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Home My WebLink About32297-Z FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31942 Date: 10/23/06 THIS CERTIFIES that the building RENOVATION (STREET) Block L- Lot 5 MATTI TUCK (HAMLET) Location of Property: 140 PIKE ST (HOUSE NO.) County Tax Map No. 473889 Section 141 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 19, 2006 pursuant to which Building Permit NO. 32297-Z dated AUGUST 18, 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 RENOVATION TO CONVERT AN EXISTING BUSINESS BUILDING TO A DAY SPA AS APPLIED FOR. The certificate is issued to CHARLES T & JEAN ZAHRA (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 3009642 10/10/06 PLUMBERS CERTIFICATION DATED 10/12/06 SUNRISE PLUMBING&HEATING ~~#~ Aut orized Signature Rev. 1/81 - Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ~s,~0--- cJQ ~ 9/7- SQ6- 7 s.;1s , APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new buildiug or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of I % lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planuing Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swinuning pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. l/!"lllb /06 New Construction: Old or Pre-existing Building: X (check one) . Locationofproperty: I'-Jo t=>; k~ S-r('e<,-I tktt'r-rucL-. NY House No. Street Hamlet Owner or Owners of Property: C h (l (' Ie. ~ Suffolk County Tax Map No 1000, Section I ,,/ I ZCl.k,,,, Block 0 0 0 '-I Filed Map. Lot DO S Subdivision Lot: Pennit No. 3J2 11- 2.. Date of Penn it. t! / J /!J /0 G Applicant: ~ IS h...... r>k I J; fPfl - l~o"/f? Health Dept. Approval: Planning Board Approval: Underwriters Approval: Request for: Temporary Certificate Applicant Signature Fee Submitted: $ QJ..c .1\)\)} CO.r: 3f1 ~ 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. 32297 Z Date AUGUST 18, 2006 permission is hereby granted to: CHARLES T & JEAN ZAHRA PO BOX 1137 MATTITUCK,NY 11952 for : CONVERSION OF AN EXISTING BUSINESS BUILDING TO A DAY SPA AS AS APPLIED FOR at premises located at 140 PIKE ST MATTI TUCK County Tax Map No. 473889 Section 141 Block 0004 Lot No. 005 pursuant to application dated JULY 19, 2006 and approved by the Building Inspector to expire on FEBRUARY 18, 2008. Fee $ 349.40 ORIGINAL Rev. 5/8/02 @]~~E!Ii!!IE!~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ i Located at ~ Application Number: ~ Section: ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I ~iIDE!iIDE!E!Ii!!IE! I! ~ ~ ~ ~ ~ ~ ~ ~ ~ G G n; n; ~ G n; I.!! G G G G G n; G G n; n; G G G G G G G G G G G G G G Ii1 Ii1 Ii1 Ii1 Ii1 Ii1 G G Ii1 11' Ii1 rn rn G n; rn rn rn G Ii1 Ii1 rn G I.!! Ii1 G rn Ii1 rn rn n; G rn n; rn n; Ii1 n; rn rn rn Ii1 G I! @]iIDE!i'dIE! BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS 40 BUREAU OF ELECTRICITY FULTON STREET - NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by HUBBARD ELECTRIC 178 HUBBARD AVE RIVERHEAD, NY 11901, CHARLES ZAHRA 140 PIKE ST. MATTITUCK, NY 11952 140 PIKE ST. MATTITUCK. NY 11952 3009642 3009642 Certificate Number: Block: Lot: Building Permit: BDC: ns11 Described as a Commercial occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: First Floor, A visual inspection of the premises electrical system. limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 10th Day of October, 2006. Name OTY Rate Ratin. Circuit ~ Miscellaneous minor alterations Alarm and Emergency Equipment Combo Exit and Emergency Light Exit Light EmergencyLight . - Sensor Appliances and Accessories Exhaust Fan Wiring and Devices Fixture Receptacle 1 0 1 0 ----- --t () I 0 Smoke o F.H.P. 8 0 9 0 Incandescent General Purpose seal of I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. OCT-12-&6 &2:~1 ~'1 ~rERCY.eENTER.N.V.f. ~1~T2Tl~2~ ~.el Town Han, 53095 M.iri Road P.O.. 80. 1179 Southold. Nrw Y,,,.k 11971-(~)59 Pox (631) 7r.S-9~02 TelepllUllC (6J1) 16~.1802 HlJILl>JN(; OEl'AIHMJ.:NT TOWN OF SOUTHOLD t:E R TlJ' I CATION Il'ltc:_lal../ ~6 Buildillll PCJ1l1it No. _ .3> 2.~ , .1..2- ,,_ uWllcr~(~R\l.lk~ eo{)l~- L'llS ~I'\c.'s OvJI'tc...,-- Co h.~ \.c,.s(Plcase pnlll)Z.O~t"A - ~,:>c.r 1). ow"e.("'" Ph1l11bel":~lihJ -rb__.(., r ~lJl1tlY!i flltrw~( J..lepJ,,1\tc., (~1caSl' prilll) lead. I certify that the solder l\~cd inlhc 'l"lller ,~\Ipply system contains less than 2/10 of 1% D~-U2-. . ~"-Q~~~ Signaturer Swom \() hefore mc this l 7... ria}' Ol-.!2C'r ~u, 20.Qj: -~- Notary Public, ~k. _Collnty "." ~'. .. ROBERI' A. MARI1NSON NotalV PIlIIIIt, State 01 New Yorl< No. 4802851 . ... qU8!lfled In Suffolk County c.,,,,m'llSlon expires August 17, ~ 7 ." .." .....: '. '.:!.' . ......: :{t,~;t !!yjgf PascareDa. P.E.. PLLC P.O. 8ox7t7 Deer,..~ N. Y. 1172' I COll8uJtiD2' ED&Jneer Phoneq:iIJ( (131) 42147U :G 9 August 8, 2006 Mr. Damon Rallis Platls Examiner Southold Town Hall 53095 Main Road Southold, N.Y. I1971 .-;r- I I --' Re: The Blue Sage Day Spa 140 Pike Street Mattituck, N.Y. 119S2 Dear Mr. Rallis: I haVi~ revi~wed the sanitary disposal system plam prepared by Young & Young dated 1/17190 regArding the above referenced location. According to these plans. the previous use of this building was a restaurant designed to accommodate 35 seats resulting in a 3000 gallon septic tank, one (I) grease trap and four (4) leaching pools.. The capacity of the Satlltary disposal system previously designed for the restaurant can accommodate the proposed spa including the addition of a sink and shower. FROM FAX NO. Aug. 17 2006 05:30AM P1 James G. Canuw..tata l' O. Box 317 Rid -,,' "J ge"...J. 8/1712006 S,.'lltnold Town Hall 53095 Main road Southold, New York 11971-1179 Re; Blue Sage Day Spa 140 Pike Street Southold, New York 11971-1179 , I 7 Dwnon Rallis. 'l..< per 'JUI telephone COJlversation on 8/1712006 this letter addresses the Fire Marshall's issues of concern. The following changes will be made during the construction to satisfy the Marshall's requests: 1. Provide an address plaque on the front of the bllilding at Pike strert 2. Provide exterior ligbtina at all building exits if it does not exist. 3. Provide auxilialy lighting in the employee room. 4. PJovide exit direction sigoage at the discetion ofthc Fire Marsball. Tlis will be done at the time time of inspection. AI; ;; fthe above will comply with the tei!uiIments of the NYS Building Code ~.f~Ou.e~ t 'j;v-{ Cammarata _ i1~[1 '1 I .