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Home My WebLink About34256-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Tow~ Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33833 Date: 07/16/09 T~IS U~TIFIES that the building ALTERATIONS Location of Property: 61560 CR 48 GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax ~p No. 473889 Section 45 Block 2 I~ot 2 subdivision Filed ~4ap NO. __ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 22, 2008 pursuant to which Building Permit No. 34256-Z dated OCTOBER 27, 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 INTERIOR ALTERATIONS TO AN EXISTING ADULT NURSING HOME AS APPLIED FOR. (PHASE ONE) The certificate is issued to SAN SIMEON BY THE SOUND (OWNER) of the aforesaid building. SUFMOLK COl~l~f DEPARq~E~~r OF ~F~%I~{ APPROV~%L N/A zat-£RlfJkh CERTIFICA~ NO. 4022418 05/12/09 PL~q~BE~S CERTIFICATION DA'r~o 07/13/09 JUST PLUMBING CORP Rev. 1/81 Form No. 6 TOVOI OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUP~ JUL 4 2009 BLDG, OEPT. qCY TOWN OF SOUTHOLD This application must be filled in by typewriter or ink and submitted to the Buildin~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~ater supply and sewerage-disposal (S-9 fonn). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn stat~nnant 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 engin~r respousible for the building. 6. Submit Planning Board Approval of completed site plan reqqirements. For existing'buildings (prior to April 9, 1957) non-conforming uses, or buddings and "pre-existing" land uses: 1. Accurate survey of property showing all property rmes, street~, building and.unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Ce~ificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certi~cate ~f Occupancy ~ New dwe~~ing $25~~~~ Additi~ns t~ dwe~~ing $2$~~~~ A~terati~ns t~ dwe~~ing $2$.~~~ Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-e:~isting Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Ccrtificatc of Occupancy~ Residential $15.00, Commercial $15.00 New Construction: Location of Property: Old or Pre-existing Building: Date. ~"~//~ ~ ~~(ch~k one) House No. Street O, erorOwn ofProp y: Suffo~ County T~ Map ~o 1000, S~fion ~ff Bilk & Su~vision ~ ka~ J Fil"Map. Pe~t No. '3 L{ ~ Date of Pe~,. Appli~t: Hamlet Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Final Certificate: f A%he,ck one) Applicant Signature CERTIFICATION JULY 14, 2009 BUILD1NG PERMIT NO. OWNER: PLUMBER: 34256 SAN SIMEON BY THE SOUND PETE MIGLIONICO I CERTIFY THAT THE SOLDER USED IN THE WATER SUPPLY SYSTEM CONTAINS LESS THAN 2/10 OF 1% LEAD. SINCERELY, JUST PLUMBING CORP PRESIDENT LICENSE # 3035P Swom to before me this I~ day of ~tt ~ \, . ,2009 State of New York County of Suffolk NOTARY PUBLIC, State o~ New York No 4999432 ., Qualified in Suffolk Coun~/ ~;ommissi0n Expires luly 20, 2 olo JUL 1 5 ZO0~ BLDG. DEPT. TOWN OF SOUTHOI. O ~ 60 REMINGTON BLVD., SUITE A · RONKONKOMA, NEW YORK 11779 ° (631) 580-4300 FAX 580-4330 ~ BUREAU OF ELECTRICITY FULTON STRE,-i' ~ NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by GORDON L SEAMAN 29 OLD DOCK ROAD YAPHANK, NY 11980, SAN SIMEON BY THE SOUND 61700 ROUTE 48 GREENPORT. NY 11944 Located at 61700 ROUTE 48 GREENPORT. NY 11944 Applicatio~ Number: 4022418 Section: Block: lot: Certificate Number: 4022418 Building Permit:* BDC: ns11 Described as a Commercial occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, First Floor, Outside, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed 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 authority having jurisdiction, and found to be in compliance therewith on tbe12~ Day of Msy, ~00~. Alarm and emergency equipment Ex~ Light 9 0 0 Generata~ permanent installation I 0 0175kw Transfer Switch I 0 0100a Transfer Switch 2 0 0600a Appliances and Accessories Air Handler ~ ~ 0 30 Electrical Heat Unit 29 0 30 Miscellaneous 2-600a. and ~-lOea, emerge~/dis~butien dJscoflects Pnnels 1 100 24 2 225 42 4 100 42 Wiring And Devices Dis~onm~ct I 0 31-100 amp Disconnect 2 0 o~r 1 O0 amp Cominued on Ncxl Pngg I of 2 seal BUREAU OF ELECTRICITY 40 FULTON STRE~-I ~ NEVi/ YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by GORDON L. SEAMAN 29 OLD DOCK ROAD yAPHANK, NY 11980, SAN SIMEON BY THE SOUND 61700 ROUTE 48 GREENPORT, NY 11944 Located at 61700 ROUTE 48 GREENPORT. NY 11944 Application Number: 4022418 Section: Block: Lot: Certificate Number: 4022418 Building Permit:. BDC: ns11 Described as a Commercial occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located id/on the premises at: Basement, Fimt Floor, Ou~ide, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed 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 authority having jurisdiction, and found to be in compliance therewith on thet2m Day of Ky. z~. Nam~ OTY Rate Ratiaa Circuits TYI~ Fixture 3 0 2x4-prism Fluorescent Fixture 11 0 ~ R~t F~m 48 0 ~ ~ R~ ~ 0 GFCI seal 2 or 2 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. 34256 Z Date OCTOBER 27, 2008 Permission is hereby granted to: SIMEON BY THE SOUND SAN PO BOX 2122 GREENPORT,NY 11944 for : ADDITIONS AND ALTERATIONS TO AN EXISTING HEALTH CARE FACILITY AS PER PLANNING & NYS DOH AS APPLIED FOR ~ 7~ ~ l~'~' ~ik~ at premises located at 61560 CR 48 GREENPORT County Tax Map No. 473889 Section 045 Block 0002 Lot No. 002 pursuant to application dated FEBRUARY 22, 2008 and approved by the Building Inspector to expire on APRIL Fee $ 10,914.00 27~, 2010 ORIGINAL Rev. 5/8/02 29 Old Dock Road, Yaphank, New York 11980-9702 · Tel: 631-567-8000 · Fax: 631-567-8273 April 27, 2009 Mr. Philip A. Florie J. Petrocelli Construction, Inc. 100 Comac Street Ronkonkoma, NY 11779 Re: San Simeon by the Sound GLS Job # 17991A License # 4135-E Petrocelli Contract No. 284102 Electrical System Dear Mr. Florie: This letter will certify that all electrical systems have been installed in conformance with applicable codes (e.g. NFPA 70) and approved plans; are full operational and the job is 100% complete. Please call should you have any questions regarding this matter. Very Truly Y~urs, "S'~ve Cumings Project Manager SC/md TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROU~H/~PLBG. [ ] FOUNDATION 2ND [ ]~/~,~JI. ATION [ ] FRAMING / STRAPPING [ ~ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION REMARKS: // DATE ~ INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPEC?H I [ ] FOUNDATION 1ST [ ~,"]'ROUGH PLBG. [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ] INSULATION ["t FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND ['~L~INSULATION ~STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMA~RKS:~ _ _~ DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTI/ON [ ] FOUNDATION 1ST [z-~/ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTAI(T CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS:~--~G, }~)..