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HomeMy WebLinkAbout36197-ZNo: 35352 Town of Southold Annex 54375 Main Road Southold, New York 11971 12/19/2011 CERTIFICATE OF OCCUPANCY Date: 12/19/2011 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: COMMERCIAL ALTERATION 56480 Route 25, Southold, Sec/Block/Lot: 62.-3-37 Filed Map No. conforms substantially to the Application for Building Permit heretofore 2/16/2011 pursuant to which Building Permit No. was issued, and conforms to ail of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: Alter an existing commercial building as applied for. Lot No. filed in this officed dated 36197 dated 3/2/2011 The certificate is issued to Southland Corp (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 11/9/11 thofiFrank J Perrone e TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 36197 Date: 3/2/2011 Permission is hereby granted to: Southland Corp Attn: Ad Valorem Tax PO BOX 711 Dallas, TX 752219867 To: Alter an existing commercial building as applied for. At premises located at: 56480 Route 25, Southold SCTM # 473889 Sec/Block/Lot # 62.-3-37 Pursuant to application dated To expire on 8/31/2012. Fees: 2/16/2011 and approved by the Building Inspector. CO - COMMERCIAL NEW COMMERCIAL, ALTERATION OR ADDITIONS Total: $50.00 $250.00 $300.00 Form No. 6 TOWN OF SOUTtIOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation froin Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. Bo For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees I. Certificate of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. New Construction: Location of Property: Old or Pre-existing Building: House No. Street (check one) Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision Block ~'~ Lot ~'~ Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~ d}~ 1,0! fl, doto Final Certificate: (check one) .~z-~pp~cant Signature December 19, 2011 Town of Southold Building Department Town Hall 53095 Main Road Southold, New York 1 t971 Re: 7-11 56480 Route 25 Southold, New York Permit # 36197 To whom it may con(em, This letter is to certify that there was no new electrical work performed in connection with the above referenced permit, All old equipment was unplugged and removed, and new equipment plugged into previously existing electrical outlets. If you have any questions or require additional information, please feel free to contact me at your eadiest convenience Sincerely, Gregory Basmajian Architects PLLC 6 _a_~...__.~.,y Lane' Comma,~k, I~y 11725 Ph:(631)486 5218 Fax:(631)486 5219 Email:GBAfchPLLC@anl.,,om Town Hall $4375 Matu Road P.O, Box I ! $oulhold, New Y~'k TOWI~ OF IiIOUTHOI (63.1).7~57180~ .CERTIFICATION (Please print) (Please print) Date: lead. I c~ify that the solder ~ in the wat~ suPPly system contains le~s.than 2/I 0 0f 1%. 'i ": .' ,-. Sworn to b~fure me this ,yor/90 . ,, Notary Public, _~-(~ .~__~County No. 01 $K4988948 Qualified in Queens Count~ Commission Expires Nov. 18,' ~c~_.L~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. north fork. net/Southold/ PERMIT NO. Examined~' fi7 ,20 /t/,, Approved~.~.,e.~ ,,2.-,20 /,/r Disapproved aJc Expiratio~a.~~ 2.~ / 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 Contact: Mail to: Phone: INSTRUCTIONS Date ~t/t 0 ,20 I! BLDG. DEP[ a. T1 s appucadon lX, lJc~d5 ~. .. ~ led in by ~pewriter or in ink and submi~ed to the Building Inspector with 3 sets of plans, accurate plot pl~ to scale. Fee according to schedule. b. Plot plan showing Iocmion 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 my not be commenced before issuance of Building Pemit. d. Upon approval of this application, the Building Inspector will issue a Building Pe~it to the applicant. Such a pe~it s~all be ken on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in pa~ for any pu¢ose what so ever until the Building Inspector (ssues a Ceaificate of Occupancy. [ Eve~ building pe~it shall expire if the work authorized has not commenced within 12 months a~er the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the prope~ have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the pemit for an addition six months. Therea~er, a new pemit shall be required. APPLICATION IS HE,BY ~DE to the Building Department for the issuance of a Building Pe~it pursuant to the Building Zone Ordin~ce of the Town of Southold, Suffolk Count, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition ~ herein described. The applicant ~rees to comply with all applicable laws, ordinances, building code, housing code, ~d regulations, ~d to admit authorized inspectors on premises ~d in building for necess~ inspections. (Si~ature of applic'~t or nme, ifa co~ormion) (~ling ~dr~ss of ~ppli~t) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ~'~ ~ (A~s ~nn the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: House Number Street ' Hamlet County Tax Map No. 1000 Section Subdivision (Name) Block ~ Filed Map No. Lot ,~'~ ,, Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~'t.