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HomeMy WebLinkAbout38707-Z e4%aEFOUrCpG� Town of Southold 11/24/2015 a P.O.Box 1179 o - 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 37929 Date: 11/24/2015 THIS CERTIFIES that the building COMMERCIAL ALTERATION Location of Property: 10095 Route 25, Mattituck SCTM#: 473889 Sec/Block/Lot: 142 -1-26 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 2/5/2014 pursuant to which Building Permit No. 38707 dated 3/7/2014 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 minor alterations for a bagel shop in an existing commercial building as applied for The certificate is issued to Matrituck Plaza LLC of the aforesaid building SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 38707 5/20/2014 PLUMBERS CERTIFICATION DATED r i j tho ed i ature o�guFFot��o TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE o • 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# 38707 Date 3/7/2014 Permission is hereby granted to Mattituck Plaza LLC PO BOX 77 Mattituck, NY 11952 To construct a minor Commercial Interior Alteration as applied for At premises located at 10095 Route 25, Mattituck SCTM # 473889 Sec/Block/Lot# 142.-1-26 Pursuant to application dated 2/5/2014 and approved by the Building Inspector To expire on 9/6/2015. Fees NEW COMMERCIAL, ALTERATION OR ADDITIONS $40440 CO -COMMERCIAL $5000 Total $45440 I Building Inspector Foi m 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 f 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 New Construction Old or Pre-existing Building (check one) o C) Location of Property. C(-- Y11-19• t Y r\Cil LiC House No Street Hamlet Owner or Owners of Property ft-TT(i�T?1LUx V( ft2_W Suffolk County Tax Map No 1000, Section -f Z Block Lot Z Subdivision Filed Map Lot Permit No Date of Permit Applicant Health Dept Approval Underwriters Approval Planning Board Approval Request for Temporary Certificate Final Certificate (check one) Fee Submitted $ Applicant n ure pE SOUTy®lo Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P O Box 1179 G aQ roger rlchert(a)-town southold ny us Southold,NY 11971-0959 'O BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To Goldbergs Famous Bagels (Mattituck Shopping Center) Address 10095 Rt 25 City Mattituck St NY Zip 11952 Budding Permit# 38707 Section 142 Block 1 Lot 26 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor DBA REP Electric License No 46288-me SITE DETAILS Office Use Only Residential Indoor X Basement Service Only Commerical X Outdoor 1st Floor X Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 2 Ceding Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches Twist Lock Exit Fixtures TVSS Other Equipment 2-30a recpticles (coffee machines), 1-display cooler, 1-bagel oven, 100a 3 phase sub panel, 1-walk in cooler,2-compressors on roof for refrigeration Notes Inspector Signature 7Date May 202014 cr 81-Cert Electrical Compliance Form xis__ OF SOUry�lo cou A. TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ J] CAULKING REMARKS: gr t �C DATE 4126 )1� INSPECTORt72(5zzz--- -36 -207 3 30 20 �o�SOF Opo O�ycou I� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ 11 LATION [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: r DATE INSPECTOR �! 7OF SOUryOlo O / o�yCo�'Nc� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE A CHIMNEY PkFIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: C N � DATE - ` INSPECTOR T �- s'/� - � � �� � � FIELD IrTSPECTION REPORT DATE COMMENTS FOUNDATION(IST) FOUNDATION(2ND) � z ROUGH FRAMING& y PLUMING INSULATION PEA N.Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS LA a- i aa-- ;r ,9(ecl2 CaA 5 - 20 - Jl, o z e TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT 'Doyou.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. :b� 'Check ^f' rO �, ° Septic Form " uNYSDEC Trustees Flood Permit - Examined ,20 `° ' Storm-Water Assessment Form ' Contact: Approved ,20 u' _ _ Mail to Disapproved a/c r> ,i, �i a ,s Phone Expiration ,20 -,Building=Insppctor , PPLICATION FOR BUILDING PERMIT APR 2 2 2014 5 _ )• ' ' Date t�'/���f ; 201y BLDG DEPT INSTRUCTIONS TOWN OF SOUTHOLD - a is app ice ion 1 mpletely 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 commencedtae r,e 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 through6ut the work' `r ` ` ' ' 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'withm,l8 months from,sucirdate-If nozQnmg_amendments'-or other:r"egulations'affectmg'the property have been enacted in,;the-interim,the Building Inspector may authorize, in writing,the extension ofthe; for air addition six months Thereafter,a new permit shall be required. ,;+ _ ..a , APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordmance,af the Town of Southoid�Suffolk,County,NevfYork, and other applicable,Layys, Ordinances or Regulations, for the construction of,buildings, additions, on alterations or-for removal,or demolitioi}as herein described,,The applicant agrees to comply with all applicable laws,,grdmances,building code,housing code, and,regulations, and to admit authorized inspectors on premises and in building for necessary inspection ; F 6f applicantor name,if a corporation) ` (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor,electrician, plumber or builder Name o f owner of premises /29 A))-I'/ ,014?4 LJe .n"9Cie x/, fP,eoy,, A7 (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer 11"?0126c.1191?Ald! r (Name and title of corporate officer) Builders License No Plumbers License No. Electricians License No Other Trade's License No Ate 1 Location of land on which proposed work will be done: /0,o -!E yw X7'9 O"All? 1012 1V4;JIle"a - House"Number Street Hamlet County Tax Map No 1000 Section )V,-1 Block O/ Lot 10/' 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 Xe.:f'9&1?A a 7- b Intended use and occupancy X-e 3�&,,?, n 7 3. Nature of work(check which-applicable) New Building Addition Alteration Repair Removal Demolition Other Work r (Description) 4 Estimated Cost ��Sop->ba Fee �o�.��.o� (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 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 9A , 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 regulatiori9 YES : NO oL. I 13 Will lot be re-graded?YES NO Will excess fill be removed from premises?,YES , NO r ( e S c ., , r t F 1 '}�V +��/t d'i//':/I• �IJ'a 1 1 ' f.• a 14.Names of:Owner of premises'. JAS: ,o 41+lAddress.aQrf fvxxt.!v,Y. , .,Phone No. Name of Architect ,A.G�s�s =tiG+/J eer���.�,,5- $< Address�`.�r�p �em}�ly, s�,x Phone No Name of Contractor Ai,/oev?f-o.r Address ""Phone No 15 a. Is this'property within-100 feet of a tidal wetland-o'r d freshwater wetland? *YES"` ` zN0 * IF YES, SOUTHOL6 TOWN TRUSTEES`&D'9 1-C, PERMITS MAYBE REQUIRED b Is this property'within 3'00'feet'of a'tidal wetlands � YES`' NOS * IF YES, D E C PERMITS MAY BE REQUIRED=: y 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 NOC�,/ * IF YES,PROVIDE A COPY. STATE OF NEW YORK) SS COUNTY OF ,f ) ;4-C of dt�_4460 1Z"E:i q being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, - (S)He is the C&eA o t+r rc_1=a (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 this day of /)P 2►L 20j L LINDA McNALLYlqotaiy Public, w_ State of New' Notary P is ignature of Applicant No 011VIC4503707 Qualified in Suffolk County j Commission Expires June 30,;20� 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 j 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey SoutholdTown.NorthFork.net PERMIT NO. 707 Check Septic Form NYSDEC Trustees Flood Permit Examined 47 ,20 � L�kuilding Storm-Water Assessment Form Contact•Approved ,20 FMail to Disapproved a/c Phone. O — 0Expiration f20IS T ���Q ctor , APPLICATION FOR BUILDING PERMIT Date 2 �� , 20 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 shal I 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 (Signatur �� plican or name,if a corporation) (Mailing address of applicant) I 'k3-7 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises r�,�,��L P\PaA `-L-c (As on the tax roll or latest deed) If applicant is a corporation, i Cure of duly authorized officer c G O� J� (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 1 0 o ci:S7 �M, pt�\o �L4 cl- �J `4 House Number Street Hamlet County Tax Map No 1000 Section 2 Block 1 Lot 2 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 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 cars 6 If business, commercial or 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-graded9 YES NO Will excess fill be removed from premises9 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 wetlands *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 property9 * YES NO * IF YES, PROVIDE A COPY STATE OF NEW YORK) SS COUNTY OF ) being dulylj�Vorn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named,O (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 Swor before meth ' f�, day o --,/J 20 VICKI TOTH Notary Public IVo.01T061 0696®wtyYApplicant Commissionxpires July 28,2U� i SOUIyo`o ; Town Hall Annex Te�ephone{631)765-1802 54375 Man Road 1 P O.Box 1179 G e ro er.richert towri��oUth�ogd� .his lU/ Southold,NY 11971-0959 — �y�4UNT'1,�� �] APR 22014 � BUILDING DEPARTMENT TOWN OF SOUTHOLD BLDG OFPT APPLICATION FOR ELECTRICAL INSPECTION TOWN OF SOUTHOLD REQUESTED BY- 4/12--t/E ( C Date. Company Name. Name- License No : Address: © O Phone No : 63 -7 C 7 r-,,.c 3 JOBSITE INFORMATION• (*Indicates required information) *Name; / !-D —A Q2 Cis ��OC,t✓S i��Cie/� � *Address- lj(j *Cross Street: *Phone No.: 4�03 Permit No - 3 _C) Tax Map District. 1000 Section: Block Lot: *BRIEF DESCRIPTION OF WORK(Please Print Clearly) 11 i C-1-2, e- 4 (Please Circle All That Apply) *Is job ready for inspection: � Rough In Final *Do you need a Temp Certificate: YES/ NO Temp Information(If needed) f *Service Size. 1 Phase 3Phase 100 150 200 300 350 400 Other *New Service Re-connect Underground Number of Meters Change of Service Overhead ' Additional Information. PAYMENT DUE WITH APPLICATION 82-Request for Inspection Form VO. '`` CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 2/4/2014 THIS CERTIFICATE IS ISSUED AS A MATTER 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 IMPORTANT If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s) PRODUCER NAME CT Linda. Child Dayton, Ritz & Osborne PHONE (631)324-0420 aC No (631)324-3526 78 Main St EpAIE lch3.ld@dro3.ns com P.0 Box 5099 INSURERS AFFORDING COVERAGE NAIC# East Hampton NY 11937 INSURERAUTICA MUTUAL INSURANCE CO 25976 INSURED INSURER Utica Mutual Insurance CompanV 15326 Mattituck Bagels LLC INSURER 195 Main Road INSURER D INSURER E Mattltuck NY 11952 INSURER COVERAGES CERTIFICATE NUMBER CL1411404340 REVISION NUMBER THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION 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 LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR AD R POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 50,000 A CLAIMS MADE OCCUR 644932 /8/2013 /8/2014 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1000000 GENERAL AGGREGATE $ 2000000 GEN'LAGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OPAGG $ 1000000 POLICY J_CTPRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON OWNED PROPERTY DAMAGE AUTOS Per accident $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY YIN X ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBEREXCLUDED? � NIA EL EACH ACCIDENT $ 1,000,000 (Mandatory In NH) 644941 1/1/2014 1/1/2015 If describe under E L DISEASE-EA EMPLOYE $ 11000,000 yes, DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT 1$ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Southold ACCORDANCE WITH THE POLICY PROVISIONS PO Bx 1179 Southold, NY 11971 AUTHORIZED REPRESENTATIVE Jeffrey Brown/LINDA ACORD (2010105) ©1988-2010 ACORD CORPORATION All rights reserved INS025(z01oo5)01 The ACORD name and logo are registered marks of ACORD �..., OP ID.KI - DATE Rte- CERTIFICATE OF LIABILITY INSURANCE DA041181201 Y) 04!1812014 THIS CERTIFICATE IS ISSUED AS A MATTER 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 IMPORTANT If the certificate holder is an ADDITIONAL INSURED,the pollcy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s) PRODUCER Phone:631-589-0100 NOAMTEA.cr Hometown Insurance of LI,Inc Fax-631-589-0164 PHONE Weber Agency arc No 5 Orville Drive Suite 400 E-MAIL ADD5Bohemia,NY' 1716 PRODUCER ER p�NDER-9 Diane Setter CUSTOMER D INSURERIS)AFFORDING COVERAGE NAIC# INSURED Suffolk Fire,Inc.DBA INSURER Arch Insurance Co. Anderson Fire Equipment Inc. INSURER B 9 O'Neil Avenue Bay Shore,NY 11706 INSURER C INSURER D INSURER E INSURER F COVERAGES CERTIFICATE NUMBER- REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION 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 LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS rA P C EFF POLICY EXPLIMBS TYPE OF INSURANCE POLICY NUMBER MM/D DGENERAL LIABILITY EACH OCCURRENCE $ 1,000,00X COMMERCIAL GENERAL LIABILITY MFPK06312109 04/24/2014 04/2412015 PREMISES �rrence $ 100,00 CLAIMS-MADE F;;71 OCCUR MED FRCP(Any one person) $ 5,00 X BLANKET ADDL IVSD PERSONAL&ADV INJURY $ 11000,00 00 MLOO1900 0806 GENERAL AGGREGATE $ 2,000,0 GEML AGGREGATE LIMIT APPLIES PER. PRODUCTS-COMPIOP AGG $ 2,000,00 X POLICY PRO-JECT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE HIRED AUTOS (Per accident) $ NON-OWNED AUTOS $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION O STATU- OTH AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE YNIA E L EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? (Mandatory In NH) E L DISEASE-EA EMPLOYE $ If yes,DESCRIPdescrtbeTION undgr E L.DISEASE-POLICY LIMIT $ DESGRIP710N OF OPERATIONS below N DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,U more apace is required) Proof of insurance CERTIFICATE HOLDER CANCELLATION TOWN014 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE of Southold THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town Town Route h ACCORDANCE WITH THE POLICY PROVISIONS P.O.Box 1169 AUTHORIZED REPRESENTATIVE Southold,NY 11971 ©1988-2009 ACORD CORPORATION All rights reserved. ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD © New 'York State Insurance Fund Workers"Compensation&Disability Benefits Specialists Since 1914 8 CORPORATE CENTER DR,3RD FLR,MELVILLE,NEW YORK 11747-3129 Phone (631)7564300 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE AA^AAA 112195449 SUFFOLK FIRE INC T/A ANDERSON FIRE EQUIPMENT CO 9 ONEIL AVE BAY SHORE 14Y 11706 POLICYHOLDER CERTIFICATE HOLDER SUFFOLK FIRE INC T/A TOWN OF SOUTHOLD ANDERSON FIRE EQUIPMENT CO 54375 ROUTE 25 9 ONEIL AVE PO BOX 1169 BAY SHORE NY 11706 SOUTHOLD NY 11971 POLICY NUMBER CERTIFICATE NUMBER PERIOD COVERED BY THIS CERTIFICATE DATE 1 723238-2 107699 10/29/2013 TO 10/29/2015 4/21/2014 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO 723238-2 UNTIL 10/29/2015, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW IF SAID POLICY IS CANCELLED,OR CHANGED PRIOR TO 10129/2015 IN SUCH MANNER AS TO AFFECT THIS CERTIFICATE, 30 DAYS WRITTEN NOTICE OF SUCH CANCELLATION WILL BE GIVEN TO THE CERTIFICATE HOLDER ABOVE NOTICE BY REGULAR MAIL SO ADDRESSED SHALL BE SUFFICIENT COMPLIANCE WITH THIS PROVISION THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORAI ION PATRICK TURRO(PRESIDENT)OF A ONE PERSON CORPORATION THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY NEW YORK STATE INSURANCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING This certificate can be validated on our web site at https//www nysif corn/cert/certval asp or by calling(888)875-5790 VALIDATION NUMBER 372084864 U-26 3 STATE OF NE1.t'YORK WORKERS'CONIPENSATTON BOARD CERTIFICATE OF INSURANCE COVERAGE UNDER THE NYS DISABILITY BENEFITS LAW PART 1. To be completed by Disability Benefits Carrier or Licensed Insurance Agent of that Carrier la, Legal Name end Address of Instil ed(Use street address only) Ib.Btisnless Telephone Ntuuber of Iltsiued SUFFOLK FIRE INC (631) 665-6862 dba ANDERSON FIRE EQUIPTMENT Ic NYS Unemployment Insm-ance Employee Registration 9 ONEI LL AVE Ntunber of Insured BAY SHORE, NY 11706 Id.Federal Employer Identificatimi Ntuuber of Instal ed or Social Security b Tibet 113-26-8460 2 Nanie turd Address of the Eutity Requesting Proof of 3a,Name of Instuastce Castin Co%ern ge(Entity Beutg Listed as the Ceitificate Holder) NEW YORK STATE INSURANCE FUND Town of Southold 54375 Route 25 3b Policy Ntustber of estht} lasted rat box"la" PO Box 1169 DBL 5853 65 - 1 Southold, NY 11971 3c P,plicy effective period 10/02/2013 to 10/02/2014 4.Policy rovers a All of the employer's employees eligible snider the New Yoik Disability Benefits Law b Only the following class of classes of the employer's employees Under penalty ofpeijury,I ceatify that I am au,authorized repteseutahve of licensed agent of the insuratice carries teferenced above and that lite named insured has NYS Disability Benefits nisui-ance coverage as described above Date Signed 04/21/2014 Bea "' Joseph J Masi (Sigrotuie of insurance m crier's authonned repiesertatiue of HYS Vaersed ir6ura me Agent of that vnsurenoe cm mer) TelephosteNinubet (866) 697-4332 Title Director of Disability Benefits Insurance IMPORTANT Whom"da"is checked and this forin is signed h}the insurance carnes authorized iepiesculain'e or N11 S Licensed Insurance Anent of that camer this certificate is COMPLETE vfail it directly to She certificate holder If box-4b-is checked tint certificate i5 NOT COMPLETE for proposes of Sectimb 220 Subd S of the rhsabtttty Reaefirs La%v. It inust be aiailed dor completions to dieUtorkt&Compensation Board.DB Flans AtteWnce Unit.20 park Street.Alliiny Neu York-12207 PART 2.To be completed by NYS Workers Compensation Board Only if box"4b"of Part 1 has been checked) State Of New York Workers'Compensation Board Accotditig to mfouuatiou uiauatataned by the NYS Workers'Coinpussuson Board,the above-hated eniplo)vr has