HomeMy WebLinkAbout42773-Z Town of Southold 6/21/2018
0
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39723 Date: 6/21/2018
THIS CERTIFIES that the building COMMERCIAL ALTERATION
Location of Property: 600 Pike St.,Mattituck
SCTM#: 473889 Sec/Block/Lot: 140.-3-4
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/21/2018 pursuant to which Building Permit No. 42773 dated 6/11/2018
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:
EXISTING COMMERCIAL UNIT CONVERTED TO A BARBERSHOP AS APPLIED FOR
The certificate is issued to Zahra,Charles
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
f
Au o d Signature
SUfFot TOWN OF SOUTHOLD
BUILDING DEPARTMENT
cm TOWN CLERK'S OFFICE
oy,• ®� ' ? SOUTHOLD, NY
BUILDING PERMIT
F\
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 42773 Date: 6/11/2018
Permission is hereby granted to:
Zahra, Charles
PO BOX 1137
Mattituck, NY 11952
To: conversion of an existing commercial unit to a barbershop as applied for.
At premises located at:
600 Pike St., Mattituck
SCTM # 473889
Sec/Block/Lot# 140.-3-4
Pursuant to application dated 5/21/2018 and approved by the Building Inspector.
To expire on 12/11/2019.
Fees:
COMMERCIAL ADDITION/ALTERATION $250.00
CO -COMMERCIAL $50.00
al: $300.00
Building Inspe or
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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 building 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 1%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 Planning 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$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00,
Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,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. t "" 14
New Construction: Old or Pre-existing Building: '(check one)
Location of Property:
House No. Street Hamlet
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section ® Block 3 Lot
Subdivision �- Filed Map. " Lot:
Permit No. Date of Permit. Applicant:
Health Dept.Approval: iv lk Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
Applicant Signature
Li a'113
loso
* # TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING ] FINAL
[ ] FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION P[ ] IRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
Alp-OK
DATE INSPECTOR v
S
-100,
�o�apF SOUTyO�
# TOWN OF SOUTHOLD BUILDING DEPT.
°`ycourm��' 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] I LATION
[ ] FRAMING /STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
t(�
DATEINSPECTOR
FIELD INSPECTION REPORT7 DATE COMMENTS
FOUNDATION(1ST) y
------------------------------------
'FOUNDATION (2ND)
z
� o
O
ROUGH FRAMING& � C
PLUMBING �y -
INSULATION PER N.Y: y
STATE ENERGY CODE
Lill
w �C �-►
FINAL
ADDITIONAL COMMENTS
/
Tz
rn
-
• � O
d
r�
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD, NY 11971 4 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 Survey
South oldtownny.gov PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
Flood Permit
Examined_ „20 Single&Separate
® Truss Identification mcation Eonn
E D Storm-Water Assessing4t Form
Approved 20 MAY 2 1 2018 Contact:
—W
Disapproved a/c ,1AT fes•
WN OF SO O Phone: (0
Expiration 20
_ ng_InseT-,
APPLICATION FOR BUILDING PERMIT
Date 'v y a� , 2010
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 of lot 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
shal I 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 thq,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,housin code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspecti s.
(Signator o applicant or name,if corporation)
(Mailing address of applicant)
State whether applicant is owner lessee agent, architect, engineer, general contractor, electrician, plumber or builder
1
Name of owner of premises �i �� Za
(As on the tak 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 of land on which prop je
House Number Street Hamlet
County Tax Map No. 1000 Section Block Lot
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and ' tendel use wd occu ancy of proposed construction:
a. Existing use and occupancy
b. Intended use and occupancy
Chan U� X11+ Icy-,
3. Nature of work (check which applicable):New Building Addition Alterati n
Repair Removal Demolition Other Work +� ' ��J,
(Description)
4. Estimated Cost _ _ Fee
(To be paid on filing this application)
5. If dwelling, number of dwelling units �° `T�/er oTM- 10 g its each floor
If garage, number of cars
6. If business, commercial or mixed occupancy, sp&ify nature and"extent of type of use.
7. Dimensions of existing structures, if any: Front 1 Rear l�, Depth C 00
Height Number of Stories,
Dimensions`of same structure with alterations or additions:.:Front Rear-
Depth Height 'Number of ttories
8. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories' .