- ~ ~ /_-o~ ~ DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [~ INSULATION STR~F~ING FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT. PENETRATION _ ~ ~~ ' ~:~_.~. ~.:~ DATE '~ --;~'-0 ~ INSPECTOR~ ~ TOWN OF SOUTHOLD BUILDING DEPT. 765-t 802 I NSPECTI ON FOUNDATION 1 ST [ ,~ROI~ [ ] IGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ] FRAMING / STRAPPING [ ] FINAL /~/~-~/-'~ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: ~ ~'~---" ~"~-~ DATE ~ INSPECTOR TOWN OF SOUTHOLD BU1LDI~O PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you h~,* o~ ~ ~h~ following, b~ffme applyia$~ TOWN HALL Bo~ of H~lth SOUTHOLD, NY 1~1971 4 ~.ofB~ Pbm_ SoUth~dTow~,No.rthForknet PERMIT NO. ~ __ "J 0 Coataa: APPLICATION FOR BUILDING PERM._ INSTRUCTIONS a. This applic~on MUST be completely rifled in by typewrtter or in ink and submitted to tho Building Inspector with 4 sets of plans, accura~ plot ptan to scale. Fee according to schedule. b. Plot pl~ flwwing location of lot and of buildings aa I~emi~s, rclafiom/fip to adjoining I~'emises or public ~a'oct s or areas, and wa~rwnys. d. Upon approval of this applicalion, the Building Inspector will i~sue a Building Permit to the applicant. Such a permit ~mll be ~ on the ln'emhez available for inspection ~atonghont file ma~k~ o. No building shall bo occupied or used in whole or in part for any puqx~o what m ever until the Building Inspector issues a Ce~ficate of Occupancy. f. Every buildMg peonit ahab ~Mre if~h¢ work nothoriz~d has not co~maenc, ad wi~n 1:2 m~xa~hs after ~he date of property have been enacted in ~ho interim, the Building Inspector may acthorize, in writing. ~h~ ex'~nsion of the permit for an addition ~ix mon~. Thereat~r, a new lgrmit dmlt be required. APPLICATION 18 HEI~BY MADE to the Building Department for ~h¢ issuance of a Building Pea-mit purmaat to the Building Zoo~ Ordinam~ or,he Town of Southold, Suffolk County, Now Yorig and o~er appliezble Laws, Ordinances or Regelalions, for the ¢ons~'u~lion of buildings, mtditions, or alterali ..o~.s. or for removal or ~molifien as h~ein dem-ibed. Th.~ authorizad inspectors on premises nnd in building for necessav/mspeefiens. / ~./~ 61700 ROoM 48, Om~port, NY 11944 State whethecappli~ant is owner, lessee, agent, architect, engineer, general comraetor, electrician, plumber or builder Own~ Name of owner of premises San Simeon By The Sound, Inc. (As on ~h~ tax roll or later de~l) If applicant is a corporation, signature of duly authorized officer (Name and title of eorpomt~ offi~r) Builders License No. Plumbers License No. Electricians License No. Oth~r Trade's Lie, cng No. 1. Location of land off which proposed work will be done: 6170O Route 48 Ome~port House Number Stm~t Hamlet County Tax Map No. 1000 Section 45 Block 02 Lot 2 Subdivision Filed Map No. Lot INSPECTION REPORT [ DATE COMIVIENTS FOUNDATION (1ST) FOE(NDATION (2ND) ROUGH FI:C~]qG & pLkr55BING I~NSU~,ATION PEiq N. STATE ENERGY CODE ADDITIONAl, COMMENTS 2. Sdte existing usc and occupancy of premises and intended ese and occupancy of proposed construction: a. Existing use and occupancy Nurs~o NOm~ b. Intended use and occupancy Nursing Homo 3. Nature of work (check which appliosble): New Building Repair Removal Demolition 4. Estimated Cost 2,000,000 $. If dwelling, number of dwelling units WA if gamin, number of ears 6. 7. Fee Addition Alteration x Other Work (Description) (To be paid on filing this application) Number ofd~lling units on each floor N/A If business, commercial or mix~l occupancy, specify nature and extent of each type of usu. Nu~g Dimenaionsofexiatingstns~tures, ifnny:Front 2a~.3 Rsur 234.3 Depth 1042 Height 15 Feet Number of Stories One Dimensions of same structure with aReeafions or add,ons: Front No Cha~e Rear No Change Depth No Chan~e Height No Change Number of Stories No Change I)imensiomofontircnewcoustrnction:Fronl NoChange .Rear NoChaoce Depth NoChange Height No Change Number of Stories No Change Sizcoflot:Front Sg0Feet Rear 390F~t Depth 400Feet 10. Date of Purchase. Name of Former Owner. 11. Zone or use district in which premises ans sitoated 12. Does proposed construction violate any zonin~ law, ordinance or regulation? YES__ NO X 13. Will lot be rc-graded? YES__ NO x Will excoss fill be removed from pmmises? YES NO__ 14. Hames of Owner of pmmisus Address photo No. NarncofArchitect JoenW. Snu~CAddreas :~n,,.,~,/.~.sv,m phoneNo 516-~9-2333 Name of Contractor. .~__._.._Address phonc No. 15 a. Is this propcrty within 100 feet of a tidal wetland or a freshwater wctland? *YES __NO X * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within ~g)0 fcot of a tidal w~dand? * YES NO X * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Providc survey, to scale, with nncurnte fotmdation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covcnante and rcsMotions with rcsp~t to this propcn~? * YES__ · IF YES, PROVIDE A COPY. NO STATE OF NEW YORK) SS: cou~ oFf;bi (Nme of M~vid~l ~ing (S)Heis ~o ~f~ 5i~ ~.~ (~, A~mt, ~ ~, ~c.) of~d ~o~ ~ b ~y~ ~ ~ ~ ~w ~ ~e ~d ~ ~ ~ ~ ~ fi~ ~ a~I~gm; Si~of Applic, am Richard E Daines, M.D. Commissioner STATE OF NEW YORK DEPARTMENT OF HEALTH Metropolitan Area Regional Office Courthouse Corporate Center 320 Carleton Avenue., Suite 5000 Central Islip, New York 11722 (631) 851-3080 July 21, 2009 Wendy E. Saunders Executive Deputy Commissioner Priscilla DeMasi Executive Director San Simeon by the Sound Center for Nursing and Rehabilitation 61700 Route 48, P.O. Box 2122 Greenport, NY 11944 JUL 3 0 2009 BLDG. DEPT. TOWN OF SOUTHOLO CON # 071038 San Simeon by the Sound Center for Nursing and Rehabilitation (Suffolk County) Construct and Renovate to Develop a Thirty (30) Slot Medical Model Adult Day Program and Decertify Thirty (30) Residential Health Care Facility Beds (Supersedes 563316 and 062242) Rightsizing and HEAL Phase II Grant Project - HE: Phase 1-> 1 West Thirty (30) Bed Unit & One - Half of Lobby Dear Ms. DeMasi: Based on the pre-opening survey conducted on May 19, 2009, the facility was found to be in substantial compliance with the applicable provisions of 10 NYCRR. As a result of this inspection, approval is granted to occupy the Phase 1 areas of the project. This approval is effective July 14, 2009. If you have any questions regarding this letter, please contact Chris Romano at (631) 851-3654, cm-r04~health.state.ny.us Sincerely, Christopher Romano Principal Sanitarian MARO LI Office CON Coordinator "PLANNING BOARD MEMBERS JERILYN B WOOl)HOUSE Chair KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON JOSEPH L. TOWNSEND PLANNING BOARD OFFICE TOWN OF SOUTHOLD MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 September 23, 2008 Ms. Priscilla DeMasi cio San Simeon by the Sound P.O. Box 2122, 61700 Route 48 Greenport, NY 11944 Re: Site Plan Approval for San Simeon by the Sound Located on the south side of CR 48, approximately 700 feet east of Chapel Lane, in Greenport SCTM#1000-45-2-2 Zoning District: HD Zone Dear Ms. DeMasi: The Southold Town Planning Board, at a meeting held on Monday, September 22, 2008 adopted the following resolutions: WHEREAS, the applicant, Priscilla DeMasi, submitted an amended site plan application on May 14, 2008 for alterations to an existing nursing home facility to include change of room lay-out in existing buildings and additions of stairs, a canopy, a generator, a freezer and adding two new parking areas for an out-patient care area; and WHEREAS, on June 30, 2008, the Planning Board accepted this application; and WHEREAS, on July 2, 2008, the Planning Board, pursuant to Southold Town Code §280-131 C., distributed the application to agencies for their comments, and the following agencies responded: Town Engineer, Architectural Review Committee, LWRP Coordinator; Suffolk County Planning Commission, Greenport Fire Commissioners; and WHEREAS, the comments from those agencies referenced above were received and accepted by the Planning Board, discussed with the applicant, and incorporated into the site plan to the satisfaction of the Planning Board; and WHEREAS, on September 22, 2008, the Southold Town Building Inspector reviewed the plan and certified that the proposed use as an adult day care is a permitted use in the Hamlet Density Zoning District; and San Simeon by the Sound Pa,qe Two September 23, 2008 WHEREAS, the Southold Town Planning Board, pursuant to Southold Town Code §280-131 B (5), has the discretion to waive some of or all of the parking requirements for those applications where the change proposed will not have an effect on the public health, safety, or general welfare. The Planning Board has found that the parking for this application may be relaxed for the following reasons: the alterations proposed are not changing the size of the building as the proposed is to alter the configuration of the interior, and the proposed project is providing for sufficient additional parking to serve the new use of adult daycare; and WHEREAS, the Southold Town Planning Board, pursuant to Southold Town Code §280-131H, has the discretion to waive the public hearing requirement for applications involving modification to existing structures with no substantial change to the existing footprint, and not requiring significant changes to the existing site design features. The Planning Board has found that the public hearing for this application may be waived for the following reasons: this is an existing site that had previously been before the Board for a related site plan application approved on December 23, 1996, the uses on site have not changed; it has been determined that the overall proposal would not have an adverse effect on surrounding properties; and WHEREAS, the Southold Town Planning Board, pursuant to §280-133 C. of the Southold Town Code, has the discretion to waive any or all of the requirements in §280- 133 for those applications involving modifications to existing structures with no substantial change to the existing footprint. The Planning Board has found that requiring the entire set of site plan application requirements for this site is not necessary to further the objectives set forth in Town Code §280-129 and maintain public health, safety, and welfare for the following reasons: the application is for an amended site plan previously approved by the Board, and the parcel has been used in the same configuration as previously reviewed and approved; therefore, be it RESOLVED, that the Southold Town Planning Board, pursuant to State Environmental Quality Review (SEQR) (6 NYCRR, Part 617.5 (c) (3), has determined that the proposed action is a Type II Action, and not subject to review under SEQR; and be it further RESOLVED, that the Southold Town Planning Board hereby waives the public hearing requirement, and site plan application requirements, except for the following items: §280-133 A. (1), (2), (3), (4), (5), B. (1)(a), (b), (c), (d), (e), (f), (g), (h), (j), (k), (3) (a),(b),(c partial), (d), (4) (a),(b), (c), (e-partial),(f), (g-partial), (h), and (i); 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 determined that the action is consistent as outlined in the September 15, 2008 memo prepared by the LWRP Coordinator; and be it further San Simeon by the Sound Pa.qe Three September 22, 2008 RESOLVED, that the Southold Town Planning Board grants approval, and authorizes the Chairperson to endorse the site plan entitled "San Simeon by the Sound Inc." prepared by Howard Young, Land Surveyor, dated August 21, 2008. Please also note the following required by Town Code: 1. Any outdoor lighting shall be shielded so 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. 2. All storm water run-off from grading, driveways and gravel areas must be contained on site. 3. Approved site plans are valid for three years from the date of approval, within which time all proposed work must be completed, unless the Planning Board grants an extension. 4. Any changes from the approved site plan shall require Planning Board approval. 5. Prior to the issuance of a Certificate of Occupancy, the Planning Board must inspect the site to ensure it is in conformity with the approved site plan, and issue a final site inspection approval letter. Should the site be found not in conformance with the approved site plan, no Certificate of Occupancy may be issued unless the Planning Board approves the changes to the plan. A copy of the approved site plan is enclosed for your records. One copy will also be sent to the Building Department and the Town Engineer/Highway Department. If you have any questions regarding the above, please contact this office. Very truly yours, dhouse Chairperson encl. CC: Southold Town Building Department w/map Southold Town Engineer w/map By signing this letter, the applicant acknowledges that there are Town Code requirements listed above that must be satisfied prior to the issuance of a Certificate of Occupancy. × Priscilla Demasi, Applicant STATE OF NEW YORK DEPARTMENT OF HEALTH Corning Tower The Governor Nelson A. Rockefeller Empire State Plaza Albany, New York 12237 Richard E Dairies. M.D. Commissioner November 30, 2007 Wendy E. Saunders Chief of Staff Mr. Joseph Madello Horan, Martello, Morrone, P.C. 527 Townline Road, Suite 203 Hauppauge, New York 11788 Re: 071038 - H San Simeon By the Sound Center for Nursin9 and Rehabilitation (Suffolk County) Construct and renovate to develop a 30 slot Medical Model Adult Day Program and decertify 30 residential health care facility beds (Supercedes 563316 and 062242) Rightsizing and HEAL Phase II grant project ($6,695,058) Dear Mr. Martello: The Department of Health approves the above application in accordance with the administrative review provisions set forth in 10 NYCRR section 710.1(c)(3). Approval of this application is subject to the enclosed contingencies first being satisfied. In addition to the contingencies, the Department approves this application with the enclosed conditions. You are expected to comply with these conditions throughout the operation of this project. Three (3) copies of documentation that addresses these contingencies must be sent, within sixty (60) days of receipt of this letter, to the: Bureau of Project Management Division of Health Facility Planning Office of Health Systems Management NYS Department of Health 433 River Street, 6m Floor Troy, New York 12180-2299 (518) 402-0911 Failure to meet the 60-day deadline could result in this project being deemed abandoned as set forth in 10 NYCRR section 710.10(c)(1). Pursuant to the provisions of 10 NYCRR Parts 86 and 710, you may not begin the construction or operation of any aspect of this project, or receive reimbursement for costs associated with this project, unless all required written approvals are obtained. Before beginning any aspect of this project, you must complete the following steps: submit written materials to satisfy the enclosed contingencies and receive written approval from the Division of Health Facility Planning (DHFP) indicating the satisfaction of all contingencies; after receiving a letter from DHFP confirming that all contingencies have been met, submit a written request to, and receive written approval from, the Bureau of Architectural and Engineering Facility Planning to begin construction, and; develop a plan to ensure the health and safety of all patients and staff during construction. This plan must comply with all applicable sections of the National Fire Prevention Association (NFPA) 101 Life Safety Code (1997 Edition) and all applicable sections of the State Hospital Code during construction. The plan may require you to separate residents, patients, staff and essential support services from the construction site and/or provide them with an alternative means of egress. Please have the plan available to regional office staff at the time of their on-site visit. You are responsible for ensuring that this project complies with all applicable statutes, codes, rules and regulations. Should violations be found when reviewing documents, or at the time of on-site inspections or surveys, you will be required to correct them. Additional costs incurred to address any violations will not be eligible for reimbursement without the prior approval of the Department. Aisc, in accordance with 10 NYCRR section 710.5, any change in the scope of this project requires prior approval from the Department and may require a new or amended application. If you have any questions concerning this letter, please contact the Bureau of Project Management at (518) 402-0911. Sincerely, James W. Clyne, Jr. Deputy Commissioner Office of Health Systems Management Enclosure 2 COMcheck Software Version 3,5.3 Envelope Compliance Certificate 2007 New York Energy Conservation Construction Code Report Date: 10122/08 Data filename: H:~Projects\Sterling~00?\16209-SanSimeon\1.0 Admin Design\l 40RegApprovals\ComCheckPh1&2.cck Section 1: Project Information Project Type: Addition Project Title: San Simeon by the Sound Construction Site: 61700 Route 48 Greenport, NY 11944 Owner/Agent: Priscilla DeMasi San Simeon by the Sound 61700 Route 48 Greenporf, NY 11944 631.477.2110 pdemasi@sansimeonbythesou nd,corn Designer/Contractor: Thomas Campiglia TCA Architecture 2 Park Avenue, M2 New York, NY 10016 212.6867.1858 tc@tcaarch corn Section 2: General Information Building Loc. etlon (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 Vertical Glazing / Wall Area Pct.: 18% Buildino Tvoe Floor Area Medical and Clinical Care 21512 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: Other 21512 ...... 0.028 0.059 Exterior Wall 1: Other, HC 1 .O 6008 .... 0.095 0.090 Window 1: Vinyl Frame:Double Pane, Clear, SHGC 0.85 1224 ...... 0.310 0.598 Door 1: Solid 231 ...... 0.560 0:142 Basement Wall 1: Solid Concrete or Masonry > 8", Furdng: None, 3484 --- 4.0 0.175 0.1'~3 Wall Ht 5.0, Depth B.G. 40 (a) Budget U-factors are used for software baseline calculations ONLY, and are not code requirements Air Leakage, Component Certification, and Vapor Retarder Requirements: F'I 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 cedified. [] 4. thsulation installed according to manufacturer's inst~ucSons, in substantial contact with the surface being insulated, and in a manner that achieves the rated R-value without compressing the insulation. [] 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. Project Title: San Simeon by the Sound Report date: 10/22/08 Datafilename: H:\Projects\Sterling~007\16209-SanSimeon\1.0 Admin Design\l.40RegApprovals\ComCheckPhl&2,cck Page 1 of 9 [] 7. Cargo doors and loading dock doors are weather sealed. ~J 8. Recessed lighting fixtures are: (i) Type ~C rated and sealed or gasketed; or (ii) installed inside an appropriate air-tight assembly with a 05 inch clearance from combustible materials and with 3 inches clearance from insulation material L] 9. Vapor retarder installed. Section 4: Compliance Statement Compliance Statement: The proposed envelope design 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 2007 New York Energy Conservation Construction Code requirements in COMcheck Version 3.5.3 and to comply with the mandatory requirements in the Requirements Checklist. belief, and Title Date Project Title: San Simeon by the Sound Report date: 10/22/08 Data filename: H:\Projects\Steding~2007\16209-SanSimeon\ 1,0_Admin_Design\l.40RegApprovals\ComCheckPhl&2.cck Page 2 of 9 ~COMcheck Software Version 3,5.3 Interior Lighting and Power Compliance Certificate 2007 New York Energy Conservation Construction Code Report Date: 10/22/08 Data filename: H:~Pr~jects\Ster~ing\2~7\162~9.SanSime~n\1.~-Admin-Design\1~4~RegAppr~va~stC~mCheckPh1&2.cck Section 1: Project Information Project Type: Addition Project Title: San Simeon by the Sound Construction Site: 61700 Route 48 Greenpert, NY 11944 Owner/Agent: Priscilla DeMasi San Simeon by the Sound 61700 Route 48 Greenport, NY 11944 631.477.2110 pdemasi@sansimeonbythesound.com DesignedContractor: Thomas Campiglia TCA Architecture 2 Park Avenue, M2 New York, NY 10016 212.68671858 tc@tcaarch.com Section 2: General Information Building Use Description by: a uildir~g .'l~yp~ I~!oor Area Medicar and Clinic. ar Care 21512 Section 3: Requirements Checklist Interior Lighting: ~, ~1 1. Total proposed watts must be less than or equal to total allowed watls. Allowed Watts Proposed Watts Complies 25814 11213 YES I~1 2~ Exit signs 5 Watts or less per side Exterior Lighting: [] 3. Efficacy greater than 45 lumensNV Exceptions: Specialized lighting highlighting features of histobc buildings; signage; safety or securi[y lighting; Iow-voltage landscape lighting, Controls, Switching, and Wiring: [] 4. Independent controls for each space (switch/occupancy sensor) Exceptions: Areas designated as security or emergency areas that must be continuously illuminated. Lighting in stairways or corridors that are elements of the means of egress. [] 5. Master switch at entry to hotel/motel guest room, [] 6. Individual dwelling units separately metered. [] 7. Each space provided with a manual control to provide uniform light reduction by at least 50% Exceptions: Only one luminaire in space; An occupant-sensing device controls the area; The area is a corridor, storeroom, restroom, public lobby or guest room; Areas that use less than 06 Watts/sq.tt. Project Title: San Simeon by the Sound Report date: 10/22f08 Data filename: H:\Projects\Steding~2007\16209-SanSimeon\ 1.0_Admin_Design\l.40RegApprovals\ComCheckPh l&2.cck Page 3 of 9 [] 8 Automatic lighting shutoff control in buildings larger than 5,000 sq.ft. Exceptions: Areas with only one luminaire, corridors, storerooms, restrooms, or public lobbies. [] 9. Photocell/astronomical time switch on exterior lights, Exceptions: Lighting intended for 24 hour use. [~i 10.Tandem wired one-lamp and three-lamp ballasted luminaires (No single-lamp ballasts). Exceptions: Electronic high-frequency ballasts; Luminaires on emergency circuits or with no available pair [] II.Transformers meet minimum efficiencies listed in Table 805.6,1 or 805.6.2. Section 4: Compliance Statement Compliance Statement: The proposed lighting design represented in this document is consistent with the building plans, specii~cations and other calculations submitted with this permit application. The proposed lighting system has been designed to meet the 2007 New York Energy Conservation Construction Code requirements in, comply with the mandatory requirements in the Requirements Checklist, Name - Title Dale Project Title: San Simeon by the Sound Report date: 10/22/08 Data fllename: H:\Projects\Sterling~007~16209-SanSimeon\l.0_Admin_Design\1.40RegApprovals\ComCheckPhl&2 cck Page 4 of 9 COMcheck Software Version 3.5.3 Interior Lighting Application Worksheet 2007 New York Energy Conservation Construction Code Report Date: Data filename: H:\Projects\Steding~2007~16209-SanSimeon\1.0_Admin_Design\l.40RegApprova~s\ComCheckPhl&2.cck Section 1: Allowed Lighting Power Calculation A B C D Floor Area Allowed Allowed Watts Watts I ft2 Medical and Clinical Care 21512 1.2 25814 Total Allowed Watts = 25814 Section 2: Proposed Lighting Power Calculation A B C D E Fixture ID: Description I Lamp I Wattage Per Lamp I Ballast Lamps/ # of Fixture (C X D) Fixture Fixtures Watt. Medical and Clinical Care (21512 sq.ft.) Compact Fluorescent 1: Triple 4-pin 26W / Electronic 1 215 26 5590 Linear F~uorescent 1: 48" T8 32W / Electronic 3 138 32 4416 Halogen 1: Halogen MR-16 50W 1 2 50 100 Compact Fluorescent 2: Twin Tube 24/26/27W / Electronic 1 41 27 1107 Total Proposed Watts = 11213 Section 3: Compliance Calculation If the Total Allowed Watts minus the Total Proposed Waits is greater than or equal to zero, the building complies. TotalAllowed Watts = 25814 Total Proposed Watts = 11213 Project Compliance = 14601 Project Title: San Simeon by the Sound Report date: 10122108 Data filename: H:\Projects\Sterling~007\16209-Sa nSimeon\t 0_Admin_Design\l.40RegApprovals\ComCheckPhl&2,cck Page 5 of 9 COMcheck Software Version 3.5.3 Mechanical Compliance Certificate 2007 New York Energy Conservation Construction Code Repod Date: 10/22/08 Data filename: H:\Projects\Sterling~2007\16209-SanSimeon\1.OAdmin_Design\1 ~40RegApprovals\ComCheckPhl&2.cck Section 1: Project Information Project Type: Addition Project Title: San Simeon by the Sound Construction Site: 61700 Route 48 Greenport, NY 11944 Owner/Agent: Priscilla DeMasi San Simeon by the Sound 61700 Route 48 Greenport, NY 11944 631.477.2110 pde masi@sansimeonbythesound .corn 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 DesignedContractor: Thomas Campiglia TCA Architecture 2 Park Avenue, M2 New York, NY 10016 212.6867.1858 tc@tcaarch.com Section 3: Mechanical Systems List ' ,: Quan_ti~y System Type & De_sc_r. iption 1 HVAC System 1: Heating: Hydronic or Steam Coil, Hot Water / Cooling: Packaged Terminal Unit, Capacity 7000 , Btu/h, Air-Cooled Condenser / Multiple-Zone 1 Plant 1: Heating: Hot Water Boiler, Capacity >=600 kBtu/h, Gas, with Two-pipe changeover system Section 4: Requirements Checklist Requirements Specific To: HVAC System I: []1. Equipment minimum efficiency: Packaged Terminal DX Unit: 11 0 EER []2. Minimum one temperature control device per zone []3. Newly purchased cooling equipment meets the cooling efficiency requirements [_j4. Balancing and pressure test connections on all hydronic terminal devices []5. Systems serving more than one zone must be VAV systems []6 Dual-duct VAV mixing boxes installed to minimize mixing []7. Controls capable ol~ resetting supply air temp (SAT) by 25% of SAT-room tamp difference Requirements Specific To: Plant I: [-I1. Equipment minimum efficiency; Boiler Thermal Efficiency >= 75% Et []2. Newly purchased heating equipment meets the efficiency requirements - used equipment must meet 80% Et ~ maximum capacity ~1 3. Two-pipe changeover heating/cooling controls must have: a) 15 degrees F deadband where boiler and chiller can not operate, b) allow operation in either heating or cooling for at least 4 hrs. and c) prevent difference between heating and cooling set points greater than 30 degrees F [..J 4. Systems with multiple boilers have automatic controls capable of sequencing boiler operation [] 5. Hydronic heating systems comprised of a single boiler and >500 kBtu/h input design capacity include either a multistaged or modulating burner Project Title: San Simeon by the Sound Report date: 10/22108 Data filename: H:\P~ojects\Steding~OO7\16209-SanSimeon\ 1.0_Admin_Design\1.40RegApprovals\ComCheckPh l&2.cck Page 6 of 9 Generic Requirements: Must be met by all systems to which the requirement is applicable: [] 1. Load calculations per 2001 ASHRAE Fundamentals [] 2 Plant equipment and system capacity no greater than needed to meet loads Exception: Standby equipment automatically off when primary system is operating Exception: Multiple units controlled to sequence operation as a function of load [] 3. Minimum one temperature control device per system E] 4. Minimum one humidity control device per installed humidification/dehumidification system I~ 5. Thermostatic controls has 5 degrees F deadband Exception: Thermostats requiring manual changeover between heating and cooling rq 6. Automatic shut-off dampers on exhaust systems and supply systems with airflow >3,000 cfm II 7. Outside~air source for ventilation; system capable of reducing OSA to required minimum I~ 8. R-5 supply and return air duct insulation in unconditioned spaces R-8 supply and return air duct insulation outside the building R-8 insulation between ducts and the building exterior when ducts are part of a building assembly - Exception: Ductslocated within equipment ~ Exception: Ducts with interior and extedor temperature difference not exceeding 15 degrees F. [] 9. Ducts sealed - longitudinal seams on rigid ducts; transverse seams on all ducts; UL 181A or 181B tapes and mastics Exception: Continuously welded and locking-type longitudinal joints and seams on ducts operating at static pressures less than 2 inches w.g. pressure classification [] 10.Mechanical fasteners and sealants used to connect ducts and air distribution equipment [] 11, Hot water pipe insulalion: I in. for pipes <=1.5 in. and 2 in. for pipes · 1.5 in. Chilled water/refrigerant/brine pipe insulation: 1 in. for pipes <=1.5 in. and 1.5 in. for pipes >1.5 in. Steam pipe insuration: 1.5 in. for pipes <=1.5 in, and 3 in. for pipes >1.5 in. Exception: Piping within HVAC equipment Exception: Fluid temperatures between 55 and 105 degrees F Exception: Fluid not heated or cooled Exception: Runouts <4 ff in length [] 12.Operation and maintenance manual provided to building Owner [] 13.Balancing devices provided in accordance with 603.15 of Mechanical Code for New York State [] 14, Hot water distribution systems >=300 kBtu/h must have one of the following: a) controls that reset supply water temperature by 25% of supply/return delta T b) mechanical or electhcal adjustable~speed pump drive(s) c) two-way valves at all heating coils d) multiple-stage pumps e) other system controls that reduce pump flow by.~t lea~t 50% based on load - calculations required [] 15,Stair and elevator shaft vents are equipped with motorized dampers [] 16.Three-pipe systems not used Section 5: Compliance Statement Compliance Statement: The proposed mechanical design represented in this document is consistent with the building plans, specifications and other calculations submitted with this permit application. The have been designed to meet the 2007 New York Energy Conservation Construction Code re with the mandatory requirements in the Requirements Checklist. Date Project Title: San Simeon by the Sound Report date: 10/22f08 Data filename: H:\Projects\Sterling~007\16209-SanSimeon\1,0_Admin Design~l.40RegApprovals\ComCheckPhl&2.cck Page7of 9 COMcheck Software Version 3,5.3 Mechanical Requirements Description 2007 New York Energy Conservation Construction Code Report Date: Data filename: H:\Pr~jects\ster~ing~7\162~9~Sansime~n\1~-Admin-Design\1.4~RegAppr~va~s\C~mcheckPh1&2.cck The following list provides more detailed descriptions of the requirements in Section 4 of the Mechanical Compliance Certificate. Requirements Specific To: HVAC System I: I. The specified heating and/or cooling equipment is covered by the 2007 New York Energy Conservation Construction Code and must meet the following minimum efficiency: Packaged Terminal DX Unit: 11.0 EER 2. Each zone of a multiple-zone system must have its own temperature control device, 3. The specified cooling equipment is covered by Federal minimum efficiency requirements. New equipment of this type can be assumed to meet or exceed 2007 New York Energy Conservation Construction Code requirements for equipment efficiency. 4. Hydronic heating and cooling coils must be equipped with a way to pressure test connections and measure and balance water flow and pressure. 5. Systems serving multiple thermostatic control zones must be variable-flow systems Zone terminal controls must reduce the flow of primary supply air before reheating, recooling, or mixing air streams. 6. The specified system includes both warm-air and cool-air ducts. Zone terminal devices must be installed that reduce the flow of air through each duct to a minimum before mixing with air from the other duct, 7. Multiple-zone systems must include controls capable of resetting the supply air temperature by at least 25% of the difference between the design supply air temperature and the design room temperature.' Requirements Specific To: Plant 1: 1. The specified heating and/or cooling equipment is covered by the 2007 New York Energy Conservation Construction Code and must meet the following minimum efficiency: Boiler Thermal Efficiency ~= 75% Et 2. The specified heating equipment is covered by Federal minimum efficiency requirements. New equipment of this type can be assumed to meet or exceed 2007 New York Energy Conservation Construction Code requirements for equipment efficiency. Used equipment must meet 80% Et @ maximum capacity. 3. Two-pipe changeover heating/cooling controls must:a) allow a deadbend between changeover from one mode (heating/cooling) to the other of at least 15 degrees F outside temperaturesb) allow operation in one mode (heating/cooling) for at least 4 hours before bhanging over to the other modec) allow heating and cooling supply temperatures at the changeover point to be no more than 30 degrees F apart. 4. Systems with multiple boilers have automatic controls ~apable of sequencing the operation of the boilers. 5. Hydronic heating systems comprised of a single boiler and >500 kBtu/h input design capacity include either a multistaged or modulating burner. Generic Requirements: Must be met by all systems to which the requirement is applicable: 1. Design heating and cooling loads for the building must be determined using procedures in the ASHRAE Handbook of Fundamentals or an approved equivalent calculation procedure, 2. All equipment and systems must be sized to be no greater than needed to meet calculated loads A single piece of equipment providing both heating and cooling must satisfy this provision for one function with the capacity for the other function as small as possible, within available equipment options. Exception: The equipment and/or system capacity may be greater than calculated loads for standby purposes. Standby equipment must be automatically controlled to be off when the primary equipment and/or system is operating. Exception: Multiple units of the same equipment type whose combined capacities exceed the ca[culated load are allowed if they are provided with controls to sequence operation of the units as the load increases or decreases, 3. Each heating or cooling system serving a single zone must have its own temperature control device 4. Each humidification system must have its own humidity control device, 5. Thermostats controlling both heating and cooling must be capable of maintaining a 5 degrees F deadband (a range of temperature where no heating or cooling is provided). Exception: Deadband capability is not required if the thermostat does not have automatic changeover capability between healing and cooling. 6. Outdoor-air supply systems with design airflow rates >3,000 cfm of outdoor air and all exhaust systems must have dampers that are automatically closed while the equipment is not operating. Project Title: San Simeon by the Sound Report date: 10/22/08 Data fllename: H:\Projects\Sterflng~007H6209-SanSimeon\l.0 Admin Design\1.40RegApprovals\ComCheckPhl&2,cck Page 8 of 9 7. The system must supply outside ventilation air as required by Chapter 4 of the Mechanical Code for New York State. tf the ventilation system is designed to supply outdoor-air quantities exceeding minimum required levels, the system must be capable of reducing outdoor-air flow to the minimum required levels. 