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Home My WebLink About36260-ZTown of Southold Annex 54375 Main Road Southold, New York 11971 5/31/2011 CERTIFICATE OF OCCUPANCY No: 34971 Date: 5/31/2011 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: COMMERCIAL ALTERATION 62300 Route 25, Southold Sec/Block/Lot: 56.-6-6.1 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore 3/17/2011 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: install two new doors for an existing restaurant as applied for. filed in this officed dated 36260 dated 3/23/2011 The certificate is issued to Port of Egypt Enterprs (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 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 #: 36260 Permission is hereby granted to: Port of Egypt Enterprs Date: 3/23/2011 To~ 62300 Route 25 Southold, NY 11971 install two new doors at an existing restaurant At premises located at: 62300 Route 25 SCTM # 473889 Sec/Block/Lot # 56.-6-6.1 Pursuant to application dated To expire on 9/21/2012. Fees: 3/17/2011 and approved by the Building Inspector. NEW COMMERCIAL, ALTERATION OR ADDITIONS CO - COMMERCIAL Total: $250.00 $50.00 $300.00 Building Inspector Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled ill by typewriter or ink and submitted to the Building Deparrtnent with tile following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. Bo For existing buildings (prior to April 9, 1957) non-conformiug uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $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- $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Constrnctiou: Location of Property: Old or Pre-existing Building: Date. 2g- // (check one) House No. Owner or Owners of Property: ~c ,r,~ '~ Suffolk County Tax Map No 1000, Section Subdivision Street Permit No. '~.~ ~ ~ ~;~ 6_9 Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Date of Permit. ~' 2-~ - f Hamlet Block ~ Lot Filed Map. Lot: Applicant: .~% - f-)/~-:O Underwritem Approval: Final Certificate: / (check p_.ne) Applicant Signature TOWN OF SOU BUILDING DEF TOWN HALL SOUTHOLD, N TEL: (631) 765- FAX: (631) 765- SoutholdTown.? MAR ] 6 $021 2011 Examined Approved Disapproved a/c / Expiration ,20/Z.~ /~ng'Inspector 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: ~/ct/~/~ Mail to: Phone: APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS ~,/"~ 3 ,20 // 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. lfno 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 cede, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. /-~ignature of applicant or name, ifa corporation) (Mailing address 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 of duly authorized officer (Name and title of corporate officer) Builders LicenseNo. Plumbers License No. Electricians LicenseNo. Other Trade's License No. /l / ! // 4 ?/ / / Location of land on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section -5~/ Block d d Lot ~'- / Subdivision 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 ~'~5 ~ c>~ ~x2 7~ b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work Estimated Cost ~_~/ ,5 ~ If dwelling, number of dwelling units If garage, number of cars Fee (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. 