[-a.:[ : ~o,~6C~ttl~ , '-/-- 11 b. Intended use and occupancy 3. Nature of work (check which applicable): New Building. Repair Removal Demolition 4. Estimated Cost ~'~ Oeo 5. If dwelling, number of dwelling units If garage, number of cars Addition Alteration Other Work Fee ~'O, (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 Depth Dimensions of same structure with alterations or additions: Front Depth_ Height. Number of Stories Rear 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Size of lot: Front Rear .Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated ~_..o~,r 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 Address Phone No. Address Phone No Address Phone No. 15 a. ls 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 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF ~'-~.~xo_ ~::~. ~\~f being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the ~Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me thist Notary Public VALERIE M. NATALE Notary Public, State of New York No. 01NA6100425 Quelified in Suffolk Cqunt~ Commission Expires Ig!,~/~PtOH Skpe8 Co~boU~ Smface Water Row. of Ma~ ~ any ~ . (5,~0'S.F.) ~uam F~t ~ 6 ~. ~m a Na~l Water ~rse Run~ ~FATE OF ~ ¥0]~---~ COUNTY OF ........ :: ................. : ......... ~ ~ ~'~ ~ ~ .......... Y , ~ ~d ~ ~t h~c ~ ~e app~t f~ p~ ~d ~h~ ~ .... L~.: -~.C... ' - . m me appb~bon ~ h~ ~ , (~ ~ ~) FOR~ - 06/10 VALE~IE ~, NATALE Not~W Publio, $tale of New~ No. O1NA6100425 Oommi~ion Expire~ ~ BOHLER ENGINEERING 2002 0rvi[[e Drive North Ronkonkoma, NY 11779 PHONE 631.738.1200 FAX 631.285.6464 Town of Southold Building Department 53095 Route 25 Southold, NY 11951 Attention: To Whom It May Concern February 15,2011 Via Hand Delivery Re: 7-11 Store #24020 56480 Main Road Southold, NY 11971 District 1000; Section: 62, Block: 3, Lot: 37 To Whom It May Concern: Bohler Engineering NY, PLLC has been retained by 7-11, Inc. to assist in permitting the proposed minor interior renovations for the above location. Please note that the following is a detailed description of the proposed work scope for the above referenced location: Minor interior renovations including replacement of the beverage and coffee bars as well as the hot food equipment. Installation of (2) new sink2 with connections to the existing domestic water lines; and connecting to existing sanitary sewer and/or to new sump pump as necessary. hesitate to ~ If you have any additional questions, please do not ',~:~'x ~S' Jo JD/pb Enclosures Our ProjectNo.:Nl1065 F:k201 lhN11065~LettersL2011\292011 Letter to Southold Scope Description.doc OTHER OFFICE LOCATIONS: · Southborou§h, MA · ALbany, NY · Purchase, NY · Warren, N3 · [enter VaLLey, PA · Cha[font, PA 508.480.g900 §18.438.9900 914.251.9800 908.668.8300 610.709.9971 2159969100 · Towson, MD · SterUng, VA · Warrenton, VA · Bowie, MD · Fort Lauderda[e, FL 410.821.7900 703,70%9500 540.349.4500 301.809.4500 954.202.7000 CIVIL AND CONSULTING ENGINEERS · SURVEYORS · PRO3ECT ~4ANAGERS · ENVIRONMENTAL CONSULTANTS · LANDSCAPE ARCHITECTS www. BohLerEngineering.com BOHLER ENGINEERING 2002 Orville Drive North Ronkonkoma, NY 11779 PHONE 631.738.1200 FAX 631.285.6464 Town of Southold Building Department 53095 Route 25 Southold, NY 11971 Attention: Mr. Gary Fish September 16, 2011 Re: 7-11 Store #24020 56480 Main Road South#Id, NY 11971 District 1000; Section: 62, Block: 3, Lot: 37 Building Permit # 36197 Dear Mr. Fish: The purpose of this letter is to inform you that the improvements included in the work scope approved under Building Permit # 36197 have been installed per the approved plans and applicable to NYS Building Codes. The existing sink pump was not installed under Building Permit #36197. It was installed prior to this work scope. If you have any additional questions, please do not hesitate to contact our office. L/IA/ SEP 23 2011 8[I]g l)gPf TOWN OF SOUTI4OEB Sincerely, nHc~ ENGINEERING, NY PLLC h A. Deal, P.E. h Manager F5201 I\NI 1065\LeilersL201 l\Response Leaer to Town of Southold. doc/jp OTHER OFFICE LOCATIONS: · Southborough, MA * Atbany, NY · Warren, N3 · Center VaLtey, PA · Cha{font, PA 508.480.9900 518438,9900 908,6688300 610709.9971 215.996.g100 · Towson, MD · Bowie, MD · Stetting, VA · Warrenton, VA * Fort LauderdaLe, FL 410.8217900 301,809.4500 703.709.9500 540.349.4500 954.202.7000 CIVIL AND CONSULTING ENGINEERS ' PRO3E£T MANAGERS · SURVEYORS · ENVIRONMENTAL CONSULTANTS · LANDSCAPE ARCHITECTS www. BohterEn§ineering.com · Phi(adetphia, PA 267.402.3400 · Tampa, FL 813.379.4100 BOHLER ENGINEERING 2002 Orville Drive North Ronkonkoma, NY 11779 PHONE 631.738.1200 FAX 631.285.6464 Town of Southold Building Department 53095 Route 25 South·Id, NY 11971 Attention: Mr. Gary Fish September 21, 2011 Rc: 7-Eleven Store #16440 28925 Main Rd. Cutchogue, NY 11935 Section: 102, Block: 5, Lot: 24 Building Permit # 36333 Dear Mr. Fish: The purpose of this letter is to inform you that the improvements included in the work scope approved under Building Permit #36333 have been installed per the approved plans and applicable to NYS Building Codes. If you have any additional questions, please do not hesitate to contact our office. 