complied►villa the NO'S Disability Benefits Late with itspect to all of hasolier etnployces. Date Sighed By (Sigttanire of ATYS W oFLera'ComMisarim Board Employee) Telephone Nuulbet Title Please Note:Only insurance camels licensed to wite NYS disability benefits insure.ace policies:and NYS licensed insiumice agents of those msuraace carvers are authorized to issue Foran DB-120,1 Insurance brokers are NOT authorized to issue this form. DB-1201(5-06) Certificate Number 258585 i J Additional hist111ctions fol Fvlul DB-120.1 B,, signing this folia the instirance carrier identified lil box oil this form is certlf -nig that It is ulsurnl,the btismess referenced in box"la" for disability benefits talc€er the Nev. Yoik State Dlsabllm Benefits Lat4 The Instirance C'anler or its licensed went hill send this C ertificate of Instuance to the eiltitt listed as the certificate holder sii box "2" This (enific ate is valid for the earlier o one tear after this forin is al)1voved b''the insurance carrier or itr Itcensed agent,or the pohev ealliratron date fisted in box "3e". Please NoTe Upon the cancellation of the diszbilin benefits folic; indicated on,his form,if the business continues to be named on a permit license or contlact i�,SUed b'. a Certificate holder the business nmt pro%idc that certificate holder mth a nva Certificate of ISYS Disabilit-v Benefits Co',eiaLe or other authorized proof til"t the tusiness is Collllll%nig;title the inandatoi Y coverage iequireinents of the nett York State Dl-aoilit;Benefits La,t DISABILITY BENEFITS LAIN §220. Subd. 8 (a) The head of a state or municipal depaltillent. board. conulussion oI office authorized of lequired by lana' to issue any pel'lllit foi or 111 connection aa,ith any work lila olving, the eillployment of employees ill eniployillellt a,; defined ill this alticle. and not with,,tandnm any genelal of special statute letluiling of autholizing the issue of shell perinits, shall not issue ,uch perinit utiles,, proof duly subscribed by all insurance carrier i3 produced In a forlll satisfactory to the chair. that the payment of disability benefits foi all employees has been secured as plod lded by this alticle, Nothing helelll. llowevet. shrill be consti tied as creatilig, +iny liability oil the Dalt of such state or municipal depailment. board commission or office to pay any disability benefits to any such employee if.,o elllploved, (b) The head of a ;tate or municipal department. board, commission or office ailthwized of requited by law to enter into any contract for or in connection with tiny work involving the employment of employees in employment as defined in this article and notaa,itllhtalldiIlg any ozeneral oI special statute legtllring or alltho11z111` ally Such contract. shall not enter into any ;Lich contract unless proof duly suhscnbed by all insuiance call ler Is produced in a form ,atisfactoiy to the chair that the payment of disability benefits fol all elllployees has been sectired as plojided by this article DB-1201 (5-06)heti erse SUFFOLK COUNTY DEPARTMENT OF FIRE, RESCUE AND EMERGENCY SERVICES PORTABLE FIRE EXTINGUISHER AND AUTOMATIC FIRE EXTINGUISHING SYSTEMS LICENSING BOARD CERTIFICATE OF REGISTRATION REGISTRATION #: 113 EFFECTIVE DATE: 01/31/13 EXPIRATION DATE: 1/31/15 ISSUED TO: NAME: Suf�olk�Fire, Inc 'dbq,A,derson Fire Equipment ADDRESS: 9 &Weil Avenue Bay $hore, NY 11706 { „! _ ,, IQ ,fir.- 1 �• _+ '+e s ENDORSEMENTS: Portable.�ire Extinguish,ers High Pressure Hydrostatic Testing L " 'DryN,Vet Chemical Extinguishing Systems e w This Certificate of Registration Does Not 0rclusive/y Recommend the Reader C ESSIONER CHIEF FIRE RSHAL NN NA Certificate of°Completion This is to certify that Patrick Turro An employee of Anderson Fire Equipment, Pay Shore, NY, USA an AUTHORIZED BADGER DISTRIBUTOR has successfully completed a certification training session covering design, installation, operation and maintenance and has demonstrated a practical knowledge of following Badger systems/products Range Guard CNet Chemical Fire Suppression System Credit- Issue Date 04/01/2014 Expiration Date. 03/31/2017 Chris M Hopwood,Technical Training Manager Certificate No 52909 This certificate is non-transferable Certificate is only valid as long as the above named company employs the certified individual Acceptance of this certificate implies agreement to abide by the terms of distributor agreement by the above named company and individual Any violation or alteration of this certificate will result in the immediate voiding of this certificate System Design 3-6.1.1.2 Ducts 50 to 100 inches in Perimeter Two ADP nozzles, P/N 87-120011-001, pointing in the same direction are required for protection of ducts with perimeters greater than 50 inches and less than or equal to 100 inches Ducts can be of unlimited length(refer to Figure 3-30) For other option of ducts up to 75 perimeter inches (See Figure 3-32) Note: All Range Guard systems are listed by UL and ULC for use with the exhaust fan either on or off when the system is discharged DUCT HOOD X '/4X'/2X I ��—� �/d %d MAX DIAMETER 3183 in (809 mm) H NOZZLES TO BE ALONG ONE 25 in (635 mm) CENTERLINE AT THE 1/4 POINTS MAX SIDE + ♦ + ♦ NOZZLES TO BE 0-6 in (0-152 mm) UP FROM ENTRANCE OF VERTICAL DUCT MAX DIAGONAL 11 78 in (300 mm) MAX DIAGONAL TYP (2)ADP NOZZLES 1178 in (300 mm) SQUARE RECTANGULAR ROUND Q ADP NOZZLE i 0to6in - (Ol 0152 mm) DUCT ENTRANCE T OF VERTICAL DUCT i OF HORIZONTAL DUCT 2-4 in (51 mm-102 mm) ADP NOZZLE AIM POINT NOZZLE TIP TO DUCT HIP VERTICAL/HORIZONTAL DUCT Figure 3-30 Duct Protection Using Two ADP Nozzles, P/N 87-120011-001 Aprll 2009 3-36 P/N 60-9127100-000 System Design 4 ft NOZZLE (1 2 m) DUCT 4ft DUCT 4ft (1 2 m) (1 2 m) NOZZLE 1 f 20 ft (3 m) /41 (6 m) 4ft NOZZLE (1 2 m)�/ "V" FILTER BANK COVERAGE "V" FILTER BANK COVERAGE 10 ft (3 m) PLENUM 20 ft (6 m) PLENUM �tio '• NOZZLE 3/4 H I H f ' "V" FILTER BANK COVERAGE (END VIEW) 4ft NOZZLE (1 2 m) DUCT �� 4ft _� DUCT � � 4ft (1'2 m) (112/m) NOZZLE 10ft loft (3 m) (6 m) I (1 2 m)� NOZZLE SINGLE FILTER BANK COVERAGE SINGLE FILTER BANK COVERAGE 10 ft (3 m) PLENUM 20 ft (6 m) PLENUM -►11/3 Wl - I 3/4 H� H w ♦I SINGLE BANK FILTER COVERAGE(END VIEW) Figure 3-28 ADP Protection Nozzle, P/N B120011 Aprll 2009 3-34 P/N 60-9127100-000 System Design 3-4.2 18-1/2 in. x 24-1/2 in. Deep Fat Fryer With Drip Board Table 3-3 F Nozzle Coverage Area Items Parameters Maximum Hazard Area 18-1/2 in x 18 in (470 mm x 457 mm) Maximum Appliance Area(with drip board) 18-1/2 in x 24-1/2 in (470 mm x 622 mm) Nozzle Aim Midpoint of module area per nozzle Nozzle Location(at an angle of 450 or more from the horizontal 27-1/2 in (699 mm)Min above each module) 45 in (1143 mm)Max Module Area(half of hazard area) 18-1/2 in x 9 in (470 mm x 229 mm) AN F NOZZLE MAY BE LOCATED 451n 45 inAN F NOZZLE MAY BE LOCATED (1143 mm) (1143 mm) ANYWHERE WITHIN THE GRID ANYWHERE WITHIN THE GRID MAX MAX DIAGONAL FROM AIM POINT 45 in 45 in (1143 mm) (1143 mm) MAX MAX 27 V2 In IMAGINARY LINE (699 mm) DIVIDING MODULES MIN /Inot& MIDPOINT OF REMODULEAREA FRONT OF18112 APPLIANCE (470 m —'�-'MAX 91n ♦— 9 in (229 mm) (229 mm) 241/21n (622 mm) MAX SIDE VIEW 2 F NOZZLES ARE REQUIRED FOR THIS APPLIANCE AN F NOZZLE MAY BE AN F NOZZLE MAY BE LOCATED ANYWHERE LOCATED ANYWHERE WITHIN THE GRID WITHIN THE GRID NOZZLE LOCATION } FFA 45 OR MORE FROM—\. / ro HORIZONTAL(TYP) �� ��i i �Q w^b A i�c AIM POINT MIDPOINT OF HAZARD AREA HAZARDAREA DRIP BOARD 18-112 in(470 mm)MAX 24 1/21n (622 mm)MAX APPLIANCE AREA SIDE VIEW Figure 3-3 18-1/2 in x 24-1/2 in (470 mm x 622 mm) Deep Fat Fryer P/N 60-9127100-000 3-7 April 2009 System Design 3-4.10 Two Burner Ranges Table 3-14 R Nozzle Coverage Area—Two Burner Range Items Parameters Maximum Hazard Length 28 in (711 mm) Nozzle Aim Midpoint of hazard area Nozzle Location-Anywhere within the area of a circle 20 in (508 mm)Min generated by a 9 in (229 mm)radius about the midpoint 42 in (1067 mm)Max Note: Shape of burner not important I 18 in (457 mm)DIA I — 42 in (1067 mm)MAX I (FROM TOP OF RANGE) I A`R'NOZZLE MAY BE I LOCATED ANYWHERE WITHIN I THE SHADED AREA I - . I i 20 in (508 mm)MIN ~`I AIM POINT MIDPOINT OF (FROM TOP OF RANGE) HAZARD AREA —_ 28 in (711 mm)MAX m (356 mm MAX BURNER HAZARD AREA 14 ) LENGTH CENTERLINE TO CENTERLINE Figure 3-11 R Nozzle Coverage for a 2-Burner Range April 2009 3-16 P/N 60-9127100-000 System Design 3-4.9 Four Burner Ranges Table 3-13 R Nozzle Coverage Area—Four Burner Range Items Parameters Maximum Hazard Area 28 in x 28 in (711 mm x 711 mm) Nozzle Aim Midpoint of Hazard Area Nozzle Location—Anywhere within the area of a circle 20 in (508 mm)Min generated by a 9 in (229 mm)radius about the midpoint 42 in (1067 mm)Max Note: Shape of burner not important 18 in (457 mm)DIA I I 42 in (1067 mm)MAX I (FROM TOP OF RANGE) I A'R'NOZZLE MAY BE I" LOCATED ANYWHERE WITHIN THE SHADED AREA I 20in (508 mm)MIN _ Iry AIM POINT MIDPOINT OF (FROM TOP OF HAZARD AREA RANGE) 28 In (711 mm) 14 in (356 mm)MAX. MAX HAZARD BURNER CENTERLINE AREA LENGTH / TO CENTERLINE 14 in (356 mm)MAX BURNER CENTERLINE TO CENTERLINE F- 28 In (711 mm)MAX -► HAZARD AREA WIDTH Figure 3-10 R Nozzle Coverage for a 4-Burner Range P/N 60-9127100-000 3-15 April 2009 FIRE IN,§PECTION REQU <e D BEFORE rn rr.r 15'-11" (STORE EXTENSION) F)ATT- �/ . . 9'-611 61 _511 e . . 7e, MFY M 1 FOUit1U.,,TIC ,- Design Services O FOR POIJREr) r; ^r 2 ROUGH BAGEL OVEN F STRAFPiiJG, ELECIr.I . L 3 INSULATIOPd 13 4 FINALC0 'ST tUCTIOi< F r ; www.mchdesianservices.com 1 -- MUST BE CCP��P_cTE FC'; phone: 14 O ALL CONST�.I)CTIO'y SHAT-L ' 1�!'" (631)298-2250 -- ----------- -----------------; ; _ Ri )UIREfVENT30FI-H �- ----------------------------- O 1 , o, K STATE. NOTR7,�pr,,,, FtR e-mail: ccslGN OR CONSTRUCTION michae l@mchdesignservices.comBATH 1 i 3t i � •; 02 t5 BG 19 2021 22 23 03 24 26z r U - ----------- 11 ___• 1 1 m OFIQQI oo 1 1 1 1 1 1 1 01 WQ , 1 1 1 i i i------� i • 03 r r —111 O8 i i i i4-400 KITCHEN 1 I I 11 � 1 O 1 I , 1 a� G RETAIL / SERVING AREA C LLJ I 1 W � 25 I WALK-IN i FREEZER ` 6A SITTING AREA WALK-IN ` 10 FREEZER rl C:1)) :D) z P4 —FrL—j 11IFI = O Z q w � U O V ELECTRICAL PANEL �' x C4 rD ITO BE DETERMINEDFLOOR PLAN- Z " z F--I SCALE: 1/4" = 1'-0" Q w H H �a.. .. R�,wron eirww[ ROOF �'Y.i.R. ROOF IXIBTING TO REMAIN a em 3 Q Cthtt tx"2,ms net aFavvd y--aomn n r IIn' Y I �• 1,Y R3,f/t t119.14i� es Ia rMn_ .r, ,``, I V1' I Vl• I V1' I ln' 2+nn xa _C�f �� urease�pnae 11/1` 11/3' 11/2' IXIST IXISi EXIST EXIST EXIST - �--" r5TINEW NEW NBU LAV W.G. WALK CE EYIBT EXIST .9 ar IN BOX AGHIN IU3" FIRST FLOOR "K µr IA— Vol R )I 1 ^7i'.�-Y r % iiia 2' 2" 7 I v2' t` FlRST FtooR 4" �• 3• O 1 Li 1 I Rsr Nmpbm Bmbvrob Gtp"a Ws.r,,e...o« s• RISER DIAGRAM - DIRECT WASTE RISER DIAGRAM - