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Home My WebLink About35424-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34403 Date: 06/15/10 THIS CERTIFIES that the building FIRE SYSTEM Location of Property: 55135 MAIN RD S0UTHOLD (HOUSE NO.) (STREET) (HA/4LET) Co%~ty Tax Map NO. 473889 Section 62 Block 1 Lot 11.1 Sukx~ivision Filed Map No. __ Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 22, 2010 pur~,mmt to which Building Permit No. 35424-Z dated MARCH 30, 2010 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 FIRE PROTECTION SYSTEM AS APPLIED FOR. The certificate is issued to SOUTHOLD FIRE DISTRICT (OWNER) of the aforesaid building. SUFFOLK COUNq"fDEPART~TOFfD~PJ~THIEPPROVAL EL~L-ialCAL CERTIFICATE NO. PLIERS CERTIFICATION DA'r~u N/A N/A N/A Authorized Signature Rev. 1/81 TOWN OF SOUTHOLI) BUILDIN(; DEPARTMENT TOX~:N H ~1.1, 765-1802 APPLICATIC}N FOR CERTIFICATE OF OCCUPANCY his application mus~ be tilled in b} t3 pe'.~.rher or ink and snhmitled to lhe Building Departm A. For ne'v, huildinR or ne'~ use: TOWN OF SOUTHOLD Final surve)of properb ~,ith accurate location of all buildings, prope~5 lines, streets, and unusual natural or topographic features. 2. Final Appro,,a] from Iteahh [~pt. ol x~ater suppl3 and sewerage-disposal (S-O tbrm). 3. Approxal of electrical installation from Bo~d of Fire Undcmriters. 4. Sx~orn statcmeot lmm plumber certil}ing that the solder used m system contains ]ess than 2/10 of 1% lead. 5. Commercial building, industrial building, muhipl~ residences and similar building> and installations, a ce~ificate of Code Compliance from archi{ecl or engineer responsible t~r the building. 6. Submit Planning Board Approval ofcomplFled site plan requiremems. 1. Accurate sur'.'e3 of properb shinning all properb lines, streets, building and unusual natural or to~graphic t~aturcs. 2. A pmperl? completed application and consent m inspecl signed b~ lhe applicam. Ifa Certificate of Occupanc> is denied. 1110 Building Inspector shall state the reasons lherefi*r in writing to the applicant. C. Fees i. ( ertificale ofOccupanc? - Ne,,x dx~,elling $25.013. Additions to dxxelling $25.00. Aheratkms to dwelling $25.00. S~Gmming pool $25.00. Accessorx buildine $25.00. Additions to accesson buildina $25.00 Businesses $50d30. 2. Certificate of Occupanc5 on Pre-existing Building- $100.00 Cop} ofCe~ificate ofOccupanc5 - $.25 [:pdated Certificate of(~cupanc} - $50.00 5. TemporaD Ce~ificatc ofOccupanc} - Residential $15.00. Commercial $15.00 Date. ~() ......... Ne~ Construction: ................... Old or Pre-existing Building: ~ ...... (check one} J [OLISQ NO. Street HamJel gufl~lk Count5 'lax Map No I000. Nec{ion .~.& Block ~ Suhdix ision Filed Map. i leahh Dept. Approval: ....... },ii) t :nderx, ritcrs Appro, al: Planning Board Appro~ah }~ Request ti}r: l emporar~ ('erfificatc I mai ('e~ilicatc: ~_ {check one} 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. 35424 Z Date MARCH 30, 2010 Permission is hereby granted to: SOUTHOLD FIRE DISTICT PO BOX 908 SOUTHOLD,NY 11971 for : INSTALLATION OF A FIRE PROTECTION SYSTEM AS APPLIED FOR at premises located at 55135 MAIN RD SOUTHOLD County Tax Map No. 473889 Section 062 Block 0001 Lot No. 011.001 pursuant to application dated MARCH 22, 2010 a_nd approved by the Building Inspector to exlolre on SEPTEMBER 30, 2011. Fee $ 0.00 Authorized Signature ORIGINAL Rev. 5/8/02 D~IC.T .l~ INspECTIoN REPORT DATE ....... COMMENTS FOUNDATION (lST) FO~A~ON (2~) ROUGH ~G & PL~G ~8~ON P~ N.Y. ' ' STA~ E~ CODE ~D~ION~ CO~TS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined '~. ["~D , 20 Id) Approved ),~ , i O 20 Disapproved a/c Expiration ~ ) 30,20 I~ PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form NYSD.EC Trustees Flood Permit Storm-Water Assessment Form.