2 3 2011 [OWt~ OF SOUF!~O[D Sincerely, j~~ENGINEERING, NY PLLC A. Deal, P.E. B bOx,~ c h Manager F:X201 I\N11142LLettersL201 I~Respons¢ Letter to Gray Fish 09211 l.doc OTHER OFFICE LOCATIONS: · Southborough, MA · Albany, NY · Warlen, N3 · Center Valley, PA · [ha[font, PA · Philadelphia, PA 508.480.9900 518.438 9900 908.668.8300 610.709.9971 215.996.9100 267,402.3400 · Tnwson, MO · Bowie, MD · SterLing, VA · Warrenton, VA · Fort Lauderda[e, FL · Tampa, FL 410.821.7900 301.809.4500 703,709.9500 540,349.4500 954.202,7000 813.379.4100 CIVIL AND CONSULTING ENGINEERS · PROJECT MANAGERS · SURVEYORS ° ENVIRONMENTAL CONSULTANTS ' LANDSCAPE ARCHITECTS www. BohterEngineering,com Town Hall Annex 54375 Main Road P.O. Box I 179 Southold. NY 11971-0959 Telephone (631 ) 765-1802 Fax (631) 765-9502 BUILDING DEPARTMENT TOWN OF SOUTHOLD October 11,2011 Bohler Engineering Attn: June Diller 2002 Orville Dr., North Suite 100 Ronkonkoma, NY 11779 Re: 7-11, 56480 Route 25, Southold, NY TO WHOM IT MAY CONCERN: The Following Item(s) Are Needed To Complete Your Certificate of Occupancy: Elpplication for Certificate of Occupancy. (Enclosed) ectrical Underwriters Certificate. ~,~C~ A fee of $50.00. ,,Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) __ Trustees Certificate of Compliance. (Town Trustees #765-1892) __ Final Planning Board Approval. __ Final Fire Inspection from Fire Marshall. - Bob Fisher __ Final Landmark Preservation approval. BUILDING PERMIT: 36197 - Alteration to Existing Commercial Building ~CO~D CERTIFICATE OF LIABILITY INSURANCE J THIS C~J~iie~CATE IS ISSUED AS A MA'! rI=R OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. II~Pu~iANT: If the certificate hohJer ia an ADDmONAL INSURED, the policy(les) mu~t t~ am:lomed, if SUBROGATION I~ WAIVED, subject to the terms End conditions of the policy, certain policies may require an endomement. certificate holder in lieu of such endoreemenfls). The Getchell Companies Insurance Services, 183 Great Road, Unit 15 PO Box B44 Stow MA 01775 INSURED Hillson Contractors Inc 52 Fitzgerald Drive JEffrey NH 03452 statement on this ce~isca~ does not confer Hghte to th~ (978) B97-7773 COVERAGES CERTIFICATE NUMBER:2010 2011 REVISION NUMBER: THIS IS TO C~KUPY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOq~NITHSTAND~NG ANY REQUIREMENT. TERM OR CONDITrON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAy BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMIT_S SHOWN MAY HAVE BEEN REDUCED aY PAID CLAIMS ~sRj AO~X~ I ,,ot.~E~ ~ -- " I" ' I I ! t PRODUCTS *COM~!_OPAGG $ - 200000C AIJIOMOBILE UABIUIY J ~TA-08107560L281 ~08/01/2010 ~8/01/2011 COMEIINED SINGLE L~MIT S J AGGREGATE Is 5,000,00C I' ANOEM~LOyERs'UABIU~y ¥,. I ~B-S"/08e6820E )B/01/2010 D8/01/2011 _ JTORYL~IITSI A Cr~ - Erisa j j 105043715 ~8/01/2010 08/01/2011 50,000 I CERTIFICATE HOLDER CANCELLATION Town of Southold, NY Town Hall Annex Builiding 54375 Rt. 25, P O Box 1179 Sou~hold, NY 11971 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE W1LL BE DELIVERED IN ACCORDANCE WITH THE POt. iCY PROVISIONS. AUTHORb~ED REPRESENTA~/E ACORD 26 (2009/09) © 1988-2009 ACORD CORPORATION. All rights reserved. INSO25 (2~o~o91 The ACORO name and logo are registered marks of ACORD 24. 20?1 10:49AM 8043306550 No, 5732 STAll~ OF NE~,N YORK WORKERS' COMPENSATION BOARD CERTIFICATE OF NYS WORKERS' COMPEHSATION INSURANCE COVERAGE t:, Legal Hame & Addrse~ of lasumcl (Use street ~ only) HILLSON CONTRACTORS, INC. 52 FITZGERALD DRIVE lc. JAFFREY, NH 03452 ~ ~ of Iseurad (Ody n~qaYed co~ is spectrm;~/ limited fo ce~ain ioca#ons In New Yom 3te~, L ~, · Wrap-Up Policy) Name and Addrase of the Entity Requesting Proof of Caversge (Entity Being Usted as the CerUflcale Holder) TOWN C~ SOUTHOLD, NY TOV'~I HALL ANNEX BUILDING 54375 RT. 25 P O BOX 1179 SOUTHOLD, NY 11971 lb. Business Te4ephone Number of Insured 603532-1132 NYs Unemployment I~umnoe Emldoyer Rng;.~a~on Numbs' cd Insured P, 1/14 ld. Fndeml Employ~ ktenUfleation Number of Immmd or ~ocial Security Number 02O503186 3a. Name of Insurance Ca.er The Charter Oak Fire Insurance Company 3b. Potley Number of entity I'mted In bmr DTOUB-5708B68-2-10 3c. Policy uflu,;tlyo period 08/01/2010 to 01~01/2011 3d. The Pmprielx~, Partner~ or Executive officers are [] illcfeded. (only check box if~t parlnms/olficem [] all excluded or cert~irl parthe~/officers excluded. This certifies that the insurance carrier indicated above in box '3" insures the business referenced above in box "1; for workers' compensation under the New York Slate Workem' Compensation Law, (To u~e thk, form. New York (NY) must be listed under Item 3A on the INFORMATION PAGE of the workers' compermatJon in~unmca policy). The Insurance Ca~er or its licensed agent will send this Certificate of Insucance to the entfty listed above as the certificate homer in box The /nsuranca Carrier will a/so notify the above cer~Tmate holder within fO days IF a policy is canse/ed due to nonpayment c~f pm. mlurns or within 30 days IF them ara reasons other than nonpayment of premiums ff~at cancel the policy or eliminate the insured from the coverage indicated on this Ce~te. (These notices may be sent by regular mall). O~emdee. I~i$ Cen'fficate is valid f~' oee year after this form is approved by the Insurance carrier or i~ ticensed ageflt, or urKdl the policy explra~fon date listed in box '3c', ~ Plaa~ Note: Upon the cancellation of the workem' compensation policy indicated on this form, if the bu~ine~ oontinues to be named on a permit, license or contract Issued by a sertifleate holder, the bu$1ne~ mu~t provide that ceHJfir, ate holder with a new Certill=ate of Workers' Compensation Coverage or Other authorized proof that the business is complying With the mandMo~y coverage requirament~ of the New York ~[tate Workers' CornpensaUon Law. Under penalty of perjury, I certify that I am an authorized reprmrent~dva or licensed agent of the tesunmce carrier referm~ced above and that the named insur~J has the coveratia a~ clepteted on this Approved by: SANDRA L BAT[EN Approved by~ Tilb: (Sig~ture) POLICY SERVICES SPECIALIST II Telephone Number of authorized representative or licensed agent of insurance carrier: 80,~.330-6543 Please Note: O~ly insurance can'iera and their licensed agents am authorized to ~ssue Form C-105,2, Insurance brokers am NOTauthorized to issue it ~",~10.~ ? (.q.,OT'~ www web.state.nv.us W31F3J07 Certificate of Attestation of Exemption From New York State Workers' Compensation and/or Disability Benefits Insurance Coverage **This form cannot be used to waive the workers' compensation rights or obligations of any party. ** The applicant may use this Certificate o£ Attestation of Exemption ONLY to show a government entity that New York State specific workers' compensation and/or disability benefits insurance is not required. The applicant may NOT use this form to show another business or that business's insurance carrier that such insurance is not required. Please provide this form to the government entity from which yon are requesting a permit, ilcens~ or contract. This CerliBeate will not be accepted by government officials one year alter the date printed on the form. In the Application of (Legal Entity Name and Address): HILt,SOn CONT~Cro~s, r~c. 52 FITZGERALD DRIVE JAFFREY, NH 0~452 PHONE: 603-532-1132 FEIN: XXXX. X3186 Business Applying For: BuildingPermit From: TOWN OF SOUTHOLD NY Tbe location of where work will be ~erformed is 56480 MAIN ROAD, SOUTHOLD, NY 11971. Estimated dates necessary to complete work associated with the building permit are i¥om March 13, 2011 to Man:b 18, 2011. fhc estimated dollar amount of project is $0 - $10,000 Workers' Compensation Exemption Statement: The applicant is NOT applying for a workers' compensation certificate of ail:cstation of exemption and will show a separate certificate of NYS workers' compensation insurance coverage. Disabiliq, Benefits Exemption Statement: The above named business is certifying that it is NOT REQUIRED TO OBTAIN NEW YORK STATE STATUTORY DISABILITY BENEFITS INSURANCE COVERAGE for the following reason: The business MUST be either: I ) owned by one individual; OR 2) is a partnership (including LLC, LLP, PLLP, RI,I,P, or LP) under the laws of New York State and is not a corporation; OR 3) is a one or two person owned corporation, with those individuals owning all of the stock and holding all offices of thc corporation (in a two person owned corporation each individual must be an officer and own at least one share of stock); OR 4) is a business with no NYS location. In addition, the business does not require disability benefits coverage at this time since it has not employed one or more individuals on at least 30 days in any calendar year in New York State. (Independent contractors are not considered to be employees under the Disability Benefits Law.) thc government entity listed above. SIGN HERE Signature: ~ ~ Exemption Certificate Number 2011-00'6522 I. JON P. HILl,, am Ihe President with thc above-named legal entity. I affirm that duc to my position with the above-named business I have the knowledge, information and authority to make this Certificate of Attestation of Exemption. I hereby affirm that the statements made h~r~in arc true. that 1 have not made any materially false statements and I make this Certificate of Aneatation of Exemption under the penalties of perjury. I further affirm that I understand that any false slatcment, representation or concealmenl will subject me to felony criminal prosecution, including jail and civil liability in accordance with the Workers' Compensation Law and all other New York State laws. By submitting this Certificate of Attestation of Exemption to the govemmenl entity listed above I also hereby affirm that if circumstances change so that workers' compensation insurance and/or disability benefits coverage is required, the above-named legal entity will immediately acquire appropriate New York State specific workers' compensation insurance and/or disability benefits coverage and also immediately furnish proof of that coverage on tbrms approved by the Chair of the Workers' Compensation Board to Received February 2011 NYS Worke~' Compensation Board CE-200 12/2008 STATE OF NEW YORK WORKERS' COMPENSATION BOARD CERTIFICATE OF NYS WORKERS' COMPENSATION INSURANCE COVERAGE la. Legal Name & Address of Insured (Use street address only) HILLSON CONTRACTORS, INC. 52 FITZGERALD DRIVE JAFFREY, NH 03452 lb. Business Telephone Number of Insured 603-532-1132 lc. NYS Unemployment Insurance Employer Registration Number of Insured Work Location of Insured (Only required if coverage is specifically limited to certain locations in New York State, i.e., a Wrap-Up Policy) 7-11 SIORE #24020, 56480 HA~N E)AD SOJ'FrI0~, NY 2. Name and Address of the Entity Requesting Proof of Coverage (Entity Being Listed as the ld. Federal Employer Identification Number of Insured or Social Security Number 020503186 3a. Name of Insurance Carrier The Charter Oak Fire Insurance Company Certificate Holder) TOWN OF SOUTHOLD, NY TOWN HALL ANNEX BUILDING 54375 RT. 25 P O BOX 1179 SOUTHOLD, NY 11971 3b. Policy Number of entity listed in box "la" DTOUB-5708B68-2-10 3c. Policy effective period 08/01/2010 to 08/01/2011 3d. The Proprietor, Partners or Executive Officers are [] included. (Only check box if all partners/officers included) [] all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box "3" insures the business referenced above in box "la" for workers' compensation under the New York State Workers' Compensation Law. (To use this form, New York (NY) must be listed under Item 3A on the INFORMATION PAGE of the workers' compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box "2". The Insurance Carrier will also notify the above certificate holder within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of pramiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate. (These notices may be sent by regular mail). Otherwise, this Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent, or until the policy expiration date listed in box "3c'; whichever is earlier. Please Note: Upon the cancellation of the workers' compensation policy indicated on this form, if the business continues to be named on a permit, license or contract issued by a certificate holder, the business must provide that certificate holder with a new Certificate of Workers' Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers' Compensation Law. Under penalty of perjury, I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by: SANDRA L. BATTEN Approved by: Title: (Print name of ~resent, ati, ve or licensed agent of insurance carrier) (Signature) (Date) POLICY SERVICES SPECIALIST II Telephone Number of authorized representative or licensed agent of insurance carrier: 804-330-6543 Please Note: Only insurance carriers and their licensed agents are authorized to issue Form C-f05.2. Insurance brokers are NOT authorized to issue it. C-105~2 (9-07) www.web.state.ny.us W31F3J07 Workers' Compensation Law Section 57. Restriction on issue of permits and the entering into contracts unless compensation is secured. 1. The head of a state or municipal department, board, commission or office authorized or required by law to issue any permit for or in connection with any work involving the employment of employees in a hazardous employment defined by this chapter, and notwithstanding any general or special statute requiring or authorizing the issue of such permits, shall not issue such permit unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that compensation for all employees has been secured as provided by this chapter. Nothing herein, however, shall be construed as creating any liability on the part of such state or municipal department, board, commission or office to pay any compensation to any such employee if so employed. 