7. Dimensions of existing structures, if any: Front _c~ (/ Rear / ~ [ Depth Height. ~ 3 Number of Stories c9'~' ~ Dimensions of same structure with alterations or additions: Front ~-~ ~ ~ Depth ~'~ ~ ~.~ Height. ~7 ~ Number of Stories Rear ~<'4~ ~_ 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Size oflot: Front ~ ?~ Rear ,~P ~-- Depth 10. Date of Purchase / cfi ,p ~ Name of Former Owner 11. Zone or use district in which promises are situated /~7 ~ 12. Does proposed construction violate any zo~g law, ordinance or regulation? YES. NO t~ 13. Will lot be re-graded? YES NO Z/Will excess fill be removed from premises? YES NO __ 14. Names of Owner of premises /~c~/~,,~ ~/~:~ r/-,~Address dZYw~r e'~-~a5/-/',~Phone No. 795 -~4~5 ~ NameofArchitect ~3q~7~4. ~,r.*~.~,5, Address ~',~77~-~' PhoneNo ~5~5~5->~ Name of Contractor Address Phone No. 9* 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..~La~Y 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 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 OF ) ~ ~ .~ ~,~/~ ~-~q~4) ~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the /~ ~' ~;q.,'7- ~ j.~/.¢/ 7~£~.2'~. (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are tree 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 /O-~"'~'P day of/~,dl(~'/t 20// / N°ta[7 Publi~l°~aV/~o ~,'/300~ Signature of Applicant Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T. #: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A ¢?ectl~on B~i2 ~t[ STORMoWATER~ GRADING, DRAINAGE AND EROSION CONTROL PLAN District CERTIFIED BY A DESIGN PROFESSIONAl. IN THE STATE OF NEW YORK. SCOPE OF WORK - PROPOSED CONSTRUC~ON fi'EM # / WORK~S~SMENT [ Yes No a. What is the Total Ama of tho Project Parcels? (Include Total Area of all Parcels located within I Will this Project Retain All Storm*Water Run-Off Generated by a Two (2") Inch Rainfall on Site? the Scope of Wed( for Proposed Constru~on) (This item will include all run-off created by site b. What is the Total Ama of Land Cleadng (S.F. / ^c~s) cleadng and/or construction activities as well as all and/or Ground Disturbance for the proposed Site Improvements and the permanent creation of construction activity? impervious sulfaces.) (S.F. I ^cms) 2 Does the Site Plan and/or Survey Show Ail Proposed PROVIDE BRIEF PROJF~CT DF~CRIPTION (Pm,~ ~ddi~,,a pages .s Needed) Drainage Structures Indicating Size & Location? This Item shall include ali Proposed Grade Changes and Slopes Controliing Surface Water Flow. / 3Does the Site Plan and/or Survey describe the ems/on ~'~ '~/C/~ ~'(~/.~ ~ ~/ //~, / 7%~ ~ and sediment control practices that will he used to control site erosion and storm watsr discharges. This -'~ (//'/~ d ~-/d//~/ ~'~"(./ ~/'~' item must be maintained throughout the Entire - Construction Pedod. ~::~.~ ~ Excavation where there is a change to the Natural I I Existing Grade Involving more than 200 Cubic Yards[~J __ of Matedal within any Parcel? 