Loading...
HomeMy WebLinkAbout36174-ZTown of Southold Annex 54375 Main Road Southold, New York 11971 4/22/2011 CERTIFICATE OF OCCUPANCY No: 34911 Date: 4/22/2011 THIS CERTIFIES that the building COMMERCIAL ALTERATION Location of Property: 28350 Route 25, Cutchogue, NY 11935, SCTM #: 473889 Sec/Block/Lot: 102.-6-18.1 Subdivision: Filed Map No. conforms substantially to the Application for Building Permit heretofore 2/11/2011 pursuant to which Building Permit No. 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 alteration of existing restaurant as applied for. Lot No. filed in this officed dated 36174 dated 2/11/2011 The certificate is issued to OffFairway Inc (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Thomas Azzaria 36174 4/22/11 Au/3/20/11... TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 36174 Permission is hereby granted to: Off Fairway Inc Date: 2/11/2011 28350 Route 25 PO BOX 958 Cutchogue, NY 11935 To: alter the interior of an existing restaurant as applied for At premises located at: 28350 Route 25 SCTM # 473889 Sec/Block/Lot # 102.-6-18.1 Pursuant to application dated To expire on 8/12/2012. Fees: 2/11/2011 and approved by the Building Inspector. NEW COMMERCIAL, ALTERATION OR ADDITIONS CO - COMMERCIAL Total: $337.20 $50.00 $387.20 Building Inspector 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 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 state~nent from plumber certifying that the solder used in syste~n 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 l¥om architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. 1. Accurate survey of property showing all property lines, streets, building anal 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 l. 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 Pm-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, Co~nmercial $15.00 New Construction: Location of Property: Old or Pre-existing Building: Date. (check one) House No. Street Owner or Owners of Property: 30}-~ Suffolk County Tax Map No 1000, Section ~.~ ~. ltamlet Block Lot I. ~'. \ Subdivision Permit No. Health Dept. Approval: Date of Permit. Filed Map. Lot: Applicant: ~T'l'~'vt,~ ~,,~'-~ Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fcc Submitted: $ ~.~4 Final Certificate: (check one) Applicant Signature Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631 ) 765-18(12 Fax (631) 765-9502 ro.qer.dchort~town southo d ny us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Touch of Venice Address: 28350 Main Rd City: Cutchogue St: NY Zip: 11935 Building Permit #: 36174 Section: Block: Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Michaels Electric LicenseNo: 35472-me SITE DETAILS Office Use Only Resiflential ~ Indoor ~ Basement ~ Service Only Commedcal Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Servicelph ~ Heat ~ DuplecRecpt ~ CeilingFixtures ~ HIDFixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures ~.~ Smoke Detectors Main Panel NC Condenser Single Recpt Recessed Fixtures ~.~ CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture ~.~ Pumps Transformer Appliances Dryer Recpt Emergency Fixtures[~ Time Clocks Disconnect Switches Twist Lock Exit Fixtures L._.._J TVSS Other Equipment: exhaust fan-1 Notes: partial up grade of electricle equipment Inspector Signature: Date: Ma)/2 2011 81-Cert Electrical Compliance Form Town Hall Annex 54375 M~in Road P.O. Box ! 179 Southold. New York 11971-0959 Telephone (631 ) 765-1802 Fnx ~631 ) 765-9502 BUILDING DEPARTMENT TOWN OF SOUTHOLr~ CERTIFICATION Building Permit No. Owner: Plumber: Date: (Please print)~- ~-' ' ' (Please print) I certify that the solder used in the water supply system contains less than 2/I0 of 1% lead. Sworn to before me this day o ,~ , 20 (Plumbers CONNIE D. BUNCH Notary Public, Sta~ of New York No. 01BU6185060 Qualified in Suffolk County ~ Commission Expires Apfl114, 2~' Notary Public, ~ County 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. 33829 Z Date APRIL 17, 2008 Permission is hereby granted to: for : FAIRWAY INC OFF PO BOX 958 CUTCHOGUE,NY 11935 INSTALLATION OF A FIRE SUPRESSION SYSTEM AT AN EXISTING RESTAURANT AS APPLIED FOR.REPLACES EXPIRED BP # 30144. at premises located at 28350 County Tax ~4ap No. 473889 Section 102 pursuant to application dated APRIL Building Inspector to expire on OCTOBER Fee $ 200.00 MAIN RD CUTCHOGUE Block 0006 ~ot No. 018.001 17, 2008 and approved by the 17, 2009. 'e ORIGINAL Rev. 5/8/02 FOR~ NO. I TOI~i OF SOUTltOLD BO [LDING DEPARTNENT T011N IIAL[. SOUTHOLD. N.Y. 11971 TEL= 765- IS02 (Building Inspector ) 2004 APPLICATION FOR BUILDING PERNIT BOARD OF III'.'^i.Tli .............. 3 SETS OF PLANS ............... SURVEY ........................ CHECK ......................... SEPTIC FORH ................... NOTIFY: CALl. ................. NAIL TO: .................... · Date .......... INSTRUCTIONS a. llais applieatim mast be em~.letely filled in by type~iter or in itl{ and 3 ~ts of pl~, ~ate pl~ pl~ to ~e. F~ ~i~ to ~le. b. Plot pl~ ~ l~ti~ of lot ~ of ~ildi~ ~ ~s, mlati~ip to ~joini~ p~s or ~lic st~ts or ~, ~ givi~ a ~tail~ ~ri~i~ of l~t of ~ ~t ~ dr~ ~ ~ di~ ~i~ is ~ of ~is ~liotim. c. ~ ~ ~M ~ ~is ~lioti~ ~ mt ~ ~ ~fo~ i~ of hildi~ d. ~ ~al of ~is a~li~ti~, t~ ~ildi~ I~etor ~11 is~ a ~ildi~ ~t to ~t ~11 ~ ~ m ~ pi~s ~ail~le for i~ti~ ~t ~ ~. e. ~ildi~ ~1 ~ ~i~ or ~ ingle or in ~rt for ~ ~t~r mtil a~ificateof ~ ~1 ~ ~ ~mt~ ~ ~ Mildi~ I~r. ~I~ IS ~ ~ ~ ~ ~iMi~ ~nt for ~ is~ of a ~ildi~ ~t ~mt to ~ildi~ ~ ~i~ of ~ ~ of ~ld, ~ffolk ~, ~ Yo~, ~ o~r ~li~le ~, ~i~s or ~lati~, br ~ mt~tim of ~ildi~, ~iti~ or alterati~, or for ~1 or ~liti~, ~ri~. ~ a~li~t ~s to ~ly ~th all a~li~le 1~, o~i~s, ~ildi~ r~ati~, ~ to ~it m~ri~ i~t~s m ~s ~ in ~ildi~ for ~ i~ti~. ............ .................. (SiCn~ of ~lie~t, or ~, if a ~rati~) State ~flmr ~ti~t ia ~r, lea~, ~t, ~it~t, e~i~r, ~ral ~tr~tor, et~triei~, pier or ~ of ~r of ~a ............................................. (~ m ~ t~ ~1~ or lateat ~) ..... ........ ..... ~ ~ title%f ~ra~te Builders License No ........................ Plm/~ers License No .......................... Electricims Li~e No ...................... Location of land on ~hich propoaed ~ork ~ill be ........... County Tax ~ no. I000 Section ................ Block ................ Lot ...... '. ......... Subdivisian .... :~ ...................... Filed Nap ~ ....... Lot ...~... a. Existing use and o~?~cy ............................................................... 3. Pz~ture of ~ork (deck ~idd~ applicable): N~ l~dhling .......... 6dditlon ....... ... Al~:eration ..... Relmir ............ Ren~val ............. l}emol ition .. Other 14ark ..~'/~..~~ 6. Estimated Cost ......................... fee ......... : .................................. (to be paid on filing this application) 5. If ~eiling, raed~er of d~elling traits ............ ttml~er of d~elling ~mlts on each floor ................ If garage, nteber of tara ...................................... 6. If Inmineas, cu,,,,:ccial or mi~nl oceepaney, apecify nature and extent of each type of use.~3.__.............. 7. Dimenaicnm of exlating atructurea, if any: Froot ................ Rear ............... Depth ................. Ileight ....................... :~ .................... 8. Di~ '~om of entire ne~ c(mstructicn,: Frcmt ... ~..~. ....... Rear .~.~c.. Depth .............. Ileigl~t ................... .~.~=~Hlinber of Storiea ~ ~ . 10. l}ate of~cr~clm.n~ .......... ::: ........ I~me of For~r O, ner ....... .~:2: ............................. a~ .n~ t~mtc~l .................................. I I. cu~ d~-ri~t in ~ddd~ premlsea ' ~ · ........................... 12. l}eea?r~opoaed ec~mtroctiee violate any ~xn~ing 1~, ordln~ce or regulation: ........................ 13. ~1~ lot be re~raded .................... ~lill e~eas fill be removed £rom pr~isea: ~ ND I~lre_ O[~ ~.-.--r 0 , ' . ..................................... . , . ....... .' .......... .............. 15. Is this property w~thin 300 feet of a tidal ~etland? * YIL~; .......... NO .......... C/ · I.F YES, ~XITII3LD ~ 11~,.~fEES FEI~FF HAY HE PI,OT DIAGRAH I~cate clearly and distinctly all buildings, d~ether existing or proposed, and indicate all set-back dimensions I~ron proFerl'y lines. Give street and block ra~ber or description according to deed, and sho~t street hanes and indicate ~d~etber interior or corner lot. · '~F^'IE {1r ~l~ ,:~,,, / /.. ~. ~s . .... ...... .......... (~ of ]~ivi~t slg, i~tract) ........... ................ .......................................... (U~trsetor, ~nt, cor~rnte o{ficer, etc.) of ~id ~er or ~ere, at~ is ~lly ~Ll~ri~l to ~rfom or h~ lerfo~ Lie ~id ~ m~l Lo rake a~ file this n[~}llcntion; Lhal: al that Oe ~rk will be ~rfon~l ~rn Lo I~[ore ~ this ....... ..... ~a~ Retie . -'-- ------------~---. (Sig~mt~of ApplJc, nt~ ~N R HE~ NQ~ ~, State ~ NO. ~676 ~s~J~5;~ / duly .,r~rt), del~oses aT~l ..