~ 3 J-J-i 7 L ~- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST M ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: 4-~ ~L ~ ~ ~ok, / DATE 1-/~- 0' , INSPECTOR ~~ TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY ~ FIRE SAFETY INSPECTION REMARKS: Nkl-- . ~z-coob\.l -- ~ ~l- DATE IO-,q-D~ 3 ')-)-( 7 z- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING [>4 FINAL ~\. J.. , [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INS~ION DATE 10-(;,- O~ , INSPECTOR ~~ " FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION (1ST) FOUNDATION (2ND) .' ROUGH FRAMING & PLUMBING . . INSULATION PER N. Y. STATE ENERGY CODE . FINAL . ,q/h~ilt, L>. .J{ ~/J~ O.......;..~ -D/"A -~ . 11 -f"1 .J-. ~ v ~ L ^ f,t) k. (/ .LL; ./ . .. \," lo~6..-c Ib Fl.'" .J.L . ~ OJY p/h _~. . r -,,). L- /~J. /)I.A~ /.A C.... () ~, .z:::~ 7. 0" / p ^11 A 'J! ,.J.~ v / u . .ADDmONAL COMMENTS o\.:..\_..Jl c.....fAu "~'.-l1r\ ~'._."',.u. J' Cl . . r.. /'l 0 .fJi\..ICtJ ~ OL L ~ _. I ,I('Ct9S'O\. .k'*'.t ~ If) _10 _ 0<:' . '- . I . . . '. , . ~ ~~ -s::>~ .tt~ J~ .~. t:i 'J p . -. z ..t;::> ~ ~~ \' ~~ t'" ~~ ~ ~ . ~ ~ .t .~ . . ~~ .... ::!l ~ 5:" ~ ~ ..., == el l'<l '0 ~ JUl '9 ~I1BuiWLN~ PERMIT APPLICATION CHECKLIST , Do ,you have or need the following, before applying? , , Board of Health , i 4 sets of Building Plans I i Planning Board approval : Survey ',.,' Check Septic Form NYS,D.E.C. Trustees Contact: X Mail to:I(;"~~Pk,II;~ - t6).. '-//<:; Kochoak ~, l'lIa 1r.-ru<.~ tVr Phone: (,,5/- ~<'8- 1- 17/':1 1l9S~ c~II.~/7, S9f" 7s~3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL . SOUTHOLD, NV 11971 TEL: (631) 165-1802 FAX: (631) 765-9502 www.northfork.net/Southold/ '. ....-,..- '.." PERMIT NO. 3B~q::! 'C- Examined ? Approved Disapproved alc 20 C ,~ ~ 20 ~ ,~ Expiration ,20 -r----_ INSTRUCTIONS ~i!l~lica:ii()i1 MUST be cOl}lpletely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan-to sca!l:..Fee according to schedule. b. Plot plan showing location oflot and of buildings on premises, relationship to adjoining premises or public streets or areas, 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 inspection} _ ~, ~ ~ ~/' ~€sz (Signature of applicant or name, if a corporation) JUNl5 S APPLICATION FOR BUILDING PERMIT X Date SUN 1'-1 ,20~ . l2c..J".{" Pd, HaJJ;lor~ IVy 119~ (Mailing address of applicant) ~tate whether applicant is owner, ~~;:agent, ar~hitect, engineer, general contractor, electrician, plumber or builder ':L'-{IS 'appl,'t~ I'~ J <-~""'DO )(~e of owner of premises I C hll (' \.... 'i. h-: 2 a ~(''^- (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. ~ c;~ - H~ ~~\~"'~ tw-~Nt.~ Plumbers License No. 97 - P hL ~' f(O"'~I"'t:::,-;- H~~~. Electnclans LIcense No. '~6 ~(\ l-1 ~\ ~bOJfJ ~(. -t :sr J rtttkJ NI)~('d Other Trade's License No. ' {. Location ofland on which proposed work will be <;lone: r "'/0 (.!; ~ 't:. r. Hift, t 4' k , U'r House Number Street ' Hamlet \.f County Tax Map NO.1 000 ~ Subdivision (Name) Section il.j/ Block '1 Filed Map No. t.Sot S Lot " ; 2. staj;e existing use and occupancy of premises and intended use and occupancy of proposed construction: /a. Existing use and occupancy . < x-'. Intended use and occupancy Tj G. >' S rc.. '. .. 