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Home My WebLink About35092-ZTown of Southoid Annex 54375 Main Road Southold, New York 11971 7/8/2011 CERTIFICATE OF OCCUPANCY No: 35028 Date: 7/8/2011 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: ADDITION/ALTERATION 9650 ROUTE 25 LAUREL, Sec/Block/Lot: 143.-1-1 Filed Map No. conforms substantially to the Application for Building Permit heretofore 9/18/2009 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: exterior and interior alterations to an existing restaurant as applied for. Lot No. filed in this officed dated 35092 dated 10/22/2009 The certificate is issued to May & Tony Inc (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 6/27/11 C10-08-0007 6/17/11 35092 5//18/11 John Sweeney & Sons Author~ed Signatu~ 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. 35092 Z Date OCTOBER 22, 2009 Permission is hereby granted to: for : MAY & TONY INC 9650 ROUTE 25 LAUREL,NY 11948 EXTERIOR/INTERIOR ALTEP~ATIONS TO RESTAUR3kNT PER APPROVED PLANS AS APPLIED FOR at premises located at 9650 ROUTE 25 LAUREL County Tax Map No. 473889 Section 143 Block 0001 Lot No. 001 pursuant to application dated SEPTEMBER 18, 2009 and approved by the Building Inspector to expire on APRIL 22, 2011. Fee $ 610.00 ~]ut~ho~ignature ORIGINAL Rev. 5/8/02 Form NO. 6 TOWN OF $OUTHOLD 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 Depart ~w~ t~ f~o~in~ A. For new building or new use: :1~ a~t 1. Final survey of property with accurate location of all buildings, property lines, stree un~ty~tl ~tur~(~ 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 lc, 5. Commercial building, industrial building, multiple residenees and similar ¥11 ~ ~~te of Code Compliance from architect or engineer responsible for the buildinl~l 6, Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957)non-conforming uses, or buill Znd ~"~r~e~ 1. Accurate survey of property showing all property lines, streets, building and--~ 2. A properly completed application and consent to inspect si~-ed b,, the a**li( 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. Ceytificate 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 Date. New Construction: Old or Pre-existing Building: J ~(check~o/ffne)t e No. Street ' - Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section IL~ Block Subdivision Filed Map.. PermitNo ~2~C(-~~ DateofPermit. .Applicant: Health Dept. Approval: Planning Board Approval: ~" Request for: Temporary Certificate Foe Submitted: $ Underwriters Approval: _. _ Final Certificate: J (check one) Applicant Signature Town Half Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631 ) 765-1802 Fax (631 ) 765-9502 ro.qer, richert~town southo d ny us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRIClAL COMPLIANCE SITE LOCATION Issued To: Tonys Asian Fusion North Address: 9650 Route 25 City: Laurel St: NY Zip: 11948 Building Permit #: 35092 Section: 143 Block: I Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Gaio Electric Inc License No: 4705-e SITE DETAILS Office Use Only Commerical Outdoor 1 st 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 NC Blower Range Recpt Fluorescent Fixture ~ Pumps Transformer Appliances Dryer Recpt Emergency Fixtures~ Time Clocks Disconnect Switches Twist Lock Exit Fixtures [~J TVSS Other Equipment: 200a 3 phase under ground service, 12-8ft lighting tracks,2-exhaust fans 2-roof top exhaust fans, 1-return air fan, 1-walk in box, 3-emergency / exit lights, 3-1ow boy (refridg) Notes: Inspector Signature: Date: May 18 2011 81-Cert Electrical Compliance Form Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631] 765-1802 Fax (63 I) 765-9502 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Owner: %bJy (Please print) Plumber: (Please print) Date: I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this day o f~,~c-4.~ , 20t/ (Plumbers Signature) oaYhc ~. EEEPT NOTARY PUBLIC State of New Yo6, No. 01EB4998698 Qualil c~? Suffo,,~ Coa_.~_0 Iq Notary Public, %'~'~ \k%~ County TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECT ION FOUNDATION· 1ST [,/~ROUGH PLBG. ] FOUNDATION 2ND [ ]INSULATION FRAMING / STRAPPING [ ] FINAL FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION FIRE RESIST ~A~I'~ 4~4STRU~'IOfl [ I FIRE REGI~TANT PENETRATION REMARKS:~ ~--~ r~r/ _~_.~ ~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST ,J~' ROUGH PLBG. __ ~ ~.-----*--~,[ ] FOUNDATION 2ND ! ] INSULATION [/%~/,FRAMI NG '~STRAPPI NG) [ ] FINAL [ ] FIREPLACE&CHIMNEY [ ] FIRESA~c~INS~ECTION DATE __INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] ROUGH PLBG. [ ]INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] RRE RESISTANT PENETRATION [ ] ELECTRICAL (FINAL) FOUNDATION 1ST FOUNDATION 2ND FRAMING / STRAPPING FIREPLACE & CHIMNEY RRE RESISTANT CONSTRUCTION ~ELECTRICAL (ROUGH) REMARKS: DATE ~ INSPECTOR~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION l ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] ~RE/JAFETY INSPECTION [ ] FIRE RESISTAHT CONSTR~ [ ~ FIRE RG$1STANT PGNGTRATION REMARKS: DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ~aI~PLBG. [ ] FOUNDATION 2ND [~,'INSULATION [ ] FRAMING / STRAPPING [ [ ] FIREPLACE & CHIMNEY [ [ ] F~RF.,mT, vrrc0~STRUCl'mN [ REMARKS: ] FINAL ] FIRE SAFETY INSPECTION ] RRE RESISTANT FENETRATION DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION[ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [~ ELECTRICAL (FINAL) REMARKS: DATE ~/ INSPECTOR~C~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS/UL~ATION [ ] FRAMING/STRAPPING [ "~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ]FIRE RES~T.~rr Com'muc1'm. [ ] REMARKS:~,~ INSPECTOR 3. o TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING / STRAPPING [ ~NAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REM~ARKS:~ FOUNDATION (1ST) ~! FOUNDATION (2ND) ~ /v~Av (/~ ~- ~3~ ~ ~ ,~ ~ ~ ,,~,r~,~ ~ ~,,~ .~,~'~ a~ ~ ~S~TION PER N.Y. / / ' ~ STATE E~RGY CODE I / TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined i/) ( ~,"2. ,20~ Approved }0 / ~-w~2' ' 20__ dtJC~ Disapproved a/c Expiration ~'~/0~'~'- , 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 N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form Contact: Mail to: [ BLDG. DEPT. [ a. Thi0~ll~iiQltll~lMl TST v~ ompletely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sc ~or p~ans, 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 pernfit fbr 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 fbr 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. i $ E I ~ ~~1 Building Inspector APPLICATION FOR BUILDING PERMIT OEP ~ 8 2009 Date 6)//c~ ,20 O ~/ INSTRUCTIONS (Signature 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 applica~nt is a corporation, signature of duly authorized officer (Name and title of c~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 Iq ~ Block / Subdivision Filed Map No. Lot Lot State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy Fee 3. Nature of .~,~heck which applicable): New Building Repair Removal Demolition 4. Estimated Cost /~D/oO0 5. Ifdwelling, number of dwelling units { If garage, number of cars Addition Other Work 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. 7. Dimensions of existing structures, if any: Front Height Number of Stories Rear Dimensions of same structure with alterations or additions: Front Depth Height. Number of S~t0ries Dimensions of entire new construction: Front Height Number of Stories 9. Size of lot: Front Rear Depth Rear. D pth Rear e ~pm"'e-''~ 10. Date of Purchase N amc 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 14. Names of Owner of premises Name of Architect Name of Contractor AddressZ-] I-tOA,,~l.,o 05 ,~J? Phone No.L~/'? ) S"-{> O --/3 ~ Address '~ Phone No Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES * 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. NO f 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. ! 7. 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 N~..1W YOfl~) C~ ~3t"O-~'"6 being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) a%ove named, (S)He is the ~-- (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perfom~ 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 {'"' ff- ./~ day of "~ ._~¢~r~. 20 '~ +"- Public No 01106190696 Sig~aature of Applicant :q o~,~, y Qu~ifi~ in S~olk ~un~. Commis, ion ~pi~ Jo~ 28, 20 3'OWN OF SOUTilOLD P. ATIONF LE 'C i · · .. .. .. ' ~1- - JOBSIFI'E INFORMATION: (*fndi~te~ required informetion) · N~N~:; - . . -. : .. '"~': ' . *~4X~S 81met:. - . , . · *Phone No.: Tax Map ~ 1000 Sectlon:~ ' .~o~,~,. -.. . ... · , . Final. Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T.M. #: District SecUon Block Lot THE FOLLOWING ACTIONS MAY REQUIRE THE 8UBMIS81ON OF A STORM-WATER~ GRADIHG~ DRAINAGE AND ~ROS!ON CONTROL PI.~I C~k! irlED BY A DESIGN PRO~:~i0NAI. IN THE STATE OF NEW Y011K. Item Number: (NOTE: A Check Mark (~) for each Question is Required for a Complete Application) 1 Will this Project Retain Ail Storm-Water Run-Off Generaled by a Two (2") Inch Rainfall on Site? Yes N__o (This item will include all run-off created by site cleating and/or construction activities as well as all Site Improvements and the permanent creatio~ of impervious surfaces.) 2 Does the Site Plan and/or Survey Show All Proposed Drainage Structures Indicating Size & Location? This Item shall include all Proposed Grade Changes and Slopes Contrelling Surface WatenC:lowi Require any Land Filling, Grading or Excavation where there is a change to the Natumr r"-] .~/ 3 Will this Project Existing Grade Involving more than 200 Cubic Yards of Matedal within any Parcel? L~ -- 4 Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5,000) Square Fee of Ground Surface? __ 5 Is there a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction or within One Hundred (100') feet of a Wet and or Beach? v 6 oneWill there be Site preparafi°n °n Existing Grade Sl°pes which Exceed Fifteen (15) feet °f Vedical Rise t° r_-I 7///Hundred (100') of Horizontal Distance? -- 7 Will Driveways, Parking Areas or other Impervious Surfaces be Sloped to Direct Storm-Water Run-Off ~ ./ into and/or in the direct on of a Town right-of-way? L~ -- any Item Within the Town Right.of-Way or Road Shoulder Ama? (This item will NO'[ include the Installation of Driveway Aprons.) 9 Will this Preject Require Site Preparation within the One Hundred (100) Year Floodpla n of any Watercourse? NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark in the Box, a Storm-Water, Grading, Drainage & Erosion Control Plan Is Required and Must be Submitted for Review Prior to Issuance of Any Building Permltl EXEMPTION: Yes No Does this project meet the minimum standards for classification as an Agdcultural Project? Note: If You Answered Yes to this Question, a Storm-Water, Grading, Drainage & Erosion Control Plan Is NOT Requlredl____ q., 1 , COUNTY OF ..~.~..~.~...~,z.~..3...~ .......... SS (Name of individual signing Document) ~' j Pp T~lt, And that he/she s the Owner and/or representative of the Owner of Owner's, 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 performed4~the manner set forth in the application filed herewith. Sworn to before ~e this; ~ / ............ ............... S' / / / tary Public: ................................ ut .................................. ........................... Ouaiified in Su[iuik County , , FORM - 06~07 Commission Expires March 5. 20 I I Action: CONT Estab. ID: 14451 Estab, ~21assi * 110 Estab. Name: TONY'S FUSION NORTH Activ. Code(s): 12 Inspection Date: 7/7/11 Timeoflnspection: 3:47 PM PART 2: BLUE MAINTENANCE ITEMS These items relate to maintenance of the food service operation and cleanliness, correct as scheduled. To Wit: INCANDESCENT LIGHTS IN/AT THE WALK-IN REFRIGERATOR AND ABOVE THE ICE MACHINE WAS/WERE NOT SHATTERPROOF OR ADEQUATELY SHIELDED FROM BREAKAGE 1N THAT NO SHIELDS WERE PROVIDED. 7/21/2011 Other Notes PERMIT ISSUED. ESTABLISHMENT OK TO OPERATE. NOTES: -THE 4 BURNER COOK TOP AND GRIDDLE WERE REPLACED WITH A 2 BURNER COOK TOP WITH GRIDDLE AND FLAT TOP NOTES ON WATER HEATER: -ACTUAL 3 COMPARTMENT SINK SIZE NOTED AS 24 X 24 X 12 -ACTUAL DISHWASHER NOTED AS AN AUTO CHLOR SPACESAVER A4 -WATER HEATER ONSITE NOTED AS A 67 GALLON 199,000 BTU CAPACITY UNIT -NEW WATER HEATER CALCULATION SHEET COMPLETED IN FIELD, WATER HEATER MEETS THE REQUIREMENTS OF THIS DEPARTMENT REMINDER: THE OPEN DISPLAY OF FOODS AND BARE HAND CONTACT WITH READY-TO-EAT FOODS ARE CRITICAL VIOLATIONS THAT MAY RESULT IN LEGAL ACTION. REMINDER: EMPLOYEES WITH GASTROINTESTINAL SYTMPTOMS/ILLNESSES ARE NOT PERMITTED TO WORK UNTIL THEY HAVE BEEN SYMPTOM FREE FOR 24 - 48 HOURS. FAX REQUIRED DOCUMENTS TO 852-5871. INSPECTION BY ADAM KUEMMEL AND BRITTANY COLEMAN QUESTIONS CALL 852-5951 Person Receiving Report: Sanitarian: 808 KUEMMEL Page 3 of 3 SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES CERTIFICATE OF APPROVAL OF FOOD SERVICE ESTABLISHMENT FOR CONSTRUCTION, ALTERATION OR REMODELING Applicant Tony's Asian Fusion (North) Establishment Location 9650 Rte. 25 Mattituck, New York Approval is issued under the provisions of Article 13, Section 1304 of the Suffolk County Sanitary Code foe 1 X__ New Structure 3) __ __ Conversion 2). Remodeling 4)__ X __ Other THE FOLLOWING CONDITIONS APPLY: 1) THAT THE PROPOSED CONSTRUCTION IS IN CONFORMITY WITH THE PLANS AND SPECIFICATIONS APPROVED BY THIS DEPARTMENT. 