5 Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5,000 S.F.) Square Feet of Ground Surface? -- 6 is there a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction General DEC SWPPP Requirements: or within One Hundred (100') feet of a Wetland orI~1 -- Submission of a SWPPP is required ~or all ConsthJction act/vibes involving soil Beach? disturbances of one (I) or more acres; including disturbances of less than one ac~e that 7 Will there be Site preparation on Existing Grade Slopes am part of a b. ger common ptan that will uRirnctely disturb one or more acres of land; which Exceed Fifteen (15) feet of Vertical Rise to il thduding Construction activities involving soil disturbances of less than one (1) acre where One Hundred (100') of Horizontal Distance?I~1 -- the DEC has determined that a SPDES permit is required for storm water discharges. ~WPPP'$ Shall meet the Minimum Requirements of the SPDES General Permit 8 Will Driveways, Parking Areas or other ImpeP~ious for Ston~ Water Discharges from Construction activity. Permit NO. GP-O-10-O01.) Surfaces be Sloped to Direct Storm-Water Run-Off r~ 1. Tl~e swPPP shall pa prepared pdor to the subr~ttal of the NOI. T~e NOI shall be into and/or in the direction of a Town right-of-way?I~1 -- STATE OF NEW YORK, ~ ~ ~ CONNIE D. BUNGH No. 01BU618E060 Owner and/or representative of the 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 contahmd in this application are true to the best of his knowledge and belief; and that the work will be performed in the manuer set forth in the applicalion filed herewith. Sworn to before me this; FORM-06110 Town Hall Annex 54375 Main Road P.O. Box 1179 Southold. New York 11971-0959 Telephone (63 I) 765-1802 Fax (631) 765 9502 BUILDING DEPARTMENT TOWN OF SOUTHOLD May 23, 2011 Port of Egypt Enterprises 62300 Route 25 Southold, NY 11971 TWO WHOM IT MAY CONCERN: llo~ng Items Are Needed To Complete Your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. ~Afee of 150.00. __ Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) __ Trustees Certificate of Compliance. (Town Trustees #765-1892) __ Final Planning Board Approval. __ Final Fire Inspection from Fire Marshall, __ Final Landmark Preservation approval. BUILDING PERMIT: 36260-Z alteration .I 3_L 1 GENERAL NOTES: 1, PROVIDE REFRIGERATION EQUIPMENT TO OPERATE BELOW 41 DEGREES F. 2. PROVIDE FREEZER EQUIPMENT TO OPERATE BELOW 0 DEGREES F. 3. PROVIDE HOT HOLDING EQUIPMENT TO OPERATE ABOVE "4[~ OEGREES F. 4. ALL THERMOMETERS TO BE ACC UI~e, TE TO WITHIN 2 DEGREES F, 5. PROVIDE SHATTERPROOF OR SHIELDED LIGHT FIXTURES IN ALL FOOD SERVICE, PREPARATION AND STORAGE AREAS. 6, ALL FOOD STORAGE SHALL BE A MINIMUM OF 6" ABOVE FINISHED FLOOR, 7. ALL STORAGE FOR COOKING AND FOOD PREPARATION UTENSILS SHALL BE A MINIMUM OF 12" ABOVE FINISHED FLOOR, 8. NO STORAGE OR ANY FOOD OPERATIONS SHALL BE PERMITTEr-` SE '..b~'; W~Tr ~ '~': ~ g. PROVIDE FLOOR FINISH IN FOOD PREPARATION, STORAGE AND TOILET ROOM AREAS THAT I$ SMOOTH, DURABLE, AND EASILY CLEANABLE WITH COVED JOINTS AT INTERSECTIONS WITH WALLS. 10. PROVIDE WALL FINISHES THAT ARE WASHABLE, NON-ARSORBEN1 ~ND LJGrI ~ COLORED, WITH NO OPEN SEAMS. t 1. PROVIDE CEILING FINISHES THAT ARE NON-ABSORBENT AND EASILY CLEANABLE. 12 PROVIDE SEPARATE CABINET OR STORAGE AREA FOR INSECTICIDES AND ~t EANING COMPOUNDS. 13. ALL FOOD SERVICE EQUIPMENT IS TO BE N.S,F. ANDIOR U.L APPR~V; ' .... INSTALLED TO FACILITATE CLEANING THEREOF AND OF ALL ADJACENT AREAS. ALL SURFACES OF WORKTABLES, SHELVING AND FOOD CONTACT AREAS SHALL BE SMOOTH, DURABLE AND EASILY CLEANABLE. 14 ALL EXTERIOR DOORS ARE TO BE RODENT/INSECT PROOF AND SELF.LOSING. 15. PROVIDE TOILET ROOMS WHICH ARE MECHANICALLY VENTED, HAVE SOAP AND h~ND DRYING FACILITIES AND SELF-CLOSING DOORS. 16. PROVIDE COMMERCIAL WATER HEATER SUITABLE IN SIZE T= SUPPLY ADEQUAI E HOT WATER FOR FOOD SERVICE EQUIPMENT AT 120 DEGREES E. AND FOR MECHANICAL DISHWASHER AT 180 DEGREES F., AS REQUIRED. 17. PROVIDE INDIRECT DRAINS FOR ALL REFRIGERATORS CONDENSEP COIL DRAINS, WALK-IN FLOOR DRAINS, ICE MACHINES, COOKING KETTLES, HOT AND COLD FOOD TABLES, STEAMTABLES, COFFEE URN DRAINS, DIPPER WELLS, SULK ICE CREAM FREEZERS, SODA TOWER ORAINS, FOOD PREPARATION SINKE, %F . ~,. i , ,tS, ~3AR SINKS, EACH COMPARTMENT OF ALL THREE (3) COMPARTMENT SINKS, MECHANICAL DISHWASHERS AND DRAIN BOARDS. 18. PROVIDE HAND SINKS WiTH SOAP AND TOWEL DISPENSER. 19. PROVIDE SEPARATE AREA OR CLOSET FOR MOP RECEPTOR AND RACK TO ACCOMMODATE MOPS. 20. PROVIDE HOT AND COLD WATER WITH MIXING FAUCET AT ALL SINKS 21. PROVIDE SUFFICIENT MECHANICAL VENTILATION TO KEEP KITCHEN AREA FREE OF EXCESSIVE HEAT, STEAM, ODORS OR FUMES. 22. PROVIDE EXTERIOR GARBAGE STORAGE AREA WITH SMOOTH CONCRETE OR ASPHALT SURFACE. 23. THE PUBLIC SHALL NOT HAVE ACCESS TO ANY FOOD PREPARATION AREA. 24. THE WATER SUPPLY AND ALL EQUIPMENT CONNECTED THERETO SHALL BE iNSTALLED IN A MANNER SO AS TO PRECLUDE THE POSSIBILITY OF BACKFLOW. CARBONATED BEVERAGE DISPENSERS CONNECTED TO THE WATER SUPPLY SHALL HAVE A VENTED DOUBLE*CHECK VALVE ON THE WATER INLET SIDE OF THE CARBONATOR. 25 PROVIDE A MECHANICAL GLASS WASHER AT THE BAR AREA 26. ALL PLUMBING SUPPLY LINES SHALL BE COPPER, TYPE "L" WITH DRAINS TO BE COPPER OR CAST RON ALL JO NTS N COPPER L NES SHALL BE MADE W~TH 9515 SOLDER 27. THE PLUMBING CONTRACTOR WILL BE RESPONSIBLE FOR COMPLETING ALL CONNECTIONS TO THE EXISTING SANITARY AND WATER SUPPLY SYSTEMS AND COORDINATING WITH THE OWNER/LANDLORD AS REQUIRED 28 ALL WORK IS TO CONFORM TO ALL LOCAL ORDINANCES ARD NEW YORK STATE BUILDING CODES, LATEST EDITION. SYMBOL A B C D E F G H I J K L M N O P Q R EQUIPMENT SCHEDULE EQUIPMENT i Cooler Self Contained - Existing 4 Drawer Refrigerator- Existing' ' Sandwich Refrigerator Self Contained - Existing Sealed Well Eleclric Hot Food Table - New Food Warmer with 2 Round Weti~ 6 Burner Stove/Oven - Exist/no i - Existing 6 Burner Stove/Oven - Existing Convection Oven - Exist/pO Infra-Red Salemender Broiler - Existing Rich dishwasher r - self contained - Existing Cooler - self contained - Existing ip - New · Cooler - self contained - New Ice Cream FraezerlDipper Well Eel| Contained - New Wells i Glow 69002091 Gadand 11-1990 8-2 WKSVFM 1lA-fI90 Southbenq SLGI22 24CGM2S0 Gadand GLR36C 6061-8 Glaetender I KC60-LtBSLR Continental _ ,.BBC6? -_G._D 1 2 3 4 5 6 7 8 9 Hand Sink - Existing Hand Sink - New 17"wide x 21" long - Existin~ ~ Sink - Existing r Soda Plate- Existing ;ting r Soda Plate - Existing StainlessUSA , NSF Stainless OCCU?ANCY OR USE iS UL LAWFUL WffHO!,JT CERTIFICATE OF OCCI, ;?ANCY APPROVED AS NOTED PE ' NOTIFY EUILDIN~ DEPARTMENT AT 7~5-1802 8 AM TO 4 PM FO~ THE FOLLOWING INSPECTIONS' FOUNDATION- TWO REOUIRED FOR POURED CONCRETE 2 ROUGH-FRAMING PLUM£'RG $TRAPP NG ELECTRIC". & CAULKING 3 ~NS' JLATION 4 : NAL-C~N~TR'JC'ION ~ E~ECTRICAL , -~ .... *' -~'~ -T- ~ -'~ 5:: ' ' ' I I I .w , a hitect quixnetnet I i