HomeMy WebLinkAbout31438-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
Date: 08/07/06
No: Z-31742
THIS CERTIFIES that the building
RENOVATIONS
Location of Property: 445 PIKE ST
(HOUSE NO.)
County Tax Map No. 473889 Section 140
(STREET)
Block 2
MATTITUCK
(HAMLET)
Lot 19
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
AUGUST 5, 2005 pursuant to which
Building Permit No. 31438-Z
dated SEPTEMBER 9, 2005
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 RENOVATION OF INTERIOR BUSINESS BUILDING TO CONVERT TO BEAUTY PARLOR
(AS BUILT- 1970) AS APPLIED FOR & AS PER CERTIFICATIONS OF
JAMES J. DEERKOSKI, P.E. DATED 8/26/05.
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
~;(7~~
Authorlzed Big ure
Rev. 1/81
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165-1002
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APPLiCAT10t.j FO\1.,CE\1.T~F1CATE OF ocCUpAflC'l
Thi. nppiicntlo~must b~ fiiied th by t,peurllbr OR thk'~nd submit led to the buildi~g
inspector \.IUh the fo11owingl for lieU buHdlllg or tlew Use!
l. filial survey of property ,with dccUrdtll 10cdHon of 011 buHdIrtgs I property. lith!9t
stroet., nrtd Unusudl hoturdl br topographic featured I '
21 Flnn! Approvni frola lIealth Vepl:l' of ,\later suplllt PIld sewerdge-dlsp'osni(S-~ fo,.",) ,
J, AI'Ptbvll1 of ehctdcd instdUdttol! from Jlodrd bf rird Underwriters I
41 Swonl .tatelnetlt from plUtnber cl!rHfyttlg that the sblder Used lit dystela coht:ll.o9
les8 thatl 2/10 of 17. had, " ~- ~"
S. Conunerdal buUdillgl ,illdUs.Hlai bU,Hd!lIgl lnulHpie res!d..~ e~a!l ~L~lWr ~Ufb~~h!
and ins tn!1tttiohs, a certificdt.. bf code Compllnncl! ho 1111 flrhcc'E'" Of''1jlrgtUl\~tll i
respons!ble for the buHdltlll1 . I n'l i ". !ili,'
61 Submit planning flotlrd Approvni bf compieted site plait rt! 9~te"'ents: e 2002 i L:0I,
~or existing buHdinllS (pdor to AprH 9, 1957) non-confor ng L,eit013~[\hPjl~g,j lI,
pre-exisHng" Inrtd uses t "v~ >f S U1HOLD '
L Accurate sUtvey of property sltowtltg tlil propt!rty Hiles, s ree 91 tJ IIg nil .' '.
btlustial tlatUral or topogrnpltic t~atUrij'l
21 A propedy compieted, appHcat10rt alld d consent to inspect sighed by the ol'I,Hcollt
If :1 CerHHcnte of OccUpatlcy ill t1entl!d. the lluHdlng Inspector sh:t,l1 state tho
reasons therefor itl uriting to lit.. npplicatlt.
d.
Fees
II Cerl:ifical:e of Oci:upartcy - Hell t1l1eiHllg $25.00, AddHiol\9 to d\.lolHhll $25.00,
Aiterntioll9 to dllelHllg U~.OOI SlItllUnlhg I>ooi $2510(h Accessory buHdJ.hg $251001
~ddi Holt. to accessory huUtl1t1g $25100 I Busillesse!! $50; 00.
