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HomeMy WebLinkAbout32974-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32567 Date: 08/29/07 THIS CERTIFIES that the building Location of Property: 62375 MAIN RD (HOUSE NO.) County Tax Map NO. 473889 Section 56 Subdivision Filed Map No. -- ALTERATIONS SOUTHOLD (STREET) (HAMLET) Block 4 Lot 6 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 24, 2007 pursuant to which Building Permit No. 32974-Z dated MAY 1, 2007 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 ALTERATIONS & ELECTRICAL WORK IN AN EXISTING RESTAURANT AS APPLIED FOR. The certificate is issued to JOSEPH BONVINO of the aforesaid building. (OWNER) SD-FFOLK COUNTY DEPARTMENT OF HEALTHAPPROVAL EI~ECT~IC~S~L CERTIFICA~q~ NO. PLUMBERS CERTIFICATION DA'r~u3 07/26/07 N/A 77~0 07/30/o7 BURTS RELIABLE, INC. Signature Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This applicatiou must be filled m by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: l. Final survey of properly with accurate location of all buildings, property lines, streets, and uuusual 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. Conunercial 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" laud nses: 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 BuiIding h~spector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alteratious to dwelling $25.00, Swirmning pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Bnsinesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 ~ 3. Copy of Certificate of Occupancy- $.25 4. Updated Certificate of Occnpancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date~'~--'~lV c~3} ZOO ? LocationofProperty:_ G c~'-~ ~"'~nl f~ ~oaD ~{~D ~Y House No. Street Hamlet Owner or Owners of Property: _--~C-') ~ Suffolk County Tax Map No 1000, Section. Subdivision Permit N, . Block Filed Map, Lot: _ l)ate of Permit. ¢"~) q-O Z kpplicant:~ Health Dept. Approval: Plamfing Board Approval: Request for: Tempormy Certificate Fee Submilted: $ Undcrxvriters Approval: Final Certificate: ~ (check one) \ ~ A~p[icant Signature FORM NO. 3 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) PERMIT NO. 32974 Z Date MAY 1, 2007 Permission is hereby granted to: JOSEPH BONVINO 62375 ROUTE 25 SOUTHOLD,NY 11971 for : ELECTRICAL WORK AND NEW DOORS IN AN EXISTING RESTAURANT AS APPLIED FOR , AS BUILT, WITH FLOOD PERMIT. at premises located at 62375 MAIN RD SOUTHOLD County Tax Map No. 473889 Section 056 Block 0004 Lot No. 006 pursuant to application dated APRIL 24, 2007 and approved by the Building InBpector to expire on NOVEMBER 1, 2008. Fee $ 600.00 ~/~~ , ~--~uthorized Signature ORIGINAL Rev. 5/8/02 Nassau Suffolk Electrical Inspections, Inc. P.O.Box 549 * Aquebogue, New York 11931 * Tel: 631-591-3097 * Fax: 631-591-3098 Application: 7710 Date:7/30/07 Issued to: Cimanos Address: 62375 Main Rd Village: Southold Introduced By:: Essay Electric License#:4671 -E was examined and approved up to the above date and was in compliance with the NEC New Harm 1st Roar I'-~1 Residential Po~ DO ~ Basement 2nd floor ~dal[] Hct Tub .,t~ktition Switches Receptacles Fixtures G.FI. Range Hood Exit Signs 7 24 94 10 1 4 Fans Dishwasher Rooftop Fans Emergency Fractional Dryer/Amps Ice Machine Lighting 2-Ex Bath 1 2 1 3 Furnace Oil Gas Heat Zones Whirlpool Bell Transformers :~ough Insp: Meter Amps Phase Motors :trial Insp: )ther Equipment: 15- Pagoda Lights Outdoor 1-30A Expresso Machine 1-30A Sub Panel 1-30A Coffee Machine 2-Zone A/C 1-Oil Hot Water Heater Out,Res This certificate must not be altered in any manner Town Hall, 53095 Main Road P.O. Box 1179 Southold, New' York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Fax (631) 765-9502 Telephone (631) 765-1802 u~-D, DEP~ Date: Building Permi~ ~,,2. ~ 7 ~ ~'- Owner: Plumber: (Please print) (Please print) lead, Sworn to before me this I ce~2ify that the solder used in the water supply system contains less than 2/10 of 1% I~ature) day of. t)T~]J__"['' , 20 0~7 Notary Public, r. ffUF~'-O]~}.~ County NANCY A. PESTER Nota~ Public, State of NewYork No. 4940985-Suffok Coun~._ Commission Expires Aug. 15, Acti0n,~ NEW Estab, ID: -1027 Estab. Class: 110 Estab. Name:. CIMINOS ITALIAN RESTAURANT a~-~ ~ ,~,~o~v 12 l*~en,cfio?~ D~to' Rt2919.007 q'~m~ ,~r~,,~,. 1:42:13 PM PART 2: BLUE ~INTENANCE ITEMS ~ These items relate to maintenance of the food service operation and cleanliness, correct as scheduled. Other Notes Pre-operational Inspection OK to operate, issue permit. Thenuometer minmax784, infra-red Please fax the following to 852.5871 attn: Raymond Lam - A copy of finalized sample menu - Certificate of Authority. - Proof of worker's compansafion. - Proof of disabil/ty insurance. a. A copy of Certificate of Authority will be faxed to t/tis department. b. All plumbing were noted indirectly drained. c. Approved hot water heater was installed as purposed. d. Addi~onal splash guards will be installed. e. Menu advisory was adequate. A copy of finalized sample will be ~axed to us. £ Adequate prep space noted. g. Additional mop hook will be installed at mop sink. h. Walk in refrigerator was instal/ed as puposed, int~i.rectly drained into a d~ well. Questions please call 852.5873 Raymond Lam For urgent matters, please ask to speak w/th a supervisor. 840.7371 Mobile 852.5871 Facsimile PLEASE NOTE THAT ALL SHIFTS MUST BE COVERED BY SOMEONE WITH A VALID SUFFOLK COUNTY FOOD MANAGER'S CERTIFICATE. To sign up staff for the Food Managers Class, please call 852.5997 Class given in Enghsh and Spanish, please specify language preference when calling. PLEASE NOTE THAT SLICED TOMATOES MAY SOON BECOME CONSIDERED AS POTENTIALLY HAZARDOUS, ANY VIOLATIONS THAT INHIBITS THE PROPER USE OF A HANDWASH SINK ARE NOW CONSIDERED CRITICAL VIOLATIONS. BAREHAND CONTACT WITH ANY READY TO EAT FOOD ITEMS, AS V~rELL AS FOOD OPENLY DISPLAYED ARE SUBJECTED TO IMMEDL~.TE FINES. Notice to patron ~ven, English and Spamsh choking posters, cpr info/posting, temperature chart given per,on Receivh~g Report: Sanitarian: 784 Lam Page Page 2 of 2 DL%ME OF ESTABLISHMENT: ~4~TER HEATER CALCULATION WORKSHEET FIXTURE TYPE BATHROOH HAND SINKS WASHING MACHINE SIGNIFICANTLY DIFFERENT TH~N THE EXA3~PLES NOTED ABOVE ENTER DIMENSIONS FULL CAPACITY X HA~D WASH SINUKS (nut bathroom) DISHWASHER ~i~KE: AUTOCHLOR MODEL: A4 ENTER 75% PP~E-RINSE SPRAY UNIT (at dishwasher) I 45 X N 37.4 20 32.775 37.4 NONE NONE (UNLESS MANTTFACTURER STATES AMOUNT ) OTHER EQUIP. (SPECIFY) I The first step in calculating storage capacity and recovery rate for a water heater is to determine what equipment and fixtures require hot water. (See above t~le) Water heater storage capacity is simply the to~al qallonaqe of equipment holding hot water as determined from the sum of last column of the above table. Water heater recovery rate required for an oil or gas fired heater = :; ~9~ i Demand usage (from above t~ble) x 1100 BTU's/gal. = ::!: ~ ~ ..BTU's/Hr input Water heater recovery rate required for a commercial electric water heater = i {;]~9~'2, , Demand usage ~from above t~le) x 0.25 Kilowatts/gal. = ~9~ KW/Hr. input CO~ENTS: WATER H~TER OK. ~L784 HOT WATER HEAT; BOCK 67 GALLON 199,000 BTU/Hr. SCDHSFC 1205 t Action:NEW SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES FOOD ESTABLISHMZNT INSPECTION SUMMARY REPORT Activ. Code(s3:12 Estab. ID: -1027 Estab. Cia,s: 110 Eatab. Name: CIMINOS ITALIAN RESTAURANT Eatab. Address: 62375 MAIN ROAD Owner: DOUG CRESS. PRESIDENT Corp. Address: 47 FRONI SIREET ¢~,~? yip. 11971 Estab. City: SOU/HOLD Permit Restr: D Capacity: 74 Coro Name: D.C.D.R. RESTAURANT. Mgr. Celt. gl: SAFE: Inspection Date: 8/29/2007 lnsp. Status(es',: 06 Risk: 0 Tim~ of Tn~?~ction' 1:42:13 PM I These U~ms relate to maintenance of the food service operation and cleanliness, correct as scheduled. Code Section Description of Violation CorrectBy 760-1303.2 PERMITS, POSTINGS, PLAN REVIEW, APPLICATIONS, COMMISSIONER'S ORDERS 9/12/2007 760-1303.2 PERMITS, POSTINGS, PLAN REVIEW, APPLICATIONS, COMMISSIONER'S ORDERS 9/12/2007 760-1304. I.b PERMITS: POSTINGS. PI,AN REVIEW. APPLICATIONS. COMMISSIONER'S ORDERS 9/12/2007 760-1330.1 FOOD/ICE PROTECTION, STOP_AGE, DISPLAY, SERVICE, LABELED 9/12/2007 760-1330.1 FOOD/ICE PROTECTION, STORAGE, DISPLAY, SERVICE, LABELED 9/12/2007 760-1334.5 FOOD/ICE PROTECTION, STORAGE, DISPLAY, SERVICE, LABELED 9/12/2007 Sio~nature of Person Receiving Report:. Print Name: Sanitarian: 784 Lam Joint Sanitarian: Page:Page I of I SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES FOOD INSPECTION cC.tien: NEW Estab. iD: -1027 Estab. class:110 Est.ab. Name:. CIMINOS ITALIAN RESTAURANT ] iv Code(*): 12 Inspection! Dale 812912007 Tirnec~fInmaectcm. 1:42:13PM PART 2: BLUE MAINTENANCE ITEMS These Items relate to maintenance of the food service operation and cleanliness, correct as $¢hednled. Code Section 760-1303,2 Description of Violation Any person desiring to operate a food establishment shall make written avvlicafion for a vennit on forms provided by tile department. Such applicatiml shall include the ap~icanfs ~ narco and post office address and whether such applicant is an individual, firm or corporation, and if pm. lnership, the names of the partners, together with their addresses; proof of the applicant's authority to collect s~les tax in the State of New York; the location and the type of food establishment; and the signature of the applicant or applicants. If the application is for a temporary food establislunent, it shall also include the inclusive dates of the proposed operation. The operator failed to submit proof of authority to collect sales taxes in New York State. CorreO By 9/12/2007 760-1304.1.b 760-1330.1 760-1334.5 - Cel~ificate of Authority was at the establishment, glued to the wall. The operator failed to submit a properly prepared application for a permit, in that: 9/I2/2007 - Proof of worker's oompansation was not submitted. - Proof of disability insurance was note submitted. Ail construction, remodeling, or altemlions shall be done in accordance with the approved plans. Establishment was not built according to approval plans, in that: 9/12/2007 - The proposed Ele¢l~olux W765 dishwasher was replaced with an AutoChlor A4. - Three compartment sink was measured 16 x 20 x 12, as opposed to the purposed 16 x 20 x 14 - Was able to accomodate largest piece of equipment. - New hot water heater calculation sheet generated. Food, including ice, shall be protected from contamination during processing, handling, packaging, storage, preparation, display end service, dispensing by a vending machine, and while in transit. Foods not meeting the requirements of this article shall be disposed of in a manner approved by the department. Prep area across fi.om cookline was unprotected by the benefits of a splash guard at the handwash 9/12/2007 sink, next to the ice cream m-ca, exposing area to potential contamination. Prep area where slicer is located was not protected by the benefits of a splash guard at the handwash 9/12/2007 sink, exposing area to potential contamination. When out buildings or structures are used to store food (other than cased food in waterproof containers), effective ovarhead protection or other approved method(s) shall be provided to protect food in transit. Effective overhead protection was not prov/ded between the outdoor walk in refrigerator end the 9/12/2007 Idtchen. Staffwould need to cany food items for approx. 10 feet in an unprotected area outdoor. person Receiving Report: Samtarimr 784 Lam Page Page 1 of 2 Condon Engineering, P.C. New york State Licensed Professional Engineem 1755 Sigsbee Road Mattituck, New York 11952 631-298-1986 Fax 63t-298-2651 July 20, 2007 Mr. Gary Fish Building Inspector Southold Town Building Department 53095 Route 25 P.O. Box 1179 Southold, New York 11971 Re: Permit No. 32975Z - Ciminos Restaurant Dear Mr. Fish: Inspection of the insulation installed at the Ciminos Restaurant on the Main Road in Southold New York found it to be installed in accordance with the specifications prepared by Architect Rob Brown and, to the best of my knowledge, is installed in conformance with the Building Code of the State of New York. If you have any questions please call me at 298-1986. Yours truly, Condon Engineering, P.C. New York State Licensed Professional Engineers 1755 Sigsbee Road Mattituck, New York 11952 631-298-1986 Fax 631-298-2651 June 30,2007 Mr. Gary Fish Building Inspector Southold Town Building Department 53095 Route 25 P.O. Box 1179 Southold, New York 11971 Re: Permit No. 32"gT-r~_ - Ciminos Restaurant Dear Mr. Fish: I inspected the roof framing and structure at the Ciminos Restaurant on the Main Road in Southold New York. The roof structure, including the new open and vaulted ceiling areas in the eastern and western areas of the building, was found to be adequately supported by the attic floor and bracing in the central areas of the building and, to the best of my knowledge, the framing is installed in conformance with the Building Code of the State of New York. If you have any questions please call me at 298-1986. Yours truly, don, PE Condon Engineering, P.C. New York State Licensed P~ofessional Engineem 1755 Sigsbee Road Mattituck, New York t t 952 631-298-1986 Fax 631-298-2651 June 30, 2007 JUL - 3; iT Mr. Gary Fish Building Inspector Southold Town Building Department 53095 Route 25 P.O. Box 1179 Southoid, New York 11971 Re: Permit No.~- Ciminos Restaurant Dear Mr. Fish: ] ~ I inspected the new water supply and waste plumbing in the Ciminos Restaurant on the Main Road in Southold New York. The plumbing was found to be properly installed, free of leaks, and, to the best of my knowledge, installed in conformance with the Building Code of the State of New York. If you have any questions please call me at 298-1986. Yours truly, O-- n, P.E. FAIRWEATHER-BROWN DESIGN ASSOCIATES, INC. 205 Bay Avenue Greenport, N.Y. 11944 631-477-9752 (fax) 631-477-0973 June 13, 2007 Mr. Michael Verity, Chief Building Inspector Southold Town Building Department P. O. Box 1179 Southold, NY 11971 Re: Cimmino's Restaurant 62375 Rte. 25 Southold, N.Y. 11971 JUN Dear Mr. Verity: This letter is to confirm that to the best of my knowledge, belief and professional judgment, the value of the work being performed on the existing structure, exclusive of interior finishes and equipment, at the above referenced project does not exceed 50% of the value of the existing structure. If you have any questions, please do not hesitate to contact me. Sincerely, JUN I 4 ? FAIRWEATHER-BROWN DESIGN ASSOCIATES, INC. 205 Bay Avenue Greenport, N.Y. 11944 631-477-9752 (fax) 631-477-0973 June 13, 2007 Mr. Michael Verity, Chief Building Inspector Southold Town Building Department P. O. Box 1179 Southold, NY 11971 Re: Cimmino's Restaurant 62375 Rte. 25 Southold, N.Y. 11971 Dear Mr. Verity: This letter is to confirm that the plans for the above refenced project show, and I expect construction to 0 conform, at least 50¼ of the required exits shall be handicap accessible in conformance with the code. If you have any questions, please do not hesitate to contact me. R~'~rown, AIA FAIRWEATHER-BROWN DESIGN ASSOCIATES, lNC. 205 Bay Avenue Greenport, N.Y. 11944 631-477-9752 (fax) 631-477-0973 April 27, 2007 Mr. Michael Verity, Chief Building Inspector Southold Town Building Department P. O. Box 1179 Southold, NY 11971 Re: Cimmino's Restaurant 62375 Rte. 25 Southold, N.Y. 11971 Dear Mr. Verity: This letter is to confum that based on my conversations with Mr. Doug Cress, Essay Electric will be upgrading the electrical service to the above referenced facility, and rewiring existing fixtures etc. to meet current code requirements. No changes are anticipated at this time regarding number and location of exit lights, signs or other devices. A new kitchen plan by others will follow with specific kitchen equipment layouts and requirements. Thank you for your attention to this matter. rown, AIA FAIRWEATHER-BROWN DESIGN ASSOCIATES, INC. 205 Bay Avenue Greenport, N.Y. 11944 631-477-9752 (fax) 631-477-0973 April 27, 2007 Mr. Michael Verity, Chief Building Inspector Southold Town Building Department P. O. Box 1179 Southold, NY 11971 Re: Cimmino's Restaurant 62375 Rte. 25 Southold, N.Y. 11971 Dear Mr. Verity: This letter is to confu'm that based on my conversations with Mr. Doug Cress, while interior layout changes, and new windows are anticipated at the above referenced facility, there are no changes intended at this time in the size of the dining area~ the number of seats in the dining area~ the use or occupancy of the property, or the size of the parking area or number of parking spaces.. A new plan by this office will follow with specific layouts and any structural information regarding new windows, headers, and partitions. Thank you for your attention to this matter. Sincerely, Robext I. Brown, AIA TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUCTION [ ] ROUGH PLBG. [ ]~LATION [ ~ FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE ~ INSPECTOR ~ l /~ ~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FO~ION 2ND [ ] INSULATION [v~FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: .. . / ~~ ~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [~,~UGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ~] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FiRE RESISTANT PENETRATION REMARKS: ~ DATE ~/~/(~7 INSPECTOR .~~/~ F~LD INSPECTION REPORT ] DATE ! COMMENTS ~DITION~ COUNTS TOWN OF SOUTHOLD BUILDING DEPARTMEN~F TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 Examined -/j ,20 . Approved [ ~ 20__ Disapproved a:c Expiration ,20___ BUILDING PERMIT APPLICATION CHECKLIST PERMIT Do you have or need thc following, before applykng? Board of Health 3 sets of Building Plans planning Board approval Survey Cheek Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Phone: APPLICATION FOR BUILDING PERMIT ,'~ ' Date / ( Z4 2007_ ~STRUCTIONS ~~pplication ~ST be completely filled ~ by t~e~ter or ~ ~ ~d sub~a~ to ~e B~g ~spector with 3 sets of plus, accurate plot pl~ to scMe. Fee accor~g to scheme. b. Plot pl~ showing location of lot ~d of buil~ngs on pre~ses, mlafio~p to ~joining pr~ses er public streets or areas, ~d wate~ays. c. The work covered by ~s apphcation ~y not be comenc~ before iss~ce of B~g Prat. d. Upon approval oft~s apphcmion, the B~l~g ~ecter will issue a B~l~g P~t to ~e apphc~t. Such a pe~t shall be k~t on the pre~ses available for ~ection ~ou~out ~e work. e. No building shall be occupied or used in whole or ~ p~ for ~y p~ose w~t so ever ~tfl ~e B~&g ~spector issues a Ce~ificate of Occup~cy. f. EveW building pe~t shall expire if the work au~o~ ~s not co~enc~ ~thjn 12 mon~ ~er the date of issuance or has not been completed wi~ 18 mon~ ~om such ~te. If no zo~g mm&mrs or o~er re~lations afl, crag tlnc prope~y have been enacted in the ~te~ ~e B~l&g ~pector ~y auto,e, ~ ~t~g, ~e exte~ion of ~e pe~t for ~ aa~kion six monuho. · here...er, ~ n~v p~ s~ll be req~ed. ~PLICATION IS ~BY ~E to ~e B~l&g D~mt for ~e iss~c¢ of a B~g Pe~t p~su~t to the Building Zone Or~n~ce of the To~ of Sou~old, Suffo~ Co~, New Yor~ ~d o~ apphcable Laws, ~dinances or Re~lations, for the construction of b~&gs, ad~tio~, or altemtio~ or for remov~ or dmohtion ~ h~e~ described. The applicant a~ees to comply with ~1 apphcable laws, or~ces, b~g code, ho~g code, ~d relations, ~d to a~t authorized inspectors on presses ~d ~ b~l&g for necess~ ~pecfio~. (Siam of a~H~t or ~e, ifa co¢oration) ~m~g ~ss o~ ~e~t) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ~t)~/ (As on the tax roll or latest deed) o Builders License No. Plumbers License Nc. Electricians License No. Other Trade's License No. 1. Location ofl~nd on~.