~ays that be is the nppl. icant 765-,80 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGHPLBG. [ ] FOUNDATION 2ND [ ] I~ATION [ ] FRAMING / STRAPPING [ ~ FINAL [ ] FIREPLACE&CHIMNEY [ ] FIRESA~,=~'INSPECTION DATE /~/// INSPECTOR_~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING / STRAPPING [ ] FINAL FIREPLACE & CHIMNEY ~i;IRE SAFETY INSPECTION [ ] fiRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE ~ INSPECTOR .~-~ jr ~/~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) '~ ELECTRICAL (FINAL) REMARKS: DATE __ ~/'~ INSPECTOr-' Mark D. Geiselman Architect, PC 20 April 2011 Town of Southold Building Department Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Re: Touch of Venice 28350 Main Road Cutchogue, NY 11935 Permit # 36174 To Whom It May Concern: Based on visual inspections and to the best of my knowledge, the new wall framing at the above referenced project has been completed as per the approved plans and is in compliance with all applicable cedes, rules and regulations of the Building Code of New York State. Should you have ay questions or require additional information, please feel free to contact my office. Mark D. Geiselman, AIA~~'A NYS lic. # 020357 Post Office Box 871 · Long Beach, New York 11561 · TELffAX 516.432.0918 · www. MDGArchitectpc.com TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ' · SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined ~f/'/ , 20 l ! Approved O~gl, 20 J[ Disapproved a/c 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 N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form Contact: Mail to: Phone: 7¢' Expiration~ (//?/20 /t,~ ~ _ ,~ n nn r~-~ Building Inspector ~/ J~l ~ 2011 /~,j Date ~'~ ~AS4tlgl~ ',20_11_ 2 t INSTRUCTIONS ' sets ( ' ' ' ' .... ' ' ' ~ !Pelee};lcYorfidlne: :on ~[h;YffuelTnter or in ink and submitted to the Bmld,ng Inspector with4 b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or ajeas, and waterways. · c. The work covered by this application may not be corrrmenced 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 until4he 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. (Signature of applicant or name, if a corporation) (Mailing ad.ess of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ~.~. (As on the tax roll or latest deed) If applicant is a corporation, signature o£duly authorize._d officer (Name and ti!le of 9orporate officer) Builders License:No:',..: Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which pro~o?ed work will be done: House Number Street County Tax Map No. 1000 Section Subdivision Hamlet Block (a Lot 1~. I Filed Map No. Lot State existing use and occupancy of premises and intended use and occupancy of proposed constmcfio, n: a. Existing use and occupancy ,lib, m- ~m~.~ .~.~..r/.~r,~t.I}~ff7' b. Intended use and occupancy ,l~g~lga.¥ 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost~ I ~'~', ~:'~ 5. If dwelling, number of dwelling units If garage, number of cars Addition Other Work Fee Alteration (Description) (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. Dimensions of existing structures, if any: Front *-. a,~,' Rear Height_ · ¢---- Number of Stories Dimensions of same structure with alterations or additions: Front u~' Depth_ Height. Number of StOries Depth Dimensions of entire new construction: Front gl /,A Rear ' Depth Height Number of Stories ~ 9. Size oflot: Front ~.~fi.'~i Rear ~ 114 Depth t ~35~1~ 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 14 lj~ 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES __ NO .X Will excess fill be removed from premises? YES__ NO ,X 14. Names of Owner of premises Address Phone No. Name of Architect Vl~.~.~r~l.t,.~ ,~I~-,#t1'8~ 'p.r~ ~.~. ~ ~,'u Address - , Phone No ~Jt.~. ,~a3~-,~'11~ 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. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. 17. Provide survey, to scale, with accurate foundation plan and distances to property lines. If elevation at any point on property ls at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES __ · IF YES, PROVIDE A COPY. NO ,X STATE OF NEW YORK) SS: COUNTY OF ) ~-"'Fr~::%~o '~l~k[~...[,.) i,~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, ' CONNIE D. BUNCH Notary Public, 6'rate of New Yo~ (S)He is the b ~5.