HomeMy WebLinkAbout52341-Z ho�,,of$ouryo�° Town of Southold
0 * P.O. Box 1179
0 53095 Main Rd
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 46867 Date: 03/02/2026
THIS CERTIFIES that the building HVAC
Location of Property: 2490 Pike St Mattituck, NY 11952
SecBlock/Lot: 114.-8-2
Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 08/29/2025
Pursuant to which Building Permit No. 52341 and dated: 10/10/2025
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:
"As built" furnace as applied for.
The certificate is issued to: Chad Mello
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE:
PLUMBERS CERTIFICATION:
s
Au horiz d igna ure
�aOfsoury° TOWN OF SOUTHOLD
BUILDING DEPARTMENT
' SOUTHOLD, NY
couw r
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#: 52341 Date: 10/10/2025
Permission is hereby granted to:
Chad Mello
3030 Old Jule Ln
Mattituck, NY 11952
To:
legalize "as built"furnace as applied for.
Premises Located at:
2490 Pike St, Mattituck, NY 11952
SCTM# 114.-8-2
Pursuant to application dated 08/29/2025 and approved by the Building Inspector.
To expire on 10/10/2027.
Contractors:
Required Inspections:
ELECTRICAL- ROUGH, PLUMBING, ELECTRICAL- FINAL, FINAL,
Fees:
As Built Alteration $S00.00
CO-RESIDENTIAL $100.00
Total S600.00
----- -- -------------------
uildinglnspector
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION (1ST)
--------------------------------------
FOUNDATION (2ND)
No
cn
ROUGH FRAMING&
PLUMBING
INSULATION PER N. Y.
STATE ENERGY CODE
lQor
Ll- V
FINAL
ADDITIONAL COMMENTS
z
rTl
°SufFocK�o TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold, NY 11971-0959
Telephone (631)'765-1802 Fax (631) 765-9502 https://www.southoldtownny_gov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
PERMIT N0. � � Building Inspector:
AEG (2
Applications and forms must be filled out in their entirety.Incomplete ;
applications will not be accepted. Where the Applicant is not the owner,an ®epa9tteva> ^a1'�
Owner's Authorization form(Page'2)shall be completed.. �o$Southold
Date: AO�USr 21 lwZj
OWNER(S)OF PROPERTY:"
Name: Cl-l-p,0 /As i_L o SCTM# 1000 c f Z
Project Address: t ci 10:Ph Z—
one# f �J-�? Sri%� Al
Email: _-T/tom/�(lG
Ph _ - ---------- ---_----- 1��' - ----- — ----- --
3c4.�
Mailing Address:
CONTACT PERSON:.
Name: 44 ez� ��
Mailing Address:
Phone#: Email: Ike- -cz,-rlL ✓z- Co amgr Loin
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
Name:
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
❑Other Fun--' -L- $
Will the lot be re-graded? ❑Yes El No Will excess fill be removed from premises? ❑Yes ❑No
1
PROPERTYf INFORMATION
Existing use of property: Intended use of property:
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes ONO IF YES, PROVIDE A COPY.
❑ Check Box After Reading: The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by
Chapter 236 of the Town Code. 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,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(s)for necessary inspections.False statements made herein are'
punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law.
Application Submitted By(print name): G r--ty$D A4 L L-v ❑Authorized Agent IgOwner
Signature of Applicant: — Date:
Notary Public,State of New York
STATE OF NEW YORK) No.01BU6185050
SS: Qualified in Suffolk County
COUNTY OF ) Commission Expires April 14,2 &
being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the
(Contractor,Agent, Corporate Officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
application;that all statements contained in this application are true to the best of his/her knowledge and belief; and
that the work will be performed in the manner set forth in the application file therewith.
Sworn before me this
lday of 20l l N-p
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
I, residing at
do hereby authorize to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
Owner's Signature Date
Print Owner's Name
2
Daa� 1-7s
FOKI
atsao
qD
l VERIf
1 Two �
RGRT-M'MAES
ERO DE MODELS: 451101931
NO �13UM GYSD302P
_ N
O.INiJMERO DE XCE SERIj USING INDOOR AIR FOR COMB •CA
Y IV FORCF�� �1RNA VaIEN USING OUTDOOR AIR FOR
:I VFNI KR ING CONSTRUCTED ON-STTE
AIR
,,A'n0* ON L�.L� A BUILD FORCEE L�DRSOUE DE G �Dr
INN�.-akVECRD'P1RCHAUD A AIR,
CATtGORE IV TYPE FSP EV ACUATIONUDR LA gUSU0N.
EST"� CONSTRUIT S
YE PO
RC¢1.SJRS�'T�L��� UN BATIMENT
ti'TFREIER SEULEMVrf, DAN
1 PH., MAXIMUM TOTAL INPUT
'TR1C 115 v. 60 HZ• E TOTALE
1 R1QUE 115 V.60 HZ 1 PH,PUISSANCE D'EN THE DISJON
XIMUM OVF&CL'RREN'r PROTECTION 15 AMR RATING -
AOURLY INPUT RATING HOURLY INPUT PAG1�[yR- _
DEBTT CAIARIFQUE DEBIT CALORIFQUE
MINIMUM
BAx�um BTi 1 fhrTu �Wl
fF�U S.AT 41BV KRONE ABUVTc 2,UA K(610M),DERATB IW INPUT 4%PER 10IIIIIIIIIIIIIIIIIAL
FAT EQuat P=AL1tiVm N
17"i1JUF51CF'f .
ELECTRICAL
2.40l0 ��kcr� -�,u INSPECTION REQUIRED
COMPLY WITH ALL CODES OF
NEW YORK STATE &TOWN
APPPQVED AS NOTED AS REQUIRED AND CONDITIOONS OF
DA B.P. SOL HOLD T "JN ZBA
FEE gr. --- SOUTHOLD OWN?LANVING DOA,�D
NOTIFY BUILDING DEPARTMENT AT SOnO TOWN TRuST`ES
631-765-1802 8AM TO 4PM FOR THE NX-S. �
FOLLOWING INSPECTIONS: SO OLD HPC
1. FOUNDATION-TWO REQUIRED
FOR POURED CONCRETE S D
2. ROUGH-FRAMING$PLUMBING
3. INSULATION
4. FINAL-CONSTRUCTION MUST
BE COMPLETE FOR C.O. OCCUPANCY OR
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW USE IS UNLAWFUL
YORK STATE. NOT RESPONSIBLE FOR WITHOUT CERTIFICATE
DESIGN OR CONSTRUCTON ERRORS
OF OCCUPANCY