4 P-0 ti`a L_ L o Property Owner Legal Address: Property Owner Mailing Address: 3030 o JveLcL"e- Al -tt Telephone Number(s): Daytime Oi9g7SYYS Evening6312-98S332Emergency e319$'1SYv8 Property Owner Email Address: A4 v-It. �-t le-I"c 'I `"00-1 Page 1 of 5 SONY Telephone 631 765-1802 Town Hall Annex z,' � -:#� .;`� ti: P ( ) 54375 "`.. n Main Road It Fax(631)765-9502 P.O.Box 1 179 Southold,NY 1 1971-0959 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, Q 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: 7 Requested Maximum number of persons allowed to occupy Dwelling Uni • Number of rooms in Rental Dwelling Unit: I Use and Dimensions of each room in Rental Dwelling Unit: Page 3 of 5 Town Hall Annex I Telephone(631)765-1802 5437.5 Main Road & 1 � � FAR(631)765-9502 P.O.Box 1179 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: C14" M t= L-t-Q Property Owner's Signature: Sworn to before me this L-1 day oA N 20'9'0 Official Notary Public Signature and Original Notary Stamp ``g1ATE0p 0601A 0110%VW Notary'Public,Sm of New York *' !*" No.010RU80392 Qudifw in Suffolk county �''�N�%vo�'.�� Comtnisston Expues 05�13/l0?', nunua`• Page 5 of 5 o�soup Town Hall Annex Telephone(631)765-1802 54375 Main Road `C/�!` Fax(631)765-9502 P.O.Box 11790 rU Southold,NY 11971-0959 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 Professional seal required for Architect.or Engineer,licensed Home Inspector must provide copy of valid current certification Rental Property SCTNI Number: Rental Property Address: �SUC1 tmam Qa ±(�u , i Owner/Name: Chaa nN'M 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.) PeCA�r no,n -* 1 1e a G5 e 9eafoC)M �. - f _ Property Description (include all improvements indicated on survey) r �e '�`rVlt' LeL al 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. Print Name and Title ' ' ' a nature tZSQ AR 1 P Please place professional seal: d ° ' ' ��' o•. ,A 037405 : AC 0 �� # # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND-- [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL�M Awlml�� [ ] FIREPLACE-& CHIMNEY [IFIRE SAFETY INSPECTION [ ] FI E RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] LECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ CODE VIOLATION [ n] PRE C/O REMARKS: wed(146idoe A- �&4vv/ o cw 09 anS7 )>449A DATE '::M7Q 1,11 INSPECTOR �oF SOUIhp 1► f ,7,,� Ave, I 1 `47�l , h� �O # TOWN OF SOUTHOLD BUILDING DEPT. p`y�nurme�'' 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAUL ING� [ ] FRAMING/STRAPPING [ /IF111RE AL-] `FIREPLACE & CHIMNEY SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: 16�v �\ -4 roq l DATE * t _ k INSPECTOR f' d' IF 14,300. VA c �vk 1It I C..d v i Vk 7 S U�� M,LL�I 1v W�/ Lj w p `kx C5 • I A QVI '`a a f7L. c El` � t LAj��Cb w _. - UL i O . 3 I 43 VlL f I S N SCTM # _ ' TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREETf�j C3� VILLAGE DIST. SUB. LOT f�c�r1 '+ oc�c� �Cf�I�r T�/Grr�^. i.�. i • ACR. %s REMARKS terJ' _ a g _ r ° ' o G TYPE OF BLD. 7 / /l 'y` // PROP. CLAS- f/. LAND IMP. TOTAL DATE /000 41- vv 5-700 _ oc)d 44aov -� 0v FRONTAGE ON WATER HOUSE/LOT BULKHEAD TOTAL • I TOWN : OF SOUTHOLD PROPERTY RECORD CARD d OWNER ,' STREET -w:p.- VILLAGE DIST. SUB. LOT - �r r(r*! LL..' i Q k 1 '.{� ✓ V�a C. d r`: t !A f- ! 'FORMER OWNER E ACR. f .4 Ml 1.5 I J' � ��''°�1 ..� T'G.•.._.. S W TYP.E:OF BUILDING ala 'RES.) SEAS. VL. FARM COMM. CB. --."MICS. Mkt. Value ' LAND IMP. ( TOTAL r DATE REMARKS -) :,a ,q/ C O.C Q -)4 JA� 40Y7 _ I Z "" ', I' !� { 3'c l 9 a t't: /i'?�y P�r e r.. _ - t a C� .13,Z-Q� Iu! �;" rF ( f I �- `�( S.C ') I`+'1:�12�cac l�Tc� L A p—s®..t `I_- 5 =t.r j / f / L) 0 VY/ "�I / �CF .}1 �._-I •J t....l i.:•Y .7'9n�`e J .C�.i .aT.[s l'.� :1-S.J Yt`�..'i�'l �:�..,a'{r.C. '• 1 � 1. � " � ' cl �� -�- 'SOI �.��. . • 3 bq- CL cr. AGE ( BUILDING CONDITION' NEW NORMAL• BELOW . ABOVE FARM ( Acre Value Per Value Acre Tillable FRoN-T-A6E-ON.:.W$TER Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD I 'c M Total I I I DOCK i �`� �• � i ��^"��.i�'�y�' any`�• ��. l 1 fy Ft lr��t• �,�1:�'}.'��t� � � l�mY }�I� 4,y��j�A, � y 3 � ■ ' 9 '1+�� .�ve'��;��i! \ ' err t+.L.w�� + �•+;' ■ P. ,S p'..L7R11 mss- `�4'��y��.,�t '{�� //r ■ gr- 731 a i+ ate` 3 F3 ��7-i ■ �nn■■■■■�■■■�M■■n■ ..■■. ...■C ■®■ ■ ■■■... mom it � I TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PRENIISES Z12287 THIS IS TO CERTIFY that the 2/22!84 /X1 Land Building(s) Use(s) located at 11i5On MA rn RD _ __MATTITUCK Street Hamlet shown on County tax map as District 1000, Section 114 , Block 9 , Lot 4 does�not)conform to the present Building Zone Code of the Town of Southold for the following reasons: PRoFT'RTY HAS INSUFFICIENT_TOTAL_ AREA On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming )TI Land /�/Building(s) /_/Use(s) existed on the effective date the present Building Zone Code of the Town of Southold, and may be continued pursuant to and subject to the appli- cable provisions of said Code. IT IS FURTHER CERTIFIED that, based upon information presented to the Building Inspector's Office, the occupancy and use for which this Certifi- cate is issued is as follows: A ONE. FAMILY DWELLING LOCATED IN A-RESIDENTIAL-AGRICULTURAL ZONE The Certificate is issued to LAWRENCE & ELLEN MURDOCK (JR. ) (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO. NO-RECORD NOTICE IS HEREBY GIVEN that the owner of the above premises HAS NOT CONSENTED TO AN INSPECTION of the premises by the Building Inspec- tor to determine if the premises comply with all applicable codes and ordin- ances, other than the Building Zone Code, and therefore, no such inspection has been conducted. This Certificate, therefore, does not, and is not intended to certify that the premises comply with all other applicable codes and regula- tions. 0..t C_J_�-_--__— Building hispector BUILDING DEPARTMENT TowN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 5('C) ;'Cly,., I r , d (number do s 7reet) Municipality) Subdivision Mao No. Lots) Name of Owner(s)// ,��, ��.,•,Occupancy type owner-tenant Ad- i.tted by: �� Key available Suffolk Co. Tax No. Source of request e,,",17e�p Date rc%ti% MTEI LLING: Type of construction ))wq4 ' '��`"Y/_#stories 9 Foundatione�arnc� Cellars Crawl space Total rooms, lst. Fl 0 f_2nd. Fl_ 3rd. Fl Bathroom(s) ��cl Toilet room(s) Porch, type _ Deck type `-- Patio, e Breezeway Garage Utility room /ia- Type Heat .h alarm Air Hotwat er �- Fireplace(s) No. Exits 9 Ai i 'oning �— Domestic hotwater :5,/,,, e'-'Alet- Type heaterG_ Other ACCESSORY STRUCTURES: Garage, type const. f e'-c1 Storage, type const. Swimmingool Guest type const. Other ,rtititi. VIOLATIONS: Housing Code, Chapter 52 Location Description lArt. 1 Sec. �d a� � .��1`,"acLi l�z., � � l�ta.�4t•�enc wL. c2ir'i` m 7 Civ c 71' / <�! II 1 Remarks: �`( �: i!�t�i ✓iL� ��'- Cnr ��,,c:� ti�o�;y . / pp Inspected by: Q Date of Insp. Time starts c{S end _S c' FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. . . .2:1:1.799. . . . . . . Date . . . . . . . . . . . . . . . .July. .21 . . . . . . . .. 1983. THIS CERTIFIES that the building .A,DDITZON. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property4500 Main road Mattituck House No. Street flam%et County Tax Map No. 1000 Section . . .1.1.4 . . . . .Block . . . . . 9. . . . . . . . .Lot . . . .4 . . . . . . . . . ... Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated February '16 , 19 .83pursuant to which Building Permit No. .1 21.772. . . . . . . . . . . . . dated . , March 7 . . . . . . . . . . , , ISP.3 . ,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 . . . . . . . . . For a rear house addition to a one family dwelling The certificate is issued to . .Lawr•en.ee -Murdock- Jr. • • • • • • • • • • • • . . . . . . . . . . . . . • . . . . (owner,lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO. . N 609.802. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Building Inspector Rev.1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30959 Date: 06/03/05 THIS CERTIFIES that the building ADDITIONS Location of Property: 14500 MAIN RD MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 114 Block 9 Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretcfore filed in this office dated MARCH 26, 2004 pursuant to which Building Permit No. 30199-Z dated MARCH 26, 2004 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 & DECK ADDITION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to URSULA I GREENE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 2027518 03/29/05 PLUMBERS CERTIFICATION DATED 05/10/05 HARDY PLUMBING& HEATING Aut rized Signature Rev. 1/81 i i i Bunch, Connie From: Bunch, Connie Sent: Monday, March 29, 2021 12:41 PM To: 'mellotileinc@gmail.com' Subject: Rental permit application Good Afternoon, The Building Inspector has declined your rental permit application until he can do an inspection. The assessors card has noted a gas hot water system was installed approximately 2017. Please contact me to schedule the inspection.As of today the first available inspection would be April 20,2019. Also,the check you submitted (#2345)for$200.00 is now stale dated. Please submit a new check for the rental and advise if you would like the original check mailed back to you or we can shred it. If you have any questions,John Jarski will return from vacation on April 81n Best Regards, ( ov(/� 15a'y /L Sr. Office Assistant Southold Building Dept. 631-765-1802 1