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f" I- Town of Southold Annex 8/26/2014 P.O. Box 1179 s 54375 Main Road v O p Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 37113 Date: 8/26/2014 THIS CERTIFIES that the building COMMERCIAL ALTERATION Location of Property: 61600 Route 25, Southold, SCTM#: 473889 Sec/Block/Lot: 56.-6-3.4 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 7/11/2014 pursuant to which Building Permit No. 39031 dated 7/16/2014 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: hood and fire suppression system for an existing kitchen as applied for. The certificate is issued to C&L Realty Inc (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED &A Au orized Signature { TOWN OF SOUTHOLD 1 }V BUILDING DEPARTMENT TOWN CLERK'S OFFICE '0 ,► # SOUTHOLD, NY 7j}azmx.tc! 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#: 39031 Date: 7/16/2014 Permission is hereby granted to: C & L Realty Inc 61600 Route 25 Southold, NY 11971 To: hood and fire suppression system for an existing restaurant as applied for. At premises located at: 61600 Route 25 SCTM # 473889 Sec/Block/Lot# 56.-6-3.4 Pursuant to application dated 7/11/2014 and approved by the Building Inspector. To expire on 1/15/2016. Fees: COMMERCIAL ADDITION/ALTERATION $250.00 CO -COMMERCIAL $50.00 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 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. 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. New Construction: Old or Pre-existing Building: _(check one) Location of Property: 6 ,�3© O /4�It /G � D HouseNo. Street Hamlet Owner or Owners of Property: uv9l Suffolk County Tax Map No 1000, Section � Block �, Lot � c Subdivision Filed Map. Lot: Permit No. ' Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (chZone) Fee Submitted: $ Applicant Signature i OE SOUlyO� 3 • �o A 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: DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 76S-1802 INSPECTION ] FOUNDATION I ST [ ] ROUGH PLUMBING FOUNDATION 2ND [ ] INSULATION FRAMING / STRAPPING [ ] FINAL FIREPLACE & CHIMNEY VI FIRE SAFETY INSPECTION FIRE RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) ELECTRICAL (FINAL) CODE VIOLATION ] CAULKING REMARKS: ��u__ t','t WK — tt) 21��: voptz NX CAf L�s_ C6 31) -7 F 9 IF" N_ �rA DATE "- 2 ( — INSPECTOR r' I 1 0 • � • 1 I; ROUGH It PLUMING STATE ENERGY • r t I i 1 • � y P�t� D DAmil-■'.,1/ • 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 � Survey SoutholdTown.NorthFork.net PERMIT NO. r Check Septic Foran N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined 20 Single&Separate Stonn-Water Assessment Form Contact: � �— Approved .20 Mail to: Disapproved a/c Phone• O/- Expiration 20 Building Inspector APPLICATION FOR BUILDING PERMIT Date � 20-11 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 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. 411le (Signature of applicant or name,if a corporatiod) (Mailing address of a cant) State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder rw 5c�&/e%/m 1� Name of owner of premises 6+ 54rA Apt (on 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 Dh omw t pro d v 1QWiV be dogo nt: House Number Street --��p Hamlet County Tax Map No. 1000 Section ZAP Block Lot M Subdivision Filed Map No. Lot 2. 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 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Workk /2 W10c�1 (Descripti 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 cars 6. If business,commercial or mixed occupancy,specify nature and extent of each type of use. Mam 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 Address Phone No. 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 this property?*YES NO *IF YES,PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) r being duly swom,deposes and says that(s)he is the applicant (Name of indiv2uL ' 'ng contract)above named, (S)He is the SUL Ci9A(&'fo-c- (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 th' I n day of 200 \,-.- N h hA Public V Signature f Applicant CHRISTOPHER M ANtitELO Notary Public-State of New York NO.01AN5088458 Qualified in Suffolk C my My Commission Expires 'IV FFO Scott A. Russell ,��°Su "r SF O IKIAWA\TIEIR, SUPERVISOR \4A\-NA\G 1EI\\I[lE_N`]F z SOUTHOLD TOWN HALL-P.O.Box 11791 53095 Main Road-SOUTHOLD,NEW YORK 11971 To wn of So u th o l d CHAPTER 236 - STORMWATER MANAGEMENT.WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) DOES THIS PROJECT INVOLVE ANY OF THE FOLLOWING: (CHECK ALL THAT APPLY) f Yes No A. CIF ❑ Aearing, grubbing, grading or stripping of land which affects more an 5,000 square feet of ground surface. EIIDA . Excavation or filling involving more than 200 cubic yards-of material ithin any parcel or any contiguous area. ❑ C. Site preparation on slopes which exceed 10 feet vertical rise to i 0 feet of horizontal distance. ❑ . Site preparation within 100 feet of wetlands, beach, bluff or coastal sion hazard area. r ❑ roe preparation within the .one-hundred-year f loodplain as depicted on FIRM Map of any watercourse. ❑ F. Installation of new -or resurfaced impervious surfaces of 1,000 square feet or more, unless prior approval of a Stormwater Management , I Control Plan was received by the Town and the proposal includes in-kind replacement of impervious surfaces. _ _._. ....._.._. . .. .--_.�.-.-__' If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name, Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project. If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan and a completed Cbeck List Form to the Building Department with your Building Permit Application. --------=- --- —- - -- __..._.__. __.._ .. APPLICANT: (Pro Owner,Design P fessionaL Agent,Contractor,Other) $.C.T.M. ": 100,0 2 ate NAME: / , G``� /[ Section lk Lot FOR BUILDING DEPARTMENT l USE 0NLi""' Contact Information RckpAons Numhr) Reviewed By: - - — — — — — — — — — — — — — — — — Date Property Address / Location of Construction Work: — — — — — — — — — — — — — — — — Approved for processing Building Permit. Stormwater Management Control Plan Not Required. F] Stormwater Management Control Plan is Required. (Forward to Engineering Department for Review.) FORM A SMCP-TOS MAY 2014 eWAWdw eoaiedirl _ M W tX � & "" ewer -1 fir.ok _ kr.ak b � � ..p��ant MF the Oa { � ' yn"� ��, O, 4110�*A 1 (� Rx U"W( x so rum*E8-�wli] unr a t11w Ft x74) aali Meed Ma (� 116 gL obibd w 9 SL dllim �k �t �r.�i1diM 1�ilaror eooi. �� ��t�t� —�!�!►i Mad�w(�M.� *#tai k01e _i1�0rrn—W f%W tre0w�!� b �� ioMOorw�t ju r��i i 1�t►�(�r�1� —9�d/wi�Etld-a&t1�1 Mrod yr wliloa varolaat 1S 11�aoNum at toor. W&d din CRr Be& **r&vAA or W Wak dawn 6 TfCl ti�e a1M R U P VAU a FW w*b M 6i ar (� 4 �a(� _N11lIenY lret field lean iMn 7!i'(1) Did;=oat is MOU"Okm (� 11 ieik i1 Mw b Moet gem SwrtooaniaalYw iei MaiMix -O ilaalefai aaM InpaW r�` `r.P ra r �oz4v cE-?b tend wltoe�doa _ed.4.na.—0r b Moa ON6086MXUW PANU-.++.oba+ _�k11 a>ft+1e�akr.r.k1�1.tr, _a*.— AMM Frw—oe Ira►aobw _Aaaaar Mor~i� kaa. JMwae wd , i ia.�ion aiyiidMea bet fi'raad� aewadad'P°°"`*ma Ad a&" Q . »VOW as d W dol Fina= ujr a%d1Pe,,,r,tMa1 � t 1tArtrU►1Rt—at�aiaiiir aw,r aaa�iw 100t - +p M1a1aa Mew not Midnnwkl'"�lraitrw iot.ltll i rbdew ad#oob' �eai�"°',i.re �°''°"`.aai.�f ra nt t"" jf�► uar-oanadi i� �MG wo gtn ;$$T�31ia1t,, 1 loan 3r nelrad ranopt arpr�'O1S"f,*Nrnllbd Gr5J5 ENCINE£R� !I �.J4; -11 Pegasus Engineering �— 6 Nadworny Lane � Stgny Brook,N.Y. 11790-2100 www.pegasus-engineedng.org iCd NAe 9 Ore) Poe �a Yh f.? (50 7 8 7 5 4 3 2 1 BOM Table Legend Print provided as required by the Authority Having Jurisdiction. REVISIONS ITEM Flow Color Description IF THIS DRAWING PART NO DESCRIPTION QTY. SEE Fuel Mountie zones for Nozzles ` ORIGINATED FROM Points NOTE Type g ` ZONE REV. DESCRIPTION DATE INITIALS NO. ` HEISER LOGFSTICS IT WILL Coverage Zone of Nozzle(Max coverage not Shown) ` A Released to Customer 6/30/2014 KRM Cooking Area 28Wx25D 1 8 Gas ` CONTAIN A RAISED 1 28W 4 Burner Range Approx. C g Alining Area. Alm Nozzle to Center of Target STA!lRANT Mount nozzle in center of surface Cable Conduit SEAL IN THIS AREA 2 only and aim directly down only. Max Protection Area 28x28in 1 8 Pipe for Wet Chemical FIRE SUPPRESSION Nozzle height 34 to 48in above cooking surface. (Green Area) Revision Symbol. Refer to respective Revision for more 0A information. Location of symbol indicates area of change SYSTEM F 3 2 NL2L Wet Nozzle Dual Flow 1 2 F 4 349H Link Housing Bracket 2 6 5 AR Fusible Link "ML" 2 6 6 AR Prep Table 1 , 10 10 1 1 96in Wide x42in Deep x24in High Wall 7 96x42x24 Hood 1 9 5 Canopy Hood with 12x12 Duct(s) 8 2 NL2D Wet Nozzle Dual Flow 1 2 9 1 NL1 H Wet Nozzle Single Flow 1 2 a 5 10 AR Compression Seal 2 6 BREAK IN VIEW NOT SHOWN 1 1 AR Compression Seal 1 5 ! 12 MCH2 Mechanical Control Head 1 ` 13 10 L3000 3.0 Gallon Cylinder 1 7 14 MB15 Cylinder Mounting Bracket 1 15 RPSM Remote Mechanical Pull Station 1 5 F 16 90KBS Corner Pulley 5 6 E 17 AR 3/4in Mechanical Gas Valve 1 6 2 D D See Notes 2 thru 2.3 for piping and 5 thru 5.2 for manual pull station 7 16 C c 12 � t Q 13 Flow Points Available 5 14 i Notes: 15 3 1 -System installation shall conform to requirements of: 1.1 NFPA 17A (Pre-engineered Wet Chemical Systems). B 1.2 NFPA 96 (Ventilation Control and Fire Protection of Commercial Cooking Operations). s _ 1.3 NFPA 72 (National Fire Alarm Code). 2 sv�k 1 1.4 All applicable state, local codes and authorities having jurisdiction. B j i� 2- For more detailed information please refer to the Protex II Technical Manual on the following: 2.1 Piping allowances please refer to Chapter 3. 6 \ 2.2 Nozzle positions, aiming and maximum coverages refer to Chapter 3. 2.3 Hood and duct coverage maximums and nozzle models refer to Chapter 3. 17 2.3.1 1 st hood nozzle to be located 0 to 6'from edge of hood. Maximum coverage per nozzle = 10'L x 4'W. 2.3.2 Duct nozzle to be centered in duct at 0 to 6"into opening and aimed at center of duct. o � 2.3.3 Duct nozzles may be modularized to protect oversized ducts. o ' 2.4 Only equipment referenced in the Protex II Technical Manual or alternate C /1 suppliers components that are listed for use with the specific extinguishing system shall be used. 3-System drawing created based on information provided to Heiser Logistics. , 3.1 Pipe routings, manual pull station and gas valve locations are not drawn to as installed specification and are shown for reference only. CA co w o p e deemed to be adequate b the authority having jurisdiction. J� 3.2 Air handling equipment shall b q Y Y g 1 � 3.3 This plan has been produced by a person who is trained and substantially satisfies NFPA 17A, 2009 edition sections 6.1, 6.1.1, 6.2, 6.3, 6.3.1, 6.3.2, 6.3.3, 6.3.4. 4-A class K fire extinguisher shall be provided at a maximum of 30ft from the cooking area in accordance with NFPA 10. / kms! T� 2 A 5- Manual pull station requirements: 5.1 - Locate in the path of egress from hazard area. L /1 5.2 - Mount at height no more than 48"and no less than 42" from the floor. ��� f yt 6 - Quantity shown is for reference only and AR = As Required. Individual items may be purchased as packaged kits or are available for purchase separately. 3 6 9 (In) Call Heiser Logistics for details 1-800-828-9638. --- He�ser Logistics makes Ihr,document available on an'as is'basis,using information provided DESCRIPTIONAME DATE IF ANY CONDITIONS NECESSITATE SUBSTANTIAL CHANGE FROM APPROVED PLAN,AS [o R,and as a convenience to the customer. You should consult the manufacturer's manual and INSTALLER: 7 -Tank(s) located (Refer t0 installer) from hood. Distance supplied by Installer. instructions,as well as the NFPA codes and standards,for information on the configuration,use a W INSTALLED PLANS SHALL BE SUBMITTED TO THE AUTHORITY HAVING JURISDICTION safety of this system. HEISER LOGISTICS MAKES NO REPRESENTATIONS OR WARRANTIES Anderson Fire E U I m e n t DRAWN KRM 6/30/2014 REGARDING THIS DOCUMENT OR ANYTHING DEPICTED IN THIS DOCUMENT,INCLUDING ITS P Port of Egypt o r Heron Suites DWG. NO. REV 8- When required t0 modularize protection for oversized appliances please refer t0 Protex II Technical Manual Chapter 3. ACCURACY,AND HEISRITTER OR OR[CS WITH R IMS SPEC7 REPRESENTATIONSAND ANYTHING WARRANTIES,EXPRESS 1 2 3 (Ft) AND IMPLIED, WRITTEN OR ORAL,WITH RESPECT TO THE DOCUMENT AND ANYTHING DEPICTED ON CHECKED THE DOCUMENT INCLUDING THE IMPLIED WARRANTIES OF MERCHANTABILITY,FITNESS,FOR A 935309 PARTICULAR PURPOSE,AND NON-INFRINGEMENT. Reproductions of this document,and revisions or, DRAWING PREPARED BY HEISER LOGISTICS 62300 Main Rd, Southhold, NY 11971 EJC APPR. A additios to the design file, y affect the accuracy of this dm ocuent The receiver and all users of this 9 - Field verification of the maximum ambient temperature must occur prior to selecting fusible link temperature(s). Print SCC11e daloyeestagreetoirMemmrf yandndandls,sold its, ,darneiser esors,itsofhcers,ageasonabnrs and 35 North St,Suite 50,CANANDAIGUA, NY 14424 employees from and against any and all claims,suits,losses,damages or costs i including reasonable SHEET 1 OF 1 attorney's fees,arrsing out of or related[o the use or reliance upon this document. 8 7 6 5 4 3 2 935309 Port of Egypt or Heron Suites