2) THAT THE APPLICANT CONTACT THE FOOD CONTROL OFFICE AT 631 852-5873 TO ARRANGE AN INSPECTION OF COMPLETED CONSTRUCTION PRIOR TO OPERATION. 3) THIS CERTIFICATE IS NOT A PERMIT TO OPERATE A FOOD SERVICE ESTABLISHMENT. OPERATION WITHOUT A SATISFACTORY PRE-OPERATIONAL INSPECTION AND/OR A PERMIT TO OPERATE WILL RESULT IN LEGAL ACTION. 4) THAT THE APPLICANT SHALL ASSURE CONFORMANCE WITH THE FOLLOWING AMENDMENTS TO PLANS AND SPECIFICATIONS: a) Certificate of authority. b) Ice cream scoops must be bussed back to kitchen after each use. c) Provide an eighteen inch (18") separation between basement storage and waste lines. d) Final approval from waste water management. ISSUED FOR THE COMMISSION[R OF HEALTH DESIGNATED REPRESENTATIVE DATE TRAINING AND PLAN REVIEW UNIT 360 Yaphank Ave. Yaphank, N.Y 11980 631 852-5873 /ooo- 1¢3-1-/ TOWH OF SOUTHOLD PROPERTY RECORD ~ARD DWNER TRE N VILLAGE W DIST. SUB. // ACR. TYPE OF BUILDING ES. //~/ LAND ~00 Ilabl~ ~oodla eadowrarrd ouse Plot )tal SEAS. IMP. L i VL. TOTAL FARM DATE ~ CB. MICS. Mkt. Value REMARKS Z, / - ' ~ r '1 FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD X Extension Extension Extension .Porch Parch Breezeway Garage Patio -Total COLOR TRIM T~eR~f Recreation Room Dormer Rooms Ist Floor Rooms 2nd Floor Driveway LR. DR. BR. FIN. B Ext. Walls Interior Finish Fire Place Heat Foundation Bath Dinette Basement Floors ;/oo$: /~'a-/- / OF ~UTHOLD RECORD CARD OWNER STREET VILLAGE LOT ~ *FORMER OWNER ~,ES. LAND SEAS. IMP. N VL. TOTAL 3 / oo AGE NEW Farm NORMAL Ac re rilla,ble 1 Fillable 2 Fillable, 3 Noodland ;wampland ~ 3rushl6nd -louse ~ot rotaI FARM DATE BUILDING CONDITION BELOW Value Per Acre W DISTRICT ISUB. // / ACREAGE ,~,"~ 7 TYPE OF BUILDING ~'~OMM..)' IND. J CB. ABOVE Value Bldg. !xtension !xtension ,~ -;xtension Foundation Basement Ext. Walls Fire Place Porch Bath Floors Interior Finish He~ Attic Porch Rooms 1st Floor 3reezeway Patio Rooms 2nd Floor Sarage Driveway COMcheck Software Version 3.6.0 Envelope Compliance Certificate 2007 New York Energy Conservation Construction Code Section 1: Project Information Project Type: Addition Project Title: Mattituck Japanese Chinese Restuamnt Construction Site: Owner/Agent: 9650 Rte. 25 Thomas McCarthy Mattituck, NY 11952 TSC Holdings LLC 46520 CR48 Southold, NY 11971 Designer/Contractor: Nicholas A. Vero Nicholas Veto, Architect, P.C. 120 Miit Road Westhampton Beach, NY 11978 631-288-1404 nveroarch~aol.com Section 2: General Information Building Location (for v~ather date): Suffolk, New York Climate Zone: 11b Heating Degree Days (base 65 degrees F): 57,50 Cooling Degree Days (base 65 degrees F): 715 Ve~cal Glazing / Wall Area Pct.: Butidteu True Restaurant Floor Area t850 Section 3: Requirements Checklist Climate-Specific Requirements: Component Name/Description Gross Area Cavity Cont. Proposed Budget or Pedrneter R-Value R-Vafae U-Factor U-Factor Floor 1: Nl-Wood Joist/Truss Roof 1: All-Wood Joist/Rafter/Truss Exterior Wall 1: Wood Frame, Any Spacing Window 1: Wood Frame:Double Pane, Clear, SHGC 0.34 Door 1: Solid (<= 50% glazing) 1850 30.0 0.0 0.033 0.055 1850 21.0 0.0 0.049 0.059 1568 15.0 0.0 0.082 0.090 136 -- -- 0.330 0.598 80 -- -- 0.320 0.142 (a) Budget U-factom are used for software baseline calculations ONLY, and am not code requirements. Air Leakage, Component Certification, and Vapor Retarder Requirements: I~1 1. All joints and penetrations are caulked, gasketed, weather-stripped, or othen#ise sealed. [] 2. Windows, doom, and skylights certified as meeting leakage requirements. I~1 3. Component R-values & U-factors labeled as certified. I~ 4. Insulation installed according to manufacturer's instructions, in substential contect with the surface being insulated, and in a manner that achieves the rated R-value without compressing the insulation. I~ 5. Fireplaces installed with tight fitting non-combustible fireplace doors. ~1 6. Stair, elevator shaft vents, and other dampem integral to the building envelope are equipped with motorized dampers. I-I 7. Cargo doors and loading dock doom are weather sealed. [] 8. Recessed lighting r~xtures are: (i) Type lC rated and sealed or gasketed; or (ii) installed inside an appmpdate air-tight assembly with a 0.5 inch cleamnca from combustible materials and with 3 inches cleamnca from insulation matedaL [] 9. Vapor retarder installed. Project Title: Mattituc~ Japanese Chinese Restuarant Report date: 12/05/08 Data fllename: Untitled.cck Page 1 of 7 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 3.6.0 and to comply with the mandatory requirements in the Requirements Checklist. When a Registered Design Professional has stamped and signed this page, they are atfesitng that to the best of his/her knowledge, helief, and professional judgment, such plans o~' sgecificalJons are in complianc Name - Date ? Project T~e: Maffituck Japanese Chinese Rastuarant Report date: 12/05/08 Data filename: Untitled.cck Page 2 of 7 COMche. ck So.ffware.Version 3.6.0 Interior Lighting and Power Compliance Certificate 2007 New York Energy Conservation Construction Code Section 1: Project Information Project Type: Addition Project Title: Mattituck Japanese Chinese Restuarant Construction Site: Owner/Agent: 9650 Rte. 25 Thomas McCarthy Maffituck, NY 11952 TSC Holdings LLC 46520 CR48 Soutbeld, NY 11971 Designer/Contractor: Nicholas A. Vero Nicholas Vero, Architect, P.C. 120 Mill Road Westhampto~ Beach, NY 11978 631-288-1404 nveroarch@aol.com Section 2: General Information Building Use Description by: Bulldlne True Floor Area Restaumat 1850 Section 3: Requirements Checklist Interior Lighting: i-I 1. Total proposed watts must be less than or equal to total allowed watts. Allowed Watts Proposed Watts Complies 2960 0 YES I~1 2. Exit signs 5 Watts or less per side. Exterior Lighting: i~ 3. Efficacy greater than 45 lumens~N. Exceptions: Specialized lighting highlighting foatores of historic buildings; signege; safety or security lighting; Iow-voltage landscape lighting. Controls, Switching, and Wiring: F~ 4. Independent controls for each space (switch/occupancy sensor). Exceptions: Areas designated as security or emergency areas that must be continuously illuminated. Ughting in stairways or con,dom that am elements of fl~e means of egress. [] 5. Master switch at entry to hotel/motel guest room. I~ 6. Individual dwelling units separately metered. I~ 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 ama; The area is a corridor, storeroom, restroom, public lobby or guest mom; Areas that use less than 0.6 Watts/sq.ft. ~1 8. Automatic lighting shutoff control in buildings larger than 5,000 sq.ft. Exceptions: Project Title: Mattitsck Japanese Chinese Restoarant Repast date: 12/05/08 Data filename: Untitled.cck Page 3 of 7 Areas with only one luminaire, corridors, storerooms, restrooms, or public lobbies. I-t 9. Photoceltiastronomical time switch on exterior lights. Exceptions: Lighting intended for 24 hour use. I~ 10.Tandem wired one-lamp and three-lamp ballasted luminaims (No single-lamp ballasts). Exceptions: Electronic high-frequency ballasts; Luminaires on emergency circuits or with no available pair. I--I Il.Transformers meet minimum efficiencies listed in Table 805.6.1 or 805.6.2. Project Title: Mattituck Japanese Chinese Restuarant Report date: 12/05/08 Data filename: Untitled.cck Page 4 of 7 COMcheck Software Version 3.6.0 Interior Lighting Application Worksheet 2007 New York Energy Conservation Construction Code Section 1: Allowed Lighting Power Calculation A B C D Floor Area Allowed Allowed Watts Watts I ft2 Restaurant 1850 1.6 2960 Total Allowed WaSs = 2960 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. Restaurant (1850 sq.[) Total Proposed Watts = 0 Section 3: Compliance Calculation if the Total Alk)wed Watts minus the Total Proposed Watts is greater than or equal to zero, the building complies. Total Allowed Watts = 2960 Total Proposed Watts = 0 Project Compliance = 2960 Project Title: Matfituck Japanese Chinese Restuarent Report date: 12/05/08 Date fllename: Untitled.cck Page 5 of 7 COMcheck Software Version 3.6.0 Mechanical Compliance Certificate 2007 New York Energy Conservation Construction Code Section 1: Project Information Project Type: Addition Project Titte: Mattituck Japanese Chinese Restuarant Construction Site: Owner/Agent: 9650 Rte. 25 Thomas McCarthy Matfituck, NY 11952 TSC Holdings LLC 46520 CR48 Southctd, NY 11971 Designer/Contractor: Nicholas A. Vero Nicholas Vero, Architect, P.C. 120 Mill Road Westhampton Beach, NY 11978 631-288-1404 nvemarch~aot.c~rn Section 2: General Information Building Location (for weather data): Suffolk, New York Climate Zcne: 11 b Heating Degree Days (base 65 degrees F): 57~0 Cooling Degree Days (base 65 degrees F): 715 Section 3: Mechanical Systems List Quantity System Tv~e & Descriotlon Section 4: Requirements Checklist Project Title: Mattituck Japanese Chinese Restuarant Report date: 12/05/08 Date filename: Untitled.cck Page 6 of 7 COMcheck Software Version 3.6.0 Mechanical Requirements Description 2007 New York Energy Conservation Construction Code Project Title: Mattituck Japanese Chinese Restuarant Report date: 12/05/08 Data fllename: Untifled.cck Page 7 of 7 Item #. C.S.h Section 11420 TYG-48C GA S TEPPA N- YA KI GRIDDLE BASIC MODEL: TYG-48C 49%" wide x 29%" deep. KEY FEATORES: Stain[ess steel front and sides. · 3/4" thick. 24" deep highly polished steel griddle plate. 3" wide stainless steel grease trough drains into large capacity grease collector. · One 30,000 BTU/hr. ring burner with pilot ignition syslem Manual control valve. ~/4" rear gas connection with gas pressure regulator >,. One year limited parts and labor warranty · %" side backsplash. OPTIONAL FEATURES: 7- Stainless steel stand with undershelf DESCRIPTION: Gas Teppan-Yaki griddle, Wolf Model No Sta~r~iess steel exterior. 3/,,. thick highly polished steel griddle piate measures "w x 24"d. 3" wide stainless steel grease trodgn drains into ~arge capacity grea~e collector, One 30,000 BTUhr ring burner with pilot ignition system. Manual control va;ye 3/4" gas connection with gas pressure regulator Exterior dimensions: 49%"w x 29%"d x 9¼"h Design Certified by the American Gas Association. Listed by the National Sanitation Foundation. Approved by Date: S,oECIF3'' TYPE OF GAS WHEN ORDERING. SPECIFY ALTITUDE WHEN ABOVE 2,000 FT. Wolf Range Company Division of I'PC/Food Equipment Group LLC (800) 366-9653 w-c,,w, wolfrange.com Gas Teppan- Yak/Griddle INSTALLATION REQUIREMENTS: A gas pre.~sure regulator sized for this unit is included. Natural Gas 5.0" W,C. Propane,Gas 10.0" W,C. 2~ Gas line connecting to appliance must be %" diameter or larger. If flexible connectors are used. the inside diameter must be the same as the 3,4' iron pipe. 3. Leveling bolts at bottom of chassis must be adjusted for proper grease drainage. 4. Spacers provide %" opening around the griddle for sufficient ventilation and proper combustion. Griddle must not be sealed to counters. 5. An adequate ventilation system is required for commer- cial cooking equipment. Information may be obtained by writing to the National Fire Protection Association, (746) 1 Batterymarch Park, Quincy, MA02269, www. NFPA.org. ,-,, When writing, refer to NFPA No, 96. MANIFOLD PtF 2-~t2" 1213 TYP. VALV GREASE CAN 9-3/4" x 6-3/4' x 16-3/8" F-39077 (9/05) NOTEr In,line with Its policy to continually Improve Its product, Wolf~Range Company : reserves the right to change materials and specifications wlthDut notice. This appliance is manufactured for commercial use only and la not Intended for home use. Series HNC-150-RiL~ Top glass angles down Ceiling easier to clean NSF approved thermometer 80 Degrees F maximum ambient Large diameter 1 inch drains at front Load line is 3.5 inches above the floor HNC- 120AA HNE-150AA HNC- 180AA HNC-210AA Larger front to back interior, 11 inches Interior floor has a radius at ali four sides Self-contained refrigeration unit -easy to instal[ o Condenser airflow is in the back and out the side Large diameter upper evaporator with tin platin§ Solid food plates with radius groove to fit sushi foods Larger condenser face area improves cooling performance Slightly taller doors with plastic seal at end, opposite of the handte Food plates can be turned upside down and used to ~mprove cooling performance Model Name High Grade CounterShowcase-- Width /cml 120 ~50, 180, 210-- H NC-120AA-R/L NSF )SHIZAKI AMERICA, INC. COUNTER TOP HNC-I 20A (R~GHT OR LEFT HANDED) H NC-150A IRIGHT OR LEFT HANDED} HNC-t80A (RIGHT OR LEFT HANDED) H NC-21 GA (RIGHT OR LEFT HANDED) REFRIGERATED DISPLAY CASE · Top glass angles down for easy viewing and cleaning · Larger condenser face area improves cooring performance WARRANTY R-1 ONE YEAR - Parts & Labor on enbre unit. TWO YEAR - Pa~ & Lapo~ on compressor, Evaporator, AJr-Coolsd Condenser FIVE YEAR - Parts on: Compressor: A r-Cooled Condenser 34A REFRIGERANT Warranty valid in United States, Canada, Puerto Rico, & U.S, Territories. Contact Factor/lor Warranty in other Countries. SERVICE Removable/cleanable air filters OPERATING LIMITS ELECTRICAL Ambient Temp Range 50 - 86'F 115/60/1 Voltage Range 104 - 126V Saturation Temp. 39'F (80'F Ambient Temperature) ACSupPlY¥oItag~:/; 1 Phase 115V 60Hz Po~e~ Supply . ~ 0.47kVA (4.7A) Rated ~perage ~ 30A Sta~[ng ~perage 13A Elec~[c: 195W Sa ura~on ~' ~prox 39'F (~b~enl Temp. 80'F, No Load) Temperature ~ Temperatura' : ';.' Vo[~ge V~aflon Rated Vol~ge ~10% Dimensions ~ ;; 47~4~nches 59inches 71inches 82~4inches ~ (D} ;~;~ 13 1~ inches Interior:, Dimensions ~.;?.~ 33 ~4 inches 45 inches 56~4 inches 68~4 in,es Sliding B~r;: { ?~ 2 pie~s 4 pie~s Wele'h~ 92 lb / 117 lb. 106 iD, / 1 ~ Shipping Shipping Dlmenil~ns, .~?.., ( ) 161/4inches Accesso~es- ., ' F~ ~__ 3 p~e~s 4 pie~s 5 p~eces 6 pieces Service cabinet, not for overnight storage © HOSHIZAKI AMERICA, INC. 618 H'.,.'y 74 S., Peachtree City, GA 30269 TEL 1-800-438-6087 We reserve the right Io change specifications without notice FAX 1-800-345 1325 www hosh[zaki.com HNC-120AA-L HNC-12OAA-R HNC-1S0AA-R(L) HNC-180AA-R(L) HNC.210AA-L(R) ameril{ooler Manufacturers of Walkqn Coolers, Freezers & Relrigerated Warehouses When you choose one of our refrigerated structures for a warehouse, distribution, restaurant/fast food, con- venience store or supermarket application, you can get the benefit and experience of Amerikooler lnc. Our commitment to superior quality and customer service remains unequaled today. We have now taken this commitment to the next level, by the introduction of our new 80,000 sq.ft, facili- ty, state-of-the-art computer controlled foamed-in-place urethane process, computerized designs and automation of manufacturing equipment. This will allow Amerikooler to furnish the finest quality energy efficient panels and doors, the highest levels of customer service and delivery to the users of our walk-in coolers and freezers with an outstanding value now and in the future. Architectural specification: Amerikooler's walk-in coolers, freezers and refriger- ated warehouses are modular pre-fabricated construc- tion and are in strict compliance with NSF standard 7. Panel insulation shall be 4" thick foamed-in-place urethane, CFC free, listed by Underwriter Laboratories as a class 1 building material conforming to test UL- 723, ASTM-E84 standards and Factory Mutual 4880 standards. Insulation shall demonstrate a flame spread rating of 25 or less and smoke developed of 450 or less, with an average in-place density of 2.3lbs per cubic foot. The thermal conductivity "K" factor shall not exceed. 118 BTU/HR/SQ.Fr/degree F/in of thickness. Overall coefficient of heat transfer "U" factor shall not exceed .029 BTU/HRJSQ.FT. Resistance to heat pene- tration "R" factor shall be 34. Insulation shall have 97% closed cell structure. Compression yield strength point approximately 30 lbs per sq/in. Panel insulation shall be between pre-formed premi- um grade metal finish skin. Foam side of metal skin is primer-coated for optimum adhesion. Standard on wall. ceiling and door shall be mill finish stucco embossed aluminum as well as exterior floor finish. Interior floor shall be of heavy gauge aluminum alloy 5052-H34. Panel edges are tongue-and-groove with integral- ribbed vinyl bulb gasket for perfect alignment and air- tight seal. For structural rigidity a vertical-ribbed space approximately every 7" am recommended for wall metal surfaces on both interior and exterior on wail pan els over 16 feet high up to a maximum one section panel of 30 feet high. Panel fasteners are rotary-cam speed lock permanently-anchored by steel "wings" Fasteners will allow a quick assembly by persounel without special training. Cam-lock spacing shall not exceed 48" and shall be operated through access port~ by the use of hex wrench. All access ports shall be located on the walk-in interior to t;acilitate assembly and shall be covered by vinyl snap-m caps. Instruction and erection drawings shall be supplied. Floorless walk-in~ shall be provided with one of the four floor screed options. Entrance doors are flush mount, magnetic, infining, self closing type. Perimeter of door and door frame shall be built of energy efficient fiberglass rein/breed plastic (FRP). Standard door opening are 28",30'. and 36"X76"high. Freezer door frame includes a wattage 115 volt thermostatically-controlled heater cable. There are many standard features, optional finishes and accessories available. Amerikooler insulated panel products are warranted for a period of ten (10) years from day of shipping. Please see our poblished warranty. Our revolutionary shrink-wrap packaging system, (only 2 panels per package) is easy to handle, no need for the use of fork-lift and packaging materials are eas.~ to dispose. Please call us for more information. 575 East 10th Avenue, Hialeah, FLorida 33010 Tel (305) 88,1 8384 Fax (3051 884 8339 Toll Free L800) 627:5665 Id0u, MAP ,(,3 : [M-odel: . TRCB-72 STANDARD FEATURES DESIGN · True's commitment to using the highest quality materials and oversized refrigeration systems provides the user with colder product temperatures, lower utility costs, exceptional food safety and the best value in today's food service marketplace. REFRIGERATION SYSTEM · Factory engineered, self-contained, capillary tube system using environmentally friendly (CFC free) 134A refrigerant. · Oversized, factory balanced refrigeration system with guided airflow to provide uniform product temperatures. · Extra large evaporator coil balanced with higher horsepower compressor and large condenser; maintains cabinet temperatures of 33°F to 38°F (,5°C to 3.3°C) for the best in food preservation. · Sealed, cast iron, self-lubricating evaporator fan motor(s) and larger fan blades give True chef base units a more efficient Iow velocity, high volume airflow design. This unique design ensures faster temperature recovery and shorter run times in the busiest of food service environments. · Condensing unit accessed from behind side grill; slides out for easy maintenance. CABINET CONSTRUCTION · Exterior - stainless steel front, top and sides. Matching aluminum finished back. · Interior - attractive, NSF approved, white aluminum liner. 300 series stainless floor with coved corners. · Insulation - entire cabinet structure and drawer facings are foamed-in- place using high density, CFC free, polyurethane insulation. · 4" (102 mm) diameter plate castors - locks provided on front set. · Cabinet top is one piece, heavy duty reinforced 300 series stainless steel. Drip resistant 'V" edge protects against spills. Supports up to 1084 lbs. (492 kg). DRAWERS · Stainless steel exterior with white aluminum liner to match cabinet interior. · Each drawer fitted with 12" (305 mm) long recessed handle that is foamed- in-place with a sheet metal interlock to ensure permanent attachment. · Heavy-duty stainless steel drawer slides and rollers, Removable without tools for easy cleaning, · Magnetic drawer gaskets of one piece construction, removable without tools for ease of cleaning. PAN CAPACITY · Each drawer accommodates two (2) full size 12"L x 20"W x 4"D (305 mm x 508 mm x 102 mm) food pans (sold separately). · Drawers support a wide variety of incremental pan size configurations; each drawer standard with one (1) full length removable divider bar. PLAN VIEW [[~ ~' ~4arine Edge (30" angle) PLAN VIEW (127 rnm) WARRANTY One year warranty on all parts and labor and an additional 4 year warranty on compressor. (U.S.A. only) ELEVATION (26 mm) NEAREST WHOLE MILLIMETER SPEC(flCATIONS SUBJECT TO CHANGE WITHOUT NOTICE K~L Model V TRCB-72 MODEL FEATURES · Evaporator is epoxy coated to eliminate the potential of corrosion. · Exterior digital temperature display. · NSF-7 compliant for open food product. ELECTRICAL · Unit completely pre-wired at factory and ready for final connection to a 115/60/1 phase ~ 15 amp dedicated outlet. Cord and plug set included, (115/60/1 NEMA-5-1SR RECOMMENDED OPERATION CONDITIONS · Counter-top cooking equipment should be used in conjunction with the manufacturer supplied legs. Minimum clearance of 4" (102 mm) is required between bottom of cooking equipment heating element and the TRCB top. Failure to provide clearance voids manufacturer warranty. OPTIONAL FEATURES/ACCESSORIES Upcharge and lead times may apply. ¢1 6" (153 mm) standard legs (1 set of 6 leg mounting plates required). :-I 6" (153 mm) seismidflanged legs (1 set of 6 leg mounting plates required) ~ Heavy duty, 16 gauge top. ?] Additional size drawer divider bars. ~1 Remote cabinets (condensing unit supplied by others; system comes standard with 404A expansion valve and requires R404A refrigerant). Consult factory technical service department for BTU information, (616 mm) (815 mm) (26 mmJ (282 mm) RIGHT VIEW Elevation Right Plan TRUE FOOD SERVICE EQUIPMENT 2001 East Terra Lane. RO. Box970 O'Fallon, Missouri 63366 (636)240~2400 FAX (636)272-2408 (800)325-6152 www.truemfg.con TRUE FOOD SERVICE ® EQUIPMENT, INC. 2001 East Terra Lane · P.O. Box 970 · O'Fallon, Missouri 63366 (636)240-2400 · FAX (636)272-2408 · (800)325-6152 ° www.truemfg.com Parts Dept. (800)424-TRUE · Parts Dept. FAX# (636)272-9471 Model: TRCB-72 Project Name: Location: Item #: Model #: Qty: True's refrigerated chef bases are designed with enduring quality that protects your long term investment. Designed using the highest quality materials and components to provide the user with colder product temperatures, lower utility costs. exceptional food safety and the best value in today's food service marketplace. Oversized, environmentally friendly (134A) forced-air refrigeration system holds 33°F to 38°F (.5'C to 3.3°C). Cabinet top is one piece, heavy duty reinforced 300 series stainless steel. Drip resistant "V" edge protects against spills. Supports up to 1084 lbs. (492 kg), All stainless steel front, top and sides. Matching aluminum finished back. Each drawer accommodates two (2) 12%x 20"Wx 4"D (305 mm x 508 mm x 102 mm) food pans (sold separately). Heavy-duty stainless steel drawer slides and rollers. Removable without tools for easy cleaning. Foamed-in-place, high density polyurethane insulation (CFC free). RC)UG/~-//~ D/Z~TA ..... Specifications subject to change without notice Chart dimensions rounded up to the nearest 1/8" (millimeters rounded up to next whole n~m~e~) Cabinet Dimensions Cord Crated (inches) Length Weight (mm) NEMA (total ft.) (lbs,) Model Drawers L Dt H' HP Voltage Amps Config. (total m) (kg) TRCB-72 4 723/8 321/8 203/8 1/3 115/60/1 9.9 5-15P 7.8 N/A 1839 816 518 2.3 Depth does not include 1" (26 mm) for rear bumpers. * Height does not include 5" (127 mm) for castors or 6" (153 mm) for optional legs. print~ed in U.S.A. APPROVALS: AVAILABLE AT: CENTURY' & EQUIPMENT INC. 216 Bowery i ,S,'~,~¢~i,. ~ eW YOrk,' N.Y. 10013 Tel:(212)'92~2~7h 'F~:(212) 925-29~ SPECIFI'CATION ,OF--N-P-P~ ¢/o-96-WALL %~PE HOOD WALL TYPE WITH ~L&KE-UP'AIR: h'al! type wl:h make-up a!:"s hoodfront c.o have integral make up air plen%un cona':ruc~¢d:o'f $'ame material as hood, to be fitted wi:h manually.oper~ed ad3us:ab,le mak'e up a:r Chamber :o be 6" wide. ~O0~'~Vg Z SIZES WIDE 48" OR 54" 50TE A- Grease Catcher ~ATERIAL: B., Holder 18 ga. stainless ~:eel C..': Filter for the entire hood. CON$TRUCTION: Continuously welded for' all seams. ~LEANING: ~4o grease could be 8~ocked :ns:de [he hood. Use removable grease ca=cher for easy clean purposE. FILTER: · *luminum Fll~ers (MEA approved FIRE EXTINGUISHER SYSTEM::. Must znstall by local licensed company, Model SG14 Tube Fired Gas Fryer STANDARD ACCESSORIES · Choice of basket options [] Two nickel-plated, oblong, wire mesh baskets [] One nickel-plated, square, wire mesh basket · One nickel-plated tube rack · One drain extension · One drain line clean-out rod · Fryer cleaner sampte · Rear gas connection · Manual gas shutoff · 1 ~/4" (3.2 cra) full port drain valve · Built-in integrated flue deflector · Removable basket banger for easy cleaning · 9" (22.9 cm) adjustable legs · Cabinet - stainless steel front, door, and sides · Tank - mild steel AVAILABLE OPTIONS & ACCESSORIES [] Stainless steel tank [] Stainless steel back [] 9" (22.9 cra) adjustable casters E] Triple baskets [] Covers Project Item number Quantity STANDARD SPECIFICATIONS CONSTRUCTION · Wetded tank with an extra smooth peened finish ensures easy cleaning. · Long-lasting, high-temperature alloy stainless steel heat baffles are mounted in the heat exchanger tubes to provide maximum heating and combustion efficiency. · Standing pilot light design provides a ready flame when heat is required. · Stainless steel front, door, side, and splashback · Heavy duty 3/16" (.48 cm) door hinge CONTROLS · Milfivolt thermostat maintains selected temperature automatically between 200°F (93°C) and 400°F (190°C-CE.i · Integrated gas control valve acts as a manual and pilot valve. automatic pilot valve, gas filter, pressure regulator, and automatic main valve. · Gas control valve prevents gas flow to the main burner until pilot is established and shuts off all gas flow automatically if the pilot flame goes out. · Temperature limit switch safely shuts off all gas flow if the fryer temperature exceeds the upper limit. · New Solstice burner/baffle design.*'* -increases cooking production. -Lowers flue temperature. -Improves working environment. -Generates more production per BTU. ***Compared to previous models. OPERATIONS · Front 1 1/4" (3.2 cm) full port drain for quick draining · 9" (22.9 cra) clearance ailows for ease of cleaning APPROVALS · CSACertified (AGA, CGA) · NSF Listed · MEA Approved · CE Certified · Australian Gas Assoc. Cedified (AuGA) Patent Pending Pitco Frialator, Inc., P.O. Box 501, Concord, NH 03302-0501 · 509 Route 3A, Bow NH 03304, USA Phone (800) 258-3708 · (603) 225-6684 · Fax (603) 225-8472 · www. pitco, com I~i L10-127 Rev 03 (03/03) ~ STOVE GENERAL DESCRIPTION: -Top made of 5/16" thick plate, -Gutter and backsplash are seamless and watertight. -Swing faucet,with aerator over each chamber,is connected to water line. -Gas valve for hand or knee ~operation,AGA design certified. -Exclusive exhaust .system vents the fire chamber and insures BTU 10 proper combustion. -Body and front are of stainless-steel. -adjustable legs. MODEL# CSW* * = Number of burners up to MANIFOLD SIZE is 1½" I.P.$. CHA~IBER SIZES-12", 14", 18", 20", £he length of "L" depends on customer's need o~ each chamber 50,000. (Cast iron burner) iDOj000 (Jet burner) ENG I NEEP, lNG DIL'XW I NGS number and size chamber(s). of ~x,r~ USAirbill '~=,~ 8626 9957 9845 3UTHDLD ~ NY z~? I1~71 0366~17081 ' '~' ~ County Road 48 * ~/U~OLD, NEW YORK 11971 (~1) ~5-5815 F~ (631) 765-5816 TO ~ ' ~ WE ARE SENDING YOU A~ch~ nder separate cover via_ _the following items: ~ Shop drawings ~ Prints ~ Plans ~ Samples ~ Specifications ~ Copy ~ leffer ~ Change o~er ~ THESE ARE TRANSMITI-ED as checked below: [] For approval [] For your use E] As requested [] For review and comment L~ FOR BIDS DUE REMARKS Approved as s~tted A " pproved as~oted Returned f~r corrections Resubmit Submit ~ Return copies for approval -- copies for distribution corrected prints [] PRINTS RETURNED AFTER LOAN TO US COPy TO PRODUCT 240T SIGNED: If enclosures ale nor as noted, kindly notify us at once. ........ ~'~ FOOD ESTABLI~HavI~m PLAN REVIEW APPLICATION Ad&ess of Emblisbm~t: ~ · i 0 t' - S · T~ T~ Z~ C~ '. ' 6.~e of Ope~fion (eh~k ag thru ~Resmm~t( ~t ~) ~Remm~e out) ~Deli ~ Off ~mises Cmer~ ~M~ V~dbg Lomfion ~Tav~ ~Food Deliv~ S~ice ~ ~ l~e des~be: 7. T~e of Cons~on: ~ New~ovafion ~ Conv~sion to New Use 8. Is S~ le Se~ce Tabl~are Us~ Exelus~e~?: ~ ~nt ~ ~o~ a m~ ~cw. 9. Subm~ a Pm~ Menu. ~. Id~~ bei~. ~ote t~~~th and ~l~.bl, ~-~ae~ are~ ~AV CEllO ~OOR ~r~ ,¢~t~ Sto~g~ ~ II ,lnput(ffrv~ xwl ~ , Shc~ s~l A~fi~? ~ Yes ~ No 12. ~ I here a ~emem A~ ~ere ~y Additional ~oom Above ~y Food Rel~t~ ~? ~ Yes ~ No ~ ~ere ~y Roof Dm~s Able ~y Food Rdat~ Ar~s? ~ Yes ~'No ~"YE~' m e~ ~uv~o~ ~it d~ed pl~ sho~ relationship of ~ ov~h~ mc l~es m food ~vifies. 13. Intend~ Total S~g: q O 14. Public Water? ~Yes ~ No If'~O" ,ubmlt lab ~ysis 15. Waste (s~age) D~posal System: ~ ~bHc (S~em) ~P~ate (C~sPoois/ieaeh~g fields) ~e ~closed "Se~ge ~s~ ~c~' s~ ~so ~ mmpleted. ~ORT~ ~CE USE O~Y for a HOTEL/MOTEL. PLAN APPROVED BY DATE ~F~r O' J-~FFOLK COUNTY DEPARTMENT OF HEALTH SERVICES RMIT APPLICATION rice Use only I ANNUAL FEE For Office Use Only I . [ I I ] Classification Code [] New I-1 Change I $ ~ [ ] Conditions IMPORTANT :omplete both sides of the application and submit it at feast fifteen (15) aye before anticipated operation. Processing will be delayed if it is lcomplete or illegible. Note: A preoperational permit-issuing inspection is squired before operating. Submission and approval of plans by Food ;ontrol is required if the establishment is new or remodeled. PLEASE PRINT Name o, Estab.s _., qJ -m [ / / ] Issue Date ] Establishment I.D. Approved by USE BLACK/INK ONLY Hea th Sen/Joes Signature Print Name Title Type of Ownership: Bind/v/dual BCorporation [3Non-Profit l-IPartnership .~LLC (Subm~tproof of type of ownership} New York State Certificate of Authority Number (Sales Tax No.): I,=~L(,.,L'I'.5' LI.~I q I ~ I ~ I,_/~- I(~'1 A true copy of your Certificate of Authority to Collect Sales Tax must be submitted with this application. Billing Address of Owner/Corporation: (Note: Permit rer~ewal notificatiogs will be sent to this address!) Street ~.~. a~) ag ~-L~ ~/ Phone No. ( ) citr. -ookl..hotd StatelVq zipCode: 111 Iq .Corporation, LLC or Partnership I,Jame and Mailing Address: Cily........~OC~]O[d State~ zipCod~: III I~ Igll I Type of Establishment: (Check the appropriate box) ~estaurant(With seating) BR~s~urant (Without seating) gDeli~tessen gTavem BBake~ BOff-premise Caterer ~Depot w/o Food Preparation ~ln Homo Caterer BSchool ~Soup Kitchen ~VendJng Machine ~Senior Nutrition ~Commissa~ BDayCare gPa~ Room BOther Water S.p~l~: ~ WellWaler ~PublicWater ~. Waste gis~osaJ S~stem: ~blic (Se~) BP~at~ (Cess~oJsfleachin~ ~elds) 0, Seats Provided: ~ Yes ~ No Number of Seats I1. Tax Map Number: District I OOO Sam/on J~ ~ Block j Lot the applicant hereby agrees to operate the food establishment described above in compliance with the requirements of the ~ew York State ~ ~ Suffolk County Sanita~ Codes and hereby authorizes officials of the Suffolk Coun~ Depadment of [%~¢~;~~ and take samples of ,oo, therefrom for laboratow testi~g~ 'The application must be signed by an officer of the corporation, ~srtner or owner (See Item #5 above). The D/B/A must be completed before a permit may be processed. (See reverse for Instructions, Fee Schedule and Insurance Information) WATER HEATER INFO iSHEET :THE PLAN APPLICATION PROCESS 1T IS IMPORTANT THAT YOU THAT APPLY FOR THE PLAN SUBMYVI'ED. ANSWER ALL QUESTIONS. THE DEPARTMENT WILL CALCULATE TH~ HOT DEMAND FOR YOUR ESTABLISHMENT AND NOTIFY YOU IF THE HEATER YOU PROPOSE IS INADEQUATE. THREE COMPARTMENT POT WASH SINK(S) Provide the i~terior length, width and depth of one typical bowl of this sink. (Example: 21 x 15 x 14) An exlra line is provided if you have a second three compa~ tulent pot wash sink. Length Width [] HAND WASH SINK(S), (Do not count bathroom sinks) o BATm~OOME~qD SnqK(S) [] 'n-~E co~vn, A~m~rr ~A~ SnqK(S) · Depth How Many?. ~[__,~ How Many? ~ HowMany~ ~ X msaw~A~m~% Mako~ PRE- RINSE SPRAY UNIT (Only if installed at dishwasher) OTHER FOOD SERVICE EQUIPMENT THAT USES FIVE ORMORE GALLONS OF HOT WATER IN AN HOUR'S USE Type of equipment F_zfimated hot water use in gallon per hour FOR EACH WATER HEATER PROPOSED, PROVIDE THE FOLLOWING: MODEL (1) -'~'[-R - i~LD (2) STORAOESlZE, INOALLONS (1) q t (2) nqPUT In BTUH or KW (1) I~O~ OOt) (2) TYPE of CONNECTION for MULTIPLE HEATERS (1) PARALLEL .(2) SERIES Water heater(s) shall be showll on plall. Explain below if multiple water heaters service different equipment Instantaneous water heaters (zero storage) are generally unacceptable, Water heal. s) shall be comm~Tcial grade and dedicated to supply the food service establishment. Water hcatrrs plumbed in parallel or in series may be acceptable. Storage *anks indirectly supplied heat by a boiler requires information on the boiler input (BTUI-I or KW) and the storage tank size, in gallons. IMPORTANT NOTE: DO NOT INSTALL ANY WATER HEATER NOT SPECIFICALLY APPROVED BY TI:W. DEPARTMENT. SUFFOLK COUNTY DEPARTMENT OF I~ALTH SERVICES FOOD £STABLISNMENT PLAN RLrVIEW UNIT PLAN REVIEW APPLICATION Tow~ [] O~ (please describe): ,, ,,,,, , ,. ?~ew vau'on_ E] Conversion to N~w Use J//~ 8. Is Single Serviee Tableware Used Exelu No /.i ~' Submit, P~..~! Menu. Plan ~-~'i ..e~....c~ ..,~t pme~l Mmota a menu .C~. 'ow. .. ~ 10. Idm~lf~...~uf~e fl~bh~, bdow. No~ ~ o~ dQn~blen ;mooea Hd elMusblt auff~e~ a~ ae~pt~bit. ........ ~/~ ; IMPO~ .RTANT . TWO SETS of scale p~ma[~/4 - ~ ~ ~s ~U~ ~ SE~ for a HO~O~. O~CE USE ~Y PLAN APPROVED BY DATI3 For Office Use only [] New []Change $ .... complete both sides of tiaa application and submit it at Islet fifteen (15) days before anticipated operation, Pmeesaleg will be delayed If It Is incomplete or illegible. Note= A preoperatlonal pen'~lt-issuing inspection Is SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES FOOD ESTABLISHMENT PERMIT AFPLICATION ANNUAL FEE For Offlo~ Use Only [ I I I ] Classification Code [ .... ] Conditions [ t / ] Issue Date App,?ed by. required before operating, Sul3mlssion and approval of plan~ by Food Control is required if the establishment is new or remodeled, ............ PLEA~.E I~RINT USE BLACK INK ONkY Cltv ~t~ ~ 2.T~pe of Ownemhlp: ~lndMdunl ~Co~mtion ,, ~No~P~t DPa~emhlp ~C (Submit proof of ty~ of ~ne~shlp) 3,New York Start ca~lfleate of Autho~ Num~e~ (Sales Tax NO.}= I~~l~t~l~ ~1 A rue copy,¢ your Ce~ ~ ~t,e ~ Authority to Co] ~ Sale~ Tax must ~ aubm ff~ ~bjS ~pp[Eatlo~: 4. allllng Address of O~n~ffCo~omtion: (Note: Permit ran~l ~ifi~ti~ ~11 ~ee~ ~hfe addrgs¢) 5. Pem~nal ~alllng Addml; of Plrlon Slgnl~ 6, Cerporaflo~ LLC ur Padnershlp Name and Mailing Address: estaurant (~th seating) QRes~urant ~lthout seating) DDellcatessen QTa~m DBake~ BOff-pmmise DDepo{ w/o Food Pmpara~gn QIn Home Caterer DScho~ ~Soup ~en ~Vendlng Ma~ine ~Senior Nu~tion BCommlssa~ DDeyCare DPa~Room DO,er ........... 10. Sea~ Pro~ded; ~Ye~" ~ No NamberofSea~ ~ ,11.~axMapNum~r: District Ioe~ ~e~lon I~ "BlOck I . Lot ~" T~e a~pllcant hereby agrees to e~rate ~e f~d ~stabllshmEnt described abo~ in com~llaflce with the requirements ~'~'~'" New York State~ I Suffolk Coun~ 8~nJ~ Code~ and hereby authorizes officials of the Suffolk Coun~ Debarment of .., .... ~'The application must be slgn~ by an officer Of the corporation, ~P~i~ oa~mer or owner (~ee item ~5 above). The D~/A must be completed before a pe~lt may be ~r~essed. WATER HEATER INFO iSHEET TO EXPEDITE THE PLAN APPLICATION PROCESS:IT IS IMPORTANT THAT YOU CHECK ALL THAT APPLY FOR THE PLAN SUBMITTED. ANSWER ALL APPLICABLE QUESTIONS. THE DEPARTMENT WILL CALCULATE ~ HOT WATER DEMAND FOR YOUR ESTABLISHMENT AND NOTIFY YOU IF THE WATER HEATER YOU PROPOSE IS INADEQUATE. TttREE COMPARTMENT POT WASH SINK(5) Provide the interior leng~ wi~l and ~ ofoue typic~ ~ of this sink. (F.~amyle: 21 x 18 x 14) 12 HAND WASH b~IVK(S) (Do not count bathroom 12 BATHROOM HAND SINK(S) a T~UtEE C0M~ARTMENT BAR DISHASmRMske .......... ' i~odel PRE- RINSE ~PRAY UNIT (Only iflumlled at dishwasher) How How Many? If known, rac~[:=per hour _. r'l ~ FOOD SERVICE EQUIPMENT THAT USES ~ OR MORE GALLONS OF HOT WATER IN AN HOUR'S USE Type of equipment TempStar High-temperature, Door-type Dishmaohine Fast Cycle 'nme , Handle~ 57 rad~s per hour, uplto 997 pieces per hour. Reduces Utility · '. '"?~ver water usage per e/de then C~mpefilive ~ac~lnee--only 1 gallon per I~Ick. Reduces ~l~pomlng water cost and sewer charge. · · BullHn Ix~ter heater cost. efficiently raises iflC~lllng water temperature to 180°E Superior Cleaning A~tion · Unique wash arm design wllh ~t~inless steel .-, ~ nozzles a'eate~ hlgh-I:X~um cleaning a~on. '¥B~flt. ln watar pre~sufe regulator and gauae neure ~on~etent ~ '~rger doer opening accepts 16 Uays Heavy-duty, Induet~J Construct,on · ~ide maunted, eleetl~tl~flenical controls are easy to se'vice an~ more retia~e then ~lid slate controls, · Interchangeable well.se arms screw out for quick cleanup. · HLlimit ~en~o,~at and Iow water ~mte~on prevent heating O'hlt burnout--Standard o~ all machlne~. Mazhines born of tradition. Built ~ ,ith innovation. -Auto-md - safet~ dmx sm't~h - ~ ~e~ o~ ~1~ per Hour 8? per Hour 1425 C~ pl~ h~ 1425 '1~-t~ 40~OB L '". L~ T~MPSTAR 2(~4~0 1 TEMPSTAR ~ 3 'I'EMPSTAR 460 3 ~4 4,1161B 9111/11 10,~'12.9/12.~ 1401 t10 $2.2 20 Te~al L~ ~ 4~* rise 70' rise ~8.7 / 75,4 7~.$ I 42.11~.5 ~,3/~,7 21.7 24,1 legend A--arab tlh' LP.S. B--Wa~ ~1~ ~ I.P,$. D--atandm~ wall ~ ~ d~m~ 4~ ~,. ~ i.~,,~: w~wv,Jaeksonmsc.=om 1-888-800-JMS( CUUNIY OF ~U~FULK STEVE LEW SUFFOLK COUNTY EXECUTIVE DEPARTMENT OF HEN.TH SERVICES HUMAYUN J. CHAUDHRY D.O., M.S. COMMISSIONER PERMIT CONDITIONS Health Se~ices Reference # Q. AO - {~Yig-O~D~ The attached plan, when duly signed by a representative of the department, in conjunction with these conditions, constitutes a l~mtit to construct a water supplyand/or a sewage disposal or collection system for the property as depicted. The applicant should take note of any conditions of approval, which may be indicated on the plan or enclosed herein. Construction must conform with applicable standards including ~'Standards for Approval of Plans and Construction for Sewage DispnsM Systems for Other than Single Family Residences." Omissions, inconsistencies or lack of detail on the plan do not release the applicant from the responsibility of having the consirucfion done in conformance with applicable standards. Issuance of this penuit shall in no way relieve the design professional of .responsibility for the adequacy of the complete design. The permit (plan) expires three (3) years after the approval date. Any modification which may affect the proposed sewage disposal or water supply systems requires submission of a rev/sed plan and additional fees (if applicable) for reapproval prior to construction. No inspections will be performed by the depadment on expired perm/ts. Permits may be renewed, extended, transferred, or revised in accordance with the pwcedures described in Instructions to Renew, Extend, or Transfer an Existing Permit for Other than Single Family Residenees (Form WWM-081). It is the applicant's responsibility to call the depar~nent/~ advance to arrange inspections of the sewage disposal and/or water supply facilities prior to backfilling. Th~se include inspections of the sewage collection and disposal systems, water supply system components and piping, and final grading as shown on the approved plans. In certain cases, inspections of the sell excavation may be required to determine the acceptability of the soils for sewage disposal systems. The department must be notified at ie~t 48 hours in advance to sehedule un inapeetinn by calling 852-5754; and exeavution inspections must ulso be confirmed by e,qling 852-5700 prior to 9:30 a.m., the morMng of the Inspeeflo~. ,irticle FII of the Suffolk County Code, "Septic Industry Businesses," requires that all installers of septic systems within Suffolk County shall possess a valid license from the Suffolk County Office of Consumer Affairs. This office can refuse to perform inspections or grant final approval for the construction of projects that are installed by an unlicensed individual. It is, therefore, in your best interest to utilize a cesspool contractor with a valid license to avoid substantial delays in your project. Final approval issued by the Department is necessary prior to the occupancy of new buildings, additions to existing buildings, or for the use of sewage.disposal or water supply systems. SEE PAGE 2 WWM~016 (Rev. 10/02/06) Page 1 of 2 10' DIAMETER ELEVATION LEACHING POOL DETAIl Approval ibr Construction-Other Th~ Single F~iIE -, R~erence Ne. ~-~- ~ .. Desi~ Flow ~ of He~th ~ices s~nda~s, relating to Wa~r supp{y and SeWage disposal. Regardless of any omissioas, inconsistencies or Ia~ of det~{, ~nstmctlon acco~ance with the at~ch~ ~rmit ~udit~s r~red ~ ~ in st~aa~, ~{ess s~ffi~lly waiv~ by the De ,lyns ~d applicable ~ment. ~is approval e~s 3 ye~ from the approval ~, ~s ........ TEST HOLE DATA EL: 44,9 +/- BROWN SIL~( SAND (SM) 0.0 Abandonment of existing sanitary system must be in comfort'hartco v.,itl~ dc~_:a~mcnt requirement Submit com?~eted fo~n '~'/Wr~..O~D as proof.. PALE BROWN FINE NOGROUNOW^TERENOOUNTEREO ;EcST HOLE BORING BY [~'~:~ 4~Dic~NALD GEOSCIENCE ~ radon Engineering, P.O. Maff~tuc~ Japanese 1755 Sigs~e Road Chinese Maffituck. New Yn~ J ~ogo ~mfa,,v~ Pork or Shrimp Egg Roll Spring Roll (2) Cold Sesame Noodle Crab Rangoons (8) 2.00 3.00 5.00 5.00 APPETIZERS Shrimp Toast (4) 5.00 Fried or Steamed Pork Dumplings (4) 6.00 Boneless or B-B-Q Spare Rib Sm 7.00 Lg 13.00 SOUPS Seafood Soup Asparagus Crabmeat Soup House Special Soup Shrimp, chicken, pork w. vegetables 10.00 10.00 10.00 Chinese Vegetable Soup Wonton, Egg Drop Soup or Hot & Sour Soup RICE & NOODLES 5.00 4.00 Chicken, Pork, Beef, or Shrimp Fried Rice House Special Fried Rice Chicken, pork & shrimp Vegetable Fried Rice Shrimp, Beef, or Chicken Mci Fun or Chow Fun Chicken, Beef, Pork, or Shrimp Lo Mein House Special Lo Mein Chicken, pork, & shrimp Vegatable Lo Mein 10.00 11.00 8.00 12.00 10.00 11.00 8.00 MOO SHU & EGG FOO YOUNG All Entree Served w. White Rice Lobster Egg Foo Young Pork, Chicken or Beef Egg Foo Young Mixed Vegetable Egg Foo Young House Egg Foo Young Pork, Chicken or Beef Moo Shu w. 5 pancakes 14.00 12.00 10.00 14.00 14.00 *Hot & Spicy ENTREES All Entrees Served w. White Rice CHICKEN OR BEEF Chicken or Beef w. Broccoli Chicken or Beef w. Snow Pea Chicken or Beefw. Black Bean Sauce Chicken or Beef w. Cashew Nut *Szechwan Chicken or Beef *Chicken or Beef w. Garlic Sauce *Hot & Spicy chicken or Beef *General Tso's Chicken or Beef Seasame Chicken or Beef *Orange Chicken or Beef Ginger Chicken Mongolian Beef Pepper Steak w. Onions 12.00 12.00 12.00 12.00 12.00 12.00 12.00 14.00 14.00 14.00 12.00 14.00 12.00 SEAFOOD Walnut Shrimp or Scallops 16.00 Sesame Shrimp or Scallops 16.00 Shrimp or Scallop w. mixed vegetable 16.00 Shrimp or Scallop w. Broccoli 16.00 Shrimp or Scallop w. Snow Peas 16.00 *Szechwan Shrimp or Scallop 16.00 Shrimp or Scallop w. Lobster Sauce 16,00 *Shrimp or Scallop w. Garlic Sauce 16.00 *General Tso's Shrimp or Scallop 16.00 Tung Ting Shrimp 16.00 Shrimp or Scallop w. Cashew Nuts 16.00 *Hot & Spicy Shrimp & Scallops 18.00 Shrimp w. Asparagus 16.00 DIET SPECIALS ~ill Entrees Include Brown Rice Steamed Chicken w. Mixed Vegetables Steamed Shrimp w. Mixed Vegetables House Special Delight Fresh String Beans Steamed Mixed Vegetables Stir Fried Chicken w. Broccoli VEGETABLES & TOFU All Entrees Include Steamed Rice Jade & Green (Broccoli & Snow Peas Snow Peas & Water Chestnuts Broccoli w. Garlic Sauce Broccoli w. Brown Sauce Chinese Eggplant w. Garlic Sauce 12.00 16.00 16.00 9.00 9.00 12.00 9.00 9.00 9.00 9.00 10.00 *Hot & Spicy CHEF'S SPECIALTIES Served w. White Rice 1. SEAFOOD DELIGHT Scallop, crab, shrimp & lobster 18.00 2. HAPPY FAMILY 16.00 Beef, shrimp, chicken & pork w. vegetables 3. FOUR SEASON Port, crab, chicken & shrimp w. vegetables. 16.00 4. CRISPY SALT & PEPPER SHRIMP 16.00 5. SHRIMP & STEAK "Q" Fillet mignon chunks &jumbo shrimp w. straw mushrooms, baby corn, broccoli, cooked in a chefs special sauce. 16.00 6. *CRISPY SHRIMP & SCALLOPS SZECHUAN STYLE Chrispy jumbo shrimp & scallops w. Chinese vegetables in a special sauce. 16.00 7. *BEEF & CHICKEN HUNAN STYLE 16.00 Hot & spicy beef& hunan chicken. 8. TRIPLE DELIGHT Sliced beef, chicken & shrimp sauteed w. Chinese vegetables in a brown sauce 16.00 9. CRISPY DUCK HONG KONG STYLE 20.00 10.PEKING DUCK half 18.00 whole 35.00 11. LAMB IN TWO FLAVORS Two distinct lamb dished in one super Meal, one is prepared in a delicate Sauce made w. fresh young scallions, While the other is a more robust Presentation made w. piquant sauce. 12. HOUSE SPECIAL SCALLOPS Large sea scallops sauteed w. black Mushrooms, snow peas, green Vegetables and red pepper in a special black bean sauce. 13. NEPTUNE'S BASKET 17.25 San ambrosed jumbo shrimp, giant Sea scallops, lobster & succulent Crab meat, encircled by snow peas, Mushroom, fresh red pepper in Brown sauoe and served in a basket Made of crispy noodles 14. BIRD'S NEST DELUXE Sliced tender beef, chicken white meat, sliced pork and large shrimp w. broccoli, snow peas, baby corn, carrots and water chestnuts sauteed in a spicy brown sauce and served in a basket made of crispy noodles. 15 *MALA SEAFOOD SZECHUAN STYLE 16.00 16.00 16.00 16.00 *Hot & Spicy TempStar High-temperature, Door-type Dishmaohine ' ' Fast Cycle Time * Handles 57 racks per ~r, uPltO 997 pieces per hour. Reduces Utility '?~:~,/er water usage per oyde then ¢bmpetJtlve machines--on~y 1 gallon per rack. Reduces ~i;~pomlng water cost and sewer cha~e, · · Rullt4n boo~ter heater cost-efficiently irlco~llng water temperature to 180°F ~ Superior Cfaa~ing AGtion · ,...Unique wash arm design with ~teinless steel ','..s...l~ray noz2~es c~ates high-pressure a~an. · "~,B'.~jIt-ln water pre.ute rel~letor and gauge . ;' ;' e'.n~Ure consistent r~ulls, .,. · * ~ ~ openingI ~p~ 18' Heavy.duty, Induetrlal Construct!on · ~ide mounted, electm~l~hanical controls are easy to service and more reliable t~en sg d state m3ntmls, · Interchangeable waehlrlnes arms ~rew out for quick cleanup, · Hl-Ilmft thermostat and Iow water pmtecUon prevent heating 0hi! burnout--standard on all machines, Ma :hine., born of tradition. Built ~ ,ith t'nnovatiot~. I~uly 8utunat~ cycle--58 seoon~ . Doll~ ~ - ~fl~ a~ signal ~ ~ b)~ · L~ ~ ~e~ el~c wash ~ ~k ~a~r - HHImff t~t and i~ . ~ju~ bullet ~t Perfermaqee/C.pacifles o~.1.9 c~ped~y R~ per Her 57 DIMlse per Haut 1425 C-lasse~ pa' HOU~ 1425 W~sh ~me 45 Rinse Time 11 To~ cy~ 58 T~ (F') W~ (Minim) 150 R~ ' 160 - IH F~ ~m~i~ sm~ ~ ~t 34" ~um C~ 27/~ - Afl dlme~ionm i~ Inches, 3/4 4,1161G 10,~ ' 12,9112,9 1401110 ~2.2 20 To{al LOS Aml~ 40~ ~se 70' rise 68,7175,4 15.6 / 83.6 42,1 145.5 45,3 21.;' 24.1 Models with the ~ olec't~ei spe~ifigaUons are wailabW w~th~ul UI. Listing: 230/~1, 230/$0/3, 1-888-800-JMS( I. egend A--Orain lt/2" I,P,S. B --~t.e.' ~lst 3;4" I,P.$, El~.,tt~t mnr~ D--Smn~rd wall deamnce v,~h d~hmb(e 4~ without notice ,~onyg Shushi,. : 96~ Route 25 SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES TRAINING AND PLAN REVIEW UNIT 360 Yaphank Ave. Yaph&nk, N.Y. 11980 Suite 2A NOTICE OF PLAN REJECTION ESTABLISHMENT Mattituck Japanese Chinese 05/19/08 APPLICANT: T. McCarthy ATTENTION: N. Veto YOUR FOOD SERVICE ESTABLISHMENT PLAN APPLICATION HAS BEEN REJECTED FOR THE REASONS NOTED BELOW. FAILURE TO RETURN A COMPLETE RESPONSE TO ALL ITEMS NOTED IN THIS REPORT WILL RESULT IN THE DENIAL OF YOUR APPLICATION. CO~4ENTS: []APPLICATION FOR PERMIT: [] FORM IS INCOMPLETE OR INACCURATE. PhRaSE RESUBMIT THE ORIGINAL FORM. [] $150 PLAN REVIEW FEE WASN'T SUBMITTED. [] PERMIT FEE WASN'T SUBMITTED. [] PROVIDE THE OWNERS TITLE IN THE CORPORATION. [] FORM MUST BE SIGNED BY AN OFFICER OF THE CORPORATION. [] APPLICATION FOR PLAN APPROVAL: [] FORM IS INCOMPLETE OR INACCURATE. Pn~ASERESUBMIT THE ORIGINAL FORM. [] SEWAGE DISPOSAL QUESTIONNAIRE: [] FORM IS INCOMPLETE OR INACCURATE. PnRRSERESUBMIT THE ORIGINAL [] TWO DIFFERENT FORMS SUBMITTED; PLEASE CHOOSE THE CORRECT FORM AND RESUBMIT WITH ALL THE NECESSARY COP~zLECTIONS. [] COPY OF ~CERTIFICATE OF AUTHORITY" TO COLLECT SALES TAX NOT SUBMITTED. [] ~CERTIFICATE OF AUTHORITY" MUST HAVE RESTAURANT'S ADDRESS ON IT. [] A FULL MENU OF FOODS SERVED WAS NOT SUBMITTED; FULL PLAN REVIEW IS NOT POSSIBLE. [] PLANS WERE INCOMPLETE/ILLEGIBLE/NOT TO SCALE: [-]1/4" SCALE PLANS REQUIRED [] NO SCALE NOTED ON THE PLANS, 1/4" SCALE PLANS REQUIRED. [] PROVIDE PLANS OF THE ENTIRE RESTAURANT [] PROVIDE PLANS OF THE ENTIRE FLOOR. Revised: MAY 13, 2008 1 [] A FLAT LINE PLUMBERS RISER DIAGRAM [] WAS NOT SUBMITTED []IS UNACCEPTABLE FOR THE FOLLOWING i~EASONS (SEE ATTACHED FLYER). [] SPECIFICATIONS ON THE WATER HEATER TO BE INSTALLED HAVE NOT BEEN PROVIDED OR ARE INADEQUATE [] PROVIDE HEATER'S STORAGE CAPACITY AND RECOVERY RATE [] SHOW HEATER'S LOCATION ON THE PLAN [] WATER HEATER MUST BE INDEPENDENT OF THE BUILDING'S SPACE HEATING SYSTEM [] PROVIDE HEATER'S CUT SHEET [] MULTIPLE HEATERS NOTED ON THE WATER CALCULATION SHEET AND/OR PI2~NS; ARE THE HEATERS CONNECTED? IF CONNECTED, WHAT TYPE OF CONNECTION: PAP~tLLEL OR SERIES? IF THEY SUPPLY DIFFERENT EQUIPMENT PROVIDE SEPARATE CALCULATION FOEMS FOR EACH HEATER. [] THE WATER HEATER YOU HAVE SPECIFIED IS INADEQUATE TO MEET DEMANDS. GALLONS STORAGE BTU'S/HOURARE REQUIRED. [] INSUFFICIENT INFO. WAS PROVIDED TO CALCULATE WATER HEATER REQUIREMENTS. PLEASE PROVIDE THE FOLLOWING: [] INDIVIDUAL BOWL SIZE OF YOUR 3 COMPARTMENT SINK []MAKE AND MODEL OF YOUR DISHWASHER. [] WATER CALCULATION FORM IS INCOMPLETE OR INACCURATE. []EMPLOYEE TRAFFIC FLOW IS RESTRICTED. [] PROVIDE 3 FOOT WALK WAYS THRU OUT THE RESTAURANT. [] PLANS INDICATE INADEQUATE STORAGE SPACE, SHOW AND LABEL STORAGE FOR THE FOLLOWING: [] DRY & CAN GOODS,[] BEVERAGES [] BAR SUPPLIES [] WINE/LIQUOR [] PLATES/GLASSES/SILVERWARE [] PIZZA BOXES (MADE & UNMADE)[] PAPER GOODS [] CLEANING SUPPLIES AND CHEMICALS [] PENDING CATERING INFO [] LABEL ALL STORAGE AS TO TYPE OF STORAGE [] LABEL ALL BASEMENT STORAGE AS TO TYPE OF STORAGE. [] PUBLIC ACCESS TO EMPLOYEE ONLY AREAS NOT RESTRICTED: []AT THE BAR []AT THE KITCHEN []AT THE FRONT COUNTER. [] FLOOR/WALL/CEILING FINISH MATERIALS NOT SPECIFIED. MATERIALS USED SHA~L RESULT IN A SMOOTH, CLEANABLE SURFACE. [] PATRON AND/OR EMPLOYEE ACCESS TO TOILETS IS INADEQUATE: [] NO PATRON BATHROOM SHOWN, REMOVE ALL SEATS [] EMPLOYEES/PATRONS MUST HAVE INTERIOR ACCESS TO THE BATHROOMS. Revised: MAY 13, 2008 2 [] TOILET ROOM DOORS NOT LABELED ~SELF CLOSING". [] YOUR MENU INDICATES A [] CATERING OPERATION AND/OR [] A FOOD DELIVERY SERVICE; P?~SE SEE THE ATTACHED LETTER & PROVIDE ALL THE REQUESTED INFO. [] INSUFFICIENT REFRIGERATION: [] PENDING MENU REVIEW, PLEASE PROVIDE A FULL DETAILED MENU [] A WALK-IN REFRIGERATOR REQUIRED [] A COUNTER DISPLAY REFRIGERATOR REQUIRED [] A COOK LINE REFRIGERATOR REQUIRED [] A WAITRESS STATION REFRIGERATOR REQUIRED [] PENDING CATERING INFO [] PROVIDE A HACCP TYPE EXPLANATION OF YOUR MENU[] PROVIDE CUT SHEETS ON ALL YOUR REFRIGERATION Ver~ limited amount of refrigeration space shown on the plans. [] INSUFFICIENT EQUIPMENT FOR HOT HOLDING OF FOOD: [] PENDING MENU REVIEW, PLEASE PROVIDE A FULL DETAILED MENU [] A STEAM TABLE REQUIRED [] HOT HOLD EQUIPMENT REQUIRED AT THE CARRY OUT STATION [] PROVIDE A DETAI?.~ EXPLANATION OF YOUR HOT HOLD METHODS [] PENDING CATERING INFO [] PROVIDE A HACCP TYPE EXPLANATION OF YOURMENU. [] FOOD SERVICE EQUIPMENT [] EXTERNALLY VENTED HOOD (WITH REMOVABLE GREASE FILTERS) NOT SHOWN OVER COOKING EQUIPMENT. SHOW AND LABEL HOOD SYSTEM. [] HAND WASHING FACILITIES INADEQUATE; SINKS REQUIRED EVERY 12-15 ft., IN FULL VIEW, EASILY ACCESSIBLE, WITH UNOBSTRUCTED PATHWAYS. PLEASE PROVIDE SINKS IN THE FOLLOWING AREAS: by the 3 comp. sink(full view of the entire 3 comp.) [] HAND SINKS NEED SIDE SPLASH GUARDS. [] PROVIDE FULL DETAILS OF YOUR WAITRESS STATION; ANY FOOD OR BEVERAGE SERVICE WILL REQUIRE A HAND SINK AND POSSIBLY A REFRIGERATOR. [] MOP SINK AND MOP HOOK NOT SHOWN ON PLANS [] SHOW MOP HOOK ABOVE THE SINK [] MOP SINK REQUIRED IN THE BASEMENT []MOP SINK REQUIRED ON THE 2~ FLOOR. [] PROVIDE SPLASH GUARDS ON BOTH SIDES OF THE MOP SINK. Revised: MAY 13, 2008 3 [] THREE COMPARTMENT SINK WITH TWO DRAIN BOARDS (OR ONE DRAIN BOARD ANDAN OVERHEAD DRYING RACK) NOT SHOWN ON PLANS: [] SHOW BOTH DRAIN BOARDS AT THE · KITCHEN THREE COMP. [] SHOW BOTH DRAIN BOARDS AT THE BAR THREE COMP.SINK. [] MINIMUM SIZE DRAIN BOARD IS 18 INCHES. [] DISHWASHER WITH TWO DRAIN BOARDS NOT SHOWN ON THE PLANS: [] SHOW BOTH DRAIN BOARDS [] PROVIDE TWO DRAIN BOARDS AT THE BAR DISHWASHER.[] SHOW AND LABEL THE PRE-RINSE SINK [] INADEQUATE FOOD OR EQUIPMENT PROTECTION [] A ROOF/CANOPY REQUIRED FROM THE WALK-IN DOOR TO THE KITCHEN DOOR. [] GARBAGE DISPOSAL AREA (DUMPSTER) NOT SHOWN ON PLANS. [] PROVIDE SLIDING SCREENS AT THE PATRON WINDOWS. [] ICE CREAM DIPPERWELL NOT SHOWN ON PLANS: [] PENDING DESSERT MENU REVIEW [] WASTE LINES INDICATED OVER FOOD OPERATIONS: [] PROVIDE DETAILED 1/4"SC~T~ PLANS OF THE ENTIRE FLOOR ABOVE ANY FOOD EQUIPMENT OR STORAGE AREAS [] INLAY ALL OVERHEAD WASTE LINES ONTO THE FLOOR PLANS BELOW (SHOW HORIZONTAL & VERTICAL INLAY) [] PROVIDE DETAILED 1/4" SCALE PLANS OF THE BASEMENT AND SHOW ALL OVERHEAD WASTE LINES [] SHOW ALL OVERHEAD WASTE LINES ON THE BASEMENT PLANS. O WASTE LINES/ROOF DRAINS LOCATED ABOVE FOOD RELATED ABEAS. [] WASTE LINES /ROOF DRAINS LOCATED WITHIN 18" OF FOOD RELATED EQUIPMENT AND OR STORAGE SPACE. [] WATER TIGHT BARRIERNEEDS TO BE FLOOD TESTED. [] MEED WATER TIGHT BARRIER CERTIFICATION LETTER. [] PROVIDE FULL DETAILS OF THE WATER TIGHT BARRIER (SEE THE ATTACHED LETTER) [] CLOTHES WASHING AREA NOT PHYSICALLY SEPARATED FROM FOOD OPERATIONS. [] DRESSING AREA/CLOTHING STORAGE AREA FOR EMPLOYEES NOT SHOWN ON THE PLANS. PROVIDE ONE LOCKER PER SHIFT EMPLOYEE. [] MINIMUM SIZE LOCKER IS A DOUBLE TIER LOCKER. [] SPLASH GUARDS REQUIRED BETWEEN [] SNEEZE GUARDS REQUIRED AT: Revised: MAY 13, 2008 4 [] MECHANICAL GLASS WASHER NOT SHOWN AT THE BAR THREE COMPARTMENT SINK. [] PLAN DOES NOT DETAIL HOW BAR TOP IS DESIGNED TO PROTECT EQUIPMENT BELOW FROM POSSIBLE PATRON CONTAMINATION SUCH AS SPILLED DRINKS. [] LAYOUT/OTHER: 1) 40 or 42 seats?Plans and forms differ. 2) The walk-in isn't drawn to accurate scale. 3) A cut sheet was provided for an icemaker but the unit isn't shown on the plans or the riser.What will you be using this piece of equipment for? 4) Provide full details of the counter area. [] MANUFACTURER'S CUT SHEETS NOT SUPPLIED FOR ALL YOUR EQUIPMENT. PLEASE PROVIDE CUT SHEETS NUMBERED THE SAME AS THE FLOOR PLANS FOR ALL OF YOUR EQUIPMENT. [] INADEQUATE NUMBER OF PREP TABLES SHOWN: [] PENDING MENU REVIEW, PLEASE PROVIDE A DETAILED MENU. [] PENDING CATERING INFO. [] PENDING YOUR HACCP PROPOSAL. No prep tables or plating tables shown on the plans,several will be required. [] YOUR MENU INDICATED HAW OR UNDERCOOKED FOOD AND REQUIRES A MENU ADVISORY, PLEASE SEE THE ATTACHED EXAMPLE. [] ADD THE DISCLOSURE TO ALL MARKED MENU ITEMS []WRONGMENU ITEMS MARKED []MARKALL REQUIRED MENU ITEMS. [] YOUR OFFICE SUBMITTED TOO MANY PLANS. PLEASE SUBMIT ONLY THOSE PLANS THAT ARE GERMANE TO THIS DEPARTMENT'S REVIEW. [] PROVIDE CUP AND LID DISPENSERS AT YOUR SELF-SERVE STATIONS. [] UNLABELED EQUIPMENT ON THE PLANS; SEE PLANS FOR HIGHLIGHTED ITEMS. Revised: MAY 13, 2008 5 LABEL ALL SINKS AS TO TYPE OF USE: PREP, HAND WASH, 3 COMP., PRE-RINSE, DUM~, MOP, ETC. [] THE SEWER EJECTOR NEEDS DUAL PUMPS AND AN AUDIBLE ALARM. [] SHOW THE EJECTORS LOCATION ON THE PLANS. [] SHOW ALL SEATING ON YOUR PLANS. [] DEPARTMENTAL NOTES; CONDITIONS OF PLAN APPROVAL WILL BE: [] TEMPORARY RESIDENCE APPROVAL REQUIRED; CONTACT JEFF MINDER AT 852-5831 [] SEWAGE SYSTEM REVIEW REQUIRED; CONTACT THE OFFICE OF WA$'~'~WATER · ~.NA~NT: 852-5700 [] SEWAGE SYSTEM HAS BEEN APPROVED TO CONSTRUCT BUT NOT YET FINAL. IN ADDITION TO ADDRESSING THE ITEMS HEREIN, A FINAL APPROVAL IS REQUIRED BEFORE A PRE-OPERATIONAL INSPECTION & ISSUANCE OF FOOD PEEMIT CONTACT THE OFFICE OF WAS~'mWATER IW~.N$~"Z.~ENT: 852-5700 [] YOU HAVE NOT SUBMITTED DOCUMENTATION (S-9 FORM OR EQUIVALENT) FROM THE SEWER DISTRICT SHOWINGAPPROVAL TO CONNECT FOR THE PROPOSED USE OF THE PREMISES AS A FOOD SERVICES ESTABLISHMENT. CONTACT THE APPROPRIATE SEWER DISTRICT OR AG~.NCY [] PROVIDE A SIGNED S-9 FORM OR SEWER COMPLETION LETTER FROM THE SEWER DISTRICT. CONTACT THE APPROPRIA~ SEWER DI$~'~ICT OR aG~.NCY PHRASE NOTE: WHEN RESUBMITTING PLANS, TWO COPIES ARE REQUIRED. FOR PLANS THAT CONTAIN~4ULTIPLE PAGES, ONLY THE REVISED PAG~SAREREQUIRED. APPLICATION REVIEWED BY BRIAN NOONE PHONE: 631) 852-5873 FAX :(631) 852-5871 Revised: MAY 13, 2008 6 SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES FOOD ESTABLISHMENT PLAN REVIEW UNIT PLAN REVIEW APPLICATION 6.Type of Operation (check all that apply): ~tRestaurant(eat in) ElRestaurant(take out) []Deli [] Off Premises Caterer ElManned Vending Location []Tavern/Bar []Food Delivery Service []Bakery [] Other (please describe): 7. Type of Construction: [] New ~Renovation [] Conversion to New Use 8. Is Single Service Tableware Used Exclusively?: [] Yes .~No If you answered "NO" enter here the make/model of dishwasher (re' 'quired): 9. S,,hmit a Printed Menu. Plan review cannot proceed without a menu review. 10. Identify surface finishes below. Note that only durable, smooth and cleanable surfaces are acceptable. AREAV CEIl.lNG FLOOR WALLS ,moo s, . . .. 11. Proposed Water Heater: Make [-N .O.C-~it-~ Storag~(gal)~!nput (}ITUH or KW)J~_~ The enclosed "Water H~at~ ~o~afion Shee~ s~l ~so ~ completed. 12. Is There a Basement That Is Used for ~y Food Related Ac~ifies? ~ Yes .~[o ~e There ~y Additional Floors Above Any Food Related Are~? ~ Yes~No Are There ~y Roof Drains Above Any Food Re.ted Areas? ~ Yes ~ No ff"~S" to eider quemio~ sub~]t derailed pl~ shomg relafions~p of ~ ov~he~ w~te ~es to food activities. 13. ~tended Total Sea.g: ~ ~ 14. Public Water? ~ Yes ~ No If'~O' submit lab ~ysis 15. Waste (sewage) D~pos~ SyStem: ~ Public (S~e~) ,,~Pr~ate (Cesspools/leaching fields) ~e enclosed "Sewage Di~os~ Questionaire s~l ~so be completed. ~ORT~ ~0 SETS of sc~e p[~s~/5~ - 1,/oo~ ~c~=y ~s application, ~E SETS for a HO~L~O~L. OFFICE USE O~Y SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES POOD ESTABLISHMENT PERMIT APPLICATION For Office Use only []New []Change ANNUALFEE IMPORTANT Complete both sides of the application and submit it at least fifteen (15) days before anticipated operation. Processing will be delayed if it is incomplete or illegible. Note: A preoperational permit-issuing inspection is required before operating. Submission and approval of plans by Food Control is required if the establishment is new or remodeled. For Office Use Only Classification Code Conditions [ / / ] Issue Date [ [ Id, ¢1,.¢/'~"~" / ] Establishment I.D. Approved by. PLEASE PRINT USE BLACK INK Street ~ ~k~'[~) "'~ ~ ~ 2. Type of Ownership: BlndJvidual DCorporation BNon-Profit BPa~nership ~LLC (Submit proof of type of ownership) 3. New York State Ced ficate of Author ty Number (Sales Tax No.): A true ~op~ of ~our G~i[ica~e of Authodiy to Goll~c~ 8al~s Ta~ mus~ b~ submitted with-th s application. ~. Billin~ Address o~ Own~fl¢orporafion: (Noir: Permi~ renewal n~tifi~atio, ns will b~sen~ ~ this addms¢} I Street ~ ~ e_~ ~ q~-- Phone No.( ' ) ' 5.Personal Mailing Address of Person Signi~ A~lication*: 6. Corporation, LLC or Partnership Name and Mailing Address: ~Type of Establishment: (Check the appropriate estaurant (With seating) BRestaurant (Without seating) BDelicatessen BTavern BBakery BOff-premiseCaterer ~Depot w/o Food Preparation Bin Home Caterer BSchool BSoup Kitchen BVending Machine BSenior Nutrition ~Commissary BDay Care BParty Room BOther 8, Water Supply: ~ Well Waler ~Public Water 9. Waste Disposal System: .~Public (Sewers) ~rivate (Cesspooislleachin9 ~elds) i0. Seats Provided: ~ Yes B No Number of Seats 11. Tax Map Number: District ] 00~ Section Iq3 The applicant hereby agrees to operate the food establishment described above in compliance with the requirements of the Signature Print Name Title d Suffolk County San tary Codes and hereby authorizes officials of the Suffolk County Department of nsp~:t~ny and alJ'¢remises and take samples of food therefcom for laboratory testing. "The application must be signed by an officer of the corporation, partner or owner (See Item #5 above). The D/B/A must be completed before a permit may be processed. (See reverse for instructions, Fee Schedule and insurance information WATER HEATER INFO,SHEET TO EXPEDITE THE PLAN APPLICATION PROCESS IT IS IMPORTANT THAT YOU CHECK ALL THAT APPLY FOR THE PLAN SUBMITTED. ANSWER ALL APPLICABLE QUESTIONS. THE DEPARTMENT WILL CALCULATE THE HOT WATER DEMAND FOR YOUR ESTABLISHMENT AND NOTIFY YOU IF THE WATER HEATER YOU PROPOSE IS INADEQUATE. THREE COMPARTMENT POT WASH SINK(S) Provide the interior length, width and depth of one typical bowl of this sink. (Example: 21 x 18 x 14) An extra line is provided if you have a second three compartment pot wash sink.. / I Length 1% Width ] ~/ Depth Iq Length. Width Depth Q HA.ND WASH SINK(S) (Do not count bathroom sinks) Q BATHROOM HAND SINK(S) rn THREE COMPARTMENT BAR SINK(S) ~/xDISHWASHER Make Model How Many? How Many? How Many? If known, racks per hour PRE- RINSE SPRAY UNIT (Only if installed at dishwasher) 121 OTHER FOOD SERVICE EQUIPMENT THAT USES FIVE OR MORE GALLONS OF HOT WATEK IN AN HOUR'S USE Type of equipment Estimated hot water use in gallon per hour FOR EACH WAYER HEATER. PROPOSED, PROVIDE THE FOLLOWING: 0) O. (2) MODEL (1) '~;5-~2` ~ IoqD (2) STORAGE SIZE, IN GALLONS (1) t'~ I (2) 1NPUT in BTUH or KW (I) lP..~)!(DO(') (2) TYPE of CONNECTION for MULTIPLE HEATERS (1) PARALLEL (2) SEamS Water heater(s) shall be shown on plan. Explain below if multiple water beaters service differem equipment. Instantaneous water heaters (zero storage) are generally unacceptable. Water heater(s) shall be commemial grade and dedicated to supply the food service establishment. Water heaters plumbed in parallel or in series may be acceptable. Storage tanks indirectly supplied heat by a boiler requires information on the boiler Inpm (BTUH or KW) and the storage tank size, in gallons. IMPORTANT NOTE: DO NOT INSTALL ANY WATER HEATER NOT SPECIFICALLY APPROVED BY THE DEPARTMENT. ILt~3 bn SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES TRAINING AND PLAN REVIEW UNIT 360 Yaphank Ave. Yaphank, N.Y. 11980 Suite 2A NOTICE OF PLAN REJECTION ESTABLISHMENT Mattituck Japanese Chinese 12/23/08 ADDRESS: 9650 Rte 25 Mattituck APPLICANT: T. McCarthy ATTENTION: N. Vero YOUR FOOD SERVICE ESTABLISHMENT PLaN APPLICATION HAS BEEN REJECTED FOR THE REASONS N~'mm BELOW. FAILURE TO RETURN A COMPLETE RESPONSE TO ALL ITEMS NOTED IN THIS REPORT WILL RESULT IN THE DENIAL OF YOUR APPLICATION. CO~ENTS: [] APPLICATION FOR PERMIT: [] FORM IS INCC~4PLETE OR INACCURATE. pr.~.~SE RESUBMIT THE ORIGINAL FORM. [] $150 PLAN P, EVIEW FEE ~SN'T SUBMITTED. [] PERMIT FEE WASN'T SUBMITTED. [] PROVIDE THE OWNERS TITLE IN THE CORPORATION. [] FORM MUST BE SI~NED BY AN OFFICER OF THE CORPORATION. * This information must be completed b~ the restaurant owner, not the realtor office. [] APPLICATION FOR PLAN APPROVAL: [] FORM IS INCOMPLETE OR INACCURATE. p~ERESUBMIT THE ORIGINAL FORM. [] SEWAGE DISPOSAL QUESTIONNAIRE: [] FORM IS INCOMPLETE OR INACCURATE. pr.~.~SE RESUBMIT THE ORIGINAL [] TWO DIFFERENT FO~MS SUBMITTED; PLEASE CHOOSE THE CORRECT FORM AND RESUBMIT WITH ALL THE NECESSARY CORRECTIONS. [] COPY OF -CERTIFICATE OF AUTHORITY" TO CO?.?.~CT S~T.~S TAX NOT sUBMITTED. [] ~CERTIFICATE OF AUTHORITY" MUST RAVE RESTAURANT'S ADDRESS ON IT. []A FULL MENU OF FOODS SERVED WAS NOT SUBMITTED; FULL pLAN REVIEW IS NOT POSSIBLE. [] PLANS WERE INCOMPLETE/ILLEGIBLE/NOT TO SC~T.~.: []1/4" SCALE PLANS REQUIRED [] NO SC~?.~ NOTED ON THE PLANS, 1/4" SC~?.~. PLANS REQUI~~-~· [] PROVIDE PLANS OF THE ENTIRE RESTAURANT [] PROVIDE PLANS OF THE ENTIRE FLOOR. 1 Revised: MAY 13, 2008 [] A FLAT LINE PLUMBERS RISER DIAGP~M [] WAS NOT SUBMITTED []IS UNACCEPTABLE FOR THE FOLLOWING P~ASONS (SEE ATTACHED FLYER). [] SPECIFICATIONS ON THE WATER HEATER TO BE INSTALLED HAVE NOT BEEN PROVIDED OR ARE INADEQUATE [] PROVIDE HEATER' S STORAGE CAPACITY AND RECOVERY RATE [] SHOW HEATER' S LOCATION ON THE PLAN [] WATER w~.~TER MUST BE INDEPENDENT OF THE BUILDING'S SPACE HEATING SYST~ [] PROVIDE HEATER' S CUT SHEET [] MULTIPLE HEATERS NOTED ON THE WATER CALCULATION SHEET AND/OR PLANS; APsE THE HF~kTERS CONNECTED? IF cONNECTED, WHAT T~PE OF CONNECTION: pAR~T.T.~.L OR SERIES? IF THEY SUPPLY DIFFERENT EQUIPMENT PROVIDE SEPARATE CALCULATION FORMS FOR EACH ~.ATER. [] THE WATER HEATER YOU HAVE SPECIFIED IS INADEQUATE TO MEET DEMANDS. GALLONS STORAGE BTU' S/HOUR ~ REQUIRED. [] INSUFFICIENT INFO. ~ pROVIDED TO CALCULATE WA'I'm~ HE~'~'m~ ~uZQ0~mm~'~B. pT.~.~SE PROVIDE THE FOLLOWING: [] INDIVIDUAL BOWL SIZE OF YOUR 3 C0~4PARTMENT SINK [] M~KE AND MODEL OF YOUR DISHWASHER. [] WATER CALCULATION FOPa4 IS INC0~4PLETE OR INACCURATE. [] EMPLOYEE Ti~A~FIC FLOW IS RESTRICTED. [] PROVIDE 3 FOOT W~.LK ~rAYS THRU OUT '£~ RESTAURANT. [] PLANS INDICATE INADEQUATE STOEAGE SPACE, SHOW AND LABEL STORAGE FOR THE FOLLOWING: [] DRY & CAN GOODS,[] BEVE~%GES [] BAR SUPPLIES [] wINE/LIQUOR [] PLATES/GLASSES/SIL~ [] PIZZA BO~ES (M~DE & Uk~DE)[] pAPER GOODS [] CT.~.~NING SUPPLIES AND cHE~ICALS [] PENDING CATERING INFO [] LA~EL STORAGE AS TO TYPE OF STORAGE [] LABEL ALL BASEMENT STORAGE AS TO TYPE OF STORAGE. [] PUBLIC ACCESS TO EMPLOYEE ONLY AREAS NOT RESTRICTED: [] AT THE BAR [] AT THE KITCHEN [] AT THE FRONT COUNTER. [] F~OOR/WALL/CEILING FHNISH M~TERIALS NOT SPECIFIED. M~TERIALS USED SHALL RESULT IN A S~OOTH, CT.~.~/~BLE SURFACE. - [] PATRON AND/OR EMPLOYEE ACCESS TO TOILETS IS INADEQUATE: [] NO PATRON BATHROOM SHOWN, REMOVE ALL SEATS [] EMPLOYEES/PATRONS MUST HAVE I~'£~.RIOR ACCESS TO THE EATHRO0~4S. Revised: MAY 13, 2008 [] TOILET ROOM DOORS NOT L~BELED ~SELF CLOSING". [] YOUR MENU INDICATES A [] CATERING OPERATION AND/OR [] A FOOD DELIVERY S~-I~VIC~.; P?.~-~E SEE THE ATTACHED LET~R & PROVIDE ALL THE I~EQt]ESTED INFO. [] INSb~'~'ICIENT REFRIGERATION: [] PENDING ~-d REVL~.w, pT.~.~SE PROVIDE A FULL DETAILED MENU [] A WALK-IN REFRIGERATOR REQUIRED [] A COUNTER DISPLAY REFRIGERATOR REQUIRED 7] A COOK LINE REFRIGERATOR REQUIRED [] A ~B~ITRESS STATION REFRIGERATOR REQUIRED [] PENDING CATERING INFO [] PROVIDE A HACCP TYPE EXPLANATION OF YOUR ~ PROVIDE CUT SHEETS ON ALL YOUR REFRIGERATION [] INSUFFICIENT EQUIPMENT FOR HOT HOLDING OF FOOD: [] ~F~-~ING ~ RE~'w, P?.~.~SE PROVIDE A FULL DETAILED MENU [] A STEAM TABLE REQUI~~.~ [] HOT SOLD EQUIPMENT REQUIRED AT THE CARRY OUT STATION [] PROVIDE A DETAILED EXPLANATION OF YOUR HOT HOLD METHODS [] PENDING CATERING INFO [] PROVIDE A HACCP TYPE EXPLANATION OF YOUR MENU. [] FOOD SERVICE EQUIPMENT [] ~T~RNALLY VENTED HOOD (WITH REMOVABLE GREASE FILTERS) NOT SHOWN OVER COOKING EQUIPMENT. SHOW AND LABEL HOOD SYSTEM. [] HAND WASHING FACILITIES INADEQUATE; SINKS REQUIRED EVERY 12-15 ft., IN FULL VIEW, EASILY ACCESSIBLE, WITH UNOBSTRUCTED PATHWAYS. P?.~SE PROVIDE SINKS IN THE FOLLOWING AREAS: [] HAND SINKS NEED SIDE SPLASH GUARDS. [] PROVIDE FULL DETAILS OF YOUR WAITRESS STATION; ANY FOOD OR BEVERAGE SERVICE WILL REQUIRE A HAND SINK AND POSSIBLY A REFRIGERATOR. [] MOP SINK AND MOP HOOK NOT SHOWN ON PLANS [] SHOW MOP HOOK ABOVE THE SINK [] MOP SINK REQUIRED IN THE BASEMENT [] MOP SINK REQUIRED ON THE 2~D FLOOR. [] PROVIDE SPLASH GUARDS ON BOTH SIDES OF THE MOP SINK. 3 Revised: MAY 13, 2008 [] THREE COMPARTMENT SINK WITH TWO DRAIN BOARDS (OR ONE DRAIN BOARD AND AN OVERHEAD DRYING RACK) NOT SHOWN ON PLANS: [] SHOW BOTH DRAIN BOARDS AT THE KITCHEN THREE CO~P. [] SHOW BOTH DRAIN BOARDS AT THE BAR THREE COMP. SINK. [] MINIMUM SIZE DRAIN BOARD IS 18 INCHES. [] DISHWASHER WITH TWO DRAIN BOARDS NOT SHOWN ON THE PLANS: [] SHOW BOTH DRAIN BOARDS [] PROVIDE TWO DRAIN BOARDS AT THE BAR DISHWASHER.[] SHOW AND LABEL THE PRE-RINSE SINK [] INADEQUATE FOOD OR EQUIPMENT PROTECTION [] A ROOF/CANOPY REQUIRED FROM THEWALK-IN DOOR TO THE KITCHEN DOOR. [] GARBAGE DISPOSAL AREA (DUMPSTER) NOT SHO~NON PLANS. [] PROVIDE SLIDING SCREENS AT THE PATRON WINDOWS. [] ICE CI~F, AM DIPPER~ELL NOT SHOWN ON PLANS: [] PENDING DESSERT MENU REVIEW [] WASTE LINES INDICATED OVER FOOD OPERATIONS: [] PROVIDE DETAIn~m 1/4"SCa?.~ PLANS OF THE ENTIRE FLOOR ABOVEANY FOOD EQUIPMENT OR STOHAGEAREAS [] INLAY ~?~. OVERHEAD WASTE LINES ONTO THE FLOOR PLANS BELOW (SHOW HORIZONTAL & VERTICAL INLAY) [] PROVIDE DETAILED 1/4" SC~?~ PLANS OF THE BASEMENT AND SHOW ~?~. OVERHEAD WASTE LINES [] SHOW ALL ~ WASTE LINES ON THE BASEMENT PLANS. [] WASTE LINES/ROOF DRAINS LOCATED ABOVE FOOD RELATED AREAS. [] WASTE LINES /ROOF DRAINS LOCATED WITHIN 18" OF FOOD RELATED EQUIPMENT AND OR STORAGE SPACE. [] WATER TIGHT BAP/~IERNEEDS TO BE FLOOD TESTED. [] NEED WATER TIGHT BARRIER CERTIFICATION LETTER. [] PROVIDE FULL DETAILS OF THE WATER TIGHT BARRIER (SEE THE ATTACHED LETTER) [] CLOTHES WASHING AREANOT PHYSICALLY SEPARATED FROM FOOD OPERATIONS. [] DRESSING AI~EA/CLOTHING STORAGE AREA FOR EMPLOYEES NOT SHOWN ON THE PLANS. PROVIDE ONE LOCKER PER SHIFT EMPLOYEE. [] MINIMUM SIZE LOCKER IS A DOUBLE TIER LOCKER. [] SPLASH GUARDS REQUIRED BETWEEN [] SNEEZE GUARDS REQUIRED AT: Revised: MAY 13, 2008 [] MECHANICAL GLASS WASHER NOT SHO~N AT THE BAR THREE COMPARTMENT SINK. [] PLAN DOES NOT DETAIL HOW BAR TOP IS DESIGNED TO PROTECT EQUIPMENT BELOW FROM POSSIBLE PATRON CONTAMINATION SUCH AS SPILT.~.~ DRINKS. [] LAYOUT/OTHER: 1) Remove construction notes from the plans. [] M~/~UFACTu~ER' S CUT SHEETS NOT SUPPLIED FOR ~LT. YOUR EQUIPMENT. PT.~.qSE PROVIDE CUT SHEETS NUMBERED THE SAME AS THE FLOOR PLANS FOR ALL OF YOUR EQUIPMENT. [] INADEQUATE NUMBER OF PREP TABLES SHOWR: [] PENDING MENU R~vl--w, PLEASE PROVIDE A DETAI?,~-~ MENU. [] PENDING CATERING INFO. [] PENDING YOUR HACCP PROPOSAL. [] YOUR MENU INDICATED RAW OR UNDERCOOKED FOOD AND HEQUIHES A MENU ADVISORY, pT.~.~SE SEE THE ATTACHED EXAMPLE. [] ADD THE DISCLOSURE TO AL?. M~/~KED MENU ITEMS [] WRONG MENU ITEMS M~RKED [] ~ ~T.T. REQUIRED MENU ITEMS. [] YOUR OFFICE SUBMITTED TOO M~NY PLANS. pT.~.~SE SUBMIT ONLY THOSE PLANS THAT ARE GERMANE TO THIS DEPARTMENT' S REVIEW. [] PROVIDE CUP AND LID DISPENSERS AT YOUR SELF-SERVE STATIONS. [] IATLABELED EQUIPMENT ON THE PLANS; SEE PLANS FOR HIGHLIGHTED ITEMS. Revised: MAY 13, 2008 [] LABEL ALL SINKS AS TO TYPE OF USE: PREP, HAND WASH, 3 COMP., pRE-RINSE, DUMP, MOP, ETC. [] TEE SEWER EJECTOR NEEDS DUAL PUMPS AND AN AUDIBLE ALARM. [] SHOW THE EJECTORS LOCATION ON THE PLANS. [] SEOW ,~,T,T, SEATING ON YOUR PLANS. [] DEPARTMENTAL NOTES; CONDITIONS OF PLAN APPROVAL WILL BE: 1) WWM f~aZ approval. [] TF~PORARY RESIDENCE APPROVAL REQUIRED; CONTACT JEFF MINDER AT 852-5831 [] SEWAGE SYSTEM REVIEW REQUIRED; CONTACT THE Om'FICE OF MmNa,~,~.~ENT : 852-5700 [] SEWAGE SYSTEM HAS BEEN APPROVED TO CONSTRUCT BUT NOT YET FINAL. IN ADDITION TO ADDRESSING THE ITEMS HEREIN, A FINAL APPROVAL IS REQUIRED BEFORE A pRE-OPERATIONAL INSPECTION & ISSUANCE OF FOOD PERMIT CONTACT THE OW'FICE OF WAB','~WATER MmN_a~"NT: 852-5700 [] YOU HAVE NOT SUBMITTED DOCUMENTATION (S-9 FOEM OR EQUIVALENT) FROM THE SEWER DISTRICT SHOWING APPROVAL TO CONNECT FOR THE PROPOSED USE OF THE PREMISES AS A FOOD SERVICES ESTABLISHMENT. CONTACT THE APPROPRIATE SEWER DISTRICT OR AGENCY [] PROVIDE A SIGNED S-9 FORM OR SEWER CO~PLETION LETTER FR(H4 THE SEWER DISTRICT. CONTraCT THE APpRopR_r_aTE SEWER DISTRICT OR AGENCY pT.W.~SE NOTE: WHEN RESUBMITTING PLANS, TWO COPIES ARE REQUIRED. FOR PLANS THAT CONTAIN MULTIPLE PAGES, ONLY 'I'M~J REVISED PAGES ARE REQUIRED. APPLICATION REVIEWED BY BRIAN NOONE PHONE: 631) 852-5873 FAX :(631) 852-5871 6 Revised: MAY 13, 2008 Health Department Food Unit Notice of Plan Rejection 12/23/2009 Application for permit: · Please resubmit the original form 1. This information must be completed by the restaurant owner, not the realtor office. Application for plan approval · Form is incomplete or inaccurate. Please resubmit the original form. Copy of"Certificate of Authority" to collect sales tax · Certificate of Authority must have restaurant's address on it Insufficient Refrigeration: · Provide cut sheets on all your refrigeration Garbage disposal area · Dumpster not shown on plans Ice cream dipper well not shown on plans · Pending dessert menu review Waste lines indicated over food operations · Show all overhead waste lines on the basement plans Layaut/Other: · Remove construction notes from the plans Manufacturer's cut sheets not supplied for all your equipment · Please provide cut sheets numbered the same as the floor plans for all of your equipment. Departmental Notes: Conditions of plan approval will be · WWM final approval · Sewage system has been approved to construct but not yet final. In addition to addressing the items herein, a final approval is required before a pre-operational inspection & issuance of food permit. R Fisher 63~-76~-~802×s028 SOUTHOLD TOWN FIRE INSPECTOR robert,fisher@town,southold.ny,us Page ~~ NOTES ESTABLISHMENT '-T-o~Y~ -?~o~',41 s/b/I /z./.~_/~/ DATE ~/o~O ~-~ 2~ COMMENT FireNotes NYS BUILDING CODE (B) NYS,=FIRE :CODE (F) NyS PLUMBING CODE· (P) NYS MECHANICAL CODE (M) NY's FUEL GAS CODE, (FG) NYS ENERGY NYS 0NiFOEM FIREPREVENTION ANDBUILDING CODE COMMERCIAl, &MUI,TIPLE BWEI~L NG,~CCUPANCIES · Date: -" Reviewer: Building: LocatiOn: Type,of Cpnstrucflon B-Table601 ' Heigl~t & Bidg Area B-503 = · , , ~ Tabular:Ar, e~ i S,'t~es'~ll0v~d ' ~: -' ' Tabu ar He ght -, Height Modlflcatiods B-504 Sprinkler Tabu ar Height (feet) Tabular He!ght (story) Increase Allowed Total H~ ght AlloWed / / ,. Area Modifications B-506 (See work sheet) Area Increase formula Eq 5-1 Frontage B-506.2 Eq 5-2 (P) perimeter of bldg (F) frontage of bldg (W) width, open space Sprinkler B-503.3 Single story 300% M~ltl story 200% Total Area Allowed Page I of 8 No Topic· 'Section Req'd or Allowed Actual 6 .Atriums B- 404 Definition , B-'404.1.1 Sprlhkler Pmtectl0n B- 404i3' Smoke Control B; 404.4 Enclosure ,B- 404.5 Auto Fire.Detection B- 404.6 in{erior Finish B. 404.8 Travel Distance B- 404.9 7 ,DI,stance,$e'paratl,On B-Tb ~02, · Exterior Wall 0Penlngs B-Tbl'.704,8 '8 -Fl~e Rated Const;n Incidental Use Areas B-Tb1302.1.1 Accessory Occupancy B-302.2 M xed Occupancy B-Tbl 302.3.3 / Fire Walls B-705 ,/ Fire: BaF'ier B-706 Shaft .E~closure B-707 Fim Partition: B-708 · Smoke 8atrium 0-700 : OpOnlng ~rotectiYes 8 1b1'714;2, Fire,Blocking B-716 , D~ft 'Stopplhg B-71613 interior,Finisties B-Tb 803.4 9' '.In rlo'~ Env ronm Min. Rm, .Dimensions' B-1207.1 Min. Cel!lng Height B-1207.2 Ventilation B-1202.1 Light B:1204.1 Page 2 of 8 No Topic Section Req'd or Allowed Actual 10 E]dts - OcCupant Load B Tb11003,2,2 One.Exit Permitted 3 Tb11005,2,2 Egress Width B- 1003,2,3 (per occupant) Ceiling Height B- 1003,2,4 Exit Signs' B- 1903,2,10 Egress Illumination B-:1003,2,11 11 Egress Components Doors Door Size B- 1003,3.1,1 Door Swing B- 1003.3,1 .~. Locks / Latches B- 1003,3.1 ;8 Panic Hardware B- 1003.3.1,9 Stairs '? Width B-1003.3.3.1 / Headroom 3-1003.3.3.2 Tread/Riser B-1003.3.3.3 /' Vertical Rise 3-! 003.3.3.6 Handrails ~1003.3.3.11 / "12 ExIt Access Remoteness B:1'004.2.2.1 Travel Distance B-1004.2 4 Corridors Fire Rating 13-1004.3.2.1 Width B-1004:3.2,2 Dead ends B-1004.3.2.3 13 Exterior Wall Coverings B-Tbl 1,~05.2 Combustible· Finishes B-Tb11406,2 14 '~Roof Assemblies Chapt 15 Matedal tyPe(s) Page 3 of 8 · . ~op!~ " ' R~q or AIl wed Actu · Sectl0h ' 'd o al t5 8tmctuta ,SnoW;Load- GroUnd B Fig ?.0¢8.2 ~ . ' ~ =Snd~ Load ~ ROof= AscE 7:98 Dd~lngSnow , B-1608;7 ~ond ng . ,B;1'608~3.~ t.... ~,~.. . ~s ' ~ 'Wind Loading: B-~SO~ · S=~ 3109 ' '17 El~rical ' ,~ t.Signs ~B~1003.2.10 Eme~ency Ll~h~ B-I00~11 Eme~enc~ P0wer B-10~3.2.11.2 ~m~t Buildings B-1104 4 ' ' ' '/#~fsl~epl~g'R~oms' ~'B-Tbi;~10~6.:I.~: r:~Pp~me~l"' ' Appen~i 'xS ' : . Page 4 of 8 No Topic Section Req',d o~'AIIowed Actual 19 Fire Protection Eq'p Sprinkler Systems F-903 Extinguishing Systems F-904 Standpipe Systems F-905 Fire Extinguishers F.906 Fire Alarm Systems F-907 Smoke Detection F-907 Hi-Rise Fire Safety F-907.2.12 Visible Alarms F-Tbl 907.10.1.2 Smoke Control F-909 Smoke Vents F-910 Fire Pumps F-913 Kitchen Hood Ext' ~ F~6(~9.8 / 20 Plumbing Code~ Fixture Count P-Tb1403.1 / Water Supply Service Pipe' Size P-603 Fixture Pipe Size P-603.1 Pipe Material P-'[bi 604.5 Labor Law Art. 10-A NYS-904,6 · .,Pipe',ldsulat!on EnergY Code Lawn Irrigation P;608.16,5 Pipe Freezing P.~, 05.6 SanitarvDraina(~e Drain Pipe Size P-Tb1709.1 D~ln Pipe Material P-702 Vent Size P-Tb1910.4 Pip~ H~ingers P-Tb1308.5 Air Admittance Valves P-917 Page 5 of 8 No Topic Section Req~,d Or Allowed . Actual 21 Mechanical Code - ~/entllatlon Rates M-Tbr403.3 Propane Below Grade M-502.8,10.1 Dryer Exhaas! M-504 Kitchen Exhaust M-506 Kitchen Hoods M-5,07 'Kltch~n'Make;Up Air M-508 Chimney ?ermlnatlon M.Tb1511.2 Air'Pl~'n~ms . M-602 Fire & Smoke DaTfipers COmbustion.Air M-701 C0~fined Spaces-Def. M-202 22: FueIGa~S Code Appl!ance .Location FG-303 ,Combustion Air' FG-304 ~Cleai~ance toC0mbust. FG-Tbl 308.2 Pipe Material .FG-403 Shut Off.V,alves FG-409 chimney Termination FG-FIg. 503.5.4 ~Gas Vent Termlnat on FG-FIg. 503.6.6 ExltTermina Location ·FG-503~8 (~lothe.s~ DrYer EJ(haust :G-613 ~lnv~nted Rboh~ H~,terFG-620 23: 'Ed~rgy Code Chapte~ 7 (ASHRAE) E-701 Chapter 8. Building EnveloPe E~802 Mechanical System ·. E-8(~3 Se~l~e W,a{er~Heat ng~E~,04 Lighting, and Ppwer 'E~805 Total~B[Jl dlri~'P(ttf' E;806 Page 6 of 8 NO WELLS WITHIN 150' FEET EXISTING SUB WELL TO BE DISCONNECTED VACANT (WOODED) SURVEY BY: NATHAN TAFT CORWIN III LAND SURVEYOR SEPTEMBER 4, 2005 SCTM: 1000-143-1-1 BUILDING FOUNDATION CAST IRON FRAMES & COVERS GRADE EL, 48 4 TRAFFIC BEARING SLAB 4' O SDR-35 KITCHEN I PffCHED lt4 INCH PER FOOT MONOLITHIC EXISTING PUBLIC WATER __ MAIN PUBLIC WATER LINE DICKERSON'S MARINE SERVICED BY PUBLIC WATER E TRAP REPLACE EXISTING WITH 2551 TANK EXISTING 8'~ PRECAST TO BE REMOVED PROPOSED DRAINAGE STRUCTURES RESIDENCE SERVICED BY PUBLIC WATER SANITARY PLAN SCALE 1"=20' RADE EL 47 5± 4'O SOR-35 WASTE LINE 3% EXISTING GREASE TRAP DETAIL CAST IRON GRACE EL 474± CAST IRON FRAMES & COVER TO GRADE GRADE EL, 47,3 ,/ 4'B SDR-35 WAS3E LINE PITCHED 118 INCH PER FOOT MONOLITHIC PROPOSED PRECAST SEPTIC TANK DETAIL 10' DIAMETER TRAFFIC BEARIND RI NBS GROUNDWATER ELEVAJDoN LEACHING POOL DETAIL BUILDING FOUNDATION r GRADE EL 43,4 EL 45 3 4' O SDR-35 SANITARY WASTE PIPE J PITCHED 114 INCH PER FOOT INV EL, 44 3 SITE DATA TABLE APPLICANT: ZONING: EXISTING USE: PROPOSED USE: BUILDING FLOOR AREA: LOT SIZE: TONY'S SUSHI GENERAL BUSINESS (B) RESTAURANT RESTAURANT 1,851 S.F. i 9,913 S.F. OR 0.228 ACRES SANITARY DESIGN CALCULATIONS PROPOSED SEWAGE FLOW: SANITARY FLOW: RESTAURANT: 42 SEATS X 10 GPD/S.F. = 420 GPD ALLOWABLE SEWAGE FLOW TOTAL SITE: 0,228 ACRES X 600 GPD/ACRE = 136.8 GPD (GWMZ IV SERVICED BY PUBLIC WATER) tOTAL SITE PROPOSED SANITARY FLOW: = 420 GPD PROPOSED CAPACITY DESIGN: 3REASE TRAP: KITCHEN FLOW - 42 SEATS X 20 GPD = 840 GPD 1 - 8' O @ 5' DEEP GREASE TRAP REQUIRED - USE EXISTING SEPTIC TANK: DESIGN 2 DAY STORAGE: 2 X 42 x 30 GPD/SEAT = 2,520 GPD 1 X 500 GAUFT. X 6 FT. = 3,000 GALLONS 1 - 10'O@6'DEEP .EACHING POOLS LEACHING 42 X 30 GPD = 1,260 GPD / 1.5 GPD/SQ. FT. = 840 SF 10' O X 3.14 X 1': 31.4 SQ, FT./FT. 840 SQ,FT/31.4 SF/FT.: 26.8 L,F. REQUIRED: 26.8 V,F. / 13.4 EFF DEPTH = 2-10' O X 13.4' EFF DEPTH USE: 2 -10' O X 13.4' EFF DEPTH POOLS DESIGN FOR 50 % EXPANSION USE: 1 - 10' O X 13.4' EFF. DEPTH CAST IRON FRAME~ GRADE EL. 47,4± CAST IRON FRAMES & COVER TO GRADE GRADE EL 47 3 PROPOSED PRECAST SEPTIC TANK DETAIL 4'O SDR-35[ WASTE LINE ~, PITCHED 113 INCH PER FOOT GROUNDWATER ELEVATION t LEACHING POOL DETAIL ;ITE LOCATION KEY MAP SCALE:l"=500' Scale: 1/4" = 1'-0" Drawn by,~;, JJ C Date: 9-25-200& uttolk County Department of Health Services Approval for Construction-Other Than Single Family Reference No, ~o -~-o~o-~ Design Flow ~__G~.~ These plans have been reviewed for genera] conlbrm~nce with Suffolk County Department of Health SealeGs standards, relating to water supply and sewage disposal. Regardless of any omissions, incor, sistencies or lack of detail, construction is required to be in accordance with the attached permit conditions aud applicable st :mdards, unless specifically waived by the Department, This approval expires 3 years from the approval date, unless NOV 0 TEST HOLE DATA EL: 44,9 +/- 0.0 BROWN SILTY SAND (SM) PALE BROWN FINE TO SAND (SP) -17.0' NO GROUNDWATER ENCOUNTERED TEST HOLE BORING BY McDONALD GEOSCIENCE 4/7/05 Condon Eng neenng, P.C. 1755 Sigsbee Road Maffituck, New York 11952 (631) 298-1986 Abandonment of existing sanitary system must be in comfon~ancc with department requirement Submit Mattituck Japanese Chinese Restaurant 9650 Main Road Mattituck, New York P-1 EXISTING PUBLIC WATER MAIN PUBLIC DECOMMISSIONED SUB WELL -- 41.3' , 31.4' PROPOSEDUSE: BUILDING FLOORAREA: LOTSIZE: RESTAURANT 1,851 S.F. 9,913 S.F. OR 0.228 ACRES 58' 50.5' Leaching Place To and Filled with 32.2' 54.5' 72' 102.9' Leaching Not Ccenectec not to Grade Asphalt Paved Pa~king Area Leaching Pool Not Connected and Cover eot to Grade .-Drainage Structure SURVEY BY: NATHAN TAFT CORWIN III LAND SURVEYOR SEPTEMBER 4, 2008 SCTM: 1000-143-1-1 Scale: 1"=10'-0" Condon Engineering, MattituckJapanese pleasarepmpamdbyCondonEngln enng. P.C. ,tisaviola6o ffoeNewYorkalafoEd-- ChineSeuran. P 1 Law, Article 145, Se~ion 7209, for any pemo~ unless a~Ung un,er Ihe dimddan of a I~n~ed ..... pmfoaslanalEngineer, Archifocl, or Land Surveyor, foaite~anyibanisanyvmy, lfaniternbeadng Drawn by: J JO 1755 Sigsbee Road I foe seal of an Engineer, Amhitect, m' Land Su~ve~r is aitmed, Ute al~ming Engineer, Archi'ecL or Mattituok, New York 11952 Resta · Land Surveyo shall af~ fo Ifle item fo~foer seal and lira no~ Aiternd by' followed by his/her signafom and foe dale of such altemitons, and a specilfo d~cnipflon of ~he alforaflml. 6-7-201 1 (631 ) 298-1986 9650 Main Road Mattituck, New Yerk L I BATH ROOF FL. PI.UMBING RISER DIAGRAM . TOI LE- 'LAV 34" AFF. - M I P-.P-.OR 40" AFF. Notes No. Date Description TOI LET 1-)FT,A, L MEET AL TAN DAI~.DS FINISHES (AS peteR. FINISH SCHEDULE ¢ SPRI N%LE '--c FZI NG CAVITY 2.4 ,4O .4 q FOYER FLOOP. PLAN SCALE: ,DOO 0OO KITCNEN J EXI5T'G CRANLSPACE EXIST~G CRAI4 LSPACE EXI5TiG BASEMENT EXIST CRAP-ILS: EXISTIG BABMENT PLAN I/4"=1'--0" Seal/~ MATTITUCK JAPANESE CHINESE RESTUARANT 9650 RTE. 25 MATTITIJCIq NY 11952 Architect of Record Nicholas A. Vero, Architect, PC 120 Mill Date Scale 12/4/08 1/4"=1'.0" Drawing Title FLOOR PLAN Drawing No.: Notes No. Date Descripfon ~ BATM ROOF IST. FL.. ,PLUMBING RISER ~DIAGRAM 34I' AFF, AFF. EXTERIOR NALL CONSTRUCTION ~ ~'.~ o,,% > D NING [~)INII' ~ CAPkCITT 4~ ~ ~ I / KITCNEN / I ~ L ~ I -C ~ .... ~ I mA~*~~ I ' ~UA~D ~ ~ ~TABLE I II ~ FLOOR PLAN LEGEND I TOIL.Fi DFTAIi MEET ALL ANSI STANDAtRDS FINISMES AS PEP-- FINISM SCMEDULE SPP--INt~LI~ (Zt~ILINC~ CAVIT'T' Seal/~ Project No. RESTUARANT MAIN ROAD MATTI~JCK, NY 11952 Architect of Record Nicholas A. Vero, Architect, PC Date Scale 3/18/08 1/4"=1'-0" Drawing Title FLOOR PLAN Drawing No.: _j'-----__ KITCHEN 2,'J BATFI i BATH ROOF IST. FL. PLUI~I~ING ~.ISEF~.DIAGP-AI~I 2'7' 28 I / I x I I I I ESAT~ KI'TCFIEN FOYER II II PI .AN LEGEHD BLDG. TOI LFT 40i~ CL0~ET lb" HIGH LEVEL LANDING 5'~Ii MIN. FROM BLDG. FOR WHEELCHAIR TURNAROUND 12" (305 mm) MIN. BEYOND RAMP f HORIZONTAL PROJECTION OR RUN 1:12 F'XI~TIC~ CRAIN LSPACE O ETA I I MIN. CLEAR FLOOR SPACE FOR FIANDICAP RAIL DETAIL EXIS-I-'G BASMEN? PLAN SCALE: ~/~" = I'--0" 36" (915 mm) MIN. CLEAR BETWEEN CURBS KET TO ELECTRICAL S'r'MBOL5 EXI~TiG C~.AIN L~PAC E RECESSED INCANDESCENT LIGHT FIXTURE Notes RECESSED LO~ VOLTAGE LIGHT FIXTURE RECESSED INCANDESCENT 'ETEBALU LIGHT FIXTURE No. Date HALL SCONCE ~ALL MOUNTED INCANDESCENT LIGHT FIXTURE EXHAUST FAN ffuggOK, W COUNTY DEPARTMENT of HEALTH SERVICES Cead~tbnat Approval of Food Service Establishment P~Pe,,~d~solutiou of the Following Items: G co~-~ NOTE RAMPS SHALLS COMPLY WITH THE 2037 BUILDING CODE OF NEW YORK STATE, CHAPTER 10 - MEANS OF EGRESS, SECTION 1010 RAMPS 1010.2 SLOPE. RAMPS USED AS PART OF A MEANS OF EGRESS SHALL HAVE A RUNNING SLOPE NOT STEEPER THAN ONE UNIT VERTICAL IN 12 UNITS HORIZONTAL (8-PERCENT SLOPE). THE SLOPE OF OTHER RAMPS SHALL NOT BE STEEPER THAN ONE UNIT VERTICAL IN EIGHT UNITS HORIZONTAL (12.D-PERCENT SLOPE). 1010.4 VERTICAL_ RISE. THE RISE FOR ANY RAMP RUN SHALL BE 30 INCHES (762 MM) MAXIMUM. Description 1010.8 HANDRAILS. RAMPS WITH A RISE GREATER THAN 6 INCHES (152 MM) SHALL HAVE HANDRAILS ON BOTH SIDES COMPLYING WITH SECTION 1009.1' II II II II Seal / Signature CRANL$PACE Project No. 0822 MATTITUCK JAPANESE CHINESE RESTUARANT 9650 RTE 25 MATTITUCK, NY 11952 Architect of Record Nicholas A. Veto, Architect, PC 120 Mill Read Date Scale 1/29/09 1/4"=1'-0" Drawing Title FLOOR PLAN Drawing No.: BATN I BATH ROOF IST, FL. PLUMt~ING RISER DIAG_=RAM LEVEL LANDING 5'-C" MIN. FROM BLDG. FOR WHEELCHAIR TURNAROUND MINx 48," MIN f~)/ I 2° ~BAT2 TOILET DETAIL ~'- F~TEND FROM THE KET TO ELE(...I~ICAL SYMBOL5 RECESSED INCANDEBCEN} LIGHT FIXTURE RECESSED LON VOLTAGE LIGHT FIXTURE RECESSED INCANDESCENT 'EYEBALL' LIGHT FIXTURE (~ EXHAUST FAN KEY TO FIRE SYMBOL5 //~ PULL STATION I~^,,I FIRE ALARM CONTROL PANEL I', I FIRE KEYPAD 36" (915 mm) MIN CLEAR NOTE. RAMPS SHALLC~, COMPLY WITH THE 2007 BUILDING CODE OF NEW BLDG. ~ ~ , --I--I n FI'FI , F II E) © DININ~--~. FLOOR PLAN LEG-END Il T jl mi ii CbT 12" (305 mm) MIN BEYOND RAMP CURB ~--~~T HORIZONTAL PROJECTION OR RUN 1:12 NANDIC. AP RAIL DETAIL · ,J R~ r (NM BETWEEN CURBS YORK STATE, CHAPTER 10 ~ MEANS OF EGRESS, SECTION 1010 RAMPS & AMERICAN NATIONAL STANDARD, ICC/ANSI Al17.1-2003 CHAPTER ACCESSIBLE ROUTES \ -- ~'~-~'~'~" ~'~'~'~'~'- ~- ~ 10102 SLOPE RAMPS USED AS PART OF A MEANS OF EGRESS SHALL HAVE A RUNNING SLOPE NOT STEEPER THAN ONE UNIT VERTICAL IN 12 UNIT~ HORIZONTAL (8¢ERCENT SLOPE). THE SLOPE OF OTHER RAMPS SHALL NOT BE STEEPER THAN ONE UNIT VERTICAL IN EIGHT UNITS HORIZONTAL (12.5~ERGENT SLOPE). 1010.4 VERTICAL RISE. THE RISE FOR ANY RAMP RUN SHALL BE 30 INCHES (762 MM) MAXIMUM. 1010.8 HANDRA:LS. RAMPS WITH A RISE GREATER THAN 6 INCHES (152 MM) SHALL HAVE HANDRAILS ON BOTH SIDES COMPLYING WITH SECTION 1009.11. EXI-ST'C~ CRAIN LSPAC E EXIST'G BASEMENT EXIST'G CRAIAI LSPACE up CRAI-q~PACE EXIST'G BASMENT PLAN SCALE: No. Date DescripUoo 1 10/21/09 towo of Southold 2 9/28/10 Revision ~~Seal / Signature F~om Project No. 0822 HAND ~lNl< MA~ITUCK J~ANESE C~SE ~S~A~NT 9650 RTE 25 MATTI~C~, NY 11952 Archite¢l of Record Nicholas A. Veto, Architect, PC t~0 Mill RoM Date Scale 9/27/10 1/4"=1'-0" Drawing Title FLOOR PLAN Drawing No.: EXISTING @ 16" O.C.~ 0 · / PO~T X d d 0000 II I I I JL_ J_ · (2)-l~/4"xl4" d d LVL / ' .-- / (2)-1~/4"×14" LVL NOR POST .'\ Note9 No. ! Date Description Rev. as per 10/21/09 Town of 9/28/10 Southold 2 Revision SeC ! Project No. 0822 MATTITUCK JAPANESE CHINESE RESTUARANT 9650 RTE. 25 MATTITUCK, NY 11952 STRUC. TUR. ,. PLAN SCALE: Architect of Record Nicholas A. Vero, Architect, PC 120 Mill ~ Date: Scale 9/27/10 1/4"=1'_0" Drawing Title STRUCTURE PLAN DrawingNo.: CONSTR:UCTION E:LAS~IPICATION TYPE L K I TC.t-I E;N PLUI'-IB I NG 1 2 ~XIT iv ~ 'ff42 ' e 2,4 41- II ' FLOOR PLAN hiT, KITCI-IEN LEGEND I BATFI I BATFI FL. RI 5EP-. gl AGRAI'fl BLDG. LEVEL LANDING 5LCy MIN. FROM BLDG. FOR WHEELCHAIR TURNAROUND CURB MIRROR AFF. LAV 54" AFF.~ LAV 12" (305 mm) MIN. ~ i_ BEYOND RAMP ~' ~ HORIZONTAL PROJECTION OR RUN 1:12 EXI~TI~ CRANLSPACE FIANDICAP P..AIL DETAIL HATER I~" PLAX, HEIGHT TO I LET EXIST'G BASI~1ENT PLAN DETAI L EXTEND FROM THE CENTERLINE OF TME HATER CLOSET 12" HALL, * 24" MIN, ON OIL~ PAPER 24" AFF EX I.~TIC~ CP. ANLSPACE 36" (915 mm) MIN. CLEAR BETWEEN CURBS KLmT TO ELECTRICAL :3¥1'IBOLS RECESSED INCANDESCENT LIGHT FIXTURE RECESSED LOIN VOLTAGE LIGHT FIXTURE ~ECESSED INCANDESCENT ~ETEBALL' LIGHT FIXTURE HALL SCONCE HALL i~IOUNTED INCANDESCENT LIGHT FIXTURE EXHAUST FAN Notes No. Da{e Description Rev. as per I 10/21/09 Town of Southold KEY TO FIRE 5¥1'1BOL5 C)NT HEAT DETECTOR 5~OKE DETECTOR HORN / STRODE STROBE PULL STATION FIRE ALAR~ CONTROL PANEL FIRE KETPAD PLUMBING ALL PLUMBING WASTE & WATER L NES N'EED TESTING BEFORE COVERING PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY SOLDER USED IN WATER ~-~w~.~~ ~ ~ SUPPL Y SYSTEM CANNOT ~ ., w-~. ,; D 2/10 OF1% LEAD NOTE: ~E~CEE ' RAMPS SHAI_LB COMPLY WITH THE 2007 BUILDING CODE OF NEW ~ YORK STATE, CHAPTER 10 - MEANS OF EGREBB, SECTION 1010 RAMPS ~/ & AMERICAN NATIONAL STANDARD, ICC/ANSI Al17.1-2003 CHAPTER 4.~ CCESSIBLE ROUTES /2 CERTIFICATION OF ~ NAILING ~ CONNECTIONS 1010,2 SLOPE. RAMPS USED AS PART OF A MEANS OF EGRESS SHALL ~ HAVE A RUNNING SLOPE NOT STEEPER THAN ONE UNIT VERTICAL tN 12 UNITS HORIZONTAL (8-PERCENT SLOPE). THE SLOPE OF OTHER RAMPS SHALL NOT BE STEEPER THAN ONE UNIT VERTICAL IN EIGHT UNITS HORI2ONTAL (12.5-PERCENT SLOPE). 1010.4 VERTICAL RIS~E. THE RISE FOR ANY RAMP RUN SHALL BE 30 INCHES (762 MM) MAXIMUM. 1010.8 HANDRAILS. RAMPS WITH A RISE GREATER THAN 6 INCHES 052 MM) SHALL HAVE HANDRAILS ON BOTH SIDES COMPLYING WITH SECTION 10(219.11. ALL CONSTRUCTION SHALL MEET THE REQIJI[!EblE! 1iTS [}F THE FIRE INSPEOTION REQUIRED BEFORE OPENING RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 OF THE TOWN CODE, C. RANLSPACE REQUIRED. UNDERWRITERS CERTIFICAI~' REQUIRED OCCUPAiXJCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE C~- APPROVED AS NOTED DATE: /t/g,~,/b~_ B.P. #.~2~/~4~ FEE: ,~/~' 0~1 By:~,,~(,, ~___ NOTIFY BUILDING DEPARFMENT AT 765-1802 8AM TO 4PM FOR THE FOLLOWING INSPECTIONS: 1. FQUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMFLETE FOR C 0 ALL CONSTRUCTION SFIALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. Sea//Signature Project No. 0822 MATTITUCK JAPANESE CHINESE RESTUARANT 9650 RTE 25 MAT~TUCK, NY [ 1952 Architect of Record Nicholas A. Vero, Architect, PC 120 Mill R~t Date Scale 10/14/09 1/4"=1'-0" Drawing Title FLOOR PLAN Drawing No.: