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HomeMy WebLinkAbout16682-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17410 Date OCTOBER 12~ 1988 THIS CERTIFIES that the buildin~ Location of Property MAIN ROAD-ROUTE 25 House No. County Tax Map No. 1000 Section 142 DELICIOUS KITCHEN-STORE #21 MATTITUCK Street Block 01 Lot 26 Hamlet Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 14r 1987 pursuant to which Building Permit No. 16682Z DATED DECEMBER 17r 1987 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 CHINESE TAKE OUT RESTAURANT-DELICIOUS KITCHEN The certificate is issued to ALAN A. CARDINAL~ (owner, ~} of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NO 20351 ll0N 4/12/88 UNDERWRITERS CERTIFICATE NO. N856420 3/18/88 PLUMBERS CERTIFICATION DATED RICHARD CAMPO 3/18/88 Building Inspector Rev. 1/81 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) No- 16682 Z Permission is hereby granted to: ........... ...m..~ ....... ...~....~.~ .................. .~ .......... at premises located at ..~..~'....~.....~.-.-~ ......... ................... County Tax Map No. 1000 Section / ~..'~" Block O ! Lot No. ~.. J~ pursuant to application dated~.....('~4,~.-....~.~. .......... , 19..~..7..., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 C%i 21988 ii TOWN OF SOOTHOLD AJ FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 ipLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted I ~ to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. §. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of pz-operty showing all property lines, streets, buildings and unusual natural or topograph ic featu res. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safew inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.(10, Accessory ,$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 ;Fears $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .......................... NewC°nstructi°n ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property . .5.'~ ?..~,1 .... ~,~.~'. ~. ~.;. (,~,: ,~,~, ,~, ,/~. ~~,../~. ,,! ? House No. Street Hamlet Owner or Owners of Property .... ?. ~ .... 0.'...Q .~. ?. ~.~.A..L?. ............................. County Tax Map No. 1000 Section .... J..~. ,7_,. ...... Block .... ! .......... Lot ~ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. ~.~.~..~...~.. Date of Permit .[.~.??. ! .~..Applicant .................................. Health Dept. Approval ........ ~ ............. Labor Dept. Approval ........................ Underwriters Approval ........ .V. .............. Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ .... ~'-- .~--...~../. 2~ ........ Construction on above described building and permit meets all applicable codes and regulations. Applicant .... .~q.~. 3'J.'~ (~.. .............. Rev. 10-10-78 CO zlT ll THE NEW YORK BOARD OF FIRE UNDERWRITERS ~C,O~].,~ :~J BUREAU OF ELECTRICITY ~h? 