HomeMy WebLinkAbout47690-Z o�SUFFot�-cpG: Town of Southold 4/21/2022
P.O.Box 1179
0
W 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43002 Date: 4/21/2022
THIS CERTIFIES that the building EXHAUST HOOD AND/OR FIRE SUPRESSION SYSTEM
Location of Property: 13175 Route 25 Mattituck
SCTM#: 473889 Sec/Block/Lot: 140.-3-38.4
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
4/18/2022 pursuant to which Building Permit No. 47690 dated 4/18/2022
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:
INSTALLATION OF A NEW KITCHEN FIRE SUPPRESSION SYSTEM
The certificate is issued to Orioli&Son Rental E LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Authorized Signature
�o�soFFoc�.�o TOWN OF SOUTHOLD
ay BUILDING DEPARTMENT
y x TOWN CLERK'S OFFICE
�y • oma . 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#: 47690 Date: 4/18/2022
Permission is hereby granted to:
Orioli & Son Rental E LLC
24 Orchard Dr
Woodbury, NY 11797
To: INSTALLATION OF A NEW KITCHEN AUTOMATIC EXTINGUISHING SYSTEM
At premises located at:
13175 Route 25
SCTM # 473889 .
Sec/Block/Lot# 140.-3-38.4
Pursuant to application dated 4/18/2022 and approved by the Building Inspector.
To expire on 10/18/2023.
Fees:
AUTOMATIC EXTINGUISHING SYSTEM $300.00
Total: $300.00
Building Inspector
--- OF SOUIyO
# f TOWN OF SOUTHOLD BUILDING DEPT.
Coum, 631-765-1802
INSPECTION
[ ] 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 [ ] RENTAL
REMARKS:
i
DATEANSPECTOR
off` °��coG TOWN OF SOUTHOLD—FIRE MARSHAL
wC,
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
�lei • o!�' Telephone (631) 765-1802 . Fax (631) 765-9502 https://www.souiholdtoLAM.gov-
FIRE PROTECTION SYSTEM PERMIT Date Received
APPLICATION
For Office Use Only ® C�APR W E
PERMIT NO. Building Inspector: 420`212
Applications_and forms must be flied-out;in their'-entirety.:Incomplete.
applications will-not be accepted:-WORK IS NOT.TO BE-STARTED- ; BUILDING DEPT.
. . • - TOWN OF SOUTHOLD
to.the approval of plans and issuance of.a permit.
Has a building permit been obtained for this"project? El Yes-_07 4o
If yes, building permit#
Date:
PROJECT INORMATION: _ _ ,_ _.,: -
Project Address: 131-75 M A;,J_rac,'NTS SCTM# 1000- iqo - 3 - 3�8
City: MT-c 'vck Zip: r 195�Z
CONTACT PERSON INFORMATION: -
Name:
Mailing Address: o�r.� pie A�5 A 0 A e- N 11-716
Phone#: 631-3i 6-4.1 1 Email:
P`nDe-P_sOKI F:0.cSNC<2GmA,L :r-Vj
Preferred contact method(select one): C�hone ❑Email
CONTRACTOR INFORMATION:
Name: pc.g6o,a f!-e- Contractor License#: 113
Mailing Address: yL N� 0-706
Phone#: 631- 6G5 - 6 86 Email: An�-Rso,JFrFzeT,�c @ Gr^� coM
SCOPE OF WORD:
Occupancy Description: ❑Assembly 513usiness ❑Education ❑Factory/Industrial ❑ Institutional ❑Mercantile
❑Residential ❑ Storage
Description of Work: -1-0 A N r tj V,;i s Ae l u L 3,5o A.r. S,
0 New System ❑ Existing System Modification
Sprinkler/Standpipe/Water Supply Fire Alarm/CO Detection-Systems Other Fire Protection Systems
(Check all that apply)- - : (Check.all-that apply) _ (Check all-thatApply)
❑NFPA 13,131) or 13R System ❑Manual ❑Automatic - ❑ Smoke Control
❑Standpipe ❑ Fire Pum_ p ❑Protected Premises(local) C'Wet or Dry Chemical/Clean
❑Supervising station Agent
Number of sprinkler heads: ❑Central Station ❑ Kitchen hood/exhaust ❑-Other
Floor Area(sq. ft.): --
1 -
Ll Check Box After Reading: I,the undersigned,understand that the issuance of a-permit for the type which is herein applied for is based on
the agreement to conform to all regulations and requirements.I further understand that non-compliance of said requirements,by myself or any officer or
employee of the firm or individual listed as the applicant on this form,shall be cause for revocation of said permit.Upon revocation of said permit the
applicant or any employee of the applicant shall be.prohibited to conduct such work for which this permit was issued.The reissuance of a permit shall be
based upon review of the circumstances leading to the revocation.Any false statement(s)made herein are punishable as a Class A misdemeanor pursuant
to Section 210.45 of the Penal Law
Application Submitted By(print name): Fr�JL -rJQR0 CDAuthorized Agent DOwner
Company(if applicable): n Dr2so,.�
Applicant Signature: Date:
FIRE PROTECTION SYSTEM PERMIT APPLICATION SUBMITAL INSTRUCTIONS
Submit application only after reviewing the requirements for the specific permit for which you are applying(click the applicable link
below).
• FIRE ALARM/CARBON MONOXIDE DETECTION SYSTEM SUBMITTAL GUIDELINES
• WATER-BASED FIRE PROTECTION SYSTEM SUBMITTAL GUIDELINES
• FIXED FIRE SUPPRESSION.HOOD& EXHAUST SYSTEMS SUBMITTAL GUIDELINES
FEES
A$250 permit fee is required for a non-residential permit.A$50 Certificate of Occupancy fee is required if the project is not part of
an existing open building permit. All checks should be made payable to the Town of Southold.
Permits,once issued,shall at all times be kept on the premises designated thereon with a copy of approved drawings and all related
documentation required to obtain said permit.Installations subject to final testing,inspection and approval.Arrangements for
testing/inspection shall be made by contacting the Town of Southold Building Department(631)765-1802.
FOR OFFICE USE ONLY
Amount Paid: Check No.: � FM:
Permit No.: 1176fv Date: Exp. ate:
2
Town Hall Annex
54375 Main Road Telephone(631)765-1802
P.O.Box 1179 Email:jamese@southoldtownny.gov
Southold,NY 11971 TOWN OF SOUTHOLD
FIRE MARSHAL
Kitchen FSS Acceptance Test
S/B
2
ddress
.2422 rm
I
e or.
4,021
'dcfe
Z,
Approved plans on site? Y
Prior to initiating any alarm signal,have the building occupants,alarm company Y
and fire department been notified of testing?
Manufacturer's specs/manual for the system/components supplied? Y
Appliances,hoods and ducts are properly protected with nozzles and positioned NFPA 17 Y
in accordance with the manufacturer's design,installation,and maintenance Section 6.4.1
manual.
Nozzle sizes and pipe sizes are in accordance with the manufacturer's design, Section 6.4.2 Y
installation,and maintenance manual.
Type K extinguisher within 30' of cooking appliances? Y
16"between fat/flame or 8"steel or tempered glass baffle plate separation. NFPA 96 Y
12.1.2.4-5
ests�-' N
C d-8 -1"Y--,R
n, -9 evices.-t-Ftffictibital-T' t
fia
, , -T— -v,�`.1",- 1- -
A"n
Pull stations located between 10'-20' of cooking appliances,42"-48"AFF, Y
accessible,functional,received at FACP?
Nitrogen or dry air has discharged out of each nozzle in the system. Section Y
6.4.4.2.2
Automatic detection/fusible link system is functional. Section 6.4.8 Y
Fuel/Electric shut down? Y
Make up air supply shut down?Exhaust remains on? Y
�4
Fire alarm system interface—alarm transmitted to FACP/annunciator and N/A
monitoring company.
Notes:
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P4R� TABLE' SIRE EXTINtGUIIiSHyER? A'NrDr''AIU�TOM�A�T'IZC, FIRE; E'vv .1+NG''ULS'uu'irl�flGl-SYSrTIE°MSS'1:.1CIENSII�Ni.CI
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4 $1014, F
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12"x12" DUCT W' Z Z
HOOD SEALS (TYP.) W J Q
Y" SPLIT TEE
10'-0" HOOD NL20 Z
0
z
(EXIST.)
a =w n
ZZ
oW� Q
CONTROL
HEAD - - -® - - i=_ - - - -CEO - -®- � ,
360' 360' 360' 450' 450' 450'
- - - - - - J o
ms. Z
L NUH C4 j za O
CD
to
W a Q
PROTEX II I I I a U
Z I
SYSTEM NLL NUH NL1H NL2H NL2H- �•
W
6" MIN. FRYER a N Q
TO EDGE 'OF GUARD _Q0 0 0 mw
RPSM HOOD ON o o Cn z
PULL I BOTH SIDES `o zJ a
w w > w Q a
STATION I w
24"x24" 24"x21" of m of m
CD 4 BURNER 36"x24" RADIANT Q'� r�
�+ RANGE FLAT GRIDDLE CHAR- ,`"� o M o h � ?,GEN
I 1" GAS' NO-SHELF BROILER X X .Q `� t�•
FLOOR �IZSI VALVE "v o A
FRONT VIEW � 077550 f
SCALE: !'=1'-0" w O
AES MANUFACTURER: COMPONENTS: NOTES:
oZ 3 �wmW
PROTEX II L3000 _(1� L4600 L6000 PROTEX II L4600 x Fryers to have High Limit Control to shut off fuel at 425°. ow Q o0 oZ . ZZZo
MAX. FLOW .POINTS = 1.5 (11 USED)- x Detectors shall be located over every piece of equipment. =mo" . 'o���o
onw¢3 �nwwz¢ wQQw
Piping Material BLACK SCH 40 Max. Rise 10' 11 zwg =a�wo �Z==
MAX. PIPE VOLUME = 2600 x The System installed as per manufacturers specs and the AHJ. �,/ �wwZ
w p U-w
Supply Pipe Size 1 2" Branch,Pipe Size '.3 8" Drops ' 3/8" MAX. VOLUME BETWEEN. FIRST AND x The System has been installed as per UL300. JeJZw om=Q` S�wo
Gas Valve Type:" MECH Size 1 Manufacturer HEISER
LAST NOZZLE 2000. x The following functions to operate upan system discharge:, w�Q¢4 �owoa _�
' N O o z o a n z Z In n
* Supply, air domper closes * Gas fuel shuts off in kitchen- 1 1 ����Z �w�V.3 0o
Detector Temperature Rating: . 360°/450° L4600 4.6 GAL. CYLINDER * * oZNw� Q wg Nola
Exhaust fan remains .on Electric fuel shut off-under-hood =oww<
r w Q Z w w F W Y w N
MBI MOUNTING BRACKET * zo=&o_ zouD., o<�o
Hood Size: 10'-0" (EXIST. Duct Size: 12"x12" All systems to activate s multaneously in same hazard area. �Q�a> Q�QNa� �mou
MCH2 MECH. CONTROL HEAD * Fire Alarm shall activate.
EQUIPMENT SURFACE NOZZLE MBP2 MOUNTING BRACKET x Manual Pull Station shall be located a minimum of 10 ft., from
QTY. TIP#/QTY. LOCATIONS NL2D NOZZLE 2
TYPE AREA HEIGHTS hood & a maximum of 20 ft. from hood and 4 ft from floor. I'
DUCT 1 12"x12" NL2D 1 0"-6" 0"-6" IN OPENING NL1H NOZZLE x All fuel sources are 'GAS unless otherwise noted. ULO � o a
NL2H NOZZLE
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PLENUM 1 10'-0" NL1H 1 CID
0"-6" FROM END OF PLENUM NL2L NOZZLE J � }
4 BURN. RANGE 1 24"x24" NL2L . 1 34"-48" CENTER RPSM PULL STATION -I Z r z o
FLAT GRIDDLE 1 36"x24" NL1H 1. 24"-48" ABOVE ANY.CORNER 3234 FUSIBLE LINK 360° Y U
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RADIANT CH—BR 1 24"x21." NL1H 1 24"-48" CENTER -
3235 FUSIBLE LINK 450° 1.- .2 �
FRYER 2 14"x23.5" NL2H 2'. 24"-48 CENTER 4100H 1" GAS VALVE, 0 :1
MSDPDT2 ELEC. SW. TWO SW. ASSBY. ((a vU m
CO26 CO2 CARTRIDGE V � �y a�
90KBS CORNER PULLEY W o
APR 1 42022 Q
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A FIRE EXTINGUISHER WITH A: MINIMUM RATING TOBUILDING
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OF CLASS K 'MUST BE INSTALLED WITHIN THE- Q,
VICINITY OF THE COOKING AREA. 1