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Home My WebLink About51816-Z TOWN OF SOUTHOLD BUILDING DEPARTMENT 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#: 51816 Date: 04/08/2025 Permission is hereby granted to: San Simeon By The Sound 61700 CR 48 Greenport, NY 11944 To: Make repairs to an existing fire suppression system to change out the control head as applied for. Premises Located at: 61700 CR 48, Greenport, NY 11944 SCTIVI#45.-2-10.4 Pursuant to application dated 02/24/2025 and approved by the Building Inspector. To expire on 04/08/2027. Contractors: Required Inspections: Fees: Fire sprinkler-Commercial $300.00 CO Commercial $100.00 Total $400.00 Building Inspector�� TOWN OF SOUTHOLD—FIRE MARSHAL u� Town Hall Annex 54375 Man Road P. O. Box 1179 Southold,NY 11971-0959 ►. N Telephone (631) 765-1802 Fax(631) 765-9502 https://www.southoldto ��r.�.' . Ov FIRE PROTECTION SYSTEM PERMIT Date Received APPLICATION E C E 0 V E For Office Use Only PERMIT NO. 5 Building Inspector: J v,,B- 'FEB 2 4 2025 Applications and forms must be filledout in their entirety.Incomplete Building DePartment applications will not be accepted.WORD IS NOT TO ILE S'I'LATEI1 prior 1rown,of Southold to the approval of plans and issuance of a permit. Hasa building permit been obtained for this project? ❑Yes ❑No If yes,building permit# Date: 2 - . 2, 2. PROJECT INORMATION: Project Address: (/'IC) SCTM# 1000- - City; Zip: f/" CONTACT PERSON INFORMATION: Name: C SQUARED DBA ALL OUT FIRE , Mailing Address: BOHEMIA NY 11716 Phone#: 631 5-8'0' ' ' Email: � � G�" �1� 91 � Preferred contact method(select one): ❑Phone mail CONTRACTOR INFORMATION: Name: LC SQUARED DBA ALL OUT Fl fontractor License#: /2 Mailing Address: 3 AKELAND AVE, STE 3 EMIA NY Phone#:: FO - qV(lp o a SCOPE OF WORK: Occupancy Description: ❑Assembly ❑Business ❑Education ❑Factory/Industrial ❑Institutional ❑Mercantile ❑Residential ❑ Storage Description of Work: ❑ New System alixisting 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 that apply) ❑NFPA 13,13D or 13R System ❑Manual ❑Automatic ❑ Smoke Control ❑Standpipe ❑ Fire Pump ❑Protected Premises(local) ❑ Wet or Dry Chemical/Clean El Supervising station Agent Number of sprinkler heads: ❑Central Station ❑Kitchen hood/exhausthcr Floor Area(sq. ft.): 1 ❑ Check Box After Reading: 1,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 sny ofHSer,or employee of the firm or individual listed as the applicant on this form,shaR.be cause for revocation of said,permit.Upon revocation of said permit the ;;, applicant or any employee of the applicant sball be prohibited to conduct such work for which thispermit was issued:Therelssuance of a permit shaU: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 210.45of the Penal Law Application Submitted By(print name): rhl )Gpl k d�% � uthorized Agent ❑Owner Compan f(l€,a p lcable), '// G�GIT Applicant Signature: Date: -/ - 2_0 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). • TIRE ALARM/CARBON MONOXIDE DETECTION SYSTEM SUBMITTAL GUIDELINES o FIRE SPRINKLER SYSTEM SUBMITTAL GUIDELINES • FIXED FIRE SUPPRESSION, HOOD& EXHAUST SYSTEMS SUBMITTAL GUIDELINES FEES A$300 permit fee is required for a non-residential permit. A$100 Certificate of Occupancy fee is required if the project is not part of an existing open building permit. All checks should be made payable to the Town of Southold. Permits,once issued,shall at all times be kept on the premises designated thereon with a copy of approved drawings and all related documentation required to obtain said permit.Installations subject== 'final Lesting,.inspection and approval.Arrangements for testing/inspection shall be made by contacting the Town of Southold Building Department(631)765-1802. FOR OFFICE USE ONLY Amount Paid: yo$ Check No.: FM:o .6o 1a37 Michuel Verid Permit No.: 5 1 Date: O e� _ D( O t 5 Exp.Date: _ -a Da r7 2 6&7f�tcdte of 6o1q1e&o# This is to certify that Glenn Calder an employee of ALL OUT FIRE EQUIPMENT CO an Authorized Kidde Fire Systems Distributor has successfully completed a certification training session covering design, installation, operation and maintenance and has demonstrated a practical knowledge of the following product: WHDRTM Wet Chemical Systems Klee Issue Date: 11/19/2024 Expiration Date: 11/19/2027 Fire Systems Michael Kraus Training Manager This certificate is not transferrable.Certificate is only valid as long as the above named company employs the training participant.Acceptance of this certificate implies that the parties agree to abide by the terms of the distributor agreement or absent an agreement Terms and Conditions of Sale.Any violation or alteration of this certificate will result in the immediate voiding of this certificate and possible revocation of access to the product line pertaining to this certificate.