HomeMy WebLinkAbout37024-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
5/24/2012
No: 35710
Date: 5/24/2012
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
FIRE SPRINKLER
260 New Suffolk Rd, Cutchogue,
Sec/Block/Lot: 102.-6-5
Filed Map No.
conforms substantially to the Application for Building Permit heretofore
2/24/2012 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:
upgraded fire system in kitchen as applied for.
Lot No.
filed in this officed dated
37024 dated 2/29/2012
The certificate is issued to
Cutchogue Fire Dist
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit #: 37024
Permission is hereby granted to:
Date: 2/29/2012
Cutchogue Fire Dist
260 New Suffolk Rd
Cutchogue, NY i19353037
To:
Upgrade Fire System in Kitchen
At premises located at:
260 New Suffolk Rd, Cutchogue
SCTM # 473889
Sec/Block/Lot # 102.-6-5
Pursuant to application dated
To expire on 8/30/2013.
Fees:
212412012 and approved by the Building Inspector.
EXHAUST HOOD AND/OR F1RE SUPRESS1ON SYSTEM
CO - COMMERCIAL
Total:
$0.00
$0.00
$0.00
Building Inspector
FormNo. 6
TOWN OF $OUTIIOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF occUPANcy
~ application must be filled in by typewriter or ink and submitted to the Building Department with the following:
For new building or new use:
1. Final survey of property with accurate location o f all buildings, property lines, streets, and unusual natural or
topographic features.
2. Final Appraval from Health Dept. of water supply and sewerage-disposal (S-9 form).
3.. Approval of electrical installation from Board Of Fire Underwriters.
4. Sw. om statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead.
5. Commercial building, industrial building, multiple r~ideaees 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.
B. 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 lin~, streets, building and unusual natural or topographic
features.
2. A properly c~mpleted application and consent to inspect signed by the applicant. If a Certificate of Occupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant. -
C. Fees
1. Certificate of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00,
, SwiramiRg pool $50.00, Accessory building $50 00, Additions to accessory building $50.00, Businesses $50.00.
2. Ce{tificate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy - $_25
· 4. Updated Certificate of Occupancy- $50.00
· 5. TempoFary Certificate o£Occupancy - Residential $15_00, Commercial $15.00
Date. ~ - Z ~' -- ~, 7...
l',lew Construction:
Location of Property:
Old or Pre-existing Building: ~, (check one)
House No. Street
Owndr or Owners o 'Preperty: ·
~uffolk C. o~nty Tax Map No 1000, Section ~.0 2~ Block
8ub6ivision
Permit No. 3-102..~
Itcmlth Dept. Approval:
Planning Board Approval:
Request for: Tempora~ Certificate
Hamlet
· ~ Lot ~
Filed Map. Lot:
Date ofPermit. 02.,[Z~//ZOI2_ Applicant. C.x)~o~
Ad'/, Undetwriter~ Approval:. /x//,A ,
,,,'3,
Fee Submitted:
Applicant Signature
Final Certificate: ~ (check one)
CO
I*OUI~AIION
FOUNDATION (2~)
.
ROUGH ~G &
PL~G
STA~ ~ cODE
,
FORi4 NO.
TO~N OF SOUTHOLD
BUILDING DBPABTPIENT
TO~H HALL
SOUTHOLU, N.Y. 1197 I
TEL: 765-1802
FOR BUILDING PER'lIT
BOARD OF BEALTH ...............
3 SETS OF PLANS ...............
SURVEY ........................
CHECK .........................
SEPTIC FONtt ...................
NOTIFY:
CALL ~.~.~.-- -~-?-~-: .~-~.~
MIL TO: ~.¥T..
INSTRUCTIONS
a. 1his application u~st be c~upletaly filled in by t~iier or iu iuk and suhnitied ~o the Buildiu~ Inspector
] sets of plm~s, ~,~cura£e plo~ plan ~o scale. Fee ac~ordir~ to scbedale.
b. Plot plum ~u8 locatio~ of lot aud of buildiugs m pr~ises, relationship to edjoining premises or public
streets or areas, and giviug a detailed deseripui~ of la. ut of property mast be dra~u en the dia~.~, ~hich is p~rt of
this application.
c. 1he ~rk eowred by ~his applicatie~ ~ay hoc be comueuced before issuan~ of Buildi~ Permit.
d. Upon ~p.'~al of this applica~iou. [he Buildiug Inspector ~ill ia a Buildiu~ Pemit to Cbe applicant. Such
__~ . ~. ~. . . . . . ..~. . .~
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~,~ o~ ~.~ o~ ~se, ~-~',,:~'~..~.~ .,~.~ ..............................
(Name and title of corporate officer)
~rip~i~)
........ /~.../~. E.~..../..~.d..~?..7..~.~.~ ......................... ~elng duly ~m, ~9 ~ ~s ~t ~ is kl~
~ of i~ivi~t si~i~ ~tr~)
' is the ....... ~.~P.~ ......... ; ...................................................................
hat ~ ~ ~ill ~ ~rfo~ in tl~ ~ ~t forth in ~e a~li~tlm f[l~ ~. ~
............... '~ ...... ~ ~ / I I~ d Notaw Public - Slale Of New Yolk
..... ~J' ,~ ~ ~ I 1My Commission Explres~/~l
Town Half Annex
54375 Main Road
P.O. Box 1179
Southold, NY 1197]-0959
Telephone (631 ) 765-1802
Fax (631) 765-9502
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
May 17, 2012
ABT Design & Fire Protection
1724 Church Street
Holbrook, NY 11741
RE: Cutchogue Fire Department, 260 New Suffolk Road, Cutchogue
TO WHOM IT MAY CONCERN:
The Following Items Are Needed To Complete Your Certificate of Occupancy:
Application for Certificate of Occupancy. (Enclosed)
Electrical Underwriters Certificate. (contact your electrician)
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. (Planning # 765-1938)
Final Fire Inspection from Fire Marshall.
__ Final Landmark Preservation approval.
__ Final inspection by Building Dept.
BUILDING PERMIT: 37024-Z Fire system
AE.S M AA/L1F Ac'"72~z
P,J'kNGEGUARD
hem-
ktaz Rise /z
Brahch Pipe Size
Z" Hanufacturer
Quantity:
Supply Pipe Size ~
Gas Valve type: ,~£c~ Size
De~ector Iemperature rating :
Hood Size: /z'~ O~k z~
Hood Si2e:
Duct Size: ~x Z~"
Duct Size:
DU~ / ~ * ~ ~"
p~ / / Z '
'WOK
NOZZLE
~ It HEIGHTS LOCATIONS
ADP
ADP
R 2D-~2
2~8
~P
P~N~
2~8
%9g0
~X Fryers to have ~igh Limit Control to shut off fuel at 425 des2
_~X Detectors shat[ be located ova ever'/ piece of equipment,
~X The System installed as per manufacturers spegs-and the AHJ.
X The System has been installed as per UL300..
X The following functions to opecate upon system discharge:
* Supply air damper closes * Gas fuel shuts off in kitchen
* Exhaust fan remains on * Electric fuel shut off under hood
* All systems to activate simultaneously in same hazard area.
* Fire Alarm shall activate if one i~ (nstalted in building.
~X Manual Pull Is locnt~ ~n-3s ft from hood'-and3-5 f~ ~rom floor
ABT DESI'GN &-F~ PROTECTION
1724 CHURCH STREET ·
HOLBR'OOK, NY 11741
631-878-4896 FAX: 631-878-5727
Cylindmr:B12000&
Control Head:B120Og~
Pull S~atlon:9197463
L~nk Kit:
Micro Sw~tch:
Oa~ Valve:B12007g
Cornmr Pulley:B844648
Yant Plug:9197430
LOCAT I ON:
Dischar9~ Adapter:844908
I
· ·
N ROVED AS NOTED
~ /
FEE:~ BY~ '
NOTIFY BUILDING DEPARTMENT A'
765-1802 8 AM TO 4 PM FOR THE
FOLLOV~ANG INSPECTIONB:
I. FOUNDATION TWO REQUIRED
FOR PO ?':ED CONCRETE
2. ROUGN-~.;~¢~g ~LUM~ING,
STRAm~ ' - { ~. TRICAL & CAULKI~
3. INSUD-
4..FINAL~CC'~e.T,~,,tCT~ON & ELECTF~/LAJ,,.
~'K-'~ I t-~E Cr,~,I¢~/'E FOR C 0
~ C~S~ oCTloN SHALL ~c~T ¥~+~_
~--o~tP~'A(~T'5 ~OF THF CO1~5 OF- rq5W
(~ Oink '~ FAT~' ND T 9ES°O~'~ l~ FOR
~-s/~ .d~ ~Ot~TRdCDO~~ ~(~ S
FIRE INSPECTION
REQUIRED BEFORE
OPENING
OCCUPANCY OR
USE iS UNLAWFUL
W"r! ! ', iT
,., CERTIFICATE