~which proposed work willl>e done: House Number Street County Tax Map No. 1000 Section Subdivision (Name) Hamlet Block, q Lot Filed Map No; · Lot State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy /~ST'k/2gA~/T b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost Fee 5. If dwelling, number of dwelling units If garage, number of cars Addition Other Work Alteration (Description) (To be paid on filing this application) Number of dwelling tm/ts on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions o.f e3isting structures, if any: Front ~ O' Rear /~ ~* Depth Height //4t77),g~FO~ Number of Stories / ' ' Dimensions of same structure with alterations or additions: Front Depth Height /~ d[~'/~~¢' Rear Number of Stories 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Size of lot: Front Rear _Depth 10. Date of Purchase Name of Former Owner 1 l. Zone or use district in which pren'uses are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO ~ 13. Will lot be re-graded? YES__ NO v~ Will excess fill be removed from premises? YES__ NO 14. Names o£Ownez of premise~ s Address Phone No. Name ofArchitect~/t~Jt~.t~//2-./3tedu)'4 Address 2o~ N~e of Con~a~or / Address Phone No. 15 a. Is ~s prop~ Mthin 100 f~ ora fi~ wetl~d or a ~eshwater wetl~d? *~S~NO * IF YES, SOU~OLD TO~ ~US~ES & D.E.C. PE~S MAY BE~QU~D. b. Is ~is prop~ ~thin 300 fe~ of a fid~ wetl~d? * YES NO * IF YES, D.E.C. PE~S ~Y BE ~QU~D. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. l 7. If elevation at any point on property is at I 0 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COL,~TTY OF So ¢ ~ o Ik) ~)~ .a ~ ~-~ ~ke £ $ being duly sworn, deposes and says that (s)he is the applicant (Name of individual sig'ning contract) above named, (S)He is the (Contractor, Agent, Corporate Officer, etc.) o f said owner or owners, and is duly author/zed to perform or have performed the said work and to make and file this application; that ali 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. Sworn to before me this '2 4 4a- day of t~r'--~ { 20 0'~ 0 ' John M. Judge NOTARY PUBLIC State of New York No. 01JU605940(~ Qualified in Suffolk Coui3ty Commission Expires Me~y 29, 20.0 ~ Erosion, Sedimentation and Storm-water Run-off Control Plan ASSESSMENT FORM Yes No / EXEMPTIONS: A. Does this project meet the minimum standards for classification as an Agricultural Project. V Note: If you answered Yes to any of the above, a Storm-water, Grading, Drainage & Erosion Control Plan is not required. ACTIONS REQUIRING THE SUBMISSION OF A STORM~WATER~ GRADING~ DRAINAGE & EROSION CONTROL PLAN CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. Item Number: (A Check Mark (,/) for each question is required for complete application) Will this project retain all Storm-Water Run-off generated on Site? (This will include all mn-off created by site clearing and/or construction activities as well as all Site Improvements and the permanent creation of impervious surfaces.) Will this project require any land filling, grading or excavation where there is a change to the natural existing grade involving more than 200 cubic yards of material within any parcel? Will this application require land disturbing activities encompassing an area of five thousand (5,000) square feet of ground surface or more? Is there a Natural Water course running through the site or is this project within One hundred (100) feet of wetlands or a beach? Will there be site preparation on slopes which exceed fifteen (15) feet of vertical rise to One hundred (100) feet of horizontal distance? Will driveways, parking areas or other impervious surfaces direct Storm-Water Run-off into and/or in the direction of a Town Right-of-Way? Will this application require the placement of material, removal of vegetation and/or the .construction of any item within the Town Right-of-Way or road shoulder area? (This item does not include the installation of driveway aprons,) Yes 1~o 8. , Will there be site preparation within the one hundred (100) year floodplain of any watercourse?~[ [ Nots: If any answer to questions ~ne through eight ia answered with a check mark in the Box, a Storm-water, Grading, Drainage & Erosion Control Plan ia requirsd and must be submiRsd for rsview prior to issuance of any building psrmit. STATE OF NEW YORK, COUNTY OF ..~.,.~. ~: {~M ~ ........ ss That I, .~/'~.~......~ ~:~& ............................ being duly sworn, ~eposes and says that he/she is the applicant for Pemfit, (Name of individual signing Document) And that He/She is the .~-]~. (Owner, (ontractor Agent, Corporate Officer, etc3 Owner and/or representative of the Owner or Owner's, 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 tree to the best ofl~s knowledge and belier; and that the work sill be performed in the mariner set forth in the application filed herewith. Sworn to before me this; ........... ~(_~...~e~ ............ da), of....~.~ f~-'~. ~ .......... 20.03. John M. dud~le NOTARY PUBLIC, State of New York No. 01JU6059400 Qualified In Suffolk County Commission Expires May 29, 20 O~ TOWN C LEIIK OFFICE ~)F THE TOWN CLERK TOWN OF SOUTHOLD PO gl~x 117<1 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED B'Y THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON AUGUST 2~1, 1993: RESOLVED that the Town Board of the Town of Southold hereby adopts two (2) new forms to be used under tfte Flood Damage Prevent regulations DC the Code of the Town of $outhold: / /Application" {FOP(g3)], and ,?Certificate Special Flood Hazard Area [(~')C(93)} "Floodplain Development Permit of Compliance ffiF Oevelc~pment in , BLDG. TOW;I OF SOU~tOLD__ dith T. TerFy Southold Town Clerk August 25, 1993 APPLICATION PAGE I o1' ~1 TOWN OF $OUTHOLD FLOODPLAIN DEVELOPMENT PEILMIT APPLICATION This form is to be filled out in duplicate. SECTION 1: GENERAL PROVISIONS (APPLICMTr lo read ~and sign): I, No work mol' start until a permil is issued. 2. The permit may b¢ revoked ff an)' false statements are made herein. 3. If revoked, all wock must cease until permit is re-issued. 4. Development shall uol be, ~¢d or occupied until a Ctrt~cat¢ of CompEance b is-sued. 5. The permit will expire ff no work is commenced within six months of issuance:. 6. Applicant b hereby ha~ormed that other permits may be required to flzLFdl local, state and federal reg'ulato~ requirements. 'L Applicant h~reblt gives consent to the Local Admkfistrator or his/her representadv~ to make reasonable inspections required to verify complbnc~. _ v. s An'UC nOt AUr TO T J,c 'r or MY owu Do sue ^CCUU. Te. / / ..; SEC~FIQN l: PROPOSED DE~ELOI%(EF[F ITcbe compl¢lcd by APPLICAh~'I NAME ADDRESS TELEPHONE ENGINEER PROJECT LOCAT~0}q: To ~v~id delay ia processing thc ~ppUcatio~, plca~e provide cnoueh b:fformation m cas[lX identify thc project Iocafiom Provide thc m-eet address, lot number or legal description (auach) and, outside urban ~tr~as, the distance to th~ nearest intersecting road or va'U-bo'xm t~t~dsnark. A sketch a(lachcd to this application showing thc projccl location would bc hclpf~d FDP(93) AJ~ PLICATION ~ PAGE 2 OF 4 DESCRIPTION OF- WORK (Check all applicable boxes): A. STRUGYURAL DEVELOPMENT 6CTIVITY ~TRUCTURE ~YPE [] New Structuzc [] Addition ~"AJ{er atio n [] Relocation El Dem0[idon ' El Replacement El Resldeuda~ (14 Fa~Uy) 0 Residentia/ (More tha~ 4 FamLly) E~oo~residentJal (Floodproofiag? C3 Yes) [3 Combined Use (P. e4ide~tial & CommercbJ) El Ma.aufactured (Mobile) Home (la factured Home P~rk?. [] Yes) ESTIMATED COST OF PROJECT B. OTHER DEVELOPMENT ACTIVITIES; E1 Fill 0 MbJng El Drilling El Grading El Excavation (Except for Struc~ttral Development Checked Above - [] Watercourse Alteration (Including Dredgbg and Chaz~el Mod[ficatlo~) E] Drabag¢ [mprovement~ (Including Culvert Work) ') [] Roa~, Street or Bridge Co~truction , FI Su~;~fivixioa (New or Expansion) UI [o~4~vidual Water or Sewer System [5 Other (Please Specify) completing SECTION 2, APPL[CAJ'-FF should submit form to Natal Administrator for re;'iu-"~. ~EQ~'ION 3: FLOODPLAIN DETERM[N'ATION (To be completed by LOCAL ADI',flNISTRATOI~I Thc proposed development Ls located ou FIRM Panel No~___ ~ Dated The Proposed Development: El b ~ located in a Special Hood Hazaxd A~ea (Nodly the applicant that the application rovlew ix complete mad lqO FLOODPLAIN DEVELOPMENT PERMIT IS REQUFRED). [] 14 located ia a Spedal Flood Hazard Area FPRM rs~nc designalion ix 100-Year flood elevation aL thc sflc ix: FI. NGVD (MSL) [] Uuavailablc [] Thc, proposed development is iota(ed in a floodway FBFM Panel No Dated SIGNED DATE APPLICATION PAGE ] OF 4 SECTION~_~: ADDITIOMAL_IINFORMATION ~_R~o hc completed bY L~ADMINIS'I-RATOR~] The appEca~t must submit thc documents checked below before thc appliCadO~ czu bc processed: [] A site plum show,rog thc location of aJI c.mtmg structuscs, water bodies, adj~ccm roads, Iol dimeDsio,zs ~d proposed devdopmeut. O Development plans, drawn to scale, ;md spedlicatisorm, iacludto§ whcrc applicable: details [or ;mchorbg structure& proposed elevation of lowest floor (bdudbag bas,mere), type-s of water reslstzat materials used below thc t-u-st [Ioo,', details of floodproo£mg o[ utilities located below the first floor ~d details o1' ¢~,dosttres below the ('trst floor. E] Sub&visioa or other development plans (I[ the subdivbioo or other development e::xceeds 50 lots or 5 acr~, whichever b the lesser, the appticam ~ provide t00--yeaz flood elevatlohs if they arc not otherwise available). [] Plum showing thc extent of watercourse relocatmn a~d/o landform alterat, lons. [] Top of uew [dl elevation Ft. NGVO (MSL). [] FloodprooEmg protcctiou lc. vel (aoo-rc.sidcutial oaly) Ft.'lqox, qD (MSL), For floodproofed structures,f:~pplicam must attach certLlicatiot~ from registcrcd: cogiaeer or arcWteci. /," [] Certilicatio~ from a r~a:istered c~a~¢¢r tha~ thc proposed aai~t baa regulator')' floodway will not result i~ anZ/ bacrease bi ~b¢ height of the 100-year flood. A copy of all data and calcadations supportbg ttds Finding must also bc submitted. 0 SE(~"I'I0jN S: PERMIT DETERMIN_4TION ! have. determined that the proposed actlvli:y: A. 0 I~ B. [] Is not in mnform;mce with prov/sious or Local Law ~ , 15' . The permit is issued subject to the conditions attached to az~d made part of tb~ permit. SIGNED , D),TE [LL~X A i~, thc LocaJ Admir~i~lrator may LSSUC a Development Permd upon paymcot o( desi..~nated ~ i~ ch¢ckc~d, thc Local Administrator wall provade a v,Ti(tca summ~ry of d¢ficmncics. Applicant may revise and resubmh an application to thc Uocal Administrator or may request a bearing from the Bo~d of AppcaJs APPE~,LS: Appealed to Boayd of Appeals? O Yes lEI No He~mg date: ~.ppc~l~ Board Decixion ~=~ Appro~? ~ Yc~ Ct ~k~ Coadi6oas APPLICATION SECTION 6: A.~-§UILT ELgVATION~ (To be submitled by APPLICM'CF before Certificate of Compliance ~ issucdl Thc foUo~g ~om~6on m~ bc prodded for projcc~ stsc[utes. ~ scion m~t bo completed bY a rc~st~red profe~ion~ cn~ecr or a Ecc~=d I~d ~cyor (or aita~ a ~r~on to t~ appE~tion). Complete I or 2 below. I. Actu~ (~-Bu~t) ~cvafion o~ ~ top of ~e lower fl~r, ~du~g b~cmcnt (~n ~as(al High Ha~'rd ' ~ea$, ~ttom of lower s~fl member of the lowest fl~r, ~du~g p~g ~d colm~) ~: L ., A~uM (~-Bu~t) Elevation of fl~proofmg prote~ioa N ~. NG~ (MSL). NO~: ~y work performed pdor to submittM,0( ~c above ~omation ~ at thc rNk ~Sf thc Appt2~t. ~E~IO~ 7: COMPLI~CE A~ON ~o bc completed Cv ~CAL ADMINIST~TQRI Thc LOlL ~MIHIS~ATOR ~ complete t~ so.ion ~ applicable b~cd on ir~pccxioa o~ ~c project to cmure comph~ce Mth ~c ~mmmt/s I~ law for flood d~e prevention. I~SP~ONS: DA~ BY DE.ClENCh? ~ Y~ O NO DATE BY DE~CIENCIES7 ~ ~q ~ NO DA~T BY DE~C~NCIEE7 ~ ~ ~ NO SECTION 8: CERTIFICATE OF COMPLIANCEI'To be coml~le~dd by LOCAL ADMINI~VFRATOR'I Certificate of Comptia~ce ixsucci: DATE: BY: Attacllment B / / ~F COMPLIANCE CERTIpICATE for Development in a Spec[al Flood Hazard Area 7 TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE FOR DEVELOPMENT iN A SPECIAL FLOOD HAXAIU3 (O.~,.~. RaMrJST ?~TA. IN THIS CERT!FICA~) PILEMISES LOCATED AT: pERMIT NO. PERMIT DATE oWNERS NAME A2qD ADDRESS: CHECK ONE: [] NEW BUILDING [] EXISTING BUILDING [] VACANT LAND THE LOCAL ADMINISTRATOR [STO COMPLETE A. OR B. BELOW: COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS LOCAL LAW # , 19 SIGNED: DATED: COMPLIANCE IS HEILEBY CERTIFIED WITH T[DE REQ1LFIREMENTS LOCAL LAW #~ , 19~_, AS MODIFIED BY VAIRiANCE #___ DATED SIGNED: DATED: OF OF C/C[93) OWNER A D TOWN OF $OUTHOLD PROPERTY RECORD C R LAND /?~ AGE SEAS. MP. STRE~ /O ~ '~ v,~LAGE RES. S W TOTAL FARM DATE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Tillable 1 Tillable 2 Tillable 3 Woodland MISC. Mkt. Value Value Per Value Acre DIST./ SUB. LOT ACR. I TYPE OF BUILDING Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD / House Plot DEPTH DOCK M. Bldg. Extension Extension Extension $6.-4-6 3/06 COLOR .TRI~ Basement Ext. Walls Fire Place Type Roof Floors Interior Finish Heat Rooms 1st Floor Dinette DR. BR. Porch Porch Dormer Breezeway ] Driveway Garage Patio O.B. Total Recreation Roan Rooms.2.~b~ FIN. B. Bath M. Bldg. COLOR TRIM Foundation ~e_mP__L Ext. Walls Bath Interior Finish Speoifioatirm Sheet ARCHITECTURAL GUIDE ~PECIFICATION SECTION 8800 GLAZING Note to Sl~-~=lflars; 'J'he specifications below are offered aa desirable Inclu~ioaa In glass and glazing ~peolflcation~ (a~tion 88001, but t~av am not imtanaed i'o be complete. An apgrapriare a~d qualified Archilem or Engineer fflu~t verify suitability of a particular product for use In a palIIcular application as well aa review final epeaiflo~tlons, PRODUCTS Glass Fabricator GIa~-~ FLOAT GLASS D~-s:oriptlon 1. USA - Annealed float glass shall comply With ASTM CiaSa. Type I, C[as~, 1 (cie, ar). Class ~ (tinted), Qu~l;ty-Q3. C.~nada - Ann,:~aled fleet glass shall comply v~th CAN/CGSB-12.3-M, Quality. Glazing. ?-. USA- Haat-afreegthened float glass aha. II comply with ASTM C1048. Type I, Class 1 (c~lear), Ciasa 2 (tinted), Quality 05, Kind HS. Canada - Heat-strengthened float gl~s.~ 9halt comply with CAN/GGSB-1 2.9-~. Type 2-Heat-Strengthened Glass, Class A-Float Glass. 3. U[~A - Tempered flo9.I glas~ ~hall comply with ASTM C1048, Typo I, Class 1 (clear), Crass 2 ltlntad~. QuaJity aa, Kind FT. C..ena~a - Tempere~ fleet glas~ ~hall eomply with CAN/CGSE~12.1-M, T~pe 2- Tom,r, red Gla..~8. C1~'~2 [~-Float Gra . USA - Laminated glass to comply with ASTM C117~. Canada - Laminated glass to comply wrth CAH/CGSB-1 2. 1 -M. Type t-Lgrninaled Glass, Cla~8 B-Float Glass. 5. Glass shall be aenealed, heat-mrangthan~-d or tBmpered 8s required by codes, or a~ rnquired to meet thermal ~[reas and ~nd loads. $~led Glass (IG) Vision Gloss (vertical) GENERAL seal of polyisobutylene IPIB). er thermo plastic spacer (~'P$} and a secondary seal of silicone 2. USA - Insulating glass unite am certltle<l through the Insulating Glass Ge~lflcatlon Council (1GCC) to either AS~ ~4 or m ASTM EZ19D, or b~h. Cene~ - The Insulating Gla~ Manufa~re~ Alliance (IGMA) ~ponRorR ~¢ modification pr0gra~ in Canada. Tnsulating gl~s unite are ee~fi~d through the Insulating Glass Manufacturem Association of Canada (IGMAC) lo CAN/O~B-12.8, or through tl~ IG VISION UNIT PERFORMANCE CHARACTERISTICS 1. Exterior Lite 1/4" Clear 2. Interior Li1~ 1/4" Clear h~tv:/t~laasclcct.oldca~tleg]ass.com/GlasSelectSG.aspx 6/I. 5/2007 a6 15 o7 FRI 15:$~ [TX RX YO 5,:~7u] : F,,'±~/ 2 :~!7 ±5:4q 71: 7F 77':~0'3 ln~ulat ~g Gla.~s Spec Sheet II ITE,qPATED '~E,-:LIPIT',' PaGE Air (Standard) 4. per~ormnnt~- Thermal Wintn~ U.f~tor/U-value: Summer Solar He~ Gain Shading Coefficient: Light jo ~olnr _Optical 0.47 Visible Ught Transmittance: 0.50 Visible Light Reflectance (outside): 1~a'~ 0.70 VlaiDIo Light Reflectance (tnetde): 15~. 0.8I Total Solar Tr3nsmlffancm 61% 189 Total Solar Retieatance [,3utside): 1 Corlt~,~ OldcaL~l~ 61e~¢ e{' (8861 663-2278 for 83mple3 of additional ihf~adon cgncerning pedo~anc~, ~tren~th. deflection, thermal ¢tmss or applioatlon guidelines. GlasSel~ calculates ~nter of glas~ p~dormance data using Lawrence 8e~eley Hatlonel L~bor~to~ (L~NL) WindOw 5.~ program (vemlon 5,2.17) with Envr~nmenial Conditions set Gm~ L bm D¢1 Air is used for nsula lng Glass unl~ wl~ air. Gad I.ibraw IOW9 (10% at NFRC 100-2001. W ......... .,~--.~i- ~la98 date i¢ ~m the following sourcee: 1, LBNL InternBtlonal Gla~lng Database (IGDB} vemion 15 O; 2. vendor supplied speo~al data files. Laminated ¢la~ data is from th~ follo,~ng sourc~: 1. LBNL International glazing gat~b~, (IGDB) ver~io~ 1~.01 ~, LBNL Opd~ 5 [version S 1 Maintenance Pack 2); 3 Vendor supplied ~pe~ral da~e files; 4. Vendur supplied data. 6t15/200'7 u6 1~ oT FRI 1~,:5(I [TX RX .. ; ~J"M '.~I~ COMcheck Software Version 3.4.1 Envelope Compliance Certificate New York State Energy Conservation Construction Code Report Date: 06/20/07 Data fi[enarne: C:\Pmgram Files\Check\COMcheck\cimminos.cck Section 1: Project Information Project Title: Cimminos Restaurant Construction Site: 62375 Rte 25 Southotd, NY 11971 Owner/Agent: Section 2: General Information Building Location (for weather data): Suffolk, New York Climate Zone: 11 b Heating Degree Days (base 65 degrees F): 5750 Cooling Degree Days (base 65 degrees F): 715 Project Type: Addition Vertical Glazing I Wall Area Pct.: 20% Bulldina Tv~e Restaurant Floor Area 2337 Designer/Contractor: Section 3: Requirements Checklist Climate-Specific Requirements: Component Name/Description Gross Area Cavity Cont. Proposed Budget or Perimeter R-Value R-Value U-Factor U-Factor Roof 1: Ali-Wood Joist/Rafter/Truss Comments: dropped ceiling areas Skylight 1: Vinyl Frame:Double Pane with Low-E, Clear, SHGC 0.34 Comments: insula dome Roof 2: Ali-Wood Joist/Rafter/Truss Exterior Wall 1: CMU >8" with Empty Cells, Furring: None Comments: brick/air/block/brick Window 1: Other, Clear, SHGC 0.40 Comments: glass block- bathrooms Door 1: Glass, Clear, SHGC 0.70 Comments: Horton sliding doors Door 2: Glass, Clear, SHGC 0.70 Comments: front double Door 3: Solid Comments: steel 2 roar Deer 4: Glass, Clear, SHGC 0,70 Comments: front side Interior Wall 1: Wood Frame, Any Spacing Comments: 2x4 bar/kitchen Exterior Wall 2: CMU >8" with Empty Cells, Furring: Wood Comments: bath side walls Exterior Wall 3: Solid Concrets or Masonry > 8", Furring: Wood Cimminos Restsuranl 804 38.0 0.0 0.028 0.059 98 -- -- 0.530 0.059 1696 30.0 0.0 0.035 0.059 1089 -- 8,8 0.086 0.090 24 -- -- 0.510 0,598 210 -- -- 0.470 0.598 60 -- -- 0.470 0.598 40 -- -- 0.190 0.142 20 -- -- 0,470 0.598 256 15.0 0.0 0.080 0.142 128 15.0 5.6 0.056 0090 128 19.0 5.6 0.050 0.090 Page 1 of 7 Comments: 2x6 kitchen Interior Wall 2: Wood Frame, Any Spacing Comments: 2x6 south kitchen Exterior Wall 4: CMU >8" with Empty Cells, Furring: Wood Comments: 1 inch firred Floor 1: Slab-On-Grade:Unheated Comments: perimeler 80 19.0 0.0 0,066 0,142 264 7.2 5.6 0.072 0.090 229 -- 0,0 -- -- (a) Budget U-fac[ors are used for software baseline cal~Jlafions ONLY1 and are not code requirements, Air Leakage, Component Certification, and Vapor Retarder Requirements: [] 1. All joints and penetrations are caulked, gasketed, weather-stripped, or otherwise sealed. [] 2. Windows, doors, and skylights certified as meeting leakage requirements. [] 3. Component R-values & U-factors labeled as certified. [] 4. insulation installed according to manufacturer's instructions, in substantial contac[ with the surface being insulated, and in a manner that achieves the rated R-value without compressing the insulation, ~1 5, Fireplaces installed with tight fitting non-combustible fireplace doors. [] 6. Stair, elevator shaft vents, and other dampers integral to the building envelope are equipped with motorized dampers. ~1 7. Cargo doors and loading dock doors are weather sealed. ~1 8. Recessed lighting fixtures are: {i) Type lC rated and sealed or gaskeled; or (ii) installed inside an appropriate air-tight assembly with a 0.5 inch clearance from combustible matedels and with 3 inches clearance from insulation material. [] 9. Vapor retarderinstaliod. Section 4: Compliance Statement Compliance Statement: The proposed envelope desigr~ represented in this document is consistent with the building plans, specifications and other calculations submitted with this permit application. The proposed envelope system has been designed to meet the New York State Energy Conservation Construction Code requirements in COMcheck Version 3,4.1 and to comply with the mandatory requirements in the Requirements Checklist. When a Registered Design Professional has si belief, and professional judgment, such '" ~i9 that to. is/her knowledge, Cimminos Restaurant Page 2 of 7 ,i~ir~7 MateriaL: Black Iron .Max length ~ty P~ S~ze: 3/8 Sra~ Pt~ Size: 3/8 las Valve ~: ~z~. S~ze z" ~acturer )etector T~rature rati~ : 'oa0' ~ .'~ ~o~ D~t Size: ~o~ D~t S~ze: . Size: /~:~')< e~"~ z' Size: CHAXCO~/MFZ5 N(yzTr~. 29o 1N ~30 I IN 3N /F 1~-3~ 1+40 FrTers to have t{igh Limit Con:mt to shut off fgel at Z~?_5 des. Detectors shall be located over every piece of e~ipmerit. The System installed as per mamrfacturers specs and the AHJ. The System has'b~e~ instal, ted as per UL~O0. The f'ol/e'~in~ ft~ctic~ns to o~rate ~on system discharge: * Supply air da~er cLosbs * 6as fuel shuts off ~n kitchen * Exhaust fan remains on * ELectric fuel shut off u~der ho~d *All s)~t~ to activate simltaneously in same hazard area. * Fire ^tam s~all activate if oae is installed in buildird. Har~at Putt is Located 10-35 ft from hood ar~ 5-5 ft from fto~r. Alt fuel sc~rce~ are GAS tntass otherwise noted. [03tem_a] APoT 8E$I(31'4 '~ o FIRE 'PROTEr'~TIOI' 49 MontsUk HiOnWaY C~3ntor Moric~hes NY ! 1934: I[ II tl ABT DESIGN & FIRE PROTECTION 49 MONTAUK HIGItWAY CENTER MORICHES, NY 11934 631-878-4896 FAX 631-878-5727 / _.3 i LONG ISLAND RAIL N. 69' 04' :~0' E. LOT O 8 LOT LOT c~.c 0 0 ~ ~_~ ~, COOLER STORY BI.~L~B ROAD I0 300.00' LOT II LOT 12 FENCE A S P H A L T pLANTER 304.30' ~ ~ 130.05~' COBBLESTONE S. 68'31'00' I¢. S. 62' ROAD '40' W. 80.54' aPRON (N Y.S. Rte. 25) S. 69'04~ LOT, 13 SUR VE Y OF PROPER T Y A T ARSHAMOMA QUE TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK 1000 - 56 - 04 - 05 & 06 SCALE. 1"= 20' July 18, 2007 AREA = 33,551sqft. LOT NUMBERS ARE REFERENCED TO 'MAP C.L. SANFORD BRICK CO., INC.' FILED IN THE OFFICE OF THE SUFFOLK COUNTY CLERK ON SEPT. 2, 1931 AS MAP NO. 539 P. O. BOX '. 1230 TRA ~ SOUTHOLD 49618 · 1797 07-144 I ? ~ 4 5 G 7 8 ~ I0 II 12 13 14 15 IG 17 EXISTING SOUTH ELEVATION ~ ~ FRONT ~C^L~, I/4',= ~,o"~ ~r~ REQUIREMENTS OF THE CODES OF NEW YORK STATE, NOT RESPONSIBLE FOR G2375 ROUTE 25 DESIGN OR CONSTRUCTION ERRORS. w 50UTHOLD, N.Y. I 197 I EX IBTI N G BLOC i<, WALL'/~-~'~~-/~AsNEW YoRK STATE & TOWN CODEsCOMPLYREQUiREDWITH ALL CODES OF CUT TO 51ZE ~ MOLDING TO BE 5ELECTED -~ F~SHING WITH DRIP~ ~WSX28 STEEL BEAM ~Zsou,:~o~'ro~P~,~i~G~o ~ ~ RENOVATION ~ N,y.S. BEG ~4" AZEK TRIM BOARD ~ ;~X - %,, Gyp BD - WOOD BLOCKING - POLDING DOOR SYSTEM ALL CONSTRUCTION SHALL ~ rJCCUPANCYOR =MEETTHEREQUIREMENTSOFTHE ~ 0~'~'~USE IS UNLAWFL CODES OF NEW YORK STATE, WITHOUT CERTff ~ ELEVATIO~F OCCUPANCY PATCH ~1N ISH ES AS N ECEBSARY UN~ERWR~RSC~T~F~A~ R~IRED ~ PEI NT DA~ 5CA~ ~ APRIL~, ~oo~ APR 2 3 2007 -W CA A x EW O =x,NGS ~CAL~ I -I/2"- I'0" ~,.;=.o.o~.,==.~ ,~ ~ .o~,s~.,~. ~~ 070¢ K ?,?, q,, ~ / " ., ,. . , .,,, / /' m , ,,, ,, ,, /I/ /' //~ ~ ',,, /, ~ ~, ~ x, / ,/ /, ' ' ' '' I ~ F "' /' ~ , , , , , I/ ,/ / ' ',, /' 'x , , / ~ ~ A?~OVED AS NOTED 765-1802 8AM TO 4PM FOR THE FOLLOWING INSPECTIONS: ~ CLIENT / OWNE~ FOR POURED CONCRETE PRONT aCAL~ ~ i/4"= pO"~ 2' ROUGH - FRAMING & PLUMBING 3. INSULATION 4, FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL ME~ THE~ DIG MAMMA'5 C~EOL~ ~ITCHEN J H G F E D C [3 A 2 3 4 5 G '/ & ~ I0 II 12 13 14 15 IG 17 K (2) C355 FLOOR PLAN EXISTING D(CEPT A5 NOTED ADDITIONAL 5RICK PAVING E~IDTING TO DE DEMOLIDHfiD EXISTING SOUTH ELEVATION 1 \ \\,/ / // PROPOSED 50UTH ELEVATION EXISTING BLOCK WALL CUT TO 51ZE -- MOLDING TO BE 5ELECTED FLASHING WITH DRIP EDGE 5_/4" AZEK TRIM WOOD BOARD BLOCKING NSX28 STEEL BEAM %" GYP BO FOLDING DOOR SYSTEM MAY 0¢, 2007 2007 CIMMINO'5 DIG MAM MA'5 CREOLE KITCHEN G2375 ROUTE 25 50UTHOLD, N.Y. I 197 I RENOVATION J H G F E D PATCH FINISHES AS NECESSARY TYPICAL FOR ALL NEW OPENINGS DETAIL SCALE: I - I/2'l-- I'0" IT IS A ~IOIJ~TION OF THE LAW FOR ANY PERSON, UNLESS ACTING UNDER THE DIRECTION OF A LICENSED ARC HiTEC~, TO ALTER ANY ITEM ON THIS DRAWING IN A1¢¢ WAY. ANY A. THORIZED ALTERATION MUST BE NOTED, SEALED, AND DESCRIBe) IN ACCORDANCE WITH THE LAW. ELEVATION A XISTING SOUTH ELEVATION FRONT SCALE: 116"= I'0" x\\//// /x\x/// PROPOSED 50UTH E LEVATI 0 N PRONT SCALE: l/8": I'O" NEW BOTTOM OF MIP-,ROR NON INTE[~IOR LAYOUT5 DY OTHER.5, EXISTING WINDOW BLOCKEDUP ADDITIONAL BPJCK PAVING AT EXISTING ADPNALT PAVED AREA ~'-B" 5RrCK WALL 20" HT, NOTE ' CONTRACTOR TO VENIP¢ ALL DIMENBIONB IN FIELD FLOOR PLAN E×IbT[NG EXCEPT A5 NOTED TO 5U PPORT AWNING ADDITIONAL 5PACK PAVING AT EXIDTING ADPHALT PAVED AREA 75"-79" 4<~"mlrl. 5~o"mltq. 42" PAIL 7"mira. 4~"mln, TOILET G'-3" MIN aB,, MAX. :T HANDICAP TOILET DETAIL EXISTING BLOCK WALL CUT TO 51ZE -- MOLDING TO BE 5ELECTED FLASHING WITH DRIP EDGE HEADER AB INDICATED ON PLAN ~" AZEK TRIM BOARD WOOD BLOCKING ~B'" GYP BD FOLDING DOOR SYSTEM PATCH FINISHES AB NECEDBARY TYPICAL FOP-. ALL NEW OPENING5 P E T_A_[ k,,~ IT IS A VIOLATION OF'n.II= LAW FOR ANY PERSON. UNLESS ACTING UNDER DIRECTION OF A UOENSEO ARCHITECT, TO ALTER ANy ITEM ON THIS DRAWING IN MAY 23, 2007 MAY I 5, 2007 MAY 09, 2007 CLIENT / OWNER CIMMINO'5 DIG MAMMA'5 CREOLE KITCHEN G2375 ROUTE 25 50UTHOLD, N.Y. I 1971 RENOVATION DRAWING TITLE ELEVATION MA¥2~, 2007 _ "I~A¥ 2 ~1 ~001 Al REP, NO, 070G K J H G F A C D E 2 3 4 ROOF PLAN EXISTING EXCEPT AD NOTED SCALE: I/4"=1 13 14 15 Ico I'/ NEW 45- I/2"x45- I/2" INSULATED 5KYLITE5 IN EXISTING ROOF (LOCATION5 APPROXIMATE) DOUBLE P-.AFTER5 EACH 51DE DOUBLE HEADER TOP AND BOTTOM TYPICAL FOR ALL NEW' 5KYLIGPIT5 5HOWN. i~ I~ A~OLS, TION OF THE LAW FOR AHY PERSON, UNLESS ACTING UNDER DIRECTION OF A UCERSEO ARCHiTECT. TO ALT~R ANY I~EM ON THIS DRAWING MAY 09, 2007 CIMMINO'5 BIG MAMMA'~ CREOLE KITCHEN G2375 ~OUTE 25 50UTBOLD, N,Y, ~ 197~ RENOVATION ROOF P~N I~u~ HAY 2 2 2007 070G 3 4 5 G 7 8 ~ ADDITIONAL ASPHALT PAVED EXISTING 50UTH ELEVATION SCALE = u~"= ro" PROPOSED 50UTN ELEVATION FRONT NEW MEN .~1 TO DU PPOI~T AWNING FLOOR PLAN EXISTING PATIO REPAVED WITH DR[CR NO ADDITIONAL 5EATING EXISTING ADDITIONAL SPECK PAVING AT ~IbTING ASPHALT PAVED AREA I0 II 12 13 14 15 75"-79" 42"lmln. ;l'r-rlax' ~"lTlaX. Ii'mill. 7"mm. 48"min. G'-3" MIN.: HANDICAP TOILET DETAIL EXISTING bLOCK WALL CUT TO SIZE -- MOLDING TO bE DELECTED FLASHING WiTH DRIP EDGE INDICATED ON PLAN 5/4" AZEK TRIM bOARD WOOD bLOCKING GYP BD FOLDING DOOR SYSTEM PATCH FINIbHE5 A5 NECESSARY TYPICAL POP-. ALL NEW OPENING5 D ETAI L(/~) IG 17 R~VISION5 MAY 3 I, 2007 MAY 23, 2007 MAt' I 5, 2007 MAY OB, 2007 02007 ALL RIGHTS RESERVED CLIENT / OWNER CIMMINO'5 BIG MAMMA'S CREOLE KITCHEN G2375 ROUTE 25 50UTHOLD, N,Y. I 197 I PROJECT TITLE RENOVATION DRAWING TITL~ ELEVATION 070G K J H G F E D C D A - Employee Lockers AIL BATHROOM FIXTURES, FITTINGS, AND ACCESSORIES SHALL COMPLY AND SHALL BE INSTALLED IN ACCORDANCE WITH REQUIREMENTS OF THE BUILDING CODE OF NEW YORK STATE AND THE AMERICANS WITH DISAB[UTIES ACT., AND ICC / ANSI Al17.1 DRY STORAGE - 50 CFM Vent Fen ;L S5 2 A Rated Wal~ Mid Fire Extinguisher -'"--...~{ - Panic Bar Equipped Doors Exit Ughts Panic Bar Equipped Doom Emergenw ~, Exit Ughts 2 A Rated Wall Mtd Fire Extinguisher Emergency & Exit Lights -Existing Building Permg-32975-Z - Zone - R.~O - O~upancy Classification - Assam bly Gmup A-2 - Restaurant - Type IV Construction - Occupancy Floor Ama per Occupant = 15 SF Net Dining Floor Ama = 1,428 sf Dining Occupancy Level = 1,428/15 = 95.2 - Kitchen Occupancy Floor Area per Omupant = 200 SF Net Kitchen Floor Area = 588 ef Kitchen Ocaupaney Level = 588/200 = 2,94 - Estimated Occupancy = 68 Seato + 8 Staff = 76 - Egress Width Required - .2 inches x 99 = 19.8" - Egress Width Required - ,2 inches x 76 = 15.2" - Front Egress Width = 72" - Rear Egress Width = 36" - Inter]or Wall and Ceiling Finishes- Cla~ A - Flame Spread 0-25; - Smoke Development ~50 Scale: 1/4" = 1'-0" Drawn by: JJC Date: 6 -5 -2007 DEPT. Condon Englneenng, Ciminos Restaurant 170(5 Sigsbaa Road 62375 Mare Road ~,"~ mm / Mattltuck, New York q 1952 Southold, New York B (631 ) 298-1986 Dish PILT£~¢S>~ : LIGHT(S) H~D TYPE =TY HEIGHT LENOTHQTY TYPE ~IA~LDCATIDH ETL LISTUqG DESCRIPTION BLOCK 'ITIE CAPTIVE AIP~E MODEL ND-2 HAS BEEN E.T.L TESTED, LISTED, AND APPROVED TO EXPLkUST A MIN]MUM OF 200 CFM PEK LINEAR FOOT OVER 600 DEGREE COOKING EQUIPMENT CAPTIVE-AIRE HnODS ARE BUILT IN COMPLIANCE ~ITH ®9® NFPA 996 NSF UL 710 & ULC710 STANDARDS E,T,L, LISTE~ 3054804-001 IMC 2003 SECTIONS 507, 508, & 509 PLEASE NOTE: THE HOOD MAY BE INSTALLED WITH A 0 INCH CLEARANCE TO COMBUSTIBLE MATERIALS IF CONSTRUCTED IN ONE OF THE FOLLOWING METHODS: 1 INCH LAYER OF INSULATION (TYPE 475) OWENS CORNING, JOHNS MANVILLE, SM FIRE WRAP 1 INCH INSULATED BACKSPLASH 5 INCH UN-INSULATED AIRSPACE SACK-RETURN (BE) SUPPY PLENUM THESE RATINGS APPLY TO TOP, ENDS, BACK AND FRONT OF THE EXHAUST HOOD REPORT NUMBER: 3054804-001 INTERTEK TESTING SERVICES NA INC. ISSUED 11/2004 TO CAPTIVE-AIRE SYSTEMS PACE 1 0 '2 TYPE FAN OPTIONS SUPPLY FAN GAS FIRED MAKE-UP A/E UNIT(S) pLAN VIeW - 13' 5,OD' LONG 4824N~-~-PSP-F 29,0000 · PLAN VIEW - 3' 6,00' LDNG 4224VHB-O Wrl~ REMOV^aLE CUP E~UIPMENT aY OTHERS EQUIPMENT BY OTHERS RISER NCAFA SERIES UPBLAST EXHAUST' FANS (UL762) HT - DREASE CLASSIFICATION TESTING FAN MD~EL HT V B C r R RD W~HT DUHFA SERIES UPBLAST EXHAUST FANS (UL762~ HT OPTIONS: STANDARD SERieS DOWN D/SCHAEOE SUPPLY FANS SUPPLY AL~ UNIT DB~NSlONAL DATA CU~B/ROOPTOP D~ENSIONAL DATA 'LOWER BUTLET SIZE PITCH DF MUA CURB FOR QUESTIONS, CALL DF~G ~ 5945~4 JOB ~ 5945~4 o @eptio System To G~rsase Trap CO FD CO CO FD SS Filler and Drain Board SS Glass Wash Sink SS FIIlerand Drain Board Machine Slob Sink SS Glass Ice Maahln Wash Sink 2" O PVC and Wash Sink Sandwich Refer Sandwich Refer Steam Table DisplayRefer Case FleorDmln Floor Dmin Comp/Cond 3ipping Cabinet Beverage Table ~ I Coffee Maker Bakery Case Refer w.sh Sink yVent Through Roof CO Kitchen Waste Plumbing Riser Plan SS Wash Sink i Hand I Vent Through R~3f I ~.-~ s"~ Pvc Sanitary Waste Plumbing Riser Plan Sink ~'~ ~- HOUSe Tmp ~'~'Z' I~S/ - To SepUe Tank To Grease Trap Scale: 1/4" = 1'-0" Drawn by: JJC Date: 5-29-2007 Condon Engineering, P.C. 1755 Sigsbee Road Mattituck, New York 11952 (631) 298-1986 Ciminos Restaurant 62375 Bain Road Southold, New York P-1 -Vent Through Roof To Sspfl~ System Trap CO FD 0 CO FD Ctmpressor/Condenser SS Filler and Drain Board ce Machine co I $8 Glass Wash Sink SS Filler and Drain Board Slop Sink Sandwich Rear Sandwich Refer Steam Table Display Case Refer l Floor Dmin ComplCond Espresso Bakery Case Maker Coffee Maker Refer T __1 O~pplng Cabinet Beverage Table Refer H.nd Wash Sink Kitchen Waste Plumbing Riser Plan SS Wash Sink I Hand I Wash Sink DO Vent Through Roof I Sink Sanitary Waste Plumbing Riser Plan Scale: 1/4" = 1'-0" Drawn by: JJC Date: 5-29-2007 Condon Engineenng, P.D. 1755 Sigsbee Road Mattituck, New York 11952 (631 ) 298-1986 Ciminos Restaurant 62375 Main Road Southold, New York P-1 FIRE SYSTEM INFOR~4TION RBDFTDP STARTERS BPTIDN SPECIFICATIDNS THE AE~TAURANT FIRE SUPPRESSION SYST£M SHALL ~E TM~ ?RE-ENOINEER£D DET~JL OF P~MOT~ SIS BOX 12' PAGE HOOD INFORMATION HOOD INPORHATION HOOD OPTIONS PER~ORATED SUPPLY PLENUM(S) ETL LISTING DESCRIPTION BLOCK TH~ CAPTIVE AIRE MODFJ~ ND-2 HAS BEEN E.T.L. TESTED, LISTED, AND APPROVED TO EXHAUST A MINIMUM OF 200 CFM pF~ LINEAR FOOT OVER 600 DEGREE COOl(lNG EQUIPMFmNT CAPTIVE-AIRE HOODS ARE BUILT IN COMPLIANCE WITH NFPA ~96 NSF UL 710 & ULC710 STANDARDS E,T,L, LISTED 3054804-00i IMC 2003 SECTIONS 507, 508, & 509 ® PLEASE NOTE: THE HOOD MAY BE INSTALLED WITH A 0 INCH CLEARANCE TO COMBUSTIBLE MATERIALS IF CONSTRUCTED IN ONE OF THE FOLLOWING METHODS: EQUIPMENT BY OTHERS FA,N OPTIONS GAS FreED i{AK~-UP AIR UNIT(S) NCAFA SERIES UPBLAST EXHAUST FANS (ULTS2) HT ?EST &L_ ' EXHAUST rAN MUST OPERATE CDN¥INUOUSL ~AmEL~Uor OPTIONS: PLAN VIEW - 2' 6,OO' LDNO 4824VHB-~ EQUIPMENT BY OTHERS RISER CENT~WU~AL UP-BLAST EXHAUST FANS BIMENSlBAAL ~ATA AND FAN (DY OTHERS) DUNFA SERIES UPSLAST Ek[HAUST FANS (UL7S2) HT FEATURES= STANDkRD SERIES DOWI~ DISCHARGE SUPPLY FANS SUPPLY AIR UNIT D~mNEIONAL DATA CURB/ROOFTOP DI)IENBIONAL DATA A 1 INCH LAYER OF INSULATION (TYPe 475) SUPPLY FAN -- IR INTAKE THRI~UOH FILTER -,-i ..... OWENS CORNING, JOHNS MANVILLE, ELEOTAmALDROP PLEASE VERIFY R[DBF PITCH DF MUA CURB 3M FIRE WRAP 1 INCH INSULATED BACKSPLASH 5 INCH UN-INSULATED AIRSPACE H VITH e8 DR, CONSTRUCT N BACK-RETURN (BR) SUPPYPLENUM ~ NTIN[D~S FLASHING THESE RATINGS APPLY TO TOP, ENDS, BACK AND FRONT Of THE EXHAUST HOOD "~ S 6 ~ REPORT NUMBER: 3054804-001 FOR QUESTIONS, CALL INTERTEK TESTING SERVICES NA INC. NEY JERSEY AE~SDNAL ISSUED 11/2004 TO CAPTIVE-AlEE SYSTEMS OPENIAO ~ 600pHBNE~SALEM(856)FAxiAVENUE~(856)563_1970,563_1975NE~FIELD~(SDOD 8S1-0699NJ 08344 DATE 5/9/~007I JOB ~ 5S4524 PAGE 1 OF 2 ,oo