9. Size of lot: Front 9.6 • Rear i Depth �
10. Date of Purchase R!N 11') 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
-� '
13. Will lot be re-graded? YES NO < Will excess fill be.removed.from'premises? YES NO
14. Names of Owner of premi es 6 Zt�►�r� Address�'�' i 1,;�) M*JkPhone No. �
Name ofArchitect�� fb9Z+1(kj Address Phone No
Name of Contractor Address Phone No.
15 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: PERMITSMAY BE QUIRED.
b. Is this property within 300 feet of a tiddl 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,anypoint on property is at 10 feet or below, must provide topographical data on survey.
t
18. Are there any covenants and restrictions with respect to this property? * YES Not-�-
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
C
COUNTY OF AUS SS:
being duly sworn, deposes and says that(s)he is the applicant
J
(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 knowledge and belief; and that the work will be
performed in the manner set forth in the application filed therewith.
DIANE DISALVO
Sworn to before me this NOYARY PUBLIC-STATE EW YORK
da of 20 t$ Nt OiDl4 5593
P4ar-/
AAW
0011111a In Sul of _C ty
My ttmmission Expire
Notary Pdblic Signature of A plicant
I
o x
6/W=-�i
� Wzm Qa
m��aga
PIKE STREET � OCCUPANCY CHART
zaSWJ�
Q W o~ •'
OCCUPANCY TOTAL ALLOWED SEATING a
TOTAL PROPOSED o� oa�
GROUP B A �` PER TABLE 1004.1.2 OCCUPANTS a w Z Z
W
NN
W o O
80/15 OCCUPANTS PER SOFT O o
= 5.5 OCCUPANTS - TOTAL m o o
WAITING ROOM 60 5F 5 -HR-5
OCCUPANTS ALLOWED 5 n a
I OCCUPANTS N
CONCRETE SI DEHALK s o o < J
W�- LLZ3�
2-12/50 OCCUPANTS PER a z Z WZW
BARBER SHOP 272 5F SQFT = 5.44 OCCUPANTS - 5 < S W
I TOTAL OCCUPANTS a 8
ALLOWED 5 OCCUPANTS Y ._n o o
610 610 �c04 90:=
APT. A 4 B
BUILDING
FOYER
AO-7oRA ENTRANCE- APPROVED AS NOTED
- SEPERATE ENTITY , OCCUPANCY O ,
SHOP DATE: B P It USE 6 UNLAWFUL
L - J ENTRAN E FEF B` ® a
BARBER NOTIFY BUILDING DEP/ 1MENT AT WITHOUT CERTMCA"
CHAIR EXIT SIGN 765-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS: F OCCN� C
flfl
tl
1. FOUNDATION - TWO REQUIRED
} FOR POURED CONCRETE
_ _ 2. ROUGH - FRAMING & PLUMBING
cQ 5M/CO O 3. INSULATION
BARBER 4. FINAL - CONSTRUCTION MUST
CHAIR EX. BE COMPLETE FOR C.O. 'M
- DN W?�ITING ALL CONSTRUCTION ,SHALL MEET THE
ROOM REQUIREMENTS OF THE CODES OF NEW
]�=al_ - J N YORK STATE. NOT RESPONSIBLE FOR
�- DESIGN OR CONSTRUCTION ERRORS.
X
w
SHAMPOOCOMPLY WITH ALL CODES OF
SINK F5_ O M `NEW YORK STATE &TOWN CODES
o REQUIRED AND CONDITIONS OF �
L ' dO>_ �
O EXHAUST � ta CD
0 FAN Iulri
a0
TRUS Z = w z
FIRE
EXTINGUISHER NY,$ w ~
STORAGE QED SRC LL co a
M.
a
Q �9re O
i
PROP05ED BARBER SHOP ! -
Q 0 c Q
F N
a a
c a