2. Certificate of occupallcy 011 l'rc-existillg Iluiitlltlg - $100,00
jl Copy of CerHHcol:e of occupal1cy - $5.00 'over 5 years - UO.OO
41 Updnted Certificate of OccUpatlc}' ~ .50,00
51 "te"potary cerHficate of Occupatlcy - l\esidenHdi US.OOI Commerclal. US.OO
, 7/1/02
Va te ..1 J ~ .I I ~ ~ ~ ~ ~ . . . , . i .I. . ~ . ;, . . ;, . . I . .. .I....l... . ..
flew COlIsl:rucl:iorl" II j II II.. oid Or l're-e>tiat!ng fluildillg....x; 111,\1. 1111.11
lOCfl1:10n of Property.. ..41~~" ,11.1... .1.11.1 FA~ifl.pt:.r.EJEjt. .111.. i1I'II.~fl.t,1;lt:PMI>II.".. i
" 1I0use Ito. street lIumlet
U1CD LAND LLC
Oniler tit O\.lttcrs at PropertYI'.' illl a III &, l.lal...... III a I'" 1'1" .11 i ~'IIIII j..;, 1'1 ;,..II&.l.l
"
COUltl:y Tax Hop 1-10
1000 I S~CHOljllll ;}.o. \ 9P. I dJlock. i1~ 1 QP. II. '111 . La I:. 'II ,Q1.ll"IQQ0" II.
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subd!~!s!on..., ..i'I' i I. '11&.1.1.1.. ,.1'.&' Ii 1"iIFl1ecl BO(1IIe.,I,I,.;.,.Lot. .1... i j,111'11'~...1
l'nrtnlt Ito~ I ~7;~~~,';'i ,Unte Of Permit:. ~)Iq llq !ill. IllAppHcnl\1:t "1111..1111. I. 1111., I II
health Dept. Approvnlllllllllll..II. 111111 1 IllIlJntler\.ittter!l Approvrll1 ;111'111111. II.." II
, '
PlanltlnG bonrd Approval..III.IIIIIII,.I'II.I.II,
ReqUest 'fotl . TemporarY cer~itletlle.IIIIIIII'1 Firini Cel-ttedtelll.II,..'1
Fen submit hd t
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, IIIII"'~~II"A.,1#1'111"I:I"
Joanfj G. s\l;rp~~r". .' ,
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Coc'1l1iJ-
JAMES J. DEERKOSKI, P.E.
260 Deer Drive
Mattituck, N.Y. 11952
(631) 298-7116
To: Town of Southold
Re: Building Inspection
Michelle's Beauty Salon
To Whom It May Concern:
An Inspection was preformed at the above-mentioned property, all Construction
was done as per code during the time this structure was built, and is deemed safe to
its occupants. Any questions please feel free to call.
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JAMESJ, DEERKOSKI, P.E.
260 Deer Drive
Mattituek, N.Y. 11952
(631) 298-7116
....r.
To: Town of Southold
Re: Septic / Plumbing Survey
Michelle's Beauty Salon
Pike street
MaHituek, NY I EJ52
To Whom It May Concern:
This !cHer certifies that a septic survey was performed on the above mentioned property,
and the existing system is in good working condition, and was more than sufiieientto carry
the demands put upon it by the existing business at the time of eonstrnetion. The
plumbing in this structure is in good working order and also met the code at the time of
eonstrnction. Any questions please fecllfee to call.
/"00 - /?<:? -' <. JU
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OWNER
TOWN OF SOUTHOLD PROPERTY RECORD CARD
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STREET
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VILLAGE
DIST,
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REMARKS
TYPE OF BUILDING
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I SEAS,
VL.
FARM
MICS.
Mkt. Value
LAND
?<:"OG
IMP.
TOTAL
DATE
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AGE
NEW
BUILDING CONDITION
.
FARM Acre Value Per Value
Acre
,
rillabie I FRONTAGE ON WATER
I I .)'c,
Voadland FRONTAGE ON ROAD JOO "~ , ') . '.
j
Aeadowlond ! DEPTH J: '/ I
t- 'j / /5
iou~e Plot . < BULKHEAD
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.otol'- - j DOCK
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NORMAL
BELOW
ABOVE
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M. Bldg. 2>0 " f) - Z.tfOd ".. 1...$"0 " '~"'0 /.
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Extension (.
/:3'.y ;.t/j =_.l-)'{) ,p PM ~
.
Extension
Extension
Foundation pc:... Bath 2 Wi'1;..H r\:i~'" < - Dinette
Porch Basement 110 Floors Ce5NC K.
Porch Ext. Walls e 8 '11e.lll Interior Finish P/t "--.'~ "7"'5-'" lR.
