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��4�gdFFfll,{�lOG�. Town of Southold 3/6/2020 3 P.O.Box 1179 a C*, 53095 Main Rd �4jp1 �ao�` Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41113 Date: 3/6/2020 THIS CERTIFIES that the building COMMERCIAL ALTERATION Location of Property: 22355 CR 48, Cutchogue SCTM#: 473889 Sec/Block/Lot: 84.4-26.3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 11/25/2019 pursuant to which Building Permit No. 44547 dated 12/20/2019 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"interior alterations to existing commercial building(cheerleading facility,acility units 12& 131 as applied for. The certificate is issued to 372 Jericho Corp of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED V\ th riz d ignature �o�suFFot,��o TOWN OF SOUTHOLD ay BUILDING DEPARTMENT y x TOWN CLERK'S OFFICE SOUTHOLD, NY 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#: 44547 Date: 12/20/2019 Permission is hereby granted to: 372 Jericho Corp C/O Lewis & Murphy Realty 47 Hillside Ave Manhasset, NY 11030 To: legalize "as built" interior alterations to existing commercial building (cheerleading facility, units 43-S46).as applied for. Additional certification may be required. /�.+13 At premises located at: 22355 CR 48, Cutchogue SCTM # 473889 Sec/Block/Lot# 84.-1-26.3 Pursuant to application dated 11/25/2019 and approved by the Building Inspector. To expire on 6/20/2021. Fees: AS BUILT-COMMERCIAL ADDITIONS/ALTERATIONS $500.00 CO-COMMERCIAL $50.00 Total: $550.00 Building Inspector 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. New Construction: Old or 1Pre-existing Building: (check one) Location of Property:��c�C) ��1.1n'1 f� cu, lW 11 House o. `,Streetn ` Hamlet Owner or Owners of Property: ��1 U 1 LIIf'�91� 4(P(,� l Suffolk County Tax Map No 1000, Section H Block l Lot o7� Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: z / Request for: Temporary Certificate Final Certificate: y (check one) q p Fee Submitted: Applicant Signature oe sofps"�� /V/- ole- z6' uryo� TOWN -OF SOUTHOLD BUILDING DEPT. 765-1802 INS-PECTION. [ ] FOUNDATION 1ST [ ] -ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING- - [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE &-CHIMNEY [ =-FIRE SAFETY INSPECTION- [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION - [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) . [ ] CODE VIOLATION [ ] PRE C/O REMARKS: �i�/wL Fittis� J�aDyLS Ips✓ '54'd!FcT�C � �T� Ate- U��s /.i/ � �/2 S�oivlls�ior✓ �✓: L.4 DATE INSPECTOR -- f # TOWN OF SOUTHOLD "BUILDING DEPT. °ycourm��' 765-1802 -- INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SULATION/CAULKING , [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [' ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [. ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O MARKS: 04 vqb- uu J6� DATE Zl Y INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS - FOUNDATION (1ST) � H -------------------------------------- FOUNDATION -----------------------------------FOUNDATION (2ND) z - o � clo ROUGH FRAMING& PLUMBING y r INSULATION PER N. Y. H STATE ENERGY CODE 11v "'cp , l FINAL ADDITIONAL COMMENTS • �o Rv Z rn � O z - x d 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 Southoldtownny.gov PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examineda 20A Single&Separate IV Truss Identification Form Storm-Water Assessment Form Contact: Approved 20 Mail to: Disapproved a/c , �tl ni-C 0.i Yl(�_ Pho e: SIO I-,AZ 1C 1 T lb Expiration 120 11 uil pector NOV 2 5 2019APPLICATION FOR BUILDING PERMIT r Date NOV, 20 I q "'`' 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 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. IUOYM r, LCC. (Signature of applicant or name,if a corporation) (n 7 _ 1\). Ay UJ ie Ld- c , AnLl N Y (Mang address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises L As the tax roll(o/latest deed) If ap ,i ant is a corporat�n, s*,nature of