HomeMy WebLinkAbout33875-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
NO: Z-33312 Date: 10/02/08
THIS CERTIFIES that the building ALTERATION TO BAKERY
Location of Property: 56275 MAIN RD SOUTHOLD
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 63 Block 3 Lot 12
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 26, 2008 pursuant to which
Building Permit No_ 33875-Z dated MAY 7, 2008
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 ADDITIONS/ALTERATIONS TO CONVERT EXISTING AUTO SHOP TO BAKERY WITH
SECOND FLOOR OFFICE AS APPLIED FOR.
The certificate is issued to NKK LLC
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL C10-06-0006 02/16/07
ELECTRICAL CERTIFICATE NO. 8348 08/04/08
PLUMBERS CERTIFICATION DATED 08/18/08 BURTS RELIABLE INC
Au izI Sign ture
Rev. 1/81
Form No.6 its
TOWN OF SOUTHOLD qcP 3 0 U
BUILDING DEPARTMENT ��
TOWN HALL
7 Z _ b D�. D PT.
65-1802
S THOID J
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 $25.00, Additions to dwelling$25.00, Alterations to dwelling$25.00,
Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, 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. 9 3 L (�
New Construction: / Old or Pre-existing Building: (/ (check one)
M
Location of Property: S�2 7 S / ' A, /, �C a &)A
House No. I/ Street 1 1 Hamlet
Owner or Owners of Property: t�e i � Vo U f.S / (�1 K' )L L L C_
� r
Suffolk County Tax Map No 1000, Section Block Lot Q l Z
Subdivision Filed Map. Lot:
Permit No. 3 Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ So •0
C,o-2- 333 �a
IBC a/r Applicant 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. 33875 Z Date MAY 7, 2008
Permission is hereby granted to:
NKK LLC
56275 MAIN ROAD
SOUTHOLD,NY 11971
for
ADDITIONS/ALTERATIONS TO BUSINESS BUILDING FROM AUTO SHOP TO
BAKERY, REMOVING UPSTAIRS APARTMENT, PER PLANNING BOARD APPROVAL
at premises located at 56275 MAIN RD SOUTHOLD
County Tax Map No. 473889 Section 063 Block 0003 Lot No. 012
pursuant to application dated MARCH 26, 2008 and approved by the
Building Inspector to expire on NOVEMBER 7, 2009 .
Fee $ 1, 446 . 80
Authorized Signature
ORIGINAL
Rev. 5/8/02
SUFFOLK+@ IBUREAUof
E t E C T R D C A L
I N S P I C T 0 R S, i In c.
40 Nottingham Drive, Middle Island, NY 11953
Telephone:631 495 8136 • Fax:631 980 6455 • E-Mail: SBEIGS@gmail.com
CERTIFICATE OF ELECTRICAL COMPLIANCE
Applicant: Avey Electric Inc Certificate No.: 8348
Rough In Inspection Date: August 4,2008 Final Inspection Date: August 4 ,2008
Application No.: 8348 Building Permit No.:
Suffolk County Tax Map No.:
s This Certificate of Electrical Compliance is limited to the inspection and compliance of electrical equipment and/or
work described below, installed by the applicant named above, located at the premise of and not after the final
inspection date above:
Owner: Keith Kouris r»
Site Location: Blue Duck Bakery, 56275 Main Road, Southold, NY 11971
Owner's Address (if different): 30 Hampton Road, Southampton, NY 11968
Sa yrv,
❑Residential Indoor Basement Y/1 Service ❑Shed G;
R Commercial R Outdoor [yi]First Floor ❑Pool
❑Hottub
❑New W Renovation ❑Second Floor {AttIC ❑Garage
RAddition ❑Survey Other: �.
s
INVENTORY
Single Phase Heat Duplex Recpt 7 Ceiling Fixture HID Fixtures F
w Three Phase 400ug Hot Water GFCI Recpt 2 Wall Fixture 3 Smoke
¢ Main Panel 1 AC Cord Single Racpt 3 Recessed Fixture CO Detect
P. Sub Panel 1 AC Blower Range Recpt Flourescent 36 Pumps
i
Transformer Appliances Dryer Recpt Emergency 3 Time Clock
7 Disconnect Switches 7 Twist Lock Exit Fixtures 3 Tvss
a
GFCI Breaker Heat Pump Electric Heat Pool Luminaire Exhaust Fan
r Other Equipment:1-42 ckt panel board,1-16 ckt panel board,2-30amp ovens t-walk in freezer,3-refrigerator compressord
The electrical work and/or equipment described above were inspected and appear to be in compliance
with local, state and national electrical code requirements and this office.
6;
r,
4'` Applicant. Avey Electric Inc License No.: 2069-ME 471
Inspected By: Gene Surdi Date Of Certificate: Aug 20 , 2008 f'
n
k, Signature: Zal :
tF ^
3
S, s xi''+-fs' '�' . :,�. 3��"3''A„'�";�'� 1 .,.5",4`,;�+*� ,ar'e'.ut„'�,�+,#M"�4�5��?;�'3 +fit'• e :S'..
O�OS�FFO(K C0G
�on Mail, 53095 Moan
P 0. Box 1179
�O e
SoJnold. New Yolk 1157 i
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
C E R T I F I C A T I O N
Date: -0
Building Permit No.
Owner:
(please print) �-
Plumber, Ur 6e j : "L° �O C-
(please print)
I certify that the solder used in the water supply system con ins less
than 2/10 of 1% lead.
plumbers signature)
Sworn to before me this
day of QVqusj:
200
Notary Public, SL)Ayi County e�yy 3
BERNAOETTE L.TAPLIN
NOTARY PUBLIC#4844893
state of New York
Residing:in suffolk County
Commission expire; N7 Do9
�O ct�rJ�r��PrJ�rP�PrJ�rJ�rJ�rJ�rJ�rJ�rJ�r>1rJcP��P PrnrJrl PrJcPcPrJ��PrJ�rPcrL3.rCJrPrJ on cO
Lc�U BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITERS
5
5 BUREAU OF ELECTRICITY 5
40 FULTON STREET - NEW YORK, NY 10038
5 CERTIFIES THAT rcj
LSU Upon the application of upon premises owned by
5 5
�j CHRIS PIECES CHRIS PIECES
5 ROAD
SOUTHOLD, NY 11971 SOUTHOLD, NY 11971 5
rSLS Located at 56275 MAIN ROAD SOUTHOLD, NY 11971
SApplication Number: 2065355 Certificate Number: 2065355c�
Section: Block: Lot: Building Permit: BDC: ns11 �
SDescribed as a Commercial occupancy, wherein the premises electrical system consisting of 5
5 electrical devices and wiring, described below, located in/on the premises at: 5
5 Basement, First Floor, Second Floor, 1-otlice-I-apartment,Outside, e5
A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed 5
5 herein, was conducted in accordance with the requirements of the applicable code and/or standard
5 promulgated by the State of New York, Department of State Code Enforcement and Administration, or other
5 authority having jurisdiction, and found to be in compliance therewith on the Day of
Sth August,2005. 5
5 Name OTY Rate Rating Circuit TVDe 5
5 Miscellaneous 5
5 replace main distribution 5
5 as built-2005 5
5 Alarm and Emergency Equipment
�j Sensor 5 0 Smoke 5
LSD Combo Exit and Emergency Light 2 0
5 Appliances and Accessories S 5 Range I 0 50 Amps 5
C,57 Exhaust Fan l 0 F.H.P.
LJ' Water Heater 1 0 4.5 KW 5
5 Wiring and Devices 5
5 Outlet 15 0 Fixture
5 Fixture 5 0 Incandescent 5
5 Fixture 10 0 Flourescent 5 Outlet 35 0 General Purpose 55
5 Receptacle 19 0 General Purpose 5
Switch 14 0 General Purpose seal
�55 Receptacle 6 0 GFCI rJ�rJrJrJcPr3 e5
Continued on Next Page 1 of 2 IM
5
r, This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.c
R] nLrL3r rL3PL Prrr3rCnrPrJ�encPcP�Pc1��PrJ�rJrJrlrPrJ�cncn rJrJr�J73LTrLrJU fn cn �nrL3r1LrE3 PL3rL3r3rL3 Pr PLPL
a I nt n �L3n o
5 r BY THIS CERTIFICATE OF COMPLIANCE THE
5 NEW YORK BOARD OF FIRE UNDERWRITERS 5
5 BUREAU OF ELECTRICITY cS
55 40 FULTON STREET — NEW YORK, NY 10038 5
5 CERTIFIES THAT rr5++
C5D Upon the application of upon premises owned by
5 CHRIS PILLES CHRIS PILLES 5
5 P.O.BOX 1309 56275 MAIN ROAD 5
5 SOUTHOLD, NY 11971 SOUTHOLD, NY 11971 5
5 Located at 56275 MAIN ROAD SOUTHOLD, NY 11971 5
5 S
c5 Application Number: 2065355 Certificate Number: 2065355 55
Section: Block: Lot: Building Permit: BDC: ns11
5 Described as a Commercial occupancy, wherein the premises electrical system consisting of 5
5 electrical devices and wiring, described below, located in/on the premises at: 5
5 Basement,First Floor, Second Floor, 1-office-I-apartment,Outside,
A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed 5
5 herein, was conducted in accordance with the requirements of the applicable code and/or standard
promulgated by the State of New York, Department of State Code Enforcement and Administration, or other 5
5 authority having jurisdiction, and found to be in compliance therewith on the Day of 5
Sth August,2005. 5
5 Name QTY Rate Rain Circuit Type 5
5 Service 5
5 Service Disconnect: 1 200 cb 5
5 5
5 5
5 S
5 5
5 5
5 5
rs", seal
rrr..������51+++... 2 of 2 �+5
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
5 5
o CPLs�rrLPLPL������s�ss�s����ssrn���s �s���������������������s�O io
MAILING ADDRESS:
PLANNING BOARD MEMBERS P.O. Box 1179
JERILYN B.WOODHOUSE O��OF SQUryOI Southold, NY 11971
Chair OFFICE LOCATION:
KENNETH L. EDWARDS 4 Town Hall Annex
MARTIN H. SIDOR 54375 State Route 25
GEORGE D §SOLQMON, '�`� �� (cor. Main Rd. &Youngs Ave.)
NSIN?D l�C Southold, NY
I I Telephone: 631 765-1938
su � Fax: 631 765-3136
PLANNING BOARD OFFICE
TOWN OF SOUTHOLD
September 29, 2009
Keith Kouris
Blue Duck Bakery
30 Hampton Road
Southampton, NY H 968
Re: Site plan for Blue Duck Bakery
Dear Mr. Kouris:
The Planning Board is in receipt of your request for final inspection dated September 29,
2008 for the above referenced application.
As you requested, the Planning Board has inspected the site and has found that the work
done to date is in accordance with the approved site plan including the handicap ramp
amendment. As discussed, and verified in your letter to the Board, the parking stalls will
be striped on or about October 25, 2008.
Any future requested change to the site plan should include a copy of the approved
stamped site plan noting the location of the requested change. If you have any questions
regarding the above, contact me anytime. Thank you.
Sincerely
Kristy Winser
Senior Planner
Cc : Planning Board
Jamie Richter, Town Engineer
Mike Verity, Chief Building Inspector
ho�aOF SOUTyo�
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY �i-fIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
RTR K S:
DATE l ��� INSPECTOR
STATE OF NEW YORK
DEPARTMENT OF AGRICULTURE AND MARKETS
10B AIRLINE DRIVE
ALBANY, NEW YORK 12235
DIVISION OF FOOD SAFETY
AND INSPECTION -
518 457-1215
LICENSE NOTICE
The lower portion of this notice is the license for this establishment.
If new or additional activities are to be conducted at this location you must report these additional activities to the regional office
in your area for approval prior to the start of the new activity.
If you sell the business, change locations or ownership structure, contact the regional office in your area to have our records
updated and obtain a new inspection and/or license application.
Regional Offices:
Buffalo Rochester Syracuse Albany Metro NY,LI&SI
716 847-3185 585 427-2273 315 487-0952 51:3 457-5459 718 722-2876
The licensee has consented to the free entry and free access to the licensed premises,buildings and offices to time Commissioner,
the Cora nissioner's agents and inspectors in pursuance of the Commissioner's duty to supervise and regulate the production, storage,sale
and use of articles subject to the Conmtissioner's jurisdiction.
If you offer to give or give any benefit,thing or money to any employee of 11ne Department of Agriculture and Markets,your
conduct will be reported to your local police or sheriff's department.
If any employee of the Department of Agriculture and Markets asks for or accepts any benefit, thing or money from you, you
should report that conduct to the Inspector General of New York State by writing to the Inspector General, State Capitol, Albany, NY
12224 or by phone 1-800-367-4448. You may also report that conduct to your local police or sheriff's department.
Please post the license portion of this notice in the establishment .
Fee Paid: $ 200 . 00 New York State Establishment No.: A4 7 4 2 2 5
DepartmnemttofA�- ter earkets
Albany,
Expires 05/14/2010 Date [slued: 08/04/2008
IrG�1�P10 G dal
j 't a1Ft t II Validation No.: 512 9 6
Pursuant to Article 20-C of the Agriculture and Mari Iteepeee Is t t �` vl;)
perform those activities for which it has applied to b tfx iattd ,�. v _
Receipt No.: 89031
This license cannot be sold or transferred..fi ,r n[.ytu�Utt �u,:UPt" a ( '
HAMPTON HEARTH BKRY/It FE h
BLUE DUCK BAKERY CAFE
56275 MAIN RD #####
SOUTHOLD NY 11971 Patrick Hooker
Commissioner
PROFESSIONAL ENGINEER
- 1725 HOBART ROAD/PO Box 616 SOUTHOLD, NEW YORK 11971
TEL:631.765.2954 • FAX:631.614.3516 • e-mail:joseph@fischetti.com
Date: September 10, 2008
Reference: Blue Duck Bakery/ Southold
Southold Building Dept
PO Box 1179
Southold, NY 11971
Att: Gary Fish, Building Inspector
Dear Mr. Fish,
I certify to the best of my knowledge that as of this date, the handicapped ramp and
ramp railings for the Blue Duck Bakery SCTM #1000-63-03-1? comply with the New York
State Building Code Chapter 11 and with the ANSI A117.1.
Hof Ne
c
z
aA StONP�
Joseph Fischetti, PE
mcmFxii<m m. _ u( i W •i ._
y r4f SOUTyo�
�oQaf
4bONl1 `
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ FOUNDATION 1ST [ ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS: 11�
ll
DATE d INSPECTOR
3 OF 80(/Tyo6
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSU TION
[ ] FRAMING / STRAPPING [ INAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT�STRWnON [ ] FIRE RESISTANT PENETRATION
REMARKS:
r
DATE C �� INSPECTOR
'OF SUUTyO#
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1ST ROUGH PLBG.
[ IF NDATION 2ND [ ] INSULATION
[ FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTIONnn [ ] FIRE RESISTANT PENETRATION
REMARKS: A)®
DATE LO e INSPECTO
3 P� �o��OF SOUlyolo
`�•vUnl`,
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLB
[ ] FOUNDATION 2ND [ ] IN
[ ] FRAMING / STRAPPING [ FIN L
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
F ` l
REMARKS:
_ vx- 4,, GtiG.EA
DATE i INSPECTOR
- R
FIELD INSPECTION REPORT DATE COMMENTS
!d
FOUNDATION(1ST)
--------------------------------------
FOUNDATION (2ND)
C,� z
L«S
y
. T z
ROUGH FRANIING& C
PLUMBING
x
h
Lh'SUL_�TION PER N.Y. - --
STATE ENERGY CODE -
FINAL
1 �
ADDTIION COMMENTS
S aQ -
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10
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL i Board of Health
SOUTHOLD, NY 11971 A sets of Building Plans
TEE: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 Survey
SoutholdTown.NorthFork.net PERMIT NO. 33 F: �Z- Check
✓Septic Form
N.Y.S.D.E.C.
Trustees
Flood Permit
Examined 120 Storm-Water Assessment Form
Contact:
Approved 2 ,20 Mail to:
Disapproved a/c 9
Phone:
Expiration , 20
Building Inspecto
26 APPLICATION FOR BUILDING PERMIT
I Date 20
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. 7
(Signature of applicant or name, if a corporation)
36 �2L1�.Sof pp ica ,�,��,I h1y
(Mailing add ess of applicant)
115 ��
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
0W (1 156�z,
Name of owner of premises _�� K K D-C
(As on the tax roll or latest deed)
If applican a c or do ignature of duly authorized officer
( ame and title of corporate officer)
Builders License No.
Plumbers License No. (�(J
Electricians License No. 7 n 0 I:
Other Trade's License No.
1. Location don whic proposed ork will be done:
5Q So Lk+r 6 I
House Number Street Hamlet
County Tax Map No. 1000 Section 3_lh—m � 13 Lot 1 2-
Subdivision t i hkw. Lot
etnamM1
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy VAC An r L v
b. Intended use and occupancy W}t p le S'y <' / 2e
3. Nature of work (check which applicable): New Building Addition —Alteration
Repair Removal Demolition Other WorkUpg2yae
��— (Descripti
4. Estimated Cost I Di) D V 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 ?2 , Rear 2 Depth O 9 _
Height Number of Stories
Dimensions Rf samg structure with alterations or additions: Front L2 . Z Rear q0 , 2
Depth_ j (b _Height Number of Stories
8. Dimensions of entire new construction: Front -Rear Depth
Height Number of Stories
9. Size of lot: Front 1J� 2 lJ Rear i-7A9 Depth pt
10. Date of Purchase 0 O Name of Former Owner f" `I Ne p
11. Zone or use district in which premises are situated H.4 a, IQ+
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
36 MPS n (2-a
14. Names of Owner of premises Address `fan hone No.,A3( ^
Name of Architect Address Phone No
Name of Contractor Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO ll
* 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 MAY BE REQUIRED.
16. Provide survey, to scale, with accurate foundation plan and distances to property lines. �'5 - �6
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.
STATE OF NEW YORK)
SS:
COUNTY OF n 1)
'mil � C e! ! h VOUr(t3 i g duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) abboovenamed,
(S)He is the e(2-
(Contractor, Agent, Corporate Officer, 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.
Sworn to before me this
_ Q_(0 day of (Y)nL,rc�, 20 C>$ 410 1 /��VLC
Notary Publi I" Signature of Applicant
i
3ROC s AWNHNGS I,7Do
Canvas Awaingg for Homes 0 Businesses 26
Revised February 22, 2008
October 19, 2007
The Blue Duck Bakery
30 Hampton Road
Southampton, NY 11968
Re: The Blue Duck Bakery
Main Street, Southold
Estimate for store front awnings with rigid welded frames
** 1 awning 17' x 36" projection over front door and windows $1,650.00
2 single window awnings @ $420/ea 840.00
1 traditional door awning on side of building 420.00
6 single window awnings on 2nd story @ 410/ea 2,460.00
Sub total $5,370.00
Capital Improvement - sales tax on materials only 154.39
Total $5,524.39
Upon approval, a 50% deposit is required. Balance is COD upon delivery and
installation. We also accept Visa & MasterCard. Please sign by the X and return
1 copy with your deposit in the self-addressed envelope provided. Thank you for
your order.
X Date
Customer agrees to be held personally responsible for payment in full,and or,any legal fees acquired in collecting above
funds. All items listed above can be removed from premises until all legal actions are consummated.
Custom • Design• Fabrication • Iastaiiation
211-1 EAST MONTAUK HIGHWAY
HAMPTON BAYS,NEW YORK 11946
(631)728-3367 FAX:728-0134
www.bmckawnings.com
Z TOWN Of SOUTHOLD PROPERTY RECORD CARD
OWNER STREET r� VILLAGE DIST. SUB. LOT
0 ER OWNE N E A R.
P v .rn (f X), 7 zee J, iP
ET-S+-i-er MpJ,�y P� °5 S W TYPE OF BUILDING
RES. SEAS. VL. FARM COM B. MISC. Mkt. Value
3
LAND IMP. TOTAL DATE REMARKS
of o o c+s o
v U O L l7 33Z 70�— P�/�S P/���5 D�(✓/t? LGV' L�
I 5 7cc 7. _; ��� 1 zj z a - z r, �5�- ides o/dr�� �; i� tl�s
to r3 os BP-#k 3�sz a-Iteration �„�, � �„�
AGE BUILDING CONDITION
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PROFESSIONAL ENGINEER
1725 HOBART ROAD/PO Box 616 SOUTHOLD, NEW YORK 11971
TEL:631.765.2954 • FAX:631.614.3516 • e-mail:joseph@fischetti.com
Date: May 4, 2008
Reference: Blue Duck Bakery
Mr. Michael Verity, Building Inspector 1 1
Southold Building Dept
PO Box 1179 V NTg
Southold, NY 11971
Dear Mr. Verity,
Please note the following regarding the Blue duck Bakery:
1. Occupancy classification
a. Retail: B
b. Bakery: F-1
2. Occupancy Load
a. Retail = 638 sf/ 100 sf/occ. = 6
b. Bakery = 2400 sf/ 200 sf/occ. = 12
3. Type of Construction = 1113
Walls are 12" masonry with steel trusses for roof structure
4. Fire Separation between B & F-1 requires 3 hour separation
The existing wall is 12 inch solid masonry with a 3 hour fire rated door. The masonry
extends to the 2"d floor of the front building.
Note that while calculating occupancy load using the NY Building Code for the Bakery equals
12, the actual occupancy load for the Bakery is a maximum of 4 Bakers.
I certify that in accordance with the information provided me, the actual occupancy loading for
the building will be no more than
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PLANNING BOARD MEMBERS OF SOU P.O. Box 1179
JERILYN B.WOODHOUSE O�� ryOl Southold, NY 11971
Chair
y OFFICE LOCATION:
KENNETH L. EDWARDS T Town Hall Annex
MARTIN H.SIDOR --- 'V'�_ Q 54375 State Route 25
GEORGE D.SOLOMON ,� (cor. Main Rd. &Youngs Ave.)