~ ~ ~ ~ (Contractor, Agent, Corporate Officer, etc:) Qua#fled In ~ 0otmiy Oomml~lo~ Expires April 14, 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 tme 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 Notary Public Signature of Applicant State existing use and occupancy of premises and intended use and occupancy of Proposed construe,tie, n: a. Existing use and occupancy )~.m' ~nam~ A.~* ?...~a-,a,u~,~q' b. Intended use and occupancy ~n8~.,¢ ~-.m,a~* A-'~ Iz~r4at~l- 3. Nature of work (check which applicable): New Building . Addition Repair Removal Demolition Other Work Estimated Cost~_. 1 ~'~'; ~,a:,~ If dwelling, number of dwelling units If garage, number of cars Fee Alteration. (Description) (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. 8. Dimensions of entire pew construction: Front ~i/A Height Number of Stories 9. Size of lot: Front Dimensions of existing structures, if any: Front ~' at,' Rear :Ir t~¢,' Depth Height *- ¢--- Number of Stories Dimensions of same structure with alterations or additions: Front ~av Depth Height Number of S~o?ies Rear b Rear ~ ti4 .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 ~. Will excess fill be removed from premises? YES__ NO /X 14. Names of Owner of premises Address Phone No. Name of Architect t~o.~w,~t,,nan Al'u,~'l'~ ?.r~ 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. Is this property within 300 feet of a tidal wetland? * YES__ NO__ * IF YES, D.E.C. PERMITS MAY BE REQUI,RED. 16. Provide survey,,to, scale,, with., accurate, foundation plan and distances to property lines. 17. If elevation at any poiAt on proPert5 'lS at'i0 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES__ · IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) NO ,X ~"FI'~%~O "~I~A.IJI~¢C*[,,! 1,~ being duly sworn, deposes, and says that (s)he is the. applicant (Name of individual signing contract) above named, - ' ;" '~ ~ ; '' ' ' CONNIE D. BUNCH (S)Heis the [,~'~ NOlafy Pdffio, ~lltO of l~n~Yol~~ 0IRl1818~fl~O (Contractor, Agent, Corporate Officer, etc:) Qualified In 8ulto~ Oounty ~, ~. Comml~lon Explm~ AI~ 14, ~ 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 p~.'~ day of ~-~f',.-~XINkM 20 Not~y Public Signature of Applicant TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HAIL ' SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 Southo!dTown.NorthFork.net Examined ~[! ,20 It Approved O~g ,20 J[ Disapproved aJc PERMIT NO. 3(~ ["2 t~ BUILDIN.G 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 P~ermit _ Storm~Water A~se~smen Form Contact: Mail to: ExplratlOff,, .~- ff//~20 /~ *-~ Phone: ~,7~'~ ---'-~ ~ n ~ ~ ' Building hspector ~ BUILDING PERMIT PPLICATION FOR ~JA~ ~ 2011 [~ "~' Date Z~ ~U,~ ..2011 ~ INSTRUCTIONS ' ' -- ~OG. OiPt.. _ -- a. This :~ ~ - -' completely filled in by t~e~fft~r'or in ink and submitted'to the Bulldog ~spector with 4 sets ~ ~. accurate plot plan to scale. Fee according to schedule, b. Plot pla showing location of lot and of buildings on premises, relationship to adjoining premises or public streets ~r aeeas, and wate~ays. c. The work covered by this application may not be e&~h,enced before issu~ce of Building Pemit d. Upon approval of this application, the Building Inspector will issue a Building Pemit to the applicant. Such a pemit shall be kept on the p~mises available for inspection throughout the work. e. No building shall be occupied or used in whole or m p~ for any pu¢ose what so ever unt~he Building Inspector issues a Ceaificate of Occup~cy. i Ev~U b~lding pemit shall expire if the work authorized has not commenced within 12 monks aaer the date of ~ssuance or has not be~ completed within 18 months ~om such date. If no zo~ng mendments or other re~lations affecting the property have been enacted in the ~terim ,a%B~i~mg hspector may authorize, in writing, the extension of ~e pemit for an addili~ff gix,months:'Therea~er, a new~pemt s~l,b~ ~ired. ' '"" ' ......... ' .... ~PLICATION IS ~BY M~E to the Building Depament for the issu~ce of a Building Pemit pursuit to the Buil~ng Zone Ordin~ce of ~e Town of Sou~old, Suffolk County, New York. ~d o~er applicable Laws, Ordinates or Regulations, for ao'~onsmction ofbuil~ngs, ad~tions, or alterations or for removal or demolition as here~ described. The applic~t a~ees to comply with all applicable laws, ordinances, building code, housing code, and re~lations, and to admit authorized inspectors on premises and in building for necess~ inspections. (Signature of applicant or name, ifa corporanom (Mailing address of apphcant) State whether applicant% owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises cAs on the tax roll or latest deed) If applicant is a corporation, signature o~f duly authorized officer o~,- (Namer~"~l{~orate~ officer) PlumbersBUilders Lia~i:4O~eL~ c ~n ~%~q~5'~TMn` Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: House Number St/'eet Hamlet County Tax Map No. 1000 Section I~'t.. Block ~ Lot Subdivision Filed Map No. Lot FORH NO. I TOWN OF SOUTHOLD BUILDING DEPARTHEiqT TOWN HALL SOUTHOLD, N.Y. ll971 TEL: 765-1802 BOARD OF HEALTH ............... 