I~~ 0 C ',. "
Breezeway Fi re Place Heat 6// ('III! DR.
Garage Type Roof Rooms 1 st Floor SR.
Patio Recreation Room Rooms 2nd Floor FIN. S
O. & ,
I Dormer Driveway
Total I~~.rll "
COLOR i3 lu r
,
TRIM '-U g I "rJ:""
140-2-19
-- Chronology of Events --
MichelleBeauty
- 2004 -
04-08-10 Mark Davis asked about a Nassau Fire Marshall and selling fire
extinguishers to merchants. I told him I would stop by and talk to Lisa. Saw card, on
bottom was "Office of the Fire Inspector". Told her she needed a 5# fire extinguisher
(she has) and an emergency light.
- 2005 -
O~!'D9.:13 Fire Inspection
1. Need 1 emergency light
2. Need exit sign over front door
3. Fire extinguisher needs inspection
4. Electrical panel partially blocked by washer/dryer.
Page 1 of 1
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO.
31438 Z
Date SEPTEMBER 9, 2005
permission is hereby granted to:
JOANNE SHIP
PO BOX 1013
MATTITUCK,NY 11952
for :
AS BUILT RENOVATION OF INTERIOR COMMERCIAL BUILDING AS APPLIED FOR
at premises located at
445 PIKE ST
MATTI TUCK
County Tax Map No. 473889 Section 140
Block 0002
Lot No. 019
pursuant to application dated AUGUST
5, 2005 and approved by the
Building Inspector to expire on MARCH
9, 2007.
Fee $
400.00
~~
I Authorized Signature
ORIGINAL
Rev. 5/8/02
..._,e...'),
TOWN OF SOUTHOLD i..
BUILDING DEPARTMENT
TOWN HALL . . ,
SOUTHOLD, NY 11971 l.__..
TEL: (631) 765-1802 .
FAX: (631) 765-9502
www.northfork.netlSouthold/
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5 2005 ' ~J} '.
"H_~;~J
PERMIT NO. :3 If 3(\ lS
BUlLPlNG PERMIT APPLICATION CHECKLIST
~ Do you have or need the following, before applying?
Board of Health
4 sets of Building Plans
Planning Board approval
Survey
Check
Septic F onn
N.Y.S.D.E.C.
Trustees
Contact:
rry'.
Examined
Approved
Disapproved ale
>
1/1
I
,20~
,20 OS
Mail to:
Phone:
Expiration
1/1 ,20M
(~pector
APPLICATION FOR BUILDING PERMIT
Date
III '5 'j
,20 (.: j'
INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location oflot and of buildings on premises, relationship to adjoining premises or public streets or
Jareas, and waterways.
c. The work covered by this application may not be commenced before issuance of Building Permit.
. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit
shall be kept on the premises available for inspection throughout the work.
e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an
addition six months. Thereafter, a new permit shall be required.
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, or 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 for necessary inspections.
..IJ
Po ih Itll ~ /n A-7r rTU C. k... 11.I. i/
( ailing address of applicant) ( 1/9ip
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
<.p (j tA) NE1<.
Name of owner of premises \:1bLJ:ItI,A/i!: G.. Cj).//p
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location ofland on which proposed work will be done: .
'P J-liI~t\lEe<)rf~.eE-.::1- 111i+-rrrTLJCK NIl
House Number Street HmntJ.li):' AI.;I~rA'i
IhoY wttl1 to 9JiJ:t2 .tl(l ~ \lIAl"I~~
I k 4.., ~,'lf~~.i'''''' '~
B oc tI'lllt\.') .'I'\"u:> \ J~ ,,~ Mltil.('lr1
Filed Map 1:1I.0....._. ....... ."'1'. ., ""Lt'lf"""'"
County Tax Map No. I 000 Section
Subdivision
1-(0
(Name)
2. State exist~n~ use and occupancy of premi~s and intended use and occupancy of proposed construction:
fJ EXlstmg use and occupancy C C'M In e /2/ C 1-1 L /3u [ {d /1'3
<">
P Intended use and occupancy ~NOUi1(10!J O~ !/lJ'SII)r:: fop- /.:JE!Jur," "Hc..olJ
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
Addition
Other Work
Alteration 7(
iN fer-I o;e ONi.-t(
(Description) 1
4. Estimated Cost
Fee
5. If dwelling, number of dwelling units
If garage, number of cars
(To be paid on filing this application)
Number of dwelling units on each floor
6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use.
