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HomeMy WebLinkAbout37144-Z ,f Town of Southold Annex 6/10/2014 41 P.O.Box 1179 Qe, & - 54375 Main Road t� Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 36964 Date: 6/10/2014 THIS CERTIFIES that the building HOOD FIRE SUPPRESSION SYSTEM Location of Property: 50 N Sea Dr, Southold, SCTM#: 473889 Sec/Block/Lot: 54.-5-22 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 4/17/2012 pursuant to which Building Permit No. 37144 dated 4/18/2012 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: fire suppression system as applied for. The certificate is issued to Cliff&Phil's Lobster House (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED A� �J— — Authorized Signature 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 #: 37144 Date: 4/18/2012 Permission is hereby granted to: Cliff& Phil's Lobster House PO BOX 985 Southold, NY 11971 To: install a Fire Suppression System At premises located at: 50 N Sea Dr, Southold SCTM # 473889 Sec/Block/Lot# 54.-5-22 Pursuant to application dated 4/17/2012 and approved by the Building Inspector. To expire on 10/18/2013. Fees: EXHAUST HOOD AND/OR FIRE SUPRESSION SYSTEM $300.00 Total: $300.00 Building Inspector Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled 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 from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1%lead. 5. Commercial building, industrial building,multiple residences and similar buildings and installations,a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. 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 lines, streets,building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant.If a Certificate of Occupancy is denied,the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool $50.00,Accessory building$50.00,Additions to accessory building$50.00, Businesses$50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy-Residential $15.00,Commercial $15.00 Date. 5 - 2-q — I q New Construction: Old or Pre-existing Building: (check one) Location of Property: �Jy Jy �j�A �%-t House No. Street Hamlet Owner or Owners of Property: CL'o F F Fr'+( (- s 4V-S Suffolk County Tax Map No 1000, Section .5� Block Lot 2 2— Subdivision Subdivision QQ Filed Map. , / Lot: Permit No. ?� Date of Permit. �'�C7 '�Q-Applicant: �/ ("PA3A0 Health Dept. Approval: Al + Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ 14 Applicant Signature 1 �o • �o TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE A CHIMNEY FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: C� 3� DATE INSPECTOR mom uj MDAZEC�11I!tTS. . Fo ATION(2ND) . � ul z o ROUGH FSC& PLUMiNG tV G . V to INSUL•ATION P93t N Y. STATE MMGY CODE Q FINAL 8 I (o ADDITIONAL.COD=NTS — ro - > o m o. . . .off TOWN OF SOUTHOLD ,_, BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT ` Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 p /a Survey SoutholdTown.NorthFork.net PERMIT NO. c7 l`'[ Check Septic Form N.Y.S.D.E.C. rAPR � Trustees Flood Permit Examined 20_� Storm-Water Assessment Form Contact: Approved I 20 ZMail to: Disapproved a/c OLD Phone: Expiration (" S(20� PCA building Inspector APPLICATION FOR BUILDING PERMIT Date �"/ �(o� , 20 /a INSTRUCTIONS a.This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans,accurate plot plan to scale. Fee according to schedule. b.Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or areas,and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. 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 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 @ounty,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 necgoary inspections. (Signature of appli-eant or name,if orporation) rico �,/W;� (Mailing address of a licant) State whether applicant is owner, lessee, agent, ar*tegtz engkrt�pr, general contractor, electrician, plumber or builder AU (0,kf5-1QXTION SHALL MEET THE f�Z F _uUiFta RJTS OF THE CODES OF NEW RESPONSIBLE FOR Name of owner of premises DESIGN OF CONSTRUCTION ERRORS. (As on the tax roll or latest deed) If applicant i p co oration, signature ofduly authorized officer 2. State existing use and occupancy of pre ses and inten ed use and occupancy of proposed construction: , a. Existing use and occupancy ep b. Intended use and occupancy 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of car's 6. If business ommercial,.ofi mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 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 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 Address Phone No. Name of Architect Address Phone No Name of Contractor&%l AW 1Ee Le§M.�i� Address ?l D OY V24 f Phone No. (0.3/. 1 PG yoo 0 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS 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. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to t 's roperty? * YES NO V * IF YES, PROVIDE A COPY. BAR� B+ ARBA SKIDMORE Notary Public-State of New York STATE OF NEW YORK) //���a NO. 01SK6030131 . ii SS: Qualified In Suffolk County COUNTY OF��11�f k) � � '�` MY Commission Expires f3 bein duly sworn,deposes and says that(s)he is the applicant (Name of indivilguarsigning contract)above named, SCOPE OF WORK: DSS WL-1- C wt XA-L_ 6(ZF- 5419194F56I a N 5-qSTEM k5 PF-fz' uL -_&do AES MANUFACTURE:4 4/,,f 6r X aAh �v far,4uoi✓ DATE: 512 3 /22_ PIPING MATERIAL.5M��10a—�-MAX LENGTH: MAX SUPPLY PIPE SIZE:—BRANCH P E SIZE:' �2 C� GAS VALVE TYPE Iy[EC!�. SIZE: 3-- - MANUFAGTU ER: ado 4 u�N CDK r(ZpL DETECTOR TEMPERAJSIR��tATING:�y.S'a`3(O UANTITY: 3 ° 2=- 3 40' �E HOOD SIZE: 7S X 4/0 DUCT SIZE: rl / X Z pf�tivo-i'�.oA -opt HOOD SIZE: DUCT SIZE: 2 y (� EQUIPMENT SURFACE NOZZLE TYPE AREA QUANTITY TIP# HEIGHTS LOCATION 1—}-1 - Duct Plenum ely yam' / TER.. Plenum /_: ! d y' /O C� Range __ N,X 28 ?_ L P /G-ZO 7 E Aollr_A - Griddle 2 1028 1 'A A7- -113-119 E4j1SVr Wok F er - _._._ �y. 2. _ F —Z— Fryer ri ht 3'y}�3D iJ / AA P ToP �" P1N 77Co Gas Rad- _ _ Elec. Rad. Elec. Rad. .---- Lava-rock Natural Gas Mes ite to _ RA t*t �t21Dfl 5'Ie�LPtMf'kN F 2 }( � -- -V E1X,EOF�oKtt?E �'�-" R"Ei!V�O'rl� I�.�NUi1}i X-Fryers to have high limit control to shut off fuel at 425 degree. X-Detectors shall be located over every piece of equipment. �A�.Jay+�thNQi< P/N 60 I Z.O l 10 -,vc X-The system installed as per manufacturers specs.and the AHJ. X-The system has been installed as per UL". APPROVED AS NOTED X-The following function to operate upon system discharge. 'Supply air damper closes *Gas fuel shut off in kitchen u PRI(PW T `Exhaust fan remains on •Electric fuel shut-off under hood3 �� serol L-m FRYEA, ATE;.. B.P. # 371'f 4� "All systems to activate simultaneously in some hazard area l'y / .so �/ `Fire Alarm shall activate if one is installed in building. X-Manual pull is located 10-35 fee from hood and 3-5 feet from floor. F 11Tt F( 6;1!'t-Q!NG DFPARTM4�-Nl AT X-All fuel sources are GAS unless otherwise noted z 76�5 r�,J: e r,.M TO a Prat FOR THE CONTRACTOR:All Island Fire Protection )N TVVI 1180 Montauk Highway _. :>C .0"'--.RETE i.t?�H 1N! a_ JRVA JI:VG� East Patchogue, NY 11772 FIRE 19SRECTIGIi� ,at .;-R ELECTRICAL P' I%AL&CAULKING Tel: 631-286-4000 Fax: 631-286-7044 t✓` i� y do a v V f REQU WED BEF0 RE i VITc��� � 3. INSULATION OP � � CERTIFICATE 4. FINAL-CONSTRUCTION &ELECTRICAL LOCATION: L T MUST BE COMPLETE FOR C.O. '` "`' ' ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW �5;0 44,7'14 o Z_ f /Vlezo`1dk/e, /,.97/ YORK STATE. NOT RESPONSIBLE FOR ,5/�L-- 7S"/Z 3._._. a� DESIGN OR CONSTRUCTION ERRORS. �, N .P'