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Home My WebLink About35999-ZFORM NO. 4 TOWIq OF SOUTHOLD BUILDING DEPA/~TMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-34762 Date: 12/28/10 T~IS CERTIFIES that the building EXTINGUISHING SYSTEM I~)cation of P~pert¥: 55135 FL~IN RD (HOUSE NO.) (STREET) County Tax ~p NO. 473889 Section 62 Block 1 SuJ~division Filed [4ap No. Lot No. SOUTHOLD (HAMLET) Lot 11.1 conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 4, 2010 pursuant to which Building Pernkit No. 35999-Z dated NOVEMBER 4, 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 EXTINGUISHING SYSTEM/IS APPLIED FOR. The certificate is issued to SOUTHOLD FIRE DISTICT (OWNER) of the aforesaid building. SuFfOLK CODlqTYDEPART~4ENT OF HEALTHAPPROVAL ~I~t-rKICAL CEllTIFICATENO. I~L~ERS cmTIFICATION DA'r~u N/A N/A N/A Authorized Signature Rev. 1/81 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. 35999 Z Date NOVEMBER 4, 2010 Permission is hereby granted to: SOUTHOLD FIRE DISTICT PO BOX 908 SOUTHOLD,ArY 11971 for : INSTALLATION OF A FIRE EXTINGUSHING SYSTEM AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 062 pursuant to application dated NOVEMBER Building Inspector to e~ire on MAY 55135 M3~IN RD SOUTHOLD Block 0001 Lot No. 011.001 4, 2010 and approved by the 4, 2012. Fee $ 0.00 Authorized Signature ORIGINAL Rev. 5/8/02 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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 °f pr°pertY with accurate location of all buildings, p~operty lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage4isposal (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 amhitect or engineer responsible for the building. 6. Submit PI.arming Board Approval of completed site plan requirements. B. Fo~ existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: I. AccUrate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly cempleted 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 $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $I00.00 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. New Construction: Location of Property: Owner or Owners Of Property: ~ OLxW-~'dK,,- L4"x~ ..- Suffolk County Tax Map No 1000, Section 4- 2~- Subdi~sion Health Dept. Approval: ' Planning Board Approval: Old or Pre-existing Building: House No. Street Date ofPermit. Block (check one) Hamlet Filed Map.. Applicant: Underwriters Approval: Lot: Request for: Temporary Certificate Fee Submitted: $ Final Certificate: (check one) Applicant Signature TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY '~_}~I~RE SAFETY INSPECTION [ ] fiRE RESISTANT CONS?RUCllON [ ] RRE RESISTANT PENE'IIMTION REMARKS: DATE 17~'-~' ~O iNSPECTOR ~///F~' TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork. net PERMIT NO. 3 3~,~ Approved t(./~ ,20/0 Disapproved a/c Expiration 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 N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form Contact: Building Inspector APPLICATION FOR BUILDING PERMIT Date (~.'~o~cc' 30 ,20/0 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. 1~4~ IJl I1[ (Signature of applicant or name, ifa corporation) IIII/ t (Mailirig add ~ of applicant)' _ BLDG. DEPT. ~tate wb ~her appli~l~ll~ I~ ~Pl~e~. %~!~et, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises (As on the tax roll or latest deed) If appli~cant is a corporation, signature of duly authorized officer (Name and title otf ~)rporate officer) ~ Builders License No. Plumbers License No. Electricians License No. Other Trade s License No. 1. Location of land on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section Subdivision Block / Lot II, I Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ('ot*X~0c-c~o._O k'~.~--'-,,- ,x¥ '-~(~ b. Intended use and occupancy 4. Estimated Cost ~: 2.~50(5 5., If dwelling, number of dwelling units If garage, number of cars Nature of work (check which applicable): New Building. Repair Removal Addition Alteration Demolition ,Other Work VY-,h0~,h'or~ Fee (To be paid on filing this application) Number of dwelling units on each floor 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 Depth Height. Number of Stories Rear 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Size of lot: Front Rear .Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES __ NO / 13. Will lot be re-graded? YES NO 7/ Will excess fill be removed from premises? YES NO d 14. Names of Owner of premises Name of Architect Name of Contractor Address Phone No. Address Phone No 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 B~ 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. 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 OFC",O~ ) ~ [~000 C(_-~'~ being duly swom, deposes and says that (s)he is the applicant (Name of individda} signing contract) above named, (S).e is the C0 O~t' fiFO C (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. ta,before me this - 20 ( 0 N?~ary P~'ic ~lllll~~~/~ 7~// Signature of Applicant f PyroChem II max flow points between I sUlast nozzle ~IN flow ptswith rsngetwokffryer I Equipment Type ~.overage Range t 2x28 28x28 G~fddle 1080 si, 36 Is 1440 si, 48 Is 1080 si, 36 Is Wok 24-30x8 deep Fryer, Tilt Skillet Gas/Electric - Char 864 si, 36 Is Lava Rock- Char Wo~d Chain Broiler Duct Notes Hts 22 inch from front/mar ed,qe 13-24 No Shelf 34-48 12 in comer aim alia, 10-24 24-48 1 0-24 24-48 1 3-24 24-48 13-24 24-48 1 3-24 nozzles towards front o 24-48 1 3-24 24-48 1 3-24 24-48 1 3-36 comer aim to center 36-48 15-24 24-35 15-24 24-35 Parallel to chain sud 1-3 Plenum lOffx4ft Additional Notes No Manifolds Piping Schedule 40 PCL 300 & 460 - Sprit Piping and Straight Piping shall be permitted. PCL 300, 460, 600 - 2 Flow ~s used before/at Range-Wok-Fryer. PCL 600 - Split piping only, 112 inch pipe to 1 st split PCL 600 - 14 flow points max per side, no nozzle before 1st split. Maximum 6 Flow Points shaft be used for all 1/4 inch pipe. Maximum elbows in the system is 25 and 5 elbows Tee to Nozzle. Maximum 10 ft rise allowed [tank outlet to highest or lowest nozzle] Pipe diameters can only reduce towards the the final end points. Split enters Bull of Tee. No piping Traps. Detectors in the exhaust duct shall be centered & 12 ff max into duct. Detector over each appliance, over 48" gets additional MCH3, ECH3 & NMCH3 - Max 8 feet pneumatic tubing & 3 cylinders. PAC-10 - Max 100 feet pneumatic tubing & 10 cylinders ECH3 - supervision req'd & lA battery back-up & solenoid monitor. Maximum 20 detectors, 150 feet cable, 40 pulleys, per control head. Maximum GVSO, 1 O0 feet cable and 30 pulleys, per control head. Tee Pulley allowed only for 2 GVSO - [3/4 - 1 1/2"], [2"], [2 1/2 - 3"]. Tee Pulley not allowed for multiple link lines to single control head. EN-S *used with EN-MCU3 or MCH3/EMCH3 Control Heads , be installed on si~ Fryers to have High Limit Control to shut off fuel at 425 degrees Manual Pull & Portable Fire Extinguishers located as follows: 10-20 ft from hood 1/2 - 5 ff from floor and in the h cati Part No.s Mechanical Control Head 551200 YICH3 Mechanical Control Head 551203 rdMCH3 Electric Control Head - 551202 ECH3-120 551201 ECH3-24 550966 EN-S Fuseable Link Kit 550104 PAC-IO Fuseable Link Han~er 550876 FLH-1 Fuseable Links 550009 FL-360 550367 FL-450 56816 FL.500 Mechanical Pull Station 551074 RPS-M The Tee Pulley 423250 CBP-1 550166 TP-1 550302/3 SM24~120 Gas ShutOff Valves 3/4" Gas ShutOff Valves 1" GV-IO0 Gas ShutOffValves I 1/4" 550595 GV-125 Gas ShutOffValves I 1/2" 550596 GV-150 2" 551049 GV-200 Gas ShutOffValves 2 1/2" 550185 GV-250 3" 550186 GV-300 huts off in kitchen-Exhaust fan stays C:Excel/OO-O4/O3-pyll rev 020104, PyroChem Kitchen Knight II, lYn PN551274(1) rev 4/1/02 lox /% -×%° / , N{ ~lc~ BU.OiNG DEpc',~MENT AT 7r~5-'1802 8 AM TO ~ 4 FOR THE FOLLOWING INSPECTIL FOUNDATION - TWO REqUiRED ~OR ~OURED CONCRETE 2 ROUGH - F~ING, PLUMBING, STRAPPING. ELECTRICAL & CAULKING 3, INSU~TION 4 ~NAL- CONSTRUCTION & ELECTRICAL MUST BE C~E FOR C.O. ALL CONS~ON ~ ~ THE REQUIREMENTS OF THE CODES OF NEW YORK STATE NOT RE~SI~E FOR DESIGN OR CONSTRUC~ ERRORS. iL r u- FIRE IRSPECTION REQUIRE D BEFORE OPENING