3. Nature of work (check which applicable): New Building XRepair Removal Demolition NcJ vJ..tl:" . ~",' ks. + S "'q..v<K"' Addition 1(1 Alteration Other Work (Description) 4. Estimatetl 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. 7. Dimensions of existing structures, if any: Front Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth . 9. Size oflot: Front Rear Depth 10. Date of Purchase Name of Former Owner II. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO_ 13. Will lot be re-graded? YES_ NO_Will excess fill be removed from premises? YES_ NO_ 14. Names of Owner of premises Name of Architect Name of Contractor Address Address Address Phone No. Phone No Phone No. X a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _NO ~ * 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. --1:. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) /' ss: <:L being duly sworn, deposes and says that (s)he is the applicant (Name of individual si g contract) above named, (S)He is the ~ (pS <:., e (? (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 ofhi knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Swo~t' before me this ..-. h - day of--.J UVlt 20~ Jw\~~~~nk<' N tary blic MELANIE DDRDSKI NOTARY PUBLIC, State of New 'IllIIt No. 01 D04634B70 Qualified in Suffolk CountY ~'"'^ 7 Commission Expires september :!'O.~ S gnalure of Applicant :::_l-1a'J'" J ~ ZHXd___I~L FORMER OWNER ~.l.-aH'3P'r ~ J!.. A. PRI U cj... (!.O, I/'/(!.. RES. 4/~.s SEAS. 'VL. FARM , .... LAND IMP. TOTAL DATE -z... CO () 17110 3700 l.roo I'!()CJ ~ ~~ 'f . /aCltJ -/ OWNER / G -'co 19"AGE' / NEW Tillable 2 Tillable, 3 Woodland Swampland BrushlOi'ld' , House Plot -- Total I -' s- TOWN OF SOUTHOlD P1K)PERTY RECORD CARD (1,;1. "',~ //1 . "I r DISTRICT SUB. LOT VILLAGE STREET :..s I) I, ;, -I . - LkL{ 0. I. N '-/'- ''? ..', r. .."" "'~ '-.0- f - - MAY r, rue/.,- E SmMe/l/ ACREAGE ' tJ' TYPE OF BUILDING 2s''1 ~o f#.<U<<. 'I~ /" ..~_.. - (I' / , iI.L d' c- , )(.). I MISe. IND. CB. I j,'o NORMAL REMARKS 13L/.)f; L:- ,fi,;" 6 (; 3 3d ,~ #'1So0. SOL/GilT 4(J'olllL,y' /0 &7 SeLl> ~;t()oo. 7/(l'I'/ c,') SaL~ II /3 ..o~, .!>-/Z 73 SoLD If 2.2 Oao.. ,nVr Tc;e./if;f'/u f~, /,v~ 3jN?7 I3L~ {"If If P90?~ z.. '13/..1;; ~(;/)/iiOAl tI" lVil'lA.J,('.?A!( Er:./I'.J""" 3/""'/77 <;oL"" 1137-!rLJO t FR,cc'clQo 70 ",1.A/'J9L'/i! ;wr: L J2/2. ~'r' ..... J./ (i ' P 2-00 1/2/17 ''ELf), ri:1f 01 z. JlLiJ 0, B Ec.. ;(2.-5"0 t----1' o;-d.~ - L 9597r 15 '>- Lrj"'~"''(' 40 Nf"A.rT e,., ~'7'':;,<)()O/ I''i'l'ft~l} I ~<(.,..J It,' h,vJe. <f <r-c{{;f._ ~~/ :r;.~~______ 10 -7i I'T""-~'- J.:i"Ztkf'Yd 1'","";,. '"~_- g,/~ 97-Bf#RL{-1Itf -(;-onstrwo ~for!/ BJd'Chi['f Shop ~t:, .... R.ep,!?fe..-s J3Ff&r54~'i') ;2 ~ '/ '-1''..5' {J 40 I (!! """ 1 GO(.) - I ::- 33 u Acre ?eI 32.00 . > ':~~. - - - f!ctq -- ~.-",_.,.,~",.~."'-' - :; ...._+#'-<Lksi '7'fS- 3"'" ). '2..3 fc>.5 Foundotion Basement Ext. Walls Extension 1~-,(,I.3 ,:::;. Fire Place Extension Breezeway Patio Ga rage Driveway O. B. /" _ ____~ J .-...... i__ /;-rr ~ , r: ~ , Porch Porch lA, " t~ 1:" ~ Q P I, . I<f'~ ~ . ."s I ( - IJ -.-- I.r ,. 1'1 J'. P [i..~, ~r; Bath Floors Interior Finish Hem Attic Rooms 1 st Floor Rooms 2nd Floor " i 1 1- , u~ S-.l(