__ Madto: lqq Building Inspector APPLICATION FOR BUILDING PERMIT 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 p!an 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 t~oughout the work. e. No budding 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 bo required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Towa of Southold, Suffolk Coumy, 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 'l~a~t~-iz4~i~nsj~ecl~ o~r;~'~' anglO'in building for necessary inspecti%ns. "lll e/,',¢ ,¢,4;,,., II [ (Si~natu/i c;f appllcan[ t;r ha~ne, if a corporation) ]i ~2 ~ -- -'/ ' (M'ailingad&essofad~hcant) ' DEPI St~~nt.~_.. - ~ !s owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premlses ~O~C~xC_~I A ~'~' ~-E (As on the tax roll or latest deed) If applicant is a corporation, signmure of duly authorized officer (Name ~d iitle bf corpdrate offic6r)" t; t.;' ' ..~, .. u IdersLiccnscNo. Plumbers License NO. - ' - ~ Electricians License No. ~1 !~, I ' . _.. Other Trade's License No. ~t Ill. 3. 1. Location ofland on which propose~t work will be done: ~ ~1 ~ ' House Number Street~~'~,~{~Ul~D ~0~l~ ~ot ~< ::~li~ County Tax Map No. 1000 Section~~rk~ Subdivision ..... 'F/Ted Map No. FOB EFkOFS. 2. State existing use and occupancy of premises and intended use and occupancy of p.~roposed construction: a. Existing use and occupancy t~.'~lVO¢C~rk}. ~L~.-.~, t~Y ~r'~ ?iz)~7~' b. Intended use and occupancy ~:xox.~ t./,% cL~ 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work JCt~m[~a,['ic~ ' (Description) 4. Estimated Cost ~,~0(~ Fee ¢O,;~,~XlS~ t c~t (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 Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Rear Depth HeighL Number of Stories 8. Dimensions of entire new construction: Front Rear .Depth Height Number of Stories 9. Size eliot: Front Rear .Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction vie}ate any zoning law, ordinance or regulation? YES NO 4 13. Will lot be re-graded? YES NO / Will excess fill be removed from premises? YES__ 14. Names of Owner of premises Address Phone No. 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 * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. ls 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 propertT 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 covenants and restrictions with respect to this property? * YES NO ~/ · IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) ' iJO~ 1~0 t~ being duly sworn, deposes and says that (s)he is the applicant (Name of ilt~vidual signing contract) above named, (S)He is the (Contractor, Agent, Corporate Officer, etc.) of said oumer 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. ~.~'~ Pipe PyroChern IIMode, . ;, 4e0 460 e00 e00 ~ota.s~Jum Carbonate] Volume -naxfiowpointsgeneratiy 4-10 10-14 10-15 14-19 14-2( idlNfiowptswlfhrange/wok/fryer 'naxpipevolume-mpv 1910 1400 2600 4215 3465 ~betweenlstJlastnozzle 1125 3000 2000 1688 1313 ~ersideI Maximum Tip Flow Nozzle Equipment Type Coverage Part No. No. Pts. Per Cen Any Notes Hts Quan. Ranoe 12x28 551029 1H 1 x No Shelf 40-50 t 12x28 551066 1L 1 x 22 inch fl'om fl'ontYrear edge 13-24 28x28 551027 2L 2 x No Shelf 34-48 Gdddle 1080 si, 36 Is 551026 1L 1 Ove. r any 12.in comer.aim dia,q opp 10-24 551029 1H 1 24-48 1440 si, 48 Is 551027 2L 2 10-24 551028 2H 2 24-48 1080 si, 36 Is 55t 029 2L 1 0.6.inch of s.hort side .ed,qe 13-24 551029 2H 1 24-48 Wok 24x6 deep 551026 1L 1 x 13-24 551029 1H I x 24-48 24-30x8 deep 551027 2L 2 x 13-24 51028 2H 2 x 24-48 Fryer, Tilt Sk/llet 500 si, 27.75 Is 551027 2L 2 x T.S~ nozzles.fewards fi. oct openin,q 13-24 T.S. 2flx4ft1 551028 2H 2 x 24-48 Gas/Electric - Char 624 si, 26 Is 551026 1L 1 x 13-24 551029 1H 1 x 24-48 864 si, 36 Is 551027 2L 2 x 13-36 551028 2H 2 x Over any comer aim to center 36-48 Lava Rock - Char 624 si, 26 is 551027 2L 1 x 15-24 551027 2L 1 x 24-35 Natural, CharCoal, 480 si, 24 Is, 551026 1L 1 x 15-24 Mesquite~ Wood 16 inch deep 551029 1H 1 x 24-35 Chain Broiler 1026 si~ 38 Is 55102.6 1L 1 Parallel to chain surf~ diaq opp 1-3 Updqht/Salamander ! 064 siI 36 Is 551026 1L 1 Parallel to qrate surf. diaa ode Duct t 00 in/P, 34 Is 551038 2D 2 ur 31.5 inch diam round duct 0-6 150 in/P~ 51 Is 551038 2-2D 4 sr 47.5 inch diam round duct Plenum 10ftx4ff IV] 551029 1H 1 x 1/3verifilterht, 6"/max-Plenumenc 10ftx4ftis1 551029 1H 1 2inchofbackfilferedqe~ Ele~ch°StaticPrecip , 551038 2D 2 nozz before & after each cell { , Additional Notes Components Part No.s Model Check No Manifolds Piping Schedule 40 Mechanical Control Head 551200 MCH3 PCL 300 & 460 - Split Piping and Straight Piping shall be permitted. Mechanical Control Head 551203 NMCH3 PCL 300, 460, 600 - 2 Flow ~es used before/at Range-Wok-Fryer. Electric Control Head - 551202 ECH3-120 PCL 600 - Split piping only, 1/2 inch pipe to 1st split Electric Control Head - 551201 ECH3-24 PCL 600 - 14 flow points max per side, nO nozzle before 1st split. Enclosure [300~460 as 2ndI 550966 EN-S Maximum 6 Flow Points shall be used for all 1/4 inch pipe. Pneumatic Actuatin9 Cylinder 550104 PAC-10 Maximum elbows in the system is 25 and 5 elbows Tee to Nozzte. Fuseeble Link Kit 550131,2 FLK-1 ,lA Maximum 10 ft dse allowed [tank outlet to highest or lowest nozzle] Fuseable Link Han~ler 550876 FLH-I Pipe diameters can only reduce towards the the final end points. Fueeabie Links 550009 FL-360 Split enters Bull of Tee. No piping Traps. Fuseabie Link 550367 FL-450 Detectom in the exhaust duct shall be centered & 12 ft max into duct. Fuseable Link :56816 FL-500 J Detector over each appliance, over 48" gets additional Mechanical Pull Station 551074 RPS-M MCH3, ECH3 & NMCH3 - Max 8 feet pneumatic tubing & 3 cylinders, lerner Pulleys it15670, 550982 SBP-I, W PAC-10 - Max 100 feet pneumatic tubing & 10 cylindem Comer Pulleys ~.23250 CBP-1 ECH3 - supervision req'd & lA bettely back-up & solenoid monitor. The Tee Pulley 550166 TP-1 Maximum 20 detectors, 150 feet cable, 40 pulleys, per control head. Electrical Switch 551154, 5, 6, 7 VIS-SPDT Maximum GVSO, 100 feet cable and 30 pulleys, per control head. Solenoid Monitor 550302/3 SM24/120 Tee Pulley allowed only for 2 GVSO - [3/4 - 1 1/2"], [2"], [2 1/2 - 3"]. Gas ShutOff Valves 3/4" 550593 ~-V-75 Tee Pulley not allowed for multiple link lines to single control head. Gas ShutOff Valves 1" 550594 GV-100 EN-S *used with EN-MCU3 or MCH3/EMCH3 Control Heads Gas ShutOff Valves I 1/4" 550595 GV-125 Control Head may be installed on sinqle cylinders only Gas ShutOff Valves I 112" 550596 GV-150 Fryers to have High llmit Contmito shut offfueiat 425 degrees Gas ShutOffVatves 2" 551049 OV-200 Manual Pull & Portable Fire Extinguishers located as follows: Gas ShutOff Valves 2 1/2" 550185 GV-250 10-20 ft from hood~ 4 1/2 - 5 ft from lfoor and in the path of eqmss. Gas ShutOff Valves 3" 550186 GV-300 ** On discharge: Supply damper closes-Gas shuts off in kitchen-Exhaust fan stays on-Electric shuts off under hood-Fire alarm activates bld,q C:Excel/OO-O4/O3-pyll rev 020104, PyroChem Kitchen Knight II, p/n PN551274(1) rev 4/1/02 Installer: I .-5o0 ,