IJE.J4( ;T'-f Sa...eN
7. Dimensions of existing structures, if any: Front
Height Number of Stories
Depth
Rear
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
Depth
8. Dimensions of entire new construction: Front
Height Number of Stories
Rear
9. Size oflot: Front
Rear
Depth
!l7/{lJIP..L ! e i~PCK~t<..
,
~
10. Date ofpurchase 4uS
.lrJ<:rn
~O'1' Name of Former Owner
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO 1/
13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO
- - 111ArTITtl<-lLC-
14. Names of Owner of premises ~~^,N+! S..II1' Address ~ leI.!! ^'V/lf'~;i!t>hone No. ft,3/-l. Yf '1353
Name of Architect .:r~m-es D&i'~Kc5r_j Address 2,,{) UuR lJll . /lfO~Phone No a~ ~-fJ-()6
Name of Contractor ERI'Je~T -.T~ec; Address N/JIAI ~"I //~'2 Phone No. ;) 8' 8(,,1J:,3
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _NO 1....-
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES_NO_
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
STATE OF NEW YORK)
\/;6 1 SS:
. ( UN~ OF ~Ur(tJ,lt
cJOlfjIJ IU E G 5-11 I'f' being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the
I.) CU A.J ~f'--
(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 knowledge and belief; and that the work will be
performed in the manner set forth in the application filed therewith.
S_ ill bcti>re ~ <hi~.,
/;- M ~~ 200e)
t/A:. ~
Notary Public
~~.. ~ NIw.'~;~
n..~"~ 1
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Comri1ission EIlPIM" /
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' Signature of Applic t
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CERTIFtCAT'nN OF
NAILING COf\J!'\fc::no
LEGEND
A EMERGENCY EXIT LIGHT
amrfTHE REQUIREMENTS ..
CODES OF NEW YORK STA LIGHTED EXIT SIGN
MICHELLe'S
MA TTITUCK, TOWN, NY
&cALE
Auguet 24, 2005 lie" . 1'0"
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MICHELLE'S
BEAUTY SALON
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1ST. FLOOR PL.Ar:!
SCAlE: 1/8- = 1'-0'
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
FIRE INSPEcnON
zJt ~~ 7~-
FG.
SMOKE DETECTOR
tlHOERWRITERS CERT1F1CATE
REQUIRED
APP:10VED AS NOTED
DATE: ~Jcr !s~ S.P. # :;43~.eE.
V7 FEE: flYfJ O. BY: 14....iV...:--
~/,j,., NOTIFY BUILDING DEPAFm/~NT AT
If' 765.1602 8 AM TO 4 PM FOfi THE
FOLLOWING INSPECTiONS:
1. FOLiNDATION - TWO REQU!RED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
PLUMB IN
D
RING
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JD/MH
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00 00
FRONT ELEVATION
SCALE: l/S" = 1'-0"
\
EXISTING
R\.
4"0 ROOF VENT
11/2
11/4
11/4
11/4
4
13"
FA!.
11/4
11/4
11/4
11/4
IC.O.
2- 2Xlo
11/4
c.o.1
11/4
3
4
4"C.I.U
HOUSE
TRAP
> TO APROVED
SEPTIC SYSTEM
EXISTING S"
CONC. BLCK.
WAll
SLOPE" 1/4" PER FOOT PITCH TO DRAIN
(GRADE)
PLUMBING SCHEMATIC
N.T.e.
SECTION A-A
SCALE: 1/4" = 1'-0"
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Pc>.
2
MICI4EU..E'e
MATTI TUCK, TOWN, NY
&cALE "
Auguet 24, 2005 liS" . 1'0
JD/MI4
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