2. The head of a state or municipal department, board, commission or office authorized or required by law to enter into any contract for or in connection with any work involving the employment of employees in a hazardous employment defined by this chapter, notwithstanding any general or special statute requiring or authorizing any such contract, shall not enter into any such contract unless proof duly subscribed by an insurance carrier is produced in a form satisfactory to the chair, that compensation for all employees has been secured as provided by this chapter. C-105.2 (9-07) Reverse W31F3J07 Bovis/7-11 BEPC File Number ~ I I C~ Site Address~(~h(5 l'DOIn t~ TOWN OF SOUTHOLD SUBMISSION CHECKLIST Building Permit Application (which includes all required plumbing/electrical work). Letter outlining scope of work CO Application Erosion Sediment and Storm Water Assessment Form General Contractors and/or Plumbers Information and General Contractors and/or Plumbers Insurances* / 4 sets of signed and sealed plans with riser diagrams (1 lx17 is acceptable) Application/Filing Fees* Check should be made payable to the Town of Southold $300.00 Application Fee Submission Package prepared b~ ~-'-'~ Reviewed Submitted to Municipality by Date of Submission~ Product information presented here reflects conditions at time of publication. Consult fac- tory regarding discrepancies or inconsis encies. J MAIL TO: PO BOX 10347, Louisville, KY 40256-0347 SHIP TO: 3649 Cane Run Road. Louiaville, KY 40211-1001 (502) 778-2731,1 (800) g28-PUMP, FAX (502) 774-3624 SECTION: 2.60.040 FM2335 0705 Supersedes New visit our web site: www. zoeller, com DRAIN PUM SER ES 104'- 105- 110- 115- 120- 131 Model 132' (Preassembled) Removes water from areas where g, av~ty flow tv not available~ Applications include, taundrytray pump, wet bar sink, lavatory, aircanditioning condensateordehumidifierwaterremovaL It NOINLET FILTERS OR SCREENS TO CLEAN can also be used in conjunction with dishwashers and garbage disposal applications. SSP~ Product may not be exactly as pictured Automatic pumps with tank cord seals and all hardware for easy assembly. Polypropylene basin and lid. Internal discharge pipe to lid.(Trap supplied by others.)** Check Valve (30-0181, not included with model 104), DRAIN PUMP MODEL PUMP SHIPPING SERIES WITH BASIN WT. 104' M72 19 lbs, 105 M53 30 lbs. 110 M55 33 lbs. 115 M57 35 lbs. 120 M59 38 lbs. 131 M98 47 lbs. 132* M72 19 lbs. *Models 104 & 132 are not IAPMO approved, SK2011 © Copyright 2005 Zoeller Co. All rights reserved, Passes laundry lint. Automatic, float operated mechanical switch. 115 V/1 PH, all Drain Pump Series. 9 ft. UL Listed 3-wire cord and plug. (15 ft. cord std. on model 98) Stainless steel screws, guard, handle and switch arm. Passes W' sphedcal solids, 1%" NPT discharge. 1550 RPM, 60 Hz. 1725 RPM on model 98. Non-clogging vortex impeller. Glass-filled polypropylene base with built in strainer on M53 and M55. Model 59, all bronze construction; model 57 & 98 all cast ~ron construction, Temperature rated 130°F. UL Listed Pump. Passes laundry lint. 115 VI1 PH, all Drain Pump Series. 9 ft. UL Listed 3-wire cord and plug. Stainless steel screws, switch arm and lower motor housing. Oil free. Passes 3/8" spherical solids. 1 '/2" NPT discharge. 3400 RPM. Nomdogging vortex impeller. Temperature rated 110°E cCSAus Certified Pump. COM?ARE THESE FEATURES BASN Polypropylene construction. Corrosion resistant. High capacity. Gasket sealed polypropylene lid. 2" N PT vent. 1 ½" NPT discharge. 1W' compression slip fit for top and side intake. NOTE: 132 comes preassembled for side inlet only. Threaded connections for easy installation. May be installed with internal trap for space savings. Gas tight cover. Temperature rated 130°E Fits under most sinks. Basin Passes 10' Stack Test.* o LITERS 0 CHECK VALVE(exckldm9 ~ede 104} 3 6c~I "Full Flow" design. 1W' or 1¼" slip x slip union. PVC construction. For additional specifications see FM0217. NOTE: For additionalinlet option or high head applications contact factory. · PUMP PERFORMANCE CURVE 104/105/110/115/120/131/132 25 160 240 FLOW PER MINUTE 105/110 MODELS 104/132 115/120 131 Feet I Meters Gal. Liters Gal Lilers Gal Liters 5i~_ ~5 38 144 43 163 ?2 273 Shut-offHead: I ~rt{Ssm} I ~,.25..¢.~i 23ft. 17.OmI DRAIN REPLACEMENT PUMP PUMP PART MODEL NUMBER 104 72-0001 105 007917 110 007918 115 007919 120 007920 131 007921 132 72-0001 For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. © Copyright 2005 Zoeller Co. All rights reserved. ASSET QUAI.ITY IMPROVEMENT PROGRAM APPROVED AS NOTED ~OR: O^TE"3fi?..p.# 3 7 El.EVEN 765-1802 8 /~ TO 4 PM FOR FOLLOVV~NG INSPECTIONS: , Fou.o^T,o.-*wo REQU,.ED OCCUPANCY OR FOR POURED CONCRETE 2 Ro,:::~-~,NG..LUMB,.G. USE IS UNLAWFUL STRAPPING, ELECTRICAL & CAULKING 3 INSULATION 4 FINAL- CONSTRUCTION & ELECTRICAl MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. WITHOUT CERTIFICATE OF OCCUPANCY LOCATION OF SITE: 56480 MAIN ROAD TOWN OF SOUTHOLD SOUTHHOLD NY 11971 DIST.:1000 SECT.: 062 BLOCK: 3 LOT: 37 ELECTRICAL INSPECTION REQUIRED ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CO0~ OF NEW YORK STATE. PLUMBING ALL PLUMBING WASTE & WATER UNES NEED TESTING BEFORE COVERING RRE INSPECTION REQUIRED BEFORE OPENING PL UMBER CERTIFICATION ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANC. SOLDER USED IN WA TER SUPPLY SYSTEM CANNOT EXCEED 2/10 OF 1% LEAD. LOCATION MAP SCALE: NTS AQUIP FOR BOVIS LEND LEASE 7-ELEVEN #24020 LOCATION OF SITE 56480 MAIN ROAD TOWN OF SOUTHOLD SOUTHOLD. NY 11971 BLOCK: 3 LOT: 37 IF~ BOHLER 2002 ORVILLE DRIVE NORTH RONKONKO~A, NY 11~'9 TITLE SHEET C4 35'-1" WA .K-IN CC 3LER 31 -11~_ , 1,, 67 -1E 11 17'-7"- OPEN NR OP~ NR CASE CASE PASTRY SALES BACKROOM DESK MGR. OFF CE AQUIP FOR BOVIS LEND LEASE 7-ELEVEN #24020 LOCATION OF SITE BOHLER PROPOSED FLOOR PLAN i /--WYE CONNECTION ]TO EXIST, LSANITARY i SLOPE= ~, PER FOOT m --- ~3, MIN. (EXIST.) ~ /~ANITARY 1' FULL PORT ~ ~ WLV[ A UIP , - ~ZOELLER 9RAIN PUMP ~ ~ I I ~ "~ /MODEL ~105 (REFER TO BOVIS LEND LEASE ~ / ' /ATTACHED MANUFACTURE 7-ELE~N SPEC~CATmNS>, ~20 HAND SINK TOWN OF SO--OLD DISCHARGE (DPTIDN) DIST :1~0 SECT.:62 ~ISCHARGE SCHEgULE 1~ ~' BLOCK: 3 LOT: A APPRDX, FLD~ RATE 9' ~ BO~[~ MAX. 17' 10 GPM m ~ 15~ 19 GP~ 10~ 34 GP~ ~ow~ow~o~, w~.~ 5~ 43 GP~ -U~E LONG TUrN BEND~ NOT ELBO~ TO CREATE BEND~ IN DISCHARGE PIPING. -DESIGNATED GFI REQUIRED IF ELECTRICAL OUTLET ~ITHIN 5' OF ~INK OR -T~AP ~AY BE INSTALLED ~ITHIN PU~P TO REDUCE ~PACE (SEE ~ANUFACTURE~ INSTALLATION GUIDELINE~X -ALL ~ORK ~HALL BE DONE IN ACCORDANCE ~ITH APPLICABLE CODE~ AND REGULATIONS. -OBTAIN ALL REQUIRED INSTALLATION PERMITS FROM LOCAL AUTHORITIES AND MAKE ARRANGEMENTS FOR ~., -ALL PLUMBING FIXTURE VENTS SHALL CONNECT INTO THE EXISTING VENT SYSTEH FOR THE BUILDING. -THERE ~HALL BE NO OVERHEAD PLUMBING WITHIN 5'-0' DF THE ELECTRIC PANEL. , [/-, ~. : RISER DIAGR~ C-3 DISCHARGE SCHEDULE A APPROX. FLOW RATE MAX, 17' 10 GPM 15' 19 GPM 10' 34 GPM 5' 43 GPM Item Oracle Number Qty MFR j Model BC~ MateriaIPri~ Description GI240.Z8 3~341~ ~ Roys~on tlc KP1-BRN SEI S 26.00 Ki~plate, for 18" counter, ~' .. Brown G1~40.36 3~34~69i~ 3 RoystonLIc KP3-BRN SEI $ 28.75 Kickplate, for3~counter, G"H. BrownKP3-BRN GI240.72 3~34173 ; [ Roy~on Lie j SEt ~ 32.75 K~ckplate, for 6FTcounter, 6 H. Brown FFIBO j 33~096 1 Rovston LIc FF3-30-POS-HH-KIT SEI $ 1,~9.~ 2301~96-012 HOT FOOD OlSP~Y with [6 se~ing pans, 4 anodized dimple pizza pans, ~5/[/60 Sanden Vendo ; FF[90 6~702~ ~ America Inc : CHS-09OIWUSE-7[[ SEI $ 2,~.~ elec required. (POP k~ and rail ~Hps included) ...... counter, sink 36H, ce~Bx29 d~r, no ad] shelves, top-fiat SS ~8x30 no hole, 4" Pene~ations for Heat Shield and 5top Plate Kit. Magnetic ,~ks for gloves (2), ~ HF~ 3~34245 ~ Royston LIc FF3-30~VEN SEI $ ~,~5.~ ~netic ~trip~ for paper (2), adjustable shelf (~). Inset- 22058~97-0~2 I~cluded F~ezer, Wor~op, one-se~ion, 29"D, s/s top w/rear splash, s/s e~edof, anodized ~ aluminum interior, w/rear-~unted self-contained refrig system, 6" casters, [/6 = = HP, front breathi~. Umited 1 yr WarranW pa~ & labor, Addt'l 4 yr compressor HF120 0223086 I 8evemgeAir WTF27A-SVN SEI ~ ~ 1,~.~ ~ warran~st i Tur~chef HF180 3136012 1 Technologies Inc TORNADO SEI ~ 4,902.05 To~I Pkg" Price includes Cu~om Oven Pac~ge, Menu.card. Freight to Destination ,~c~ Tur~chef ~E ~'~" HF181 3136030 I Technologies Inc 5EI $ 22.50 Turbo~ef ~n aeaner One 6 ~le ~se of cleaner .. l ~,~ ,-~ Turbochef HF182 3136019 I Technologies Inc ~SEI $ 22.50 TurboChef ~en Guard, One 6 bo~le ~se of oven gua~ Furn~h ~78 cfm in4ine Ex~t Fan w/~ntrol box attached w/relay, trandormer, elec sw~ &elec wire to ite-in to junc box above ceiling, 8x8x8 splicer to attach ~ to ~n & du~s, (1)8" in~ke air-valve over Slurpee machine & (1) 8~ intake air-valve HF190 3129900 ~ ~ GreenhillNrlnc EXF-101 5EI ~ 1,025.00 ov HF220 31254~ 1 : Unified Re~urces SEI $ 0.50 ' Hot Food Hanging Sign ff2~20 i Hot Food Smallwares Kit:(2)~zza Co~er 4", (1)Food Pan Plst 1/3, (1)Food P~ Grip :~AT[O~ O~ S[T~ Ace Ma~ Restaurant ~ Lid 1/3, (1 pr)~en Miff 24", (1)Sheet Pan, (3) White Ton~, (3)BIk Ton~, (2)~ke ~0 ~IN ROAD HF230 3175092 I Supply ~ 7-11 PI~A KIT 5EI ~ 96.24 Knife, (1)Gm Sc~per, [2)Digital Ther~meter, (2pr)Heat Resis~nt Glove SOUTHOLD. NY 11971 counter, b~, 36H, cup/cond, ca~36x29 doors, 1 adj shelf, 2 cup disp, cond tray, mST.:~ SECT.:62 BA259 032603~1 2 R~s~n UC BBE3-2C/CD 5El S 897.00 cup cover, to~flat SS 36x36, 2 holes, ~2.5' rear overhan~ le~; cream BBE3-2C/CD ~ BL~K: 3 LOT: 37 .wstonUc U.k o . m S , ffeeSa e mUedWRo o ~112 Unknown I Bunn O Matic :j ~[50 3~26~3 2 ~o~tion SEI S 1,434.50 Dual TF DBC-(Sho~)~02/206 ~2~VILLE Display, condiment ~180 ~1~80~0 18 Cor~oratlon ~ 1[ lhermal [re~h Um $[I $ 200.~ 1 gallon thermal ~ra~h ~e~er [or brow ~ise, fau~t handle ~ay~ ~ull [ lalae' 6' ~ffee wall brew ~tion, 36H, 30D, 2' sink w/spr~er fau~t, 2' pullmut waste, 2' 4drawer under ~"Wx30"D fiat SS top, legs; cream. KICKP~TES NOT INCLUDED. ~191 3~465 I Roy~on LIc ~6B-30-SK/POW/DWR SEI ~ 2,270.~ CB6B-30-S~POW/DWR Bunn O Matic Fau~t Cover - Cover ~ " ................ ' ~230 3126~O5 i 6 Corpo~tion ~ W/Decal SEI $ 6.13 Need 2 per brewer plus 2e~ ~i Graphic.Solutions: ~240 0312~35 ~ Plus SEI S 291.85 Hanging Oval ~ffee Bar Sign SCHEDULE C-4 Item Oracle Number Qty MFR Model BC..__~PMaterial Price D.e. scription G1240.18 3134164 1 Rovston LIc KP1-BRN SEI $ 26.00 Kickplate, for ~-8" counter, 6" H. Brown GI240.36 3134169 3 Royston LIc KP3-BRN SEI $ 28.75 Kickplate, for 3FT counter, 6" H. Brown KP3-BRN GI240.72 3134173 I Royston LIc i SEi $ 32.75 Kickplate, for 6FT counter, 6" H. Brown Hot Hold Counter Kit. Includes FF3-POS-HH Counter, FF-ICOS-HH Insert FF180 3300096 1 Rovston LIc FF3-30-POS-HH-KIT SEI $ 1,049.00 23018S96-012 Sanden Vendo HOT FOOD DISPLAY with 16 serving pans, 4 anodized dimple pizza pans, llS/1/60 FFI90 6170206 1 America lac CHS-0901WUSE-711 SEI $ 2,444.00 elec required. (POP kit and rail strips included) counter, sink, 36H, cab-18x29 door, no adj shelves, top-fiat SS 18x30 no hole, 4" FF300 3400344 I Royston LIc SK18-30-4BS-DISP SEI $ 995.00 i3-sided SS add-on backsplash, sink - 1Sxl5, legs; cream SM18S-3OD4-ADA FF3 Oven Counter, 36"x30"x36" w/Stainless Top & Stainless Pull-out shelf. Top Penetrations for Heat Shield and 5top Plate Kit. Magnetic hooks for gloves (2), HFIOO 3134245 I Royston LIc FF3-30-OVEN SEI $ 1,115.00 magnetic strips for paper (2), adjustable shelf (1). Insert- 22058097-012 Included Freezer, Worktop, one-section, 29"D, s/s top w/rear splash, s/s exterior, anodized aluminum interior, w/rear-mounted self-contained refrig system, 6" casters, 1/6 HP, front breathing. Umited 1 yr Warranty parts & labor, Addt'l 4 yr compressor HF120 0223086 I Beverage Air WTF27A-SVN SEI $ 1,048.00 warranty st Turbochef HF180 3136012 1 Technologies Inc TORNADO 5El $ 4,902.05 Total Pkg. Price includes Custom Oven Package, Menu.card. Freight to Destination Turbochef HF181 3136030 I Technologies Inc SEI $ 22.S0 TurboChef Oven Qeaner One 6 bottle case of cleaner Turbochef HF182 3136019 I Technologies Inc :SEI $ 22.50 TurboChef Oven Guard, One 6 bottle c~se of oven guard Furnish 478 cfm in-line Exhaust Fan w/control box attached w/relay, transformer, elec switch &elec wire to ire-in to junc box above ceiling, 8xBx8 splitter to attach to fan & ducts, (1)8" intake air-valve over Slurpee machine & (1) 8" intake air-valve HF190 3129900 1 Greenhill PJr Inc EXF-101 5EI $ 1,025.00 ov HF220 3125440 I Unified Resources SEI $ O.50 ' Hot Food Hanging Sign Hot Food 5mallwares Kit:(2)Pizza Cutter 4", (1)Food Pan PIst 1/3, (1)Food Pan Grip Ace Mart Restaurant Lid 1/3, {1 pr)oven Mitt 24", (1)Sheet Pan, (3) White Tongs, (3)BIk Tongs, (2)Cake HF230 3175092 I Supply Co 7-11 PIZZA KIT 5El $ 96.24 Knife, (1)Grn Scraper, [2)Digital Thermometer, (1pr)Heat Resistant Glove counter, bev, 36H, cup/cond, cab-36x29 doors, 1 adj shelf, 2 cup disp, cond tray, BA259 031603~.1 2 Royston Uc BBE3-2C/CD 5EI $ 897.00 cup cover, top-fiat SS 36x36, 2 holes, 12.5" rear overhang, legs; cream BBE3-2C/CD CAl12 Unknown 1 Royston Uc Unknown SEI $ Coffee 8ar Pre-assembled by Royston Bunn O Matic CA150 3126083 2 Corporation SEI $ 1,434.S0 )ual TF DBC -(Short)102/206 CA170 3400275 i Royston LIc TEA DISPLAY SEI $ 220.00 Tea Display Display, condiment CA171.18 03400497 2 Royston Ltc organizer SEt $ Coffee Bar Condiment with Ends 18" Bunn O Matic CA180 3126090 18 Corporation TF Thermal Fresh Urn SEI $ 200.00 I gallon thermal fresh server for brew wise, faucet handle says "Pull / Jalar" 6' Coffee wail brew station, 36H, 3OD, 2' sink w/sprayer faucet, 2' pull-out waste, 2' 4drawer under 48"Wx30"D flat SS top, legs; cream. KICKPLATES NOT INCLUDED. CA191 3400465 1 Royston LIc CB6B-30-SK/POW/DWR SEI $ 2,270.00 CB6B-30-SK/POW/DWR Bunn O Matic Faucet Cover - Cover CA230 3126105 6 Corporation W/Decal SEI $ 6.13 Need 2 per brewer plus 2 extra [si Graphic.Solutions CA240 03124835 I Plus SEI $ 291.85 Hanging Ova[ Coffee Bar Sign