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Home My WebLink About1000-140.-2-41 TOWN OF SOUTHOLD s Rental Permit 0571 Owner Chad & Sharon Mello Occupied as Single Family Dwelling Located at 1455 Pike Street Mattituck 140,241 Maximum Permitted Occupancy 6 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. 1/12/2024 Code r ore _ ent f�ffi This Notice must be posted by the main entrance at all times of o 631 -765-1802 2 / � INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PTBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAI [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN4. [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FII [ ] CODE VIOLATION [ ] PRE C/O [ DATE INSPECTOR Town Hall Annex +° Town of Southold 54375 Main Road Rental Inspection Report PO Box 1179 Southold, NY 11971-1179 Tel: 631-765-1802 _._. . Date .. SCTM# . i. .a Vi one I_ .. ..w_..... . .. .. ..... ?h. Owner i.r,. ._ e,14 _ .,._ .....a,.. Address _..___... Inspector Hamlet _. . . . r Floor Level Quantities Sub 1 2 w _ . _ . Detectors (not located in bedrooms) Carbon Smoke Monoxide Detectors Fire Extinguishers Exits Bedrooms 1 2 3 5 6 Smoke Detectors Egress Occupant Count �, �• Building Systems Maintained & Operational Condition of Property Heating Building interior Hot water Building exterior, Pro... , Electrical Hanperty clean, maintained &safe .. __. ._. Mechanical drails &guards installed & secure o Pool Safe Ion Site _ Surface water alarm Date of CO issuance Door alarms Pool.11 completely enclosed n e to cone regLfl . Self closing/ latching gates ^ nerNts Pool fent,.... �prcr. , _ . CO's for all items present Prior Rental Comments: O O � � oCDfi e"F �q N rD G '0 0— rD• " 0CL l j o C/) m O o N � CD cr o .< 3 Cu CL CD o D a' < a) N o � U5X cn o' n cn �• N o o CD z C 0 CD = � CD CD cr Q _ CD fD 0 CD z o 3 o O CD * ^ Q O p r"F 77 On p M 0 ~ M 0 CD � M � ° 0Ro o o CD • o m CL roCD < n O 3 0' � N 3 CD o =r W Q- p CD Cl) v � C7 c �. CD cn on 0 CD c cn p m to 41 X O c 0 v Vl v' U in' O Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 EUILDING DEPARTMENT oc"f o 2021 TOWN OF Std HOLD BUILDING()LPL TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: Iq,�2 4Ss P/10t s� ti t+TF r Tv�,r� �� 1 `�- Tax Map Number: 1000 SECTION `�-7385 -BLOCK l L1-0 -LOT---2f-- SECTION -LOT2f -SECTION B. OWNER INFORMATION: Property Owner Name: GI-4 A-D A'`C L L-0 Property Owner Legal Address: Property Owner Mailing Address: a o I_e u L-G L.AN e- ICi Telephone Number(s): Daytime_671507 L/ Evening b3i 25 '.1'13rmergency b3 i q9 7 J yy:5 Property Owner Email Address: AA141, Cao o C 100361 Page 1 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 a roV r � 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: Requested Maximum number of persons allowed to occupy Dwel41UInnit:�" Number of rooms in Rental Dwelling Unit: S Use and Dimensions of each room in Rental Dwelling Unit: 3aCD '®�ti`S `�LL3a�► Page 3 of 5 NOV 2 2 'IUD Ta1Annex zx Telephone(631)765-1802 ��lQ 9 �� 54375 Main R �Y�.iyf-fol- Fax(631)765-9502 OFS P.O,fox 1 "t ` w Southold,NY 11971-0959 W BUILDING DEPARTMENT TOWN OFSOUTHOLD i j l 5;f- 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: . Requested Maximum number of persons allowed to occupy Dwelling Unit: Number of rooms in Rental Dwelling Unit: ly Use and Dimensions of each room in Rental Dwelling Unit: ) 110 S.F- r>�a zlo r--- Page 3 of 5 J� qf sou�� TOWN OF SOUTHOLD BU�ILDING DEPT. 765-1802 1 yb L' q j INSPECTION ] FOUNDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION21SID INS LATI N/CA LING [ ] FRAMING/STRAPPING [ ] FINAL ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) ] CODE VIOLATION [ ] PRE C/O d Town Hall Annex "' � Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 t Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUMOLD RENTAL PROPERTY CERTIFICATION Form is to be completed by a license architect,licensed englneer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit pro essional seal re aired ForArchitect or Bn lneer licensed Homme Insvector must provide copy of valid current cern cation Rental Property SCTM Number: 1000-140.-2-41 Rental Property Address: 1455 Pike St Mattituck NY 11952 Owner/Name: Chad Mello 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.) Bedroom #1:130 SF Bedroom#2:208 SF Bedroom#3:144 SF Property Description (include all improvements indicated on survey) 2 story frame house with garage,and shed. 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 ction Code of New York State. Anthony Portillo, R.A Print Name and Title Original Signature Please place professional seal: `w ;. Town Hall Annex Telephone(631)765-1802 / Fax(631)765-9502 54375 Main Road P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SO OLD 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: Property Owner's Sign atur -- — _ - Sworn to before me this _ ay of Official Notary Public Signature and Original Notary Stamp wwwer TE�'R°ii �a MOTAfiY' NoWy hW SMOtNew York "si PISLICC .Ch1 Qudiw Its Page 5 of 5 L J.0 LO 0 PIT IP 91AI It S gm tl O C ro ° II : a 40 1 1 �y n�n J' 1 � r 3 ca 1 °� o c CD 3 m o o o (Dro m o Z y rn m o �. .. .�.. .. w .._.� _CL m. .......w uY ... ....CD _ 70 -D i i f — C ' Z r —� 0 C m -n a , " I .e,,. .... ....� r r 4 � i co 4 ,;1 q "00) d �ro r "" C, IN "h ;�j �e Q J ,R o 43 "' ITIILo pG 0 iia It 1 SO,)n 4,4�` j C O G1 "'m XM 21 1- - " ... ............ .......... ........... 41 ..... -n CD CD M, o .......... ........... ....... .......... 03 0- 77 41 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-24923 Date MARCH &, 1997 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 1455 PIKE STREET MATTITUCK N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 140 Block 2 Lot 44 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9,__ 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-24923 dated MARCH 7, _1997 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 ONE FAMILY DWELLING * The certificate is issued to BERNICE TYLER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. ilding Inspector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 1455 PIKE STREET MATTITUCK, N.Y. �... ta�tvakat:t b street} _. tl.._..I . .....aavaxacrpal,aty SUBDIVISION_ NO.__ LOT(s) NAME OF OWNER (s) BERNICE TYLER OCCUPANCY SINGLE FAMILY --.—•(0,caner—tenant _. ADMITTED BY: CHARLIE TYLER ACCOMPANIED BY: SAME, __ _..... KEY AVAILABLE SUE"P. 1...'TAX MAP NO. 1000-140-2-44 SOURCE OF REQUEST: PATRICIA C. MOORE, ATTY — DATE: FEB. 25, 1997w„ ._ , — ..._�....��_. ......._..... ... DWELLING: TYPE OF CONSTRUCTION WOOD FRAMING # STORIES 1-1/2# E%ITS 2 FOUNDATION_ BLOCK CELLAR FULL CRAWL SPACE K TOTAL ROOMS: I 1�1 R 3 2ND FLR. 2 lbFLR. BATHROOM (s) l TOILET ROOM (s) l UTILITY ROOM PORCH TYPE �.�'� mm "0EC •,, "E"YP WOOD FRAME PATIO BREEZEWAY—.._,--.---- FIREPLACE GARAGI? UNDFR 0wmmmm— mm m ITITmmmm DOMESTIC HOTWATER ELECTRIC TYPE HEATER LILCO GAS AIRCONDITIONING n TYPE NEAT LILCO m . GAS WARM AIR � HOTWATER ELE ..... ELECTRIC OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. SWIMMING POOLwm`_ mmmm , GUEST, TYPE CONST. OTHER: ------------------------------------ VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: BP #23964—Z—COZ-24922 (DECK ADD) INSPECTED BY td. .... DATE OF INSPECTION MARCH 3, 1997 �. . .ar lea. x TIME START 10:15 AM END 10 45 AM FORM NO. 4 TOWN OF SOUTHOLD No BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24922 Date MARCH 7 1997 THIS CERTIFIES that the building ADDITION Location of Property 1455 PIKE STREET MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 140 Block 2 Lot 41 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 25, 1997 pursuant to which Building Permit No. 23964—Z dated MARCH 6 1997 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR "AS BUILT" The certificate is issued to BERNICE TYLER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A wilding Inspector Rev. 1/81