8. Air ducts must be insulated to the following levels:a) Supply and return air ducts for conditioned air located in unconditioned spaces (spaces neither heated nor cooled) must be insulated with a minimum of R*5. Unconditioned spaces include attics, crawl spaces, unheated basements, and unheated garages.b) Supply and return air ducts and plenums must be insulated to a minimum of R-8 when located outside the building.c) When ducts are located within exterior components (e.g., floors or roofs), minimum R-8 insulation is required only between the duct and the building exterior. Exception: Duct insulation is not required on ducts located within equipment. Exception: Duct insulation is not required when the design temperature difference between the interior and exterior of the duct or plenum does not exceed 15 degrees F. 9. All joints, longitudinal and transverse seams, and connections in duciwork must be securely sealed using weldments; mechanical fasteners with seals, gaskets, or mastics; mesh and mastic sealing systems; or tapes. Tapes and mastics must be listed and labeled in accordance with UL 181A or UL 181B. Exception: Continuously welded and locking-type longitudinal joints and seams on ducts operating at static pressures less than 2 inches wg pressure classification. 10. Mechanical fasteners and seals, mastics, or gaskets must be used when connecting ducts to fans and other air distribution equipment, including multiple*zone terminal units. 11. All pipes serving space-conditioning systems must be insulated as follows: Hot water piping for heating systems: 1 in. for pipes <=1 1/2-in. nominal diameter 2 in. for pipes >1 1/2-in. nominal diameter. Chilled water, refrigerant, and brine piping systems: 1 in. insulation for pipes <=1 1/2-in. nominal diameter 1 1/2 in. insulation for pipes >1 1/2-in. nominal diameter. Steam piping: 1 1/2 in. insulation for pipes <=1 1/2-in. nominal diameter 3 in. insulation for pipes >1 1/2-in. nominal diameter. Exception: Pipe insulation is not required for factow-installed piping within HVAC equipment. Exception: Pipe insulation is not required for piping that conveys fluids having a design operating temperature range between 55 degrees F and 105 degrees F. - Exception: Pipe insulation is not required for piping that conveys fluids that have not been heated or cooled through the use of fossil fuels or electric power. Exception: Pipe insulation is not required for runout piping not exceeding 4 ff in length and 1 in. in diameter between the control valve and HVAC coil 12. Operation and maintenance documentation must be provided to the owner that includes at least the following information:a) equipment capacity (input and output) and required maintenance actionsb) equipment operation and maintenance manualsc) HVAC system control maintenance and calibration information, including wiring diagrams, schematics, and control sequence deschptions; desired or field-determined set points must be permanently recorded on control drawings, at control devices, or, for digital control systems, in programming commentsd) complete narrative of how each system is intended, to o~erate. ~ ' , 13. Each supply air oufiet or diffuser and each zone terminal device (such as V,~V or mixing box) must have its own balancing device, Acceptable balancing devices include adjustable dampers located within the ductwork, terminal devices, and supply air diffusers. 14. Hot water space-heating systems with a capacity exceeding 300 kBtu/h supplying heated water to comfort conditioning systems must include controls that automatically reset supply water temperatures by representative building loads (ibcluding return water temperature) or by outside air temperature. Exceptions: - Where the supply temperature'reset controls cannot be implemented without causing improper operation of heating, cooling, humidification, or dehumidification systems. - Hydronic systems that use variable flow to reduce pumping energy. 15. Stair and elevator shaft vents must be equipped with motorized dampers capable of being automatically closed during normal building operation and interlocked to open as required by fire and smoke detection systams, All gravity outdoor air supply and exhaust hoods, vents, and ventilators must be equipped with motorized dampers that will automatically shut when the spaces sen/ed are not in use. Exceptions: - Gravity (non-motorized) dampecs are acceptable in buildings less than three stories in height above grade. - Ventilation systems serving unconditioned spaces. 16. Hydronic systems that use a common return system for both hot water and chiJled water must not be used. Project Title: San Simeon by the Sound Report date: 10/22/08 Data filename: H:\Projects\Sterling\2007~16209-SanSimeon\1.0_Admin_Design\l .40 RegApprovals\ComCbeckPh l&2cck Page 9 of 9 CONSENT TO INSPECTION San Simeon by the Sound Owner(s) Name(s) · the undersigned, do(es) hereby sine: That the undersigned (is) (are) the owner(s) oflhe premises in the Town of Soulhold, located at 61700 Route 48 , which is shown and designated on lhe Suffolk County Tax Map ~s District 1000, Section 45 ,Block 02 ,Lot 2 That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: Interior alteration of a portion of the ground floor an existing nursing home. That the tmdersigned do(es) hereby give consent to the Building Inspectom of the Town of Southold to enter upon the above described property, including ~ ~md all buildings located thereon, to conduct such inspections as they may deem necessary with respect to lhe aforesaid application, including inspections to determine that said premises comply with all of lhe laws, ordinances, rules m~d regulations of Lhe Town of Southold. The undersigned, in consenting to such inspections, do(es) so wilh ~he knowledge and ~derstanding ~ a~y information obtained in lhe conduct of such inspections may be used in subsequent prosecutions for violations of the laws, ordinances, rules or regul~ons of the Town of SouthoM (Signalure) (Print Name) / / // / / / / \/ / / / '// \ \ \ N N W E S x, ? / I I I I I I I I / +~.~ '~/ / I I I I / I I I I I ? / , ~ ~o° II ,,'1 I I I Young & Young 400 Os~ra~er Ave~,'ae, R~verhead, Ne'~ Yo~'k 631-727-2803 11901 NOTE5 5Ut~,"ZE'r'ot~,'5 C, Et~TI FI~,ATION 5AN 51MEON BY THE 50UND, INC.,. A~ ~rmmnpor~, To~n o~' 5ou'chold SufFolk C, oun'J:y, N~m York TOPOgrAPHIC. AL 5UP-,VE'r' I N W E S ~ f Young & Young 400 Ostrar, de~ Ave~ze, R4.verhea~, Ne~ Yo~'k 831--727--2303 1901 NO I L=~ ~Uf~-VEYO~'~ GEP..TIFIGATION SAN SIMEON E~'r' THr= SOUNI~, INC,. Ak Cr¢¢nport, Toz~n o¢ ~outhold f