HomeMy WebLinkAboutZ-31743
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~
31743
Date, 08/07/06
THIS CERTIFIES that the building
BUSINESS STRUCTURE
Location of Property 445 PIKE ST
(HOUSE NO.)
County Tax Map No. 473889 Section 140
(STREET)
Block 0002
MATTI TUCK
(HAMLET)
Lot 019
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Requirements for a BUSINESS STRUCTURE
built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z~
31743
dated AUGUST
7, 2006
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
BUSINESS BUILDING (GAS STATION) *
The certificate is issued to LCMD LAND LLC
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
N/A
PLUMBERS CERTIFICATION DATED
N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
~~~~ture
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
INSPECTION REPORT
LOCATION:
SUBDIVISION:
NAME OF OWNER (S): LCMD LAND LLC
445 PIKE ST
MATTITUCK
MAP NO. :
LOT (S)
LCMD LAND LLC
ACCOMPANIlID BY:
SUFF. CO. TAX MAP NO.: 140.-2-19
OCCUPANCY: BUSINESS
ADMITTHD BY:
KEY AVAILABLE:
SOURCE OF REQUEST: JOANNE SHIP 7/2/02
DATE: 08/07/06
IlUSllESS SIRUCl'llRE
2ND FLR_: 0
TOILET ROOM(S) :
DECK TYPE:
FIREPLACE: GARAGE:
# STORIES: ~ # EXITS: 2
CELLAR: NONE CRAWL SPACE: NONE
3RD FLR_: .---2
UTILITY RooM(S) :
2.0
TYPE OF CONSTRUCTION:
CEMENT BLOCK
FOUNDATION: POURED CONCRETE
TOTAL ROOMS: 1ST FLR.: 1
BATHRooM(S): ~
PORCH TYPE:
BREEZEWAY:
DOMESTIC HOTWATER:
TYPE HEAT:
PATIO TYPE:
TYPE HEATER: AIRCONDITIONING:
WARM AIR: HOTWATER:
OTHER: BP#31482Z-COZ31724 (CONVERT GAS STA.TO BEAUTY PARLOR)
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.:
SWIMMING POOL:
OTHER ,
STORAGE, TYPE CONST. ;
GUEST. TYPE CON ST. ;
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION
DESCRIPTION
ART.
SEC.
REMARKS: BP#10553Z-COZ9927 (ADD) SF #19668Z-COZ19866 (ALT)
INSPECTED BY, ~4
DATE ON INSPECTION; 00/00/00
TIME START; END:
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UU1LUHlG DEPMTHEHr
'towll HALL
765-1002
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APpLtcAnoH FOIt CERT~r1CATE OF ocCUpAIlCY
This application' must be Hlled in by typewdtt!r OR ink' and submitted to tht! buUJihg
inspector with tht! foliowingl for new builJing or new usel
II final sUrvey ot property ,with accUrato location of 011 buiiHngs. property. l1no" I
stroets. and unusual nntural br topogrnphlc featuredl
2, final Approval fro.rt Ilealth berb' of water supply and sewerage-dlsposoi(S-9 fotm) i
J. Arprova1 of electrical instnllatiolt from Board ot rirll Underwritur",
I" Sworn state."ent from plumb..r certifying that the soider ust!d ill uysto,rt coht:t1ns
l..sa than 2/10 of 17. lead.' ,--"'" .......-..... "
5 I Commercial building 1 indus,Hial building 1 Inultiple testd~:mdeJ; am1 \;'L~ii:rr 'buUc!l.hg'
and installrttions. a 'certUicate of Code Compliance from; architect: or engiul,er
responsible for th.. building I . . . I
61 Submit planning !loard Approval of completed site platt reflu.!remenI:9. 22l')
I ' ! ~
r.;~e~:~~:~~~g~ut~~~n~:e~;dor to April 91 1957) non-con fort l~~e~r?rbuiid:g!l ,!nd
L Accurate sur.V"y of ptoperty showing 1111 propt!rty lin<!S1 stre'ets.b,j11dIi,g':i,',T; ;.
unusual nrttural or topographic r..atures I '
2. A properly comphted application and a consent to inspect signed by th.. app11cant.
If a Certificate of ~ccupancy is dcnied, th.. Uuilding lnspecto~ shaii sl:atc tile
reasons th..refor ill writing to the applicant.
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CI
Fees
II Cerl:ificate of Occupallcy - flew dw..Uillg $25.00j Additions to d"cl1J.I,,~ $25.001
Alterations to dweiling $25.001 SyLmnihg 1'001 $25.001 Accessory building $25.00,
AJditions to accessory huilding $25,00, Dusincsses $50.00.
2. ccrtificat.. of OccUprtncy on Prt!-eKisting Duilding - $100.00
J. Copy of Certificat~ of Occupancy - $5.00 ~ver 5 yedts - $LO.OO
II. Updated Certificate of Occupancy - $50.00
5. Tcmporary Certificate of OccUpallcy - Resldcntiai $15.001 Commercial. $15.00
7/1/02
Val: e ,. I , 1 ~ i I . ,0 \ I . .. . ~ . i .. .. ~ , . ~ . . . . .. . ;, Ii ;. .. .. ~ . . .
lIell Consl:rucl:iol\" ,"; II,... Oid Or rrc-e"isl:1ng uuilding.., 1... ',1"" ...1.
L i 445 pike StreeT M"ttit""lr. . .
DC J1. t . on of Prop e [" ty .. " " I i I . . I . l I . " . I I , ii' i I I i I I I " & ," I I . I . r Iii i I I I . .. I I i ~ i 1-~r. . .. ra"-'l.l)............ Ii . i
1I0use tlo. Street lIumiet.
Dnller Ut OIJners ot Property. ,II. .,~?f-f'P."i /f;"S,~tli'. .l"'l~ ,q-r;P. J.AS,J.J..{:IIII.... ~"" ,ill.:"
Coul,ty Ta" Hap lIu
1000 I S..C tiolll 1'1 't.4,o. j 9 ~, , . Ulock i Iq~ \ 9P. . I . . . . , . Lot. . . . .call",UO Q.., I I . I
subdt~iston"'I~ i. ill.I..'illllll.llll~ ~ 1"oilli,Fl1ed Hot'i'.' II i i. ,..Lot... .....1 Illi.:...... 100
Permit lIo I I .. i I ; . I . I ~, . i. Uatll 0 f l't!tmib I II II , II I . II I IIApp1 icahb I. , i I . . . I I .. · I . I I · I..... ..
/tedi th /Jcp t. Approval. I . I I I I I I I' I I , . , III I II II IIUnd.. rwr~ ters Approvrl11. j · · · · . I Ii' . .. ..... I I I
Plctntt!ng Doord ^pprov~li.'iil"""""'J,,,.'1
nt!'1uest for! I TemporarY Cediflcatel 1111111'" Finat Ccttlcal:e..,,,..." I
. FCI! Submittedt
~ 100.00 '
f.... . ...... .......... ........ Ii.. l......
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(Aoe.,. 70 7 '1/
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I'lEVISIONS
AP~ 25,1980
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loo<<n.SlIu.uJN.UlMOI.~
10." YI.UD RIA~.
QU.t.UNms IoQC.lr.n:o IDlOM IMAt1 ......
CK'lOn.JoIQOMI'OIWtCloo~k.nfT
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nN (OWAI1T. OO'ftlNootM.u ~_
~1"mT.,nc:.tl.rntolUl.Orl,,_
lO"'~IOf'MIUteWl_
lUnQot,cw.,u..aUS.tJ.I_tiOr~
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-
NOTEl
.. :: AlONUMENr FOUND
400 O$naQOr R A\f IIUL pr':[RIl
.&.LCEN W. YOUNG
,....~r....'O....L t..C\NlE_ '''0
1......0 .U....tTO. "" ~ ,-'e "0 ,~"...,
SURVEY FOR:
MICHELLE BECKER
.,
MATTITUCK
SOUTH OLD
TOWN OF
SUFF(';.K CO" N, y,
SCALE' I" : 30'
-~,~
GUARANTEED TO:
fI.( ~C~T" FOIIII ...u a T.usr to
i::ltftU;O TITl[ 1,,5tnlAllt[ to-
, -., ",..
DATE
FE8. 8,1980
9
140-2-19
-- Chronology of Events --
DanceMattituck
- 2005 -
05-09-13 Fire Inspection
1. Exit Lights not operating
2. Need 1 fire extinguisher min 5# ABC
3. Need 1 emergency light
4. Need egress door (east side)
5. Occ 28 Class A3
Page 1 of 1
STATE OF NEW YORK)
ss:
COUNTY OF SUFFOLK)
AFFIDAVIT
I, EDWARD SIDOR, being duly sworn, deposes and says:
1. That I reside at 200 Conklin Road, Mattituck, New York 11952.
2. That I am a life long resident of Mattituck, New York, a part of the Town of
Southold.
3. That I am familiar with the premises commonly known as Michelle's Beauty Salon,
located at 445 Pike Street, Mattituck, New York, designated on the Suffolk County Tax Map
as #1000-140.00-02.00-019.000.
4. That prior to 1957, those premises were improved by a service station, and that
building is incorporated into the building now existing at the subject premises.
5. That I am making this Affidavit knowing that the Town of Southold Building
Department relies on the truths of the statements contained herein. '.
f'~J(--LJ ~-~~-'7
EDWARD SIDOR
Sworn to before me this
~ day of July, 2002.
~'-7if)a. <--<J-
- ~~UNE MARIE GATZ
)::s- Notary Public, State of New VOIle
No. 01GA6015316
Qualmed In Suffolk c~
CorrImINion Ellpirllll Oct. M ?
ublic
STATE OF NEW YORK)
ss:
AFFIDAVIT
COUNTY OF SUFFOLK)
I, DAVID ZAZESKI, being duly sworn, deposes and says:
I. That I reside at 125 Conklin Road, Mattituck, New York 11952.
2. That I am a life long resident of Mattituck, New York, a part of the Town of
Southold.
3. That I am familiar with the premises commonly known as Michelle's Beauty Salon,
located at 445 Pike Street, Mattituck, New York, designated on the Suffolk County Tax Map
as #1000-140.00-02.00-019.000.
4. That prior to 1957, those premises were improved by a service station, and that
building is incorporated into the building now existing at the subject premises.
5. That I am making this Affidavit knowing that the Town of Southold Building
Department relies on the truths of the statements contained herein.
C. \
:vja"-r.-, V ~ '
DA VIP ZAZEsKI
.~ct.~ ~ fo.,
(~ '-'
1/[d-fU
'd/:-
JACQuELINE MARIE GATZ
NDIIIyNPublic, State of New York
O.OlGA6015318
Q ~'I"ed In Suffolk County
I.. r WI Expiree Ol;t. 26,~_
//)() 0
--: OWNER
ll..~
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TOWN OF SOUTHOLD P'ROPERTY RECORD CARD
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~LlNl G D Ln (v!
FORMER OWNER
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....".L..".._...d ~"J: "'_.
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~ RES. L/,');.' i SEAS. I VL.
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TYPE OF BUILDING
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Mkt. Value
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TOTAL
DATE
REMARKS
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~ NEW : NORMAL I BELOW ABOVE
lIl'FARM" ~l Va~~r:er i VGi~~--+~-----------'-----
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~T~llob;;;--'-''j''- i ! FRONTAGE ON WATER ,----
't"--.--. --..----.------,--- ~_~~__~~m_____~.~.__'__ , -- -~-~- - _~ 1----~--,- ---..
r:. ,':"0u!u"d I : , ' r~;ON T r\GE ON KU, .D I () (" ..1 .~,
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