3 SETS OF pLANS ............... SURVEY ........................ CHECK ......................... SEPTIC FORM ... ................ APPLICATION FOR BUILDING pERMIT ~/~././// INSTRUCTIONS a. 'Ibis application must be c~pletely filled in by typewriter or in ink and $t~nitted to the hfilding Inspector wit 3 ~ets of plmas, accurate plot plan to scale. Fee according to c~aedule. b. Plot plan mhc~dng lc~ation of lot ~ad of buildings o~ praises, relatioe~hip to adjoining pr~dses or pabllc BLDG. DEPL (Wiling ~klres~/of applicm~t) ..... ./.77. ~.../.~?. ~..c~,~ ,u ~.. ?.~.~.-~ r.~.~ ................................ ~ o~ o,..,~.,- o~- g~, ................ ~ a.~e,o-r'-c . . ................ bailders License No .......................... Pl~abers Licer~se No .......................... ElecKrici~ License N~ ...................... O~ber Traders License NO ..................... I. location of land on which prol~sed work will be do~e .............................................................. ~ ~ ~. ~ ~ ..... ./.e.6 ..... Bi~ ....U. ........... ~t ..... d.~.~./.... S~divisic~ ...................................... Filed Fmp I/a ................ I~t ............... a. Existing use aad cccupancy .. '/<~?/f~<d,'~,~7 ............ hpth .................... ~t .................... ~r of Stories ............... ~Ce of ~d~a~ ..................... ~ of Four ~r ........................................ PLOT DIACRAH locate clearly a~l. distinctly all buildings, ff~ether existing or proposed, and indicate all set-back dhuensio~s ptuperty liuas., ~i~ street and block xx~oer or description according to deed, and sho~ street rk'eaeS and indicate berber interior or co~r lot. ........ ./.~.~.~f.~.'~....~.~..7',~.,~.¥ ....................... being duly s~u~, depuses and says that be is the applic~,t ~ of individual signing co~tract) -~ is the ....... .~.. :~.~.q-.r~ ........... . ............. Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: $.C,T.M.~ THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A I~! e~ I~! I STORM-WATEI~ GRADING, DRAII~I~AGE AND ER(~SION CONTROl. FLAN e~mt Lot CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. sCOPE OF WORK ~ PROPOSED CONSTRUCTION iTEM# / WORK ASSESSMENT ] Yes No a. What Is the Total Ama of the Project Parcels? (Inctude Total Ama of all Parcels k)catad wi~in. / '1 Will this Project Retain NI Storm-Water Run-Off theScopeofWorkforpropesndConstmcitou)~l?-}~,q',,Fr./}.iA/4 ~' Generated by a Two (2") lnch Rainfall ou Site? b. What IS the Total Area of Land Clemtng {S.F. I Ac,~) (This itam will Include all mn-off created by site clearing and/or constmciton actMfies as well as all and/or Ground Oisturbence for the proposed O Site Improvements and the permanent creaiton of coustruction ac~ impervious surfaces.) ' (S.F.l,~res) 2 Does the Site Plan and/or Survey Show All Proposed PROVidE B]~EF PROJ~,C-~ DF~CE[FT[ON (Pmv~ Peges,sN.d~ Drainage Structures Indica§ng Size & Location? This Item shall ~nclude all Prolx~ed C-rede Changes and ["~lth,,l~i,'l,- I~.'IFEFv~:~. ,~l~'~'~vt~T'tc~l~ ~ Slopes Controlling Surfaco Water Ffow. ~x~5~-~ F.L=~I-4Lt~,,~F ~= 5/,!'~-~1 3 O°estheSitePlanandlorSurveYdesc~betheeroSion . ' and sediment control practices that will be used to control site erosion end storm water discharges. This ,~LTI~ TIOA,~ o ~'~, ~ item must be maintained throughout the Entire Construction Period. 4 Will this Project Require any Land Filling, Grading or Excavation where them is a change to the NofuraJ Existing Grade Involv;ng more than 200 Cubic Yards of Material within any Parcel? 5 Will this Application Require Land Disturbing Activities Encompassing an A~ea in Excess of Five Thousand (5,000 S.F.) Square Feet of Ground Surface? 6 Is there a Nalural Water Course Running through the Site? Is this Project within the Tmstaes jurisdiction ~/, General DEC ~NPPP Requirements: or within One Hundred (100') feet of a Weitand or -- Submission of a SWPPP is required for all Construction act~ties involving soil Beach? disturbances of one (1) or more acres; including dbturbances of less than o*le ac~e that 7 Will there be ~Sita preparaitou on Existing Grade Slopes am pad of a larger common plan that wli~ ult~llately disturb one or mo~e acres of land; which Exceed Fifteen (I 5) feet of Vertical Rise to r~ ind~lisg Cons~uc~on activales isvd~g soi~'dls~rbar~ of le~ than o~e (1) acre where One H. undred (100') of Horizontal Distance?I--I -- the DEC has determined thai a SPDES permit is required for Ston~ water dischanjes.. SWPPP's Shall meet the Minimum Requirements of the SPDES General Pemlit 8 Will Driveways, Parking Areas or other Impervious for Storm Water Discharges from Construction actlvfiy o Permit No. GP~-I 0-001.) Surfaces be Sloped to Direct Sturm-Water Run-OffI~1 1. The SWPPP shall be pm~red pr~or fo the submittal of the NOI. ~e NOI she, be into and/or in the dir~on of a Town right-of-wey? -- 2. 'l~e SWPPP shall desc~oe the em~io~ and sediment control practices and v/ne~ 9 Will this Project Require the Placement of Material, ~equimd. post-consth~t ion sto~m water management p~actioes that ~11 be used endfo~ Removal of Vegetation and/or the Construction of any constructed fo reduce the pdJutants in storm water db4=hargss and to a~su~e Item Within the Town Right-of-Way or Road ShoctderL~J com~ wllh the tur~s end conditions of this permit. In addilfon, the SWPPp shell quatity of sfoml wa for discharge~. NOTE: If AnY Answer Io Questers One through Nine I~ Ar~wemd v.~th a Cbeek 14a~< 3. Att SWPPPs that requha the best-conslmcbert sfoml wafer management ixacflce In a Box and the con~tn/~ctfon sag disturbance I. betv~en 5,~0 $.F. & t A~re th area, component shal be prepared by a quatifled coslgn Professional Licensed In New Yet}( a Stumt-Wafor, Gradfog, Drafoage & Erosion Conf~ol Plan II Reqntmd by tbe '~'ew11 of S']'A'I'~ OF NEW' YeP, K, ~. . ~ Notary Public, Sta~ o~ New York ' COUgar OY .....~....q.~E~..~)..c.._.....~ ....... SS No. 0mUS~8SOS0 Qualified In Suffolk County And that h~$he is the ..... ~.~ ~..~ ~.. Owner and/or represenh~live of the Owner or Owners, and is duly authorized to perform or have performed the ~aid work and to make and file this application that all statemenbi contained in this application are t~ue to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed herewith. Sworn to before me this; '~' ................. , :','~-' -'7"r ........ 71:';~ ,~ ........... FORM - 06/10 ACTION HEALTH SERVICES N~W ~1 DELT ~1 REPORT FROZEN DESSERT INSPECTION TIME OF WATER SAMPLE ~O. DAY YR. DATE INSP. DATE ECONOMIC S~.F.£. ~ 2[~ 3[~ IREINSPEOTION YES [~ NO [~ VIOLATION YES [~ NO [~ CLAS$1FICAT~3N DATE PART 1: RED CRITICAL ITEMS SUMMARY OF VlO[ATIONS DESCRIPTION OF VIOLATION DATE THESE ITEMS RELATE DIRECTLY TO FACTORS WHICH LEAD TO FOODSORNE ILLNESS AND MUST RECEIVE tMMEDIATE ATTENTION CORRECTED VIOLATIONS PART 2:BLUE MAINTENANCE ITEMS THESE ITEMS RELATE TO MAINTENANCE OF THE FOOD SERVICE OPERATION AND ( CORRECT BY THE MARKED ITEMS ABOVE ARE VIOLATIONS FOUND DURING AN INSPECTION OF THE OPERATION OF THE FACILITIES IN THIS ESTABLISHMENT WHICH MUST BE CORRECTED ~S INDICATED. F~ILU~E TO COMPLY MAY ~ESULT IN THE INITIATION OF LEGAL ACTION AGAINST THIS ESTABLISHMENT AS PROVIDED FOR IN A~TICLE8 2 ANDI8 OF THE ~UFFOLK COUNTY SANITARY CODE INCLUDING A HEARING, POSSIBLE ~U~pENSlON OF YOU~ FOOD OPERATION, AND OR THE PUBLICA~OF TH[ V~O~TION AND FINES. ~PER~ ~ V ' ~ / / . ~" TITLE ~NITAR~N/# ,~ ~ ~ ISAN.~.~,~ ]INSPECTION~ /~ RED CRITICAL ITEMS - RELATE DIRECTLY TO FACTORS WHICH LEAD TO FOODBOREE ILLNESS - M~ST RECEIVE IMMEDIATE ATTENTION 1 FOODS INCLUDING SHELLFISH WHOLESOME UNADULTERATED AND FROM AN APPROVED SOURCE - PASTEURIZED M~LK AND MILK PRODUCTS USED FOOD OR EQUIPMENT EMBARGOED REDUCED OXYGEN PACKAGING METHOD APPROVED FiSH FOR SALE AS RAW FROZEN PRIOR TO SERVICE - NO OPENLY DISPLAYED FOODS 2 EGGS RECEIVED AT 41 DEGREES FAHRENHE[% NOT CRACKED AND LABELED WITH SOURCE AND SAFE HANDLING INSTRUCTIONS 3 FOOD CONTAINER SHOWING EVIDENCE OF SWELLING RUST LEAK OR OTHERWISE IN SUCH CONDITION AS MAY RENDER THE PRODUCT UNWHOLESOME NOT FAHRENHEIT OR ABOVE 140 DEGREES FAHRENHEIT TEMPERATURE LOG MAINTAINED EOF{ FOOD TRANSPORT 15 iNGREDIENTS USED TO MAKE POTENTIALLY HAZARDOUS FOODS WHICH ARE TO BE SERVED WITHOUT FURTHER COOK~NG ARE PRECHILLED BEFORE MIXING 16 SUFFICIENT NUMBER OF REFRIGERATORS AND HOT FOOD STORAGE FACILI7 AVAILABLE FOR THE SERVICE STORAGE DISpLAy AND TRANSPORTATION POTENTIALLY HAZARDOUS FOODS 17 UNWRAPPED OR POTENTIALLY HAZARDOUS FOOD NOT RESERVED 18 FOOD NOT SUBJECT TO FURTHER COOKINU PROTECTED AGAINS' CQNTAMfNATION FROM FOOD REQUIRING WASHING OR COOKING 19 iOOD CONTACT SURFACES OF EQUIPMENT CLEANED AND SANITIZE. 8EFOR EACH USE WITH DIFFERENT TypEs OF RAW ANIMAL FOOD AND EACH TIME THERE IS A CHANGE FROM WORKING WITH RAW FOODS TO READY TO EAT FOODS OR BETWEEN RAW ~RUITS AND VEGETABLES AND POTENTIAL[ y HAZAHL)OUU 20 FOOD NOT STORED UNDER WASTE OR DRAIN LINES OR POSSIBLE CONTAM[NATION BLUE MAINTENANCE ITEMS - CORRECT AS SCHEDULED 28 OPERATING WITH A VALID PERMIT AND IN ACCORDANCE WiTH THE CONDITIONS OF THE PERMI'~ CONSTRUCTION AND REMODELING DONE IN ACCORDANCE WITH APPROVED PLANS LAST RECORD OF INSPECTION AVAILABLE POSTINGS AND NOTIFICATIONS TO THE PUBLIC PRESENT. 29 A PERSON IN CHARGE W~LL HOLD AND DISPLAY A VALID FOOD MANAG ER~S CERTIFICATE AND DEMONSTRATE KNOWLEDGE OF FOODBORNE DISEASE PREVENTION EMPLOYEES PROPERLY TRAINED IN FOOD SAFETY. 30 SMOKING I~W COMPLIED WITH 31 FOOD PROTECTED DURING STORAGE, PREPARATION, DISPLAY TRANSPORTATION AND SERVICE FOOD PROPERLY COVERED I~BELED AND NOT STORED DIRECTLY ON FLOOR WHOLE FISH KEPT ON ICE OR REFRIGERATED UNNECESSARY TRAFFIC THROUGH FOOD PREPARATION AND UTENSIL WASHING AREAS PROHIBITED NO UNSUPERVISED INDIVIDUALS FOOD OFFERED IN A WAY THAT DOES NOT MISLF~D THE CONSUMER 32 . IN USE FOOD DISPENSING UTENSILS PROPERLY STORED. 33 .. CLaN AND SANITIZED UTENSILS AND EQUIPMENT PROPERLY HANDLED. STORED AND DISPENSED. CLEAN TABLEWARE USED BY CONSUMERS AT SELF-SERVICE DISPLAYS 34 SINGLE SERVICE ITEMS PROPERLY STORED, DISPENSED HANDLED AND NOT REUSED 35 HOT AND COLD STORAGE FACILITIES PROVIDED WITH ACCURATE THERMOMETERS. 36 .. PROPER THAWING pROCEDURES USED (UNDEB REFR~GE~¢~T~ON OR RUNNING WATER) 37 RAW FRUITS AND VEGETABLES WASHED BEFORE USE 38 .. PERSONAL CLEANLINESS ADEQUATE, CLEAN OUTER GARMENTS WORN, NO EXCESSIVE JEWELRY WORN 39 .. SMOKING, USE OF TOBACCO, EATING OR DRINKING PROHIBITED iN FOOD PREPARATION DIBHWASHING AND FOOD PREPARATION AREAS 40 PROPER HAiR RESTRAINTS USED 41 FACILITIES FOR THE STORAGE OF EMPLOYEES PERSONAL BELONGINGS PROVIDED AND KEPT CLEAN 42 EQUIPMENT AND UTENSILS DESIGNED AND CONSTRUCTED AS TO BE SMOOTH, EASILY CLEANABLE, DURABLE AND NONTOXIC AND KEPT IN GOOD REPAIR MOLLUSK AND CRUSTAC EA SHELLS NOT USED MORE THAN ONCE 43 . . EQUIPMENT LOCATED AND INSTALLED SO AS TO BE EASILY CLEANABLE AND iN CONFORMANCE WITH LOCAL REQUIREMENTS ADEQUATE WORKING SPACES PROVIDED 44 WASH AND RINSE WATER CLEAN AND AT PROPER TEMPERATURES 48 WIPING CLOTHS CLEAN AND STORED BETWEEN USES IN A SANITIZING SOLUTION A SUITABLE SANITIZER TEST KIT AVAILABLE AND USED CLOTHS NOT USED FOR WIPING ARE DIFFERENT COLOR. 49 FOOD CONTACT SURFACES CLEANED AND SANITIZED AFTER EACH USE AND FOLLOWING ANY fNTERRUPTION OF OPERATIONS DURING WHICH CONTAMINATION IS LIKELY TO HAVE OCCURRED UTENSILS USED ~N THE PREPARATION OF RAW SHELL EGGS CLEANED AND SANITIZED HOURL'~ 50 NON-FOOD CONTACT SURFACES OF EQUIPMENT CLEAN 51 POTABLE WATER SUPPLIES COMPLY WITH SUBPART 5-1 OF THE NY STATE SANITARY CODE ADEQUATE AMOUNT OF HOT AND COLD RUNNING WATER UNDER ADEQUATE PRESSURE PROVIDED HOT WATER AT THE THREE COMPARTMENT StNK MAINTAINED AT A MINIMUM OF 140 DEGREES PAHRENHEIT HOT WATER SUPPLY DEDICATED ONLY TO THE FOOD SERVICE AND UNDER CONTROL OF PERSON IN CHARGE 52. ALL SEWAGE AND LIQUID WASTE DFSPOSED OF IN A PUBLIC SEWER, OR IN THE ABSENCE THEREOF, IN A MANNER SATISFACTORY TO THE BEPARTMEN% 53 PLUMBING PROPERLY SIZED INSTALLED AND MAIFFfAINED ALL REQUtRED INDIRECT DRAINLINE CONNECTIONS PROVIDED 54 TOILET FACILITIES ADEQUATE CONVENIENTLY LOCATED. COMPLETELY ENCLOSED WITH SELF-CLOSiNG DOORS, MECHANICALLY VENTILATED, KEPT CLEAN, IN GOOD REPAIR AND EQUIPPED WITH HANDS~NKS. EMPLOYEE HANDWABHING SIGNS POSTED 55. ADEQUATE HAND WASHtNG FACILITIES PROVIDED, USED ONLY FOR HAND WASHING, PROPERLy MAINTAINED AND SUPPLIED WITH HOT AND COLD RUNNING WATER SANITARY TOWELS OR HAND DRYING DEVICE AND HAND CLEANSER 56 ADEQUATE, LEAKPROOF NON-ABSORBENT, VERMIN-PROOF, COVERED CONTAINERS PROVIDED WHERE NEEDED ADEQUATE REFUSE CONTAINERS AVAILABLE FOR CUSTOMER USE 57 OUTSIDE GARBAGE STORAGE AREAS ADEQUATE IN SIZE, CLEAN AND NOT CONSTITUTING A NUISANCE CONTAINERS STORED ON A CONCRETE SLAB OR OTHER NON ABSORBENT SURFACE 58 EFFECTIVE MEASURES TAKEN AGAINST THE ENTRANCE AND THE BREEDING OR PRESENCE ON THE PREMISES OF INSECTS, RODENTS AND OTHER PESTS 59 INSECTICIDES APPLIED BY A NYSDEC CERTIFIED "COMMERCIAL APPLICATOR" §0 FLOORS WALLS AND CEILINGS PROPERLY CONSTRUCTED, SMOOTH AND EASILY CLEANABLE AND MAINTAINED CLEAN 61 ADEQUATE LIGHTING PROVIDED IN F6OD PREPARATION, FOOD STORAGE, UTENSIL WASHING. HANDWASHING, DRESSING ROOM, TOILET ROOM AND GARBAGE STORAGE AREAS LIGHT BULBS SHIELDED 45 SANITIZING RINSE AT PROPER TEMPERATURE, CHEMICAL CONCENTRATION ANDiEOR~FOR 62 ADEQUATE VENTILATION PROV)DED AREAS AND EQUIPMENT FROM WHICH AEROSOLS, APPROPRIATE TIME ODORS OR NOXIOUS FUMES ORIGINATE, VENTED TO THE OUTSIDE 46 PROPER WASHING TECHNIQUE USED (WASH, RINSE, SANITIZE) THREE BAY SiNK ONLY ARTICLES NECESSARY TO THE OPERATION AND MAINTENANCE OF THE FOOD PROVIDED DISHWASHER PROVIDED WHEN MULTI USE EATING AND DRINKING UTEN RATION PERMI~DED IN THE ESTABLISHMENT EXTERIOR WALKING AND DRIVING ARE USED. ~FACES MAINTAINED CLEAN AND IN GOOD REPAIR 47 . . ACCURATE THERMOMETERS, CHEMICAL TEST KITS AND PRESSURE GAUGES AVAILA/!ING QUARTERS COMPLETELY SEPARATE FROM FOOD ESTABLISHMENT OPERATIONS TO MONITOR DISHWASHING MACHINES DISHWASHING MACHINES MAINTAINED IN G REPAIR VE ANIMALS EXCEPT SERVICE ANIMALS RESTRICTED FROM PREMISES, LEANING EQUIPMENTAND LINENS PROPERLY STORED LAUNDRYAREAS PROPERLY COATED 18~)490. 03/09kk ~~ Chronology of Events ~~ Document1 Touch of Venice 11-e2-e2 Started Plans review for alterations to building to be renamed Touch of Venice Bar 44, Lobby 28, Dining Room #1 40,Dining Room #2 22, Back Foyer 10, Party Rm Sm 22, Party Rm Lg 43, Kitchen 4, Building Total Occupancy 210. Occupancy Loads from plans, need to be site measured when ready to open. Still the following 1. Hood plans and appliance layout. 2. Fire suppression system plans with cut sheets. 3. Fire alarm plans with cut sheets. 4. Fire extinguisher in service area in party rooms. 5. Occupancy classification. 6. Building classification. L~F- rs~ 1 oo22_ ~ Rise 8Far, ch Pipe Size ~,,~* / ~ /~" Hanufacturer ,_~,, Quantity: _. Piping Hatertal Supply Pipe Size Gas Valve type: .9'~/¢ Size Detector Temperature rating Hood Size: /pCd"~ ~Z ~~z' Duct Size: ~z) /~Z /~ Hood Si~e: Duct Size: NOZZLE I/F # }%EIGHTS ADP ADP L~ ~-2o R ZO-~ LOCA270NS ~X Frye, rs to have High Limit Control to shut off fuel at 425 deg~ ~X Detectors shall be Located over every piece of ~quipolent. ~ The System installed as per m~nufacturers spefs-and the AHJ. ~X The Sys[em has been installed as per X The following functions to operate upon system discharge: * Supply air damper closes * Gas fuel shuts off in kitchen * Exhaust fan r~ma~r~s on * Electric fuel shut off under hood * All systems to activate simultaneously in same hazard area. * Fire ALarm shall activate if one Vs ~nstaLled in building. ~X Manual Pull is loc~tt~d 1~-35 ft from hood~and 3-5 ft-from floor ABT DESIGN & FIRE PROTECTION 1724 CHURCH STREET HOLBROOK, NY 11741 631-878-4896 FAX: 631-878-5727 Cylind~r:B12OOOQ A/zooof Control Head:B120OlO Pull S~ation:919746~ Link KLt: Micro Switch:91972~8 Gan Valve:B1200~ Corn.r Pulley:B844648 V~nt p~ug:9~ 97430 gi~cha.cqc Adapt~r:844908 () Feb 10 11 11:16a Mark D. Geiselman 516-432-0918 p.1 TOWN OF SOUTHO~D ~ /~ ' ~,', ~ .. J ' t H~'-- · ., : ., , , , · ~ ~ HI'  ;~j~ ,.. , .,,,,~,,;,, = , i ~" ~, T~m~ ~T~NT ~TION ~ 'L~"]~kD. ~*~' ~"~" TOUGH O~ 2~D~ HAIN ~AD ELEOTRICAL I ALL ELEF~TRICAL MORN. 9HALL b~E IN~TALLEE~ IN ¢ONPORf"fAN¢B WITH ALL APPLIOAE~LE HVAO I ALL MECHANICAL WORK- 5HALL BE INSTALLEP CON~EP-?ATION RULES ANI~ _REGULATION5 Z .4: PLOT PLAN 5~,ALE, I" = ',PLUMBING ALL PLUMBING WASTE &WATER LINES blEED TESTING BEFG,' S C L,','L I] P PL UMBER CERTIFICATION QN LEAD CQN'EENT BEFORE CERTIFICATE QF OCCUPANC¥ SOLDER USED IN WA TER SUPPLY SYSTEM CANNOT EXCEED2~10 OF 1% !.EAD. OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY APPROVED AS NOTED NOTIF~F BUILDING DFr'- ~M' ,T 3 INSdL~ flON 4 Fff~AL -;ONSTRUCTION & ELECTRICAL MUST BE COMPLETE FOR C 0 ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE COBES OF NEW YORK STATE, NOT RESPONSIBLE FOR FIRE INSPECTION REQUIRED BEFORE OPENING ELECTRICAL INSPECTION REQUIRED FEB ] 0 BLDG, DEPT. TOWNOFSOUTHOL§ ~P-,A~ I NC SO H ~U L AJ ®ENEP,,AL NOTES, I~LOT PLAN A.2 C, ONSTR, UCa ION / EPEMO PLAN, H C,. BATH DETAILS A.5 FURNITURE / EQUIPMENT PLAN A.4 ~EFLEC, TEB', GELLING PLAN III Zz H.6. E~ATH ~TAILS Z ,[] fl II II I*l HIN CONSTRUCTION / O~dO PLAN II SC, ALE, I/4" = DININg ]1 II II II II t=Ut~,NITU~E~ / E~L/IPI, d~NT PLAN 5~ALE, I/4" = -4)- + I + + + P.,EFLEC, TEO CEILIN~ PLAN PLAN DOALE, I/4" -- I'-0"