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT only the ele~trlcal equipment a~ described bel4~tv and introduced by tjx_ ~pj?ilca.nt ,~r~ec~ on the above application number in the premises of Ton:my Yeung, Maxn Road(Rt. 25)i~at~uc~ ~ NY in the follovcing location: [] Basement ~ Ist Fl. ~.~o,.~.~do,, i,:~rci,~ 14~ 1988 FIXTURE OUTLETS 10 RECEPTACLES SWITCHES 3 [] 2nd FI. Section Block Lot and/ound to be in compliance u'ith the reqairements of this Board. FIXTURES RANGES COOKING DECKS !0 DRYERS MOTORS FUTURE APPLIANCE EEEDERS OVENS DISH WASHERS I EXHAUST FANS r K MT K. W AMT. H P. 2 F UNIT HEATERS MULTI.OUTLET J DIMMERS SYSTEMS ~ NO. OF FEET AMT. WATTS iPECIAL REC'PT. TIME CLOCKS SERVICE DISCC~NNECT S E R V I C OTHER APPARATUS: Motors: 2-F NO. OF CC. COND J A W.O. NO. OF HI-LEG PER ~' J OF CC. COND NO OF NEUTRALS OF NEUTRAL Alfred Meyer 79 Penn Street Lake ~onkonkoma, 11779 Lic~2L30E GENERAL MANAGER Per_ ' "~ ,tificote must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 CERTIFICATION TEL. 765-1802 ...... BLDG. DEPT. TOWN OF SOUTHOLD Date Building Permit No. I~6~Z ~ Owner ~L/4N /% . ~A ~]~/4L~ (please print) P lumJ~er R ~.-O~/~ R~I) ~ pO (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this /~ day of ~O~ 19 ~ . Notary Publ c 4 fk County (plumbe~ure) Notary Public ~BALDASSARO $. GENNA No O1GE47~l SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES 20351 No. llO PERMIT TO OPERATE A SERVICE FOOD ESTABLISHMENT This is to certify that DELICIOUS RESTAURANT Tommy Yeung at the operator of Mattituck A & P Shopping Mall, Route 25 Name of Establishment Address Located in the Town of $0uth01d in Suffolk County is granted permission to operate said establishment in compliance with the provisions of Article 13, Suffolk County Sanitary Code, under the following conditions: 1) This permit is granted subject to any and all applicable State, Local and Municipal Laws, Ordinances, Codes, Rules and Regulations. 2) All incidents that affect or may affect Public Health must be reported to the permit issuing official within 24 hours. 3) This permit may be suspended or revOked as provided in the Suffolk County Sanitary Code. Permit Issuing Official Date of Issue April 12, 1988 Expiration Date December 3l, 1988 Permit is Non-Transferable THIS PERMIT MUST BE POSTED CONSPICUOUSLY 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST R~'~~OUGH PLBG. [ .] FOUNDATION 2ND [ ] INSULATION [ ] FRAMI,N~,~.~ ~[ ] FINAL OUNDATI 0:; ( 1 s t ) OU!~DAT!O:: (2nd) OUGH FRAME & ?LUMBING ~NSULATION FERN. Y. STATE ENERGY CODE FiLiAL ADDITIONA'L COMMENTS: 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 1'1971 TEL.: 765-1802 Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH 3 SETS OF PLAN$ . ~1~... SURVEY .... CHECK -JL~ ..... SEPTIC FORM ............. NOTIFY CALL ................ MAIL TO: Date .................. , 19... INSTRUCTIONS Th.is application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 issued a Building Permit to the applicant. Such 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. 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 · · '' -- ~r~l_~n ''~' it ...... (Mailing address of applicant) State whether applicant is owner, lessee,' agent, architect, engineer, general contractor, electrician, plumber dr builder. Name of owner of premises ,'~d'~,'}/ ,~ 6°,,~'~ ~9,, ,-v'/J d~' (as on the tax roll or latest deed) .... If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ALL CONTRACTOR'S I~UST BE SUFFOLK COUNTY LICENSED Builder's License No... lumber s License No ........ Other Trade's License No ...................... Location of land on which proposed work will be done... ~ ~(~ fly. f~'. .... ~ r.. ~.. C~(~ ..... House Number ............... ~;r;~; .... Hamlet ........................ County Tax Map No. 1000 Section . . .4.~ .......... Block / Lot ~' Subdivision ..................................... Filed Map No. Lot (Name) ............................. 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 .... ~qZC... 3. Nature of work (check which applicable): New Building ' Addition .......... Alteration [~,epair-. ............. Removal .............. Demolition .............. Other Work ............... (Description) 4. Estimated Cost ...................................... 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 G",~..,~,~:xff ,r~,4-_ 7. Dimensions of existine structures if an,,' Fron* // ~' ' -~ ~' -/ ~ ' '_ ' '. .... ..;. Z' · :~' ' '~'~- · - , ~- , ............... tqear ... :...~ ....... Depth /-.* Height ............... Number of Stories .... /.. Dimensions'of same structure with alterations or additions: Front -..-,f.'*~ ~ ......... Rear ...~. '.~.--z ~ ...... Depth . . .-4-..~.-~.~ Height ~'~ e ' 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 us? district in which premises are situated...~'.~x~.,v~.~.,~ ............ iiiiiiiiiiii ................. 12. Does proposed construction violate any zoning law, ordinance or regulation' ,,/o ................. 13. Will lot be regraded ...... ~,,, .................... Will excess fill be removed from premises: Yes No 14. Name of Owner of premises '~.~.~..~..(~.~.°~.~.~...Address ~..~.~?.,x.?~...,~.~?6../v.~PhoneNo..a?.~..z.~?.:z'k.e?. Name of Architect d~.~,~ .- j~,~/_ . Address . . .,gx...~.r.r:.r. ff~.q Phone No ................ Name of Contractor .......................... Address .... : .............. Phone No.../ ............ 15. Is this property located w±th±n 300 feet of a t±dal wetland? *Yes ..... No ..t~... · If yes, $outhold Town Trustees Permit maybe requ±red. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. ,S, TATE OF NEB' ~ORI<j,,, _ · COUNTY OF..~.. S.S ..... 77'. ~. 0 ......~"' ' 'h/'~-7' '6/'~" ' '~' .................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the (Contractor, agent, corporate officer, etc.) >f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this ~pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the ~vork will be performed in the manner set forth in the application filed therewith. ~worn to before me this 'r ...... /'~' ............. day of..~ .... 19 .~.? ~./...~../.,~....~...~ ~otary Public, .... · ·..~ ........ County SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES~ APPROVED FOR CONSTRUCTION ONLY H.S. REF. NO. ~CYO -~'7~ c~/? FLOW/~ I is £rantad Ior the construction of the sanitary ' ly facdlt[~ pursuant to AAictas VB and k County Sanitary Coda and i expressed nQr imphed to d~harge, DATE Main Road P.O. Box 1412 Southold N.y. 11971 516- 765 - 5455 · is used t{ copper tubt~g ~or water dis%fibuting system; ptp~ng shal~ be ot types ~ PLUMBER cERTIFICATION oN LEAD coNTENT BEFORE OF occUPANCY' soLDER uSED IN WATER suPPLY sYSTEM cANNOT ExcEED 2/10 of 1% LEAD. OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY --7 -! / 7-0 - I GARRETT A. STRANG architect Main Road P.O. Box 1412 Southold N.Y. 11971 516- 765 - 5455 F MAX. ALLOWABLE PIPING ITEM ;91 ITEM #2 MAX. ALLOWABLE RIPE ELBOW ITEM #1 ~TEM #2 SIZE AND LENGTHIFT SIZE AND QUANTITY REDUCING FITTINGS AND ELBOWS WHICH MAY BE REQUIRED IN PIPING SYSTEM ARE NOT SHOWN ANDWILL BE PROVIDED WHERE PIPE SIZES CHANGE AND WHERE PIPING TERMINATES AT NOZZLE, REPERENCEULTESTEDANDAPPROVEDEX r~ ~ ~ MODEL(S). ~/ I}~_ ITEM#1 ~0 __ITEM~2 REQUIRED THE EXHAUST BLOWER SHALL RUN DURING ALL COOKJNG PERIODS HOOD FILTERS MUST BE IN PLACE (O) INDICATES VERTICALLY MOUNTED SYSTEM CYLINDER ( --} INDICATES SCHEDULE 40 STEEL PIPING TO BE PROVIDED (--) INDICATES STAINLESS CABLE RUN IN V~" EMT CONDUITS SYMBOLS ITEM FIRE SYSTEM FIRE SYSTEM REMOTE MANUAL PULL STATION [] MECHANICAL [] ELECTRIC AUTOMATIC DETECTION ................... []MECHANICAL BSA NUMBER FUEL SHUT OFF [~MECHANICAL ~:~ GAS SIZE '~" ~] ELECTRIC ['-~ E LECTR lC DEGREE. ~'~ [] ELECTRIC DEGREE (:~ ~'* NOZZLE(SI HOOD TYPE ~) Z~_ NOZZLE(SI DUCT TYPE ~) 6 NOZZLE(S) SURFACE , TYPE e ~ NOZZLE~.S? BROILER TYPE COOKING EQUIPMENT ITEM GAS/EL (~ FRYER ~ RADIANT BROILER (:~ CHAR/BROILER (~ OBL/BROILER ORANGE/GRILL FRYERIS) LIQU]D \ ('~' \4 SURFACE AREA x ALLOWABLE COVERAGE PER ~ l ~ SURFACE NOZZLE INSTALLATION NOTES ~) = APPLY ~THE INSTALLATION SHALL COMPLY WITH RS 13-3 OF THE NYC BUILDING CODE AND NFPA 96, 1984 THE INSTALLATION SHALL COMPLY WITH (~) NFPA g6, THE MANUFACTURERS LISTING AND THE LOCAL AUTHORITY HAVING JURISDICTION APPROVED "BAFFLE TYPE" GREASE FILTERS SHALL BE PROVIDED FOR THE RANGE HOOD SY THE OWNER THE EXHAUST HOOD rS AN APPROVED GREASE EXTRACTION SYSTEM MANUFACTURED BY AND APPROVED FOR USE IN NYC UNDER BSA GAL # THE INSTALLATION SHALL BE ARRANGED TO SHUT DOWN THE FUEL ENERGY TO THE COOKING EQUIPMENT BEING VENTED THE EXHAUST BLOWER SHALL CONTINUE TO RUN DURING THE OPERATION OF THE FIRE SYSTEM AS PER BSA 695-84 BCR THE PULL STATION SHALL BE MANUAL, LOCATED BETWEEN 10 TO 35 FEET FROM THE RANGE HOOD THE MANUAL PULL STATION SHALLSE LOCATED ON THE PATH OF EGRESS FROM THE PROTECTED AREA THE INSTALLATION IS SUBJECT TO SEMI ANNUAL INSPECTION BY THE AUTHORIZED INSTALLING CONTRACTOR TO ORTAIN WARRANTEE OF SYSTEM OPERATrON AND PERFORMANCE AS REQUIRED BY LOCAL LAW THE VENTILATION SYSTEM AND COOKING EQUIPMENT ARE APPROVED UNDER A SEPARATE NOTICE ANy CHANGE OF VENTILATION OR EQUIPMENT WILL VOiD THE FIRE SYSTEM DESIGN AND WARRANTEES ARCH./ENG. DESIGN DEW # NAME INDICATES GUARDEB MANUAL STATION WITH SEALED HANDLE TO ELIMINATE ACCIDENTAL OPERATION INDICATES MECHANICAL GAS VALVE iNSTALLED ~N GAS PIPING CAUTION UPON SYSTEM OPERATION TURN OFF ALL COOKING EQUIPMENT BEFORE RESETTING FIRE SYSTEM. EXHAUST SYSTEM HOOD LENGTH SIZE )~ (: LENGTH -- LENGTH __SIZE x DUCT TOTAL IDEAL FIRE CONTROL INC. 132 METROPOLITAN AVENUE, BROOKLYN, N.Y 11211 718-384-1 r MAX. ALLOWABLE PIPING ITEM #1 ITEM #2 MAX. ALLOWABLE PIPE ELBOW ITEM #1 SIZE AND LENGTH/FT SIZE AND QUANTITY -I ITEM ~2 REDUCING FlarINGS AND ELBOWS WHICH MAY BE REQUIRED IN PIPING SYSTEM ARE NOT SHOWN AND WILL BE PROVIDED WHERE PIPE SIZES CHANGE AND WHERE PIPING TERMINATES AT NOZZLE REFERENCEULTESTEDANDAPPROVEDEX ~,~ MODEL(S) ~ i}~- ITEM#1 ~(> ITEM#2 REQUIRED THE EXHAUST BLOWER SHALL RUN DURING ALL COOKING PERIODS HOOD FILTERS MUST SE IN PLACE SYMBOLS ( O I INDICATES VERTICALLY ([~) } MOUNTED SYSTEM CYLINDER (--) INDICATES SCHEDULE 40 STEEL PIPING TO BE PROVIDED ( O ) {--) INDICATES S~AINLESS CABLE RUN IN 1~,, EMT CONDUITS ITEM O LEGEND UN[~ MANUFACTURER SIZE FIRE SYSTEM FIRE SYSTEM BSA NUMBER FUEL SHUT OFF ~MECHANtCAL [~:~GAS [--]ELECTRIC r--~ELECTRIC SIZE REMOTE MANUAL PULL STATION []MECHANICAL [] ELECTRIC AUTOMATIC DETECTION= ................... [] MECHANICAL NOZZLE(S) HOOD NOZZLE(S) DUCT __ NOZZLE(S) SURFACE NOZZLE S) BROILER DECREE F~ELECTRIC DECREE COOKING EQUIPMENT TYPE TYPE TYPE ITEM GAS/EL ORANGE {~ FRYER (~ RADIANT BROILER CHAR/SROILER O DBL/BROILER O OVEN FRYER(S) LIQUID / SURFACE AREA __x ALLOWABLE COVERAGE PER ~ I'~ SURFACE NOZZLE INSTALLATION NOTES ~) = APPLY ~THE INSTALLATION SHALL COMPLY WITH RS 1;~3 OF THE NYC BUILDING CODE AND NFPA gE, 1984 O THE INSTALLATION SHALL COMPLY WITH NFPA 96, THE MANUFACTURERS LISTING AND THE LOCAL AUTHORITY HAVING JURISDICTION APPROVED "BAFFLE TYPE" GREASE FILTERS SHALL BE PROVIDED FOR THE RANGE HOOC BY THE OWNER THE EXHAUST HOOC IS AN APPROVED GREASE EXTRACTION SYSTEM MANUFACTURED BY AND APPROVED FOR USE IN NYC UNDER BSA CAL # THE INSTALLATION SHALL BE ARRANGED TO SHUT COWN THE FUEL ENERGY TO THE COOKING EQUIPMENT BEING VENTED THE EXHAUST BLOWER SHALL CONTINUE TO RUN DURING THE OPERATION OF THE FIRE SYSTEM AS PER BSA 695~4 BCR MANUAL, PULL STATION SHALL BE THE LOCATED BETWEEN 10 TO 35 FEET FROM THE RANGE HOOD THE MANUAL PULL STATION SHALLBE LOCATED ON THE PATH OF EGRESS FROM THE PROTECTED AREA THE INSTALLATION IS SUBJECT TO SEMI ANNUAL iNSPECTION BY THE AUTHORIZED INSTALLING CONTRACTOR TO OBTAIN WARRANTEE OF SYSTEM OPERATION AND PERFORMANCE AS REQUIRED BY LOCAL LAW THE VENTILATION SYSTEM AND COOKING EQUIPMENT ARE AppROVED UNDER A SEPARATE NOTICE ANY CHANGE OF VENTILATION OR EQUIPMENT WILL VOID THE FIRE SYSTEM DESIGN AND WARRANTEES ARCH/ENG DESIGN DRW# NAME INDICATES GUARDED MANUAL STATION WITH SEALED HANDLE TO ELIMINATE ACCIDENTAL OPERATION INDICATES MECHANICAL GAS VALVE INSTALLED tN GAS PIPING CAUTION. UPON SYSTEM OPERATION. TURN OFF ALL COOKING EQUIPMENT BEFORE RESETTING FIRE SYSTEM. EXHAUST SYSTEM ~ HOOD LENGTH~ WIDTH WIDTH HOOD PLENUM / '~ hi,, LENGTH HORIZ. DUCT. I ,/ LENGTH LENGTH S ZE IDEAL FIRE CONTROL INC.