duly authorized officer —1Y10.WC� tiN ame and tit e of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: - - a 1,:)-113 Gddh�a hi House Number Street Haaet / County Tax Map No. 1000 Section Block Lot , , - 1 Subdivision Filed Map No. Lot 2. State existing use and occupancy!of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal ;Z Demolition Other Work (Description) 4. Estimated Cost 'r'0 O Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure;with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear_ _Depth Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase 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_Z tymasst+,NY 14. Names of Owner of premises LeOfS1 ►lamhd Re.I:W Address ail l}+11si�.P Ayenu�,Phone No. 51(p- (o97-q(oc Name of Architect Address Phone No Name of Contractor Address Phone No. I 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. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet�of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAYBE 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. 18. Are there any covenants and restrictions with respect to this property? * YES NO IF YES, PROVIDE A COPY. I STATE OF NEW YORK) SS: COUNTY O _ being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, i (S)He is the Me 1 )aqX— WC)C V\ (Contractor, Agent, Corporate Offic6r, 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. I Sworn to before me this day of -) 2o—M— Lf LI-p— TRACEY L. DWVSR P,/,) L Notary Publi NOTARY PUBLIC,STATE Signatlre of Applicant QUANO.01 DW6306900 LIFIED IN SUFFOLK cOUNTl COMMISSION EXPIRES JUNE 30,2&0'0— 1001'ro S WA4-erL. RON MCRIZZ® KITCHENS & BATHS INC. PO. BOX 789 SOUTHOL® N.Y 11971 4 rt , i « P r *. y e d t w ay. M ` w. 4* _ hf� A . : Flame FF TM Submittal Data Sheet FlameOffFireBarrier Paint . . . . Application Conditions and Curing SchedulePreparation Application Condition Material Humidity General All surfaces must be clean,dry,and free of oil, Temperature Minimum 40°F(4.5°C) 0% grease,loose scale,dirt,dust or other materials that would impair the bonding of the intumescent coating &Humidity Maximum 105°F(40°C) 85% to the substrate. Surface Handle Recoat Recoat Topcoat Temp.8 50%Relative (spray) (brush) Application Procedures Humidity General Product may be applied by brush or spray application. 70°F(21 °C) 24 Hours 7-8 hours 2-3 hours 48-72 hours Do not apply with a roller.Spray application is Curing times are dependent upon temperature,ventilation,and humidity.Lower temperatures will recommended for the optimum appearance. slow down the curing process,higher temperatures will speed up the curing process.Additional ventilation(add fan)may expedite curing process.For optimum curing,it is recommended to apply Airless Spray A single coat built up with a number of quick passes coats at 20-45 mils wet per coat.Material is ready to be topcoated when an average Shore D allows greater control over quantities,thickness and hardness of 70 is achieved. finish. **Note-In most conditions,it is advantageous to apply • • • • • • • . two thin coats rather than one thick coat.** General equipment guidelines are given below,and may need to be modified depending on individual lobsde conditions.Contact FlameOFF Coatings with any questions Application Spray:20-45 Mils Wet Film Thickness Airless Spray Use 1.0 gal.per minute electric airless(minimum)to Rates Brush: 10 Mils Wet Film Thickness provide an operating pressure of 3,000 p.s.i.(140 **7 hour recoat time.See Application Manual.- kg/cm2). **Remove rock catcher from siphon tube.** Wet Film Frequent thickness measurements with a wet film Spray Gun Contractor Gun(with filter removed)or equivalent Thickness gauge are recommended during the application process to ensure uniform thickness. Spray Tips 0.021"-0.025" Fan Size 4"-10"(depending on section being sprayed) Hose Length 50'(15 m)maximum Material Hose 1/2"1.D. Cleanup & Safety Cleanup Flush pump,gun,tips, hoses and mixer with hot water **Listed here are general equipment guidelines for at least once per day. the application of this product.Job site conditions Safety Follow all safety precautions on the product Material may require modifications to these guidelines to Safety Data Sheet. achieve the desired results.`* Overspray All adjacent and finished surfaces shall be protected from damage and overspray. Mixing &Thinning Thinning DO NOT THIN or alter in any way. Maintenance Mixer Use 1/2"electric or air driven drill with a slotted General If coating becomes damaged,rebuild the required paddle mixer(300 rpm under load) thickness by spray or brush.When dry,smooth and finished,topcoat may be applied.The repair area must Mixing Product must be mixed using a 1/2"electric air driven follow all surface preparation requirements before drill with a slotted paddle or Jiffy mixer blade. Mix reapplying the coating.The coating must be built back material for a minimum of 5 minutes to achieve the to the original thickness. necessary texture required before spraying Phone: (888)816-7468 Email: info@flameoffcoatings.com Web: www.flameoffcoatings.com FlarneOFF Coatings,Inc.owns and certifies all data in this document. document may not be altered by anyone other than FlameOFF NQL*imy,L The .. . and suggested formulations in this bulletin are based solely • Coatings,. .. . . with the understanding the purchasers will make their own tests to . products for the particular use. We assume no liability or responsibility for any Fl . . . .. • . .• Coatings, products TM F . sFF Submittal Data Sheet FlameOff . . . i Selection &Specification Data Testin I Certification Generic Type A water-based intumescent coating that consists of a Listing This product has been tested in vinyl acetate resin. accordance with ASTM E-119 to UL 263 Description A decorative,thin-film intumescent coating designed standards. It meets the requirements of for fire protection of Gyps um/Sheetrock and Wood IBC/NFPA Building Codes. applications for interior use requiring ASTM E-119, ASTM E-119 2 hours ASTM E-84,NFPA 251,ULC CAN S-101. ASTM E-84 Class A Features Certified to ASTM E-119 • Decorative aesthetic coating-provides a hard, durable,architectural finish. Required DFT • Well suited for residential and commercial applications Required Dry Film Thickness&Corresponding Coverage Rate • Space saving-ideal for applications when additional layers of gypsum cannot be installed 45 Mils DFT 30 Mils DFT 15 Mils DFT • Compatible with most topcoats(though not 25 sq ft/gal 37 sq fugal 75 sq ft/gal required) 5/8"Type X • Thin film coating-offers an economical solution to Gypsum 2 Hrs* 1 Hr` Class A** alternative fireproofing y 1/2"Regular 1 Hr* Class A** • low VOC,LEED compliant Gypsum 3 • Easy repair-If damaged,product can be patched Wood 1 Hr* Class A** easily 'ASTM E-119 1 and 2 hour ratings Color White "E-84 Class A flame spread rating Finish Smooth Primer None required for applications on Gypsum or Wood Packaging, Handling & Storage Topcoat For interior conditioned space,topcoating is not Shelf Life 12 Months required but may be applied for aesthetic purposes. Shelf life when kept at recommended storage conditions and in original unopened containers. Product must be topcoated if there are environmental exposure requirements.Refer to FlameOFF Shipping Weight 64 lbs per 5 gal pail Coatings, Inc.technical support. Intumescent coating must be applied to the required Flash Point (Setaflash)93°F(30°C) DFT and fully cured before topcoat is applied. Storage Store indoors in a dry environment between 45°F and 105°F(7°C and 40°C) Thickness Packaging 5 Gal Per Coat 20-45 Mils WFT Solids Content By Volume 70% Theoretical 1075 sq ft/gallon at 1 mil(1002 m/at 25 microns) Coverage Rates 36 sq ft/gallon at 30 mils(3.3 2 m/at 750 microns) IEEE VOC Values As Supplied 0.06 lbs/gal(7 g/1) This product is proudly manufactured in the USA Phone: (888)816-7468 Email: infloOfflameoffcoatings.com Web: www.flameoffcoatings.com FlameOFFdocument may not be altered by anyone other than FlameOFF red The data and suggested formulations in this bulletin are based on information believed to be reliable and are offe solely for evaluation, investigation and verification of numerous factors affecting results. FlameOFF Coatings, Inc. products . . with the understanding the purchasers will make their own tests to determine the suitability of these products.products for the particular use. We assume no liability or responsibility for any damage to person or property resulting FlameOFF from or incident to the use of our of FlameOFFCoatings, ' gg5q 7 Al 8L f_ 1- Z6 3 09 Xgnsca� x f �� 8 5,527- 0040 FlameO ' Fke Barr..' er Fant ba tch# 1 A. ;:TIR 70 10, — 'L.--401 —, 5 galla-za pa 'I plop HL WH'I f RameOFFF, FC'r-Fire Barrier Paint is. Yd �a.�t�,r listed grit � the lntemptiorra; t ode �`ouncil !CC SR '174 fc�r t)L;ttk t ) . 04 �otntj��stih, j ,jaierials) .and E 119 for A hat nano C�a hours f�� resists ,e JCC holds tl� Ir ` '��rir' lE�P FE Accreditation Serv►t,a; OAS) arra Ctandar& t~ou veil of A Garcria ':;C C accredit;_Atlont, e •�( ��+� 1..��'1 ` kt'�1 '�i�/ F1' f`#",��� �J� � •�• ( � fir.. ��i j� oZip Rale- ire 41 r , � ,t / k._ ,y :�.,s�• _ � F � Apr' .. �' r',� ' '�•�, �-^- .17� meq. y� f f 3 's OW-own '.i 3 p6al APPROVED AS NOTED DATB.P.# FEE: �'�d BY: NOTIFY BUILDING DEPARTMENT AT Additional 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: C:ertlficati 1. FOUNDATION - TWO REQUIRED may Be Required. 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. FIRE INSPECTION REQUIRED BEFORE COMPLY WITH ALL CODES OF ` RIENING NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF RD �S8'llrH8EaF8lAlIDT EES N v e nor. ELECTRICAL INSPECTION REQUIRED OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY Vii, i I SFD 12' GARAGE DOOR SFD © EMERGENCY EXIT FIRE EXTINGUISHER. 2A UGHT TYP. WATER - ROOM FORi COMPLEX SMOKE AND CO DETECTOR TYP. SFD PROVIDE 2HR FIRE RATED WALL. FLAME OFF FIRE BARRIER PROVIDE 2HR FIRE 3' TUMBLING AREA PAINT FOR 2 HR FIRE RATED WALL. FLAME RATING (UL723) OR OFF FIRE BARRIER T j 2715 SO- Fr EQUAL PAINT FOR 2 HR FIRE ,, 640 GROSS SO. FT PER OCCUPANT RATING (UL723) OR EQUAL O I N SMOKE AND CO DEFECTOR TYP. SMOKE AND CO' EFECM TYP. 50'-4" SFD STEEL FRAME FIRE EXTINGUISHER:P DOOR (SFD) vv -- U b) o �P5 �.MANPES�N�O.Q� \GROSS O SMOKEAND CO IZ DETECTOR TYP, (DO� OFFICEFIC E�o "D So. PF �SO. FT \ 7 r—Orr --- 100 GROSS SO. FT PER OCCUPANT—IGOO. FT P R OCCUPANT 30+—Orr QA 089;326 P —0,• EMERGENCY EXIT RGFESS�ON LIGHT TYP. O —O r• FIRE EXTINGUISHER: 2A ME SFD jrsrrtwANee SFD SCALE: :b" m OCCUPANCY CLASSIFICATION: A — 3 IT IS A VIOLATION OF THE PROFESSIONAL LICENSE LAW FOR ANY PERSON TO ALTER THIS PAPER SIZE: LOCATION: DOCUMENT IN ANY WAY UNLESS THAT PERSON IS ACTING UNDER THE DIRECTION OF A LICENSED DWG b : GY DWG Date: 72 22 0/2019 22355 CR48 PROFESSIONAL THE LICENSED PROFESSIONAL SHALL AFFIX TO THIS DOCUMENT THE SEAL AND THE PLAN VIEW CHKD b TP CUTCHOGUE, NEW YORK OCCUPANCY LOAD MAXIMUM = 60 PERSON(S) NOTATION 'ALTERED BY', FOLLOWED BY THE AUTHORIZED SIGNATURE AND THE DATE OF THE File NO: AUTHORIZATION. DWG No: REV: 3 -- I SFD 12' GARAGE DOOR I SFD i WATER ROOM FOR COMPLEX s - a i SFD :��— DEMO NON-STRUCTURAL WALL O ` I r� o I LO 30'-0" 30'-0" SFD STEEL FRAME DOOR (SFD) —4" a- o o clI I I � 0 I 0LL��7'- 0" 30'-0" 30'-0" y PE 0 O EMRPNCE O� cl- SFD SFDuj Vim, LLi 088026 ROFESS104 SCALE: %" _ V—o" PAPER SIZE: 36" x 48" LOCATION: IT IS A VIOLATION OF THE PROFESSIONAL LICENSE LAW FOR ANY PERSON TO'ALTER THIS DWG b DWG Date 11/22/2019 DOCUMENT IN ANY WAY UNLESS THAT PERSON IS ACTING UNDER THE DIRECTION OF A LICENSED PLAN VIEW CHKD b CHKD b 22355 CR48 PROFESSIONAL THE LICENSED PROFESSIONAL SHALL AFFIX TO THIS DOCUMENT THE SEAL AND THE Y CUTCHOGUE, NEW YORK NOTATION "ALTERED BY", FOLLOWED BY THE AUTHORIZED SIGNATURE AND THE DATE OF THE DEMOLITION PLAN File No: AUTHORIZATION. I DWG No. CR48-GY-D2019 REV: 0