JOSEPH L.TOWNSEND COUI� �,� Southold, NY
60 Telephone: 631 765-1938
Fax: 631 765-3136
PLANNIN� BOARD OFFICE
December 11, 2007 TOWN I OFSOUTHOLD
Mr. Kristopher Pilles
c/o McCarthy Real Estate
46275 County Route 48
Southold, New York 11971
Re: Proposed Site Plan for Blue Duck Bakery
Located at 56275 Main Road, Southold
SCTM#1000-63-3-12 Zoning District: Hamlet Business (HB)
Dear Mr. Pilles:
The Southold Town Planning Board, at a meeting held on Monday, December 10, 2007,
adopted the following resolutions:
The final public hearing was closed.
WHEREAS, the agent, Kristopher Pilles, submitted a formal site plan for approval on September
14, 2007; and
WHEREAS, this new site plan is for the proposed conversion of an existing automotive service
building to a bakery where 400 sq. ft. is for retail, 1,680 sq. ft. is for storage and 1,080 sq. ft. is
for food processing where 8 parking spaces are required and 6 are provided with use of on
street parking on a 10,211.40 sq. ft. parcel in the Hamlet Business Zone located on the n/s/o
New York State Road 25, approximately 576' east of Boisseau Avenue, known as 56275 Main
Road, in Southold. SCTM#1000-63-3-12; and
WHEREAS, Pilles Realty Holding, LLC is the owner of the property located on the n/s/o New
York State Road 25, approximately 576' east of Boisseau Avenue, known as 56275 Main Road,
in Southold; and
WHEREAS, on September 24, 2007, the Planning Board accepted this application and issued a
letter, dated September 25, 2007, to the applicant requesting revisions; and
WHEREAS, on October 11, 2007, Southold Fire District responded after review stating "there is
adequate fire protection"; and
WHEREAS, on October 17, 2007, the Suffolk County Department of Planning responded, after
review, and determined this matter is for"local determination as there appears to be no
significant county-wide or inter-community impact(s)" and the Planning Board accepts this
pursuant to 239L & M General Municipal Law; and
WHEREAS, on October 24, 2007, the Architectural Review Committee reviewed the
architectural drawings and made recommendations and the Planning Board accepted these
recommendations at their Work Session on November 19, 2007 and forwarded them on to the
applicant; and
WHEREAS, on October 29, 2007, the applicant submitted a Draft Boundary Line Agreement
with the neighbor to the west and this was forwarded to the Town Attorney for review and
comments; and
WHEREAS, on November 2, 2007, Planning Department Staff issued another letter to the
applicant detailing additional site plan items that need to be addressed; and
WHEREAS, on November 5, 2007, the Assistant Town Attorney responded, after review of the
boundary line agreement, with the following comments and the Planning Board accepted these
comments and forwarded them on to the applicant:
1. The agreement does not specify how wide or long the driveway shall remain, only that it
may remain "as same presently exists". To avoid dispute on this issue, the Planning
Board should require that the agreement specify the dimensions of the existing driveway
that it finds adequate for the purposes of the site plan.
2. The agreement does not expressly provide an easement to the applicant to allow the
applicant, and specifically its customers, to use the driveway in support of the applicant's
proposed commercial operation. The agreement should be revised to do so; and
WHEREAS, on November 15, 2007, the Southold Town Building Inspector reviewed and
responded "The proposed use bakeshop is a permitted use in this HB District and is so
certified"; and
WHEREAS, on November 17, 2007, the Suffolk County Department of Health Services
responded, after review, stating that a formal commercial application should be submitted,
building foundations must be at least 10' from all leaching pools and an exterior grease trap is
necessary and the Planning Board accepted the comments and forwarded them on to the
applicant; and
WHEREAS, on November 19, 2007, the Southold Town Planning Board, acting under the State
Environmental Quality Review Act (6 NYCRR), Part 617.5 c, made a determination that the
proposed action is a Type II Action and not subject to review; and
WHEREAS, on November 26, 2007, the New York State Department of Transportation
responded, after review, stating that the applicant is required to address four (4) items and the
Planning Board accepts these comments conditionally; and
WHEREAS, on November 29, 2007, the Architectural Review Committee reviewed the
architectural drawings and approved the project and the Planning Board accepts this
recommendation; and
WHEREAS, on November 30, 2007, the Southold Town Engineer reviewed the site plan
materials and replied with comments and the Planning Board accepts these comments
conditionally; and
WHEREAS, on December 10, 2007, the applicant submitted a Revised Boundary Line
Agreement, authorized and filed with the Suffolk County Clerk on December 7, 2007 under
LIBER# D00012533, Page 016, and the Planning Board accepts this agreement and
incorporates it in the approval; and
2
WHEREAS, the Southold Town Planning Board generally approves of adaptive re-use of
existing buildings where appropriate, and that the re-use of this site as a bakery is a desirable
and appropriate addition to the Southold hamlet; and
WHEREAS, the Southold Town Planning Board recognized that this site, with its existing
building occupying much of the lot, presented a challenge to meeting the parking requirements,
agreed to reduce the parking requirement by a small amount in exchange for adding
landscaping to the front of the site, thus improving the aesthetic appearance of the site; and
WHEREAS, the Southold Town Planning Board, pursuant to Town Code §280-131 B (5),
approves the installation of landscaping in front of the proposed bakery along NYS Route 25 in
lieu of two (2) parking spaces; and
WHEREAS, the Southold Town Planning Board, pursuant to Chapter 55, Notice of Public
Hearing, has received affidavits that the applicant has complied with the notification provisions;
and
WHEREAS, the following items shall be required:
1. All outdoor lighting shall be shielded so that the light source is not visible from adjacent
properties and roadways. Lighting fixtures shall focus and direct the light in such a
manner as to contain the light and glare within property boundaries. The lighting must
meet Town Code requirements.
2. All signs shall meet Southold Town Zoning Codes and shall be subject to approval of the
Southold Town Building Inspector.
3. As per the Landscape Survivability Guarantee, the applicant agrees to replace any of the
landscaping which dies within three (3) years of planting; be it therefore
RESOLVED, that the Southold Town Planning Board, pursuant to Town Code §280-131 B
(5)(b), reserves the right to review the parking requirements again if a change of use is
proposed; and be it further
RESOLVED, that the Southold Town Planning Board has reviewed the proposed action under
the policies of the Town of Southold Local Waterfront Revitalization Program and has
determined that the action is consistent as outlined in the November 19, 2007 memo prepared
by the LWRP Coordinator; and be it further
RESOLVED, that pursuant to Southold Town Code 280-131 Part I, the applicant agrees to
incorporate all the requirements, comments, and recommendations of each reviewing agency
as referenced above and as indicated on the site plan and corresponding attachments; and be it
further
RESOLVED, that the Southold Town Planning Board grant approval on the site plan sheet and
drainage plan prepared and certified by Yousuf H. Tai, Professional Engineer, dated October 7,
2007, and authorize the Chairperson to endorse the site plans with the following conditions:
1. The owner, agent and/or applicant must obtain approval from the Suffolk County
Department of Health Services for the approved construction and submit such approval
to the Southold Town Planning Department for review. If such approval varies from this
approved site plan, the Planning Board reserves the right to review a new site plan
application. A copy of the Suffolk County Department of Health Services approved plan
must be submitted to the Southold Town Planning Department within thirty (30) days of
3
receipt. If the applicant/agent/owner fails to adhere to this requirement, this approval
shall become null and void.
2. The owner, agent, and/or applicant must obtain approval from the New York State
Department of Transportation for the approved construction and submit such approval to
the Southold Town Planning Department for review. If such approval varies from this
approved site plan, the Planning Board reserves the right to the review of a new site plan
application. A copy of the New York State Department of Transportation approved plan
and permit must be submitted to the Southold Town Planning Department within thirty
(30) days of receipt. If the applicant/agent/owner fails to adhere to this requirement, this
approval shall become null and void.
3. Keith Kouris, the Vice President of Blue Duck Bakery Cafe, agreed to install a doorbell
and sign to incorporate additional accessibility for the handicap persons.
4. The site plan approval requires that all work proposed on the site plan shall be
completed within three (3) years from the date of this resolution.
5. Prior to the request for the Certificate of Occupancy, the owner or authorized agent must
request, in writing, the Building Inspector and the Planning Board to perform an on-site
inspection to find that the site improvements are in conformity with the approved
amended site plan.
6. Prior to the request for an on-site inspection, the applicant/agent/owner must submit a
copy of all required approvals from any necessary agencies to the Southold Town
Planning Department.
7. If the as-built site improvements vary from the approved site plan, the Planning Board
reserves the right to request a certified as-built site plan detailing all the changes.
8. Any changes from the approved site plan shall require Planning Board approval and any
such changes without Planning Board approval will be subject to referral to the Town
Attorney's Office for possible legal action.
9. The Planning Board will issue a final site plan approval in the form of a letter following a
site inspection and at the time the site improvements are found to be in conformance
with the approved site plan.
,D4 5)copies of the approved site plan are enclosed for your records. As per the Town Code,
one copy each will be distributed to the Building Department and Town Engineer/Highway
Department.
If you have any questions regarding the above, please contact this office.
Very truly yours,
Jerilyn B. Woodhouse
Chairperson
encl.
cc: Southold Town Building Department w/map NYS DOT w/map
Southold Town Engineer w/map SCDHS w/map
4
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4� SOUTHOID, NY, 11071
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EMPIRE Page IofII
bAKI K"t' 1.Q7tIIP,\dI INI
Proposal Number : 39005R1
Salesperson : Stephan Wechsler
Blue Duck Bakery Cafe b 08 Proposal Date : November 6,2007
30 Hampton Rd.
Southampton NY 11968
Confirm To: Keith Kouris
Cell#:
Phone#: (631)204-1701
Fax 4: (631)204-1599
E-mail: blueduckbakery(a,aol.com
We are pleased to submit our Quotation for the following:
Model Number Qty Unit Price Extended
LF442 I Empire Steam Tube Deck Oven $80,625.00 $80,625.0
4 Decks,4 Doors each deck
258 sq. ft. baking surface
7/10" stone hearth baking surface
Brick construction fire chamber for brick oven quality baking
Burner safety valve
Self contained steam system
Stainless steel oven front and hood
Mannesman steam pipes for even baking
Front mounted oven controls
Removable glass oven doors
24 volt control system
Digital thermostat in Fahrenheit
Steam exhaust fan: 208/60/3
Controls: 120/60/1
Warranty: I year mechanical parts, 90 days electrical parts, 90 days labor
Fuel type: Natural or Propane Gas or Oil
LF/LFK STACK I Stack Kit for Gas/Oil Fired LF/LFK Deck Oven $600.00 $600.0
Includes:
OVENACC-000I I DRAFT INDUCER I
OVENACC-0003 I FAN PROVING SWITCH PSI 505
OVENACC-0005 I BAROMETRIC DAMPER DCBG
LOADER-PSA/2 I PSA/2 Loader, semi automatic $20,696.00 $20,696.0
Single motor to load and unload product from oven
Second motor provides vertical movement for each deck
Horizontal movement in front of each door must be done manually
LF/LFK-INST PKG I Installation Package $14,000.00 $14,000.0
■ %vww.enroirebeke.com ■ Ic enterprise place, hicksville,ny 11801 ■ e-mail info(d4empirebake.com
800.878.4070 ■ 516.681,1500 ■ Fax516.681.1510
- EMPIRE Page Iof3
Proposal Number : 38982R
Salesperson : Stephan Wechsler
Blue Duck Bakery Cafe Proposal Date : August 30,2007
30 Hampton Rd.
Southampton NY 11968
Confirm To: Keith Kouris
Cell#:
Phone#: (631)204-1701
Fax#: (631)204-1599
E-mail: blueduckbakery(a),aol.com
We are pleased to submit our Quotation for the following:
Model Number Qty Unit Price Extended
LFR-2G DT I USED Empire Double Rack Oven $17,500.00 $17,500.0
Capacity: I double rack
Digital Control Panel
85.5"w x 54.5"d x 104.5"h,depth with hood 69.5"
Water supply 1/2", drain I"
Exhaust connections: Steam 8",Burner 4-3/4"
Heavy duty mechanical rack lifting device
Recessed electro-mechanical control panel
Self contained,hi volume steam generating system
Vented,double pane viewing window
304 Stainless steel panels
Smooth profile and enclosed hinges for greater sanitation
Long life halogen lights
Frontmounted burner system
220/60/3*; 3 Kw, 10.69 Amps; 240,000 BTU
*Note: Burners are 110v and require separate line if 220v line is not
supplied with neutral and ground
Shipping Weight: 4450 Ibs
LFR-2 36 SLIDE 1 36 Pan S/S Double Rack for LFR Oven
18 pan capacity, 3.5" spacing per side
Hi-temp casters
Stainless steel construction
Side load
INCLUDED IN OVEN PRICE
Disassembly of oven,trucking $3,900.0
and reassembly of oven.
■ www.empirebake corn ■ I enterprise place, hicksville,ny 11801 ■e-mail info(tenipirebakecorn
800,878.4070■516.681.1500■ Pax516.681.1510
— EMPIRE Page Iof2
bAKEFI F.QLlIFYi%)FM1 ( Proposal Number: 0039005
Salesperson : Stephan Wechsler
Blue Duck Bakery Cafe
Proposal Date : August 28,2007
30 Hampton Rd.
Southampton NY 11968
Confirm To: Keith Kouris
Cell#:
Phone#: (631)204-1701
Fax#: (631)204-1599
E-mail: blueduckbakery�i)aol.com
We are pleased to submit our Quotation for the following:
Model Number Qty Unit Price Extended
MISC 1 Harford 9'8 1/4" x 24'2 5/8" x 8' 5 1/2"Outdoor Combination $31,725.00 $31,725.0
Cooler/Freezer Box-Floor Throughout
2--standard doors
Pressure relief vent
Roofcap/membrane/fl ash i ng
10' x 12'Cooler+35'Dough Retarder
2 Hp;R22;208-3 outdoor air cooled medium temperature system
5 Year hermetic compressor warranty
All accessories including defrost timer
Matching 115V low velocity blower
10' x 12' Freezer-100 4-6 racks raw product daily
4 Hp;R404;208-3 outdoor air cooled low temperature system
5 Year hermetic compressor warranty
All accessories including defrost timer
Matching 5-fan;208V electric defrost blower
Warranty: 60 days service
No electrical work, rigging or structural work
Max. 50'pipe run
Delivered and Installed
Sales Tax: $0.0
Order Total: $31 725.0
■ www.empirebake.com■ I enterprise place.hicksville, ny 11801 ■e-mail info(Pempirebakeeom
800.878.4070■516.681,1500■ Fax516.681.1510
EMPIRE Page Iof5
KAM 1INY F QUIllml tiT
Proposal Number : 0038814
Salesperson : Stephan Wechsler
Proposal Date : August 7,2007
Blue Duck Bakery Cafe
30 Hampton Rd.
Southampton NY 11968
Confirm To: Keith Kouris
Phone#: (631)204-1701
Fax#: (631)204-1599
E-mail: blueduckbakeryAaol.com
We are pleased to submit our Quotation for the following:
Model Number Qty Unit Price Extended
LRPR2-60 I Lang 2 Door 3 Double Rack Roll-In Retarder Proofer w/no floor $9,460.00 $9,460.0
78.8"w x 69.4"d x 74.1"h
Holds either 6 side load, 6 end load single racks or 3 double racks
Heavy duty stainless steel exterior
300 series stainless steel interior
Aluminized steeltop
Foam insulated walls,ceilings and doors
Shipped unassembled with wall and ceiling panels
Air-wash humidity/heat system
High capacity refrigeration system with epoxy coated evaporator coils
Digital controls mounted in the door at eye-level
70 - 120 degree F proofing range
34 -45 degree F retarding range
50 -95%humidity range
Interior bumpers protect walls from rack damage
Lighted interior
ETL and NSF approved
208V/3 13.8 Amps; 5.0 Kw
Warranty: one year limited parts and labor;90 days electrical
Freight and installation not included
OR
■ www.empirebake.com ■ le enterprise place,hicksville, ny 11801 ■e-mail info(dempirebake com
800.878.4070.516,681.1500■ Fax516.681.1510
EMPIRE Page 2 of 5
Proposal Number: 0038814
Salesperson : Stephan Wechsler
Proposal Date : August 7,2007
Blue Duck Bakery Cafe
30 Hampton Rd.
Southampton NY 11968
Confirm To: Keith Kouris
Phone#: (631)204-1701
Fax#: (631)204-1599
E-mail: blueduckbakery( aol.com
We are pleased to submit our Quotation for the following:
Model Number Qty Unit Price Extended
LRPR2-80 I Lang 2 Door 4 Double Rack Roll-In Retarder Proofer w/no floor $10,895.00 $10,895.0
78.8"w x 89.5"d x 74.1"h
Holds either 9 side load, 8 end load single racks or 4 double racks
Heavy duty stainless steel exterior
300 series stainless steel interior
Aluminized steeltop
Foam insulated walls,ceilings and doors
Shipped unassembled with wall and ceiling panels
Air-wash humidity/heat system
High capacity refrigeration system with epoxy coated evaporator coils
Digital controls mounted in the door at eye-level
70- 120 degree F proofing range
34-45 degree F retarding range
50-95%humidity range
Interior bumpers protect walls from rack damage
Lighted interior
ETL and NSF approved
208V/3 13.8 Amps; 5.0 Kw
Warranty: one year limited parts and labor;90 days electrical
Freight and installation not included
LRPR-CONDENSER2 1 91500-14, Optional Condenser Unit for Retarder/Proofer $1,335.00 $1,335.0
Models: 60, 70 and 80
LRPR-INSTALL I Assembly/Installation of Retarder/Proofer $2,000.00 $2,000.0
■ www emoircbake cum■ 1 c enterprise placc.hicksville,in, 11801 ■c-mail infol,,empirebake corn
800.878.4070■516.681,1500■ Fax516.681.1510
PROPOSAL—revised
AVEY AVEY ELECTRIC INC.
b �� P.O. Box 1429
?»» y: :}:y:<:":ii ;; ;;:: PATCHOGUE, NY 11772
Phone (631) 758-AVEY
�+ p +.
Pride In Workmanship
ELECTRIC INC. Fax (631) 758-2608
PROPOSAL SUBMITTED TO PHONE DATE
Hampton Hearth Bakery& Cafe Inc 204-1701 c 764-1875 2-20-08
JOBNAME
30 Hampton Rd. Blue Duck Bakery
"y"a a..z.'..e JOB LOOATION
Southampton, NY 11968 56275 Main Rd.
OONTAOTPERSON JOB PHONE
Keith Koucous Southold, NY 11971
SERVICE UG
1-Remove the existing service completely, to but not including the basement panel
2-Install a 400 amp 208 volt 3 phase riser at the new LIPA ole
3-Install a LIPA approved meter socket adjacent to side door
4-Trench from the pole to the meter-backfill & install asphalt patch
5- 1 400 amp 3 phase main breaker panel with 1 200 amp, 1) 150 amp circuit
breakers, and provisions for 2 additional breakers
6-Install a 150 amp single phase sub feed to the existing basement panel
7-Install (l) 200 amp 3 phase 42 circuit panels on the south wall of the bakery floor
8-Install (1) 100 amp 3 phase 30 circuit sub panel (for additional breaker space)
9-Install all grounding to code
After calculating the loads of the specific equipment, we find that 400 amps are not necessary, however
There isn't a 300 amp meter socket available, and we will therefore install the 400 amp as previously proposed
LIGHTING
10-Remove the existing lighting completely and install ;
11-Install 3 rows of 6 8' 2 lamp strip fluorescents with energy saving electronic ballasts
12-Install tube guards for break protection
13-Fixtures on 2 switches wired every other fixture for ''Y2 light control
PROOFER
14-(1) 20 amp 208 volt 3 phase circuit
15- 1 safety disconnect switch
The 5 kw load indicated has not been confirmed if it is included in the 20 amp circuit called for
DOUBLE RACK OVEN LFR-2G DT
16- 1 20 amp 208 volt 3 phase 4 wire circuit
17-(1) safety disconnect switches
TUBE DECK OVEN LF 442
18- 1 30 amp 208 volt 3 phase circuit
19- 1 safety disconnect
20- 1 20 amp 120 volt circuit
Fii EEZER
21- 1 30 amp 208 volt 3 phase circuit and rain tight disconnect switch
22-Wire disconnect to compressor with liquid tight conduit and fittings
23- 1 20 amp 208 volt single phase circuit for heaters
24-Wire customer supplied defrost timer for heat operation
25- 1 20 amp 208 volt single phase circuit with disconnect for fan coil unit
26- 1 20 amp 120 volt circuit and connection to interior lights
RETARDER
27- 1 20 amp 208 volt 3 phase circuit and rain tight disconnect
28-Wire disconnect to the compressor with liquid tight conduit and fittings
29- 1 20 amp 120 volt circuit and disconnect switch for fan coil unit
30-Usingcircuit from line item # 26, wire interior lights
MIXER # 4 EMP200-DT
31- 1 60 amp 208 volt 3 phase circuit
32- 1 safety disconnect switch with rubber cord connection to mixer
Cords will be installed long enough to move the mixers 3'for cleaning (typical)
MIXER # 1
33- 1 15 amp 208 volt 3 phase circuit
34- 1 safety disconnect switch with rubber cord connection to mixer
MIXER # 2 & 3
35 1 ?? amp 208 volt 3 phase circuit
36- 1 safety disconnect switch with rubber cord connection to mixer
LOADER LRPR2-80
1 assme that the loader is portable and will require a cord and plug connection, also the 5 kw spec is not
Clear considering that they also list 13.8 amps. In this case 1 assume they are one and the same
37- 1 20 amp 208 volt 3 phase circuit
38-Install a cord and plug connection adjacent to the oven
RECEPTACLES
Since there are several receptacles existing, we will reefed them from the new panel. If additional receptacle
Are required later they will be addressed at that time.
39-Wire receptacles to new panel
WATER CHILLER C2-200
40- 1 ?? amp 208 volt 3 phase circuit
WATER METER DOMIX 45A
Since an electronic microprocessor is indicated in the specifications we will provide the following:
41- 1 20 amp 120 volt circuit and receptacle
DEMO
42-Remove conduits and wire no longer a licable to the building
?3? EQUIPMENT NEXT TO MIXERS
43- 2 20 amp 208 volt 3 phase circuits
44- 2 20 amp 208 volt 1 phase circuits
SALES FLOOR-coffee
45- 1 30 amp 208 volt 4 wire single phase circuit
46- 1 30 amp 208 volt 4 wire receptacle
We assume that the coffee machine comes with the matching cord and plug
-back counter
47- 2 20 amp 120 volt circuits and receptacles for the slicers, etc.
-show cases
48-(1) switch at back wall to control the lighting which comes with the cases
-compressors
49- 1 20 amp 120 volt circuit and connections to 3 case compressors
SIGN
50-(1) 20 amp 120 volt circuit with a time clock located in the basement
5143 oose neck sign lights surface mounted and interconnected with conduit
GARAGE DOOR LIGHT
52- 1 175 metal halide fixture cut off down light for dark sky compliance)
53- 1 switch adjacent to bakery panel
INSPECTION
54-Final certificate from the approved agency
55-Application and coordination with LIPA
NOTES
-Bakery wiring will be surface mounted conduit
-Show room wiring will be'mc' cable
We Propose hereby to furnish material and labor—complete in accordance with above specifications,for the sum of:
Thirty Three Thousand Dollars $33,000.00
All material guaranteed to be as specified. All work to be completed in a workmanlike
manner according to standard practices. Any alteration or deviation from the above-
specifications involving extra costs will be executed only upon written orders and will
become an extra. Our workers are fully covered by Workman's Com ensation Insurance. Authorized Signature
Acceptance of Proposal-- The above prices,specifications and
conditions are satisfactory and hereby accepted. You are authorized to do the work as
specified. Payment will be rmade as outlined to
Dale of Acceptance'. rY— 0 � Signature:
/.o6
BARGAIN &SALE DEED
THIS INDENTURE,made this /5 d�/ay of August in theyear two thousand
BETWEEN MANZI HOMES h
, INC. aving its principal place of business at 12 Monroe Street, P. O.
Box 702,Rocky Point,New York 11778
Party orthe first part,and
ANTHONY ABRUZZO and DEBRA ABRUZ7_O, his wife,Sarasota,Florida 34231 both residing at 7242 Bounty Drive,
parry of the second part,
WITNESSETH, that the party of the first par(arty of the second , in consideration of Ten Dollars and other valuable
second
epar�t,on the heirs orcessorrs and assign of the party
s successors andt, does hereby
we second part forever.
ALL, the part of the
ALL,that certain plot,piece or parcel of land,with the buildings a ,
situate,lying and being at Southold in the Town of Southond improvements thereon erected
ld, O a my of Suffolk and State of New York,
being more particularly bounded and described as follows
BEGINNING at a point on the easterly side of Horton Lane distant 999.00 feet from the extreme
southerly end of a curve connecting the southerly side of North Road(C.R.48)with the easterly side of
Hortons Lane;RUNNING THENCE from said point or place of beginning North 79 degrees 27 minutes
00 seconds east 70.00 feet; RUNNING THENCE North 10 degrees 33 minutes 00 seconds west 35.89
feet; RUNNING THENCE North 70 degrees 13 minutes 01 seconds cast,293.35 feet;RUNNING
THENCE North 13 degrees 46 minutes 30 seconds west;125.73 feet;RUNNING THENCE North 70
degrees 01 minutes 40 seconds east/W.meet;RUNNING THENCE South 13.degrees 46 minutes 30
i seconds east95� feetI RUNNING THENCE South 71 degrees 41 minutes 40 seconds west,530.85 feet
to the easterly side of Horton Lane;RUNNING THENCE along the easterly side of Hortons Lane the
following 2 courses and distances:1)North II degrees 26 minutes 30 seconds west 66.66 feet;2)North 10
degrees 33 minutes 00 seconds west 29.00 feet to the point or place of BEGINNING.
This conveyance is made in the regular course of business of the parry of the first part,
This conveyance was made with the unanimous consent in writing of all the stockholders of the party of
the first part.
BEING AND INTENDED TO BE the $ame premises conveyed to the party of the first part by
deed dated 1220/99 and recorded 1/7/00 in Liber 12012 cp 191.
TOGETHER with all right,title and interest, if any,of the pa:ty of the first part in and to any streets and
appurtenances al I the estate and rights roads abutting the above described premises to the center lines thereof: TOGETHER with the
e party Of'The first pan in and to
HAVE AND TOdHOLD the Premises herein grtanted unto the party of the seconds aid part,lherheirsTorr
successors and assigns of the party of the second part forever.
AND the party of the first part covenants that the party of the first part has not done or suffered anything
whereby the said premises have been encumbered in any way whatever,except as aforesaid.
AND the party of the first part,in compliance with Section 13 of the Lien Law, covenants that the parry
of the first part will receive the consideration for this conveyance and will hold the right to receive such
consideration as a trust fund to be applied first for the purpose of paying the cost of the improvement and
will apply the same first to the payment of the cost of the improvement before using any part of the total
Of the same for any other purpose.
The word "party" shall be construe
requires. d as if it to read "parties" whenever the sense of this indenture so
IN WITNESS WHEREOF,the party of the first part has duly executed this deed the day and year first
above written-
IN PRESENCE OF:
MANZI HOMES,INC,
-
1 _ i
13 Y;(�A n
LAURA MANZI
FORM NO. 3
NOTICE OF DISAPPROVAL
DATE: September 13, 2007
AMENDED: September 14, 2007
TO: Pilles Realty Holding LLC
56275 Main Road
Southold,NY 11971
Please take notice that your application dated August 15, 2007
For permit for to convert an existing auto service building to a bakery at
Location of property: 56275 Main Road, Southold, NY
County Tax Map No. 1000 - Section 63 Block 3 Lot 12
Is returned herewith and disapproved on the following grounds:
The proposed use requires site plan approval from the Southold Town Planning Board.
This Notice of Disapproval was amended on September 14, 2007 to remove the need for a
variance for accessory setbacks. The ro osed site plan has been amended to move the accessory
walk ' o orming loc tion.
Authorized Si atur
Note to Applicant: Any change or deviation to the above referenced application, may require
further review by the Southold Town Building Department.
CC: file, Planning Board, ZBA
d.5
FOR INTERNAL USE ONLY S
SITE PLAN USE DETERMINATION
Initial Determination
Date: /� —� / Date Sent: /L
Project Name: ���� � v�' � �d•�C�
Project Address:
Suffolk County Tax Map No.:1000- 6a -�_- is Zoning District: 7L/13
Request: oonUP eT ✓icL TG
(Note: Copy of Building Permit Application and supporting documentation as to
proposed use or uses should be submitted.)
Initial Determination as to whether use is permitted: L2 dfzzd (T1*
Mee--<)S SP i Gift`!( /A,2(/gyyc� 02 "w e4c
Initial Determination as to whether site plan is required:
Signature;o ui ing lnsp" to
Planning Department (P.D.) Referral:
P.D. Date Received:_/ /y / 6? Date of Comment:
Co m nts:
p r e
Sig ure of Ian ing D t. tall eviewer
Final Determination
Date:/ PY /�
Decision: �/` �. s�.�Q _,e�• r—�s*�..s, Q
Signature of Bui g Inspect r
Y
B U RTOS
RELIABLE HEATING • PLUMBING • AIR CONDITIONING
Home Heating Oil and Biofuels
— — ---We'll Take Care of It."
Z 6 oil
Mr. Keith Kouris
Blue Duck Bakery
30 Hampton Rd.
Southampton, NY 11968
Via e-mail: blueduckbakery�a aol.com
Monday, February 11, 2008
Dear Mr. Kouris:
Here is the revised proposal for the oil-fired oven venting, plumbing, drain
work and heating you requested. Please let me know if there are any
questions.
We know this project is expected to move fast and we are ready for it. We
expect sudden questions and short turn around on answers.
Naturally, when questions come up we will be here with the answers.
Sincerely,
John Romanelli
President
1
1515 Youngs Avenue, P.O. Box 696 • Southold, NY 11971 • 631-765-3767 • Fax 631-765-1744 • www.burts.com
Heating System
• Remove old boiler, oil tank etc. from the existing mechanical room.
• We will install a Peerless WV03 (154,000) high efficiency cast iron oil fired boiler with a
Riello super high efficiency oil burner in the basement.
• We will install any devices on the boiler needed to adapt it to the existing zones of heat.
• Boiler to have all Grundfos multi-speed circulators, with check valves, purge valves, ball
valves, Honeywell aquastat, Taco boiler/ circulator control panel, air scoop, air
eliminator, oil filter and oil firematic valves.
• Install a S-120 32 gallon Buderus indirect water heater for domestic hot water, piped to
the boiler.
• Includes all piping and control wiring as needed.
• Install new chimney (pre-fab type Stainless steel A-vent) up the side of the building on
the west near where the boiler will be placed.
• Remove and replace stairs to get oil tank in place.
• Install the existing tank we removed from the old mechanical room in the basement with
a new matching 275 gallon oil tank. Includes all piping as needed.
• Install a 5 ton air handler in the bakery area to heat and cool if needed.
• Install 26 ga. galvanized sheet metal ductwork of the air handler to distribute air as
needed.
• Chop up the cement floor where needed and install necessary drain lines and water
lines for the ovens. Re-cement floor after pressure test is performed.
• Trench for oil supplies to 2 burners.
• Trench to include an empty 2" conduit for future use.
• Remove all debris (including old boiler).
• Remove existing radiators from walls to add floor space
• Includes a free 2-year service contract as long as fuel is purchased on an automatic
delivery basis.
Total Cost $23,500.00
4
PLUMBING
• Install Aquapex tubing for hot and cold water lines from the mechanical area in the
basement to the various sinks and fixtures as required.
• Trench for floor drains created in the rear area of the bakery. Floor work must be done
before spraying of new floor
• Install owner supplied "three compartment sink", 3 hand sinks, and 2 hose bibs.
• Install drain lines from each fixture in PVC to code.
• All plumbing to be insulated as needed.
• Water supplied to two [21 ovens and one proof box.
• Install RPZ valve per SCWA requirements to include drain.
• Water lines installed overhead.
• Hand sink in front area
Total Cost $7000.00
3
Additional Proposal for
For Customer: Mr. Keith Kouris- Blue Duck Bakery
Building Location: Main Rd., Southold
VENTING FOR OVENS
• Install 4- appropriately sized stainless steel A-Vent chimneys for each of the oil-fired
baking ovens.
• Install roof flanges and supports as needed.
• Install 24 ga. galvanized sheet metal flue connectors as needed.
• All vents will be installed to code and clearances as per manufacturer.
Total cost: $11,000.00
Payment terms: TBD
GENERAL CONDITIONS
WARRANTY. Company Grants that the equipment sold will be free from defects in material and workmanship under
normal use for a period of one year from the date on installation. Company's obligation under this warranty will be limited to the
repair or replacement, in Company's sole discretion and judgment, of any defective parts. Company shall under no circumstances
be liable for incidental, consequential or special damages. Company will not be liable for delays or damages caused by Act of God,
strikes, material or labor shortages, fire, flood, accidents, abuse, or misuse of the equipment, or other conditions not within
Company's control. In addition, a copy of any manufacturer's warranty of the equipment sold will be given to customer upon
request.
These Warranties In Lieu Of All Other Warranties, Expressed Or Implied, Including Not Limited To Any Warranty
Of Merchantability Or Fitness For A Particular Purpose.
TITLE TO EQUIPMENT. Title to equipment sold will remain in the Company until full payment by Buyer of all money due
to Company under this contract.
- 2 -
FORM NO. 3
NOTICE OF DISAPPROVAL
DATE: September 13, 2007
TO: Pilles Realty Holding LLC
56275 Main Road
Southold, NY 11971
Please take notice that your application dated August 15, 2007
For permit for to convert an existing auto service building to a bakery and construct an accessory walk
in freezer at
Location of property: 56275 Main Road, Southold,NY
County Tax Map No. 1000 - Section 63 Block 3 Lot 12
Is returned herewith and disapproved on the following grounds:
The proposed construction on this non-conforming 10,338 square foot lot in the Hamlet Business (HB)
zone is not permitted pursuant to Article III Section 280-15(c) which states that such accessory
buildings (walk-in) are required to be at least 5 feet from the property line
The accessory walk-in cooler is noted as being +/-3 feet from the side Property line
In addition the proposed use requires site Plan approval from the Southold Town PlanningBoard.
oard
Authorized ignature
Note to Applicant: Any change or deviation to the above referenced application, may require
further review by the Southold Town Building Department.
CC: file, Planning Board, ZBA
SOf/Ty�6
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
( ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS: ,p
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DATE 3 - °g INSPECTOR
pf SOUlyo�o
Town Hall,53095 Main Road Fax(631)765-9502
P.O. Box 1179 G Q Telephone(631)765-1802
Southold,New York 1 197 1-0959
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
STOP WORK ORDER
TO: NKKLLC
30 Hampton Road
Southampton, New York 11968
YOU ARE HEREBY NOTIFIED TO SUSPEND ALL WORK AT:
56276 Route 25, Southold
TAX MAP NUMBER — 1000-63-3-12
Pursuant to Section 144-8 of the Code of the Town of Southold, New York, you
are hereby notified to immediately suspend all work and building activities until
this order has been rescinded.
BASIS OF STOP WORK ORDER:
Construction being done without a Building Permit
CONDITIONS UNDER WHICH WORK MAY BE RESUMED:
When a Building Permit has been issued by the Building Dept.
DATE: March 19, 2008
George Gillen
Building Inspector
(cert. mail)
F L Date
A i
� yN File #�
4W F_
1
TOWN OF SOUTHOLD COMPLAINT REFERRAL FORM
Location of Complaint: �va � � �C_Qc���X�X �� SCTM# 3 3 J
Property Owner: �Lt,&C-DZ_ Phone
Address: G S A�l le"Al LLL
NATURE OF COMPLAINT:
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ACTION TAKEN:
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Optional:
Complainant: By Phone Mail In Person
Address Phone:
Report Taken By: ( Date:
Date Referred to Code Enforcement: O d
------------------------------------------------
CODE ENFORCEMENT
// REPORT
SITE INSPECTION REPORT/DATE: AeA,"
4- QR-C
ACTION/DATE: