Loading...
HomeMy WebLinkAbout37168-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY 5/17/2012 No: 35703 Date: 5/17/2012 Location of Property: SCTM #: 473889 Subdivision: THIS CERTIFIES that the building 55500 Route 25, Southold, Sec/Block/Lot: 62.-3-1 Filed Map No. conforms substantially to the Application for Building Permit heretofore EXHAUST HOOD AND/OR FIRE SUPRESSION SYSTEM Lot No. filed in this officed dated 37168 dated 4/25/2012 4/24/2012 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: new ansel (hood) system to an existing restaurant as applied for. The certificate is issued to 55500 Main Rd LLC (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Authorized S~gnature 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 #: 37168 Date: 4/25/2012 Permission is hereby granted to: 55500 Main Rd LLC 55500 Main Rd Southold, NY 11971 To: install a new ansel (hood) system to an existing restaurant as applied for At premises located at: 55500 Route 25, Southold SCTM # 473889 Sec/Block/Lot # 62.-3-1 Pursuant to application dated To expire on 10/25/2013. Fees: 4/24/2012 and approved by the Building Inspector. EXHAUST HOOD AND/OR FIRE SUPRESSION SYSTEM Total: $300.00 $300.00 Building Inspector Form No. 6 TOWN OF SOUTItOLD BUll. DING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or mk and submitted to the Building Department witb 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 fi-om Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of I% 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accm'ate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to respect signed by the applicant. Ifa 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 $5000, Accessory building $5000, Additions to accessory building $50.00. Businesses $50.00 2. Certificate ofOccupancy on Pre-existingBuiidmg- $100.00 3 Copy of Certificate of Occupancy $.25 4 UpdatedCedificateofOccupancy $50.00 5. Temporary Certificate of Occupancy Residential $15.00, Commercial $15.00 Date. Lt-'2 t-/ -} ~_ New Construction: _ House No. Street Owner or Owners of Property: ~t5 C'~5 Suffolk County Tax Map No 1000, Section ~ ~ SulSdivision Permit No. 3 7 ! {._~.,5(" Health Dept. Approval: Date of Permit. Old ot Pre-existing Building: L-LC Block Filed Map. Applican!: Underwriters Approval: (check one) Lot / Lot: Hamlet Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ /'~U · "- Final Certificate: (check one) 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~'~~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING/STRAPPING ~]~ FINAL FIREPLb, CE & CHIMNEY ~FIRE, ~ SAFETY INSPECTION FIRE RESIST~M~IT CONSTRUCTION [ ] FIRE RESIST~M~IT PENE'I'R&TION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: ~*'~-~*~ DATE ~//-7//~ INSPECTOR~~ TOWN OF S~OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net q~M~- 20/,~ Examined , Approved L~2'~, 20 / ~, Disapproved a/c Expirat~z--7~ ~t)/~ , 20 [ 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: Mailto: Phone: B~i~nTpector PLICATION FOR BUILDING PERMIT Date INSTRUCTIONS ,2O a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in ~vhole 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 afl'ecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name, ifa corporation) (Mailing address of applicant) ct or,,~[~c~c~, ¥ .~, ~}builder State whether applicant is owner, lessee, agent, architect, engineer, general contraATE / / p'' ~ 71l, Nameofownerofpremises (~ C '~G~ )rlFV BUILDING DEPARTMENT AT (As on. the tax r~ll or latest de~1802, s ,AM rD ;1 ~',~ ;:O~ THE If applic~t is a co~oration, si~ature of du[i}~¢~dz~" officer ~ ~L[O¢,'" '~$P~ CT~ ~ , ~ ', ~-- ~e~¢~ '~,.~ FOR,' ~:EL) 3b' C', ~: (Name and title~fco~orate officer)'.,' ' ; ROUG:. ~,:t.4~t~3 cL'2USi;,G Builders License No. Plumbers License No. Electricians License No. Other Trade's License Location of land on which proposed work will be done: House Number Street t INSULATION ~ iFINAL- CONSTRUCTION & ELECTRIC~ MUST BE COMPtETE FOR C.O. REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIC.~I OR CO~SlRUCTION ERRORS. Hamlet Block~'tti, i~A"'~ ,,~ '*, Lot Lot County Tax Map No. 1000 Section Subdivision 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~._t. _~a__ta...,,_o...--~---- ] ~ o b. Intended use and occupancy 3. Nature of work (check which applicable): Ne~v Building Repair Removal Demolition 4. Estimated Cost ~ OeO. oO Fee If dwelling, number of dwelling units If garage, number of cars Addition Alteration Other Work (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. /"~W.ff'~,,,q~n 7~ 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 Dimensions of entire new construction: Front O'~Ix Rear Depth Height Number of Stories Rear 9. Sizeoflot: Front Rear Depth 10. DateofPurchase &~\~.l~ ~9~x\ Name of Former Owner ~"~. 11. Zone or use district in which premises are situated ~'} (5 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO ~,""-- 13. Will lot be re-graded? YES NO c~ Will excess fill be removed from premises? YES NO 14. Names of Owner of premises Name of Architect ~.~.:~r.,O~,o'/~.'~'~:m ee*%n d Name of Contractor/q.~R£,e.,'or~ /~,,~ ¢ 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. Address Phone No. Address ~'-.'t,',,0~,,~,,e~? z,t/ Phone No Address tr,~...r~,e,.,o,,. ~,r/~Z?~Phone No. 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. 18. Are there any covonantm ~arid &strictions with respect to this property? * YES · IF YES, PROVIDE A COPY. NO Ot STATE OF NEW Y©RK) COUNTY OF ~.~j~/~)S: F/~,~i.~/t/ ~/~0 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 ov~t~rYqr~mVala~-', lat~,r ~l~{~l~tlzorized to perform or have performed the said work and to make and file this application; that ~1 t~a~f,~'COa~J~ii:iatl~i's~iSl~ia~.tion are tree to the best of his knowledge and belief; and that the work will be performed'in rl4~;i~h~;s~rt~ ~l'h~:~splication filed therewith. Sworn to before me this .,/ / 20/~ Signature of Applicant~ ALS MANUFACTURER: RANGE GUARD: __RG 125 GAL __RG 25 GAL X RG 4 GAL RG 6 GAL. SEAL TIGHTS (TYP.) Piping Material BLACK SCH 40 Max. Rise 10' ~" TEE ~ ---'1,---- Supply Pipe Size 1/2" Branch Pipe Size 3/8" CROPS 3/8"  Gas Valve Type: MECH Size 1 1/4" Manufacturer ~201Ix 14~ DUCT ASCO ~% ~/~ Detector Temperature Rating: 450' VENT PLUG ADP ADP 12' HOOD Rood Size: 12' Duct Size: 20"x14" [ CONTROL / ~ , ~ -IC~:f ~ -- ~ I EQUIPMENT QTY. SURFACE TIP#/QTY. NOZZLE 450' __ ~450__'I .... 450' 450' TYPE AREA HEIGHTS LOCATIONS IIF~ .~ ILIADp ~ ~ DUCT 1 20"×14" ADP 2 0"-6" 0"-6" IN OPENING J I ~- 7- --1 10-BNR. RANGE 1 60"x28" R 3 20"-42" NffHIN ~" RADIUS OF MID P01NI I I RG I r II I I UPRIGHT BROILER1 52"x24" ADP 1 fOP 4" OF COMP. I I ~ OAL,4'0 ~'J ~1 ~1 II ~r[ ~1 FRYER ~ 14"x24" F _;2 27"-45; CENTER IHooDTO EDGEoN OF~ ADP~]1 . ' IBOTH SLOES PULL [ STATION i RANGE GUARD - RG 40 GALLON - MAX. FLOW POINTS 12 ~:~ I ,z ,:,: ' < I 60"x28" 32"x24"~ ~ ~:~ m ~ POINTS USED = 12 1~" MECH. 10 BURNER STOVE UPRIGHT u_ o__ ~- o_ TOTAL PIPE VOLUME NOT TO EXCEED 400 CUBIC INCHES -~- :~ I GAS VALVE W/ OVEN BELOW BROILER ~ ~ ~ ~: MAX. PIPE LENGHT 152 FT I_ [] ¢' ° ~ ~: ~ ~: NO-4.0 GAL. CYLINDER #B120003 LINK HouSrNG #804548 1 CONTROL HEAD #B100012 MANUAL RELEASE #B875572 ADP NOZZLE #B120011 450' LINK #B282665 R NOZZLE CAS VALVE FRONT VIEW A FIRE EXTINGUISHER WITH A F NOZZLE #B120012 SCALE: ~"= 1'-O" MINIMUM RATING OF A CLASS K MUST BE INSTALLED WITHIN THE VICINITY OF THE COOKING AREA. SCFM STAMP NOTES: Anderson Fire x Fryers to have High Limit Control to shut off fuel at 425'. _x Detectors Shall be located over every piece of equipment 90'Neil Ave., Bay Shore, N.Y. 11706 x_ The System installed as per manufacturers specs and the AHJ _x The System has been installed os per UL300. Tel: 6:31-435-1002 _x The following functions to operate upon system discharge: Contact: Patrick Turro * Supply air damper closes * Oas fuel shuts off in kitchen * Exhaust fan remains on * Electric fuel shut off under hood *All systems 'o activate simultaneously in some hazard oreo PEGASUS ENGINEERING * Fire Alarm shall activate if one is installed in building x Manual Pule is located o maximum 20 ft. from hood and 4 ft. 6 Nodworn¥ Lone. Stony Brook, N.Y. H790-2100 x All fuel sources are CAS unless otherwise noted. PLANNING ABETrER WORLD - 631 - 751 - 6600 WWW. PEGASUS.ENO.PRO UNAUTHORIZED ALIENATION OF, OR THE ADDITION SEAL TO PLANS OR DOCUMENTS BEARINB THE SEAL JOB SITE: THE NEW YORK STATE EDUCATION LAW ~ Founders Tavern ANY ALTERATION TO THIS DOCUMENT MUST BE DONE BY A PERSON ACTING UNDER THE DIRECT SUPERVISION OF A LICENSED PROFESSIONAL IN 55500 Route 25, Southold, N.Y. 11971 ACCORDANCE WITH THE STATE EDUCATION LAW COPIES OF THIS DOCUMENT NOT MARKED WITH AN ORIGINAL OF THE PROFESSIONAL ENGINEERS INKED OR EMBOSSED SEAL SHALL NOT BE DATE: 04/12/12 SCAre AS SHOWN DWO BY: DWC NO WOOD ROOF DECK SHEET ROCK CEILING EXHAUST FAN A MINIMUM OF 40' ABOVE ROOF (~P.) POWER KILL SWITCH GREASE TRAP ~%.~.~ 4-800 CFM LIQUID TIGHT ROOF CURB~ i FIRE HATED INSULATION 20'xt4" WELDED 16 GUAGE STEEL DUCT /HINGE KIT. --.EAT SENSOR 16 GUAGE FULLY WELDED KITCHEN GREASE EXHAUST HOOD FLOOR B'I HOOD OVER HANGS BY6" BO" 10 BURNER STOVE W/ OVEN BELOW . 34' UPRIGHT BROILER FRONT VIEW SCALE: %" = 1'4)" GHAVllY FEED RETURN AIR 10' MIN. FROM EXHAUST FAN --- / II. STEEL BHACE SUPPORT WOOD ROOF DECK / SHEET ROCK CEILII~ GREASE HAFFLE FILTERS 'o ~ GREASE CUP ~ DOUBLE ~" SHEET ROCK ON METAL STUDS ~ WITH STAINLESS STEEL WALL COVERING lo 60' 10 BURNER STOVE FLOOR 20"X14' DUCT TO EXHAUST FAN 3' WALL SPACER BACK WALL , CROSS SECTION SCALE %"= 1'~" _ c~lx~t~. ($/i~c~-v~l X Cookb9 _EClU ant k the _ Oook~ t at th~ front ceunter _ Ceokk~ EQuimnent in the OlMnq I~x~P HOOD have a minimum 3 in~ akl~ dq~g m m~ Lo) Approval Stamps Contractor: ALL -ISLAND BLOWER & SHEET METAL 1585-C Smithtown Ave., Bohemia, N.Y. 11716 License # 9900044 Contact: Brian Higgins 1-631-567-7070 PEGASUS ENGINEERING 6 Nodworny Lone, Stony Brook, N.Y 11790-2100 PLANNING A BETTER WORU) 631-751-6600 ~.PEGASUS.ENG.PRO JOB SITE: Founders Tavern 55500 Route 25, Southold, N.Y. 11971 D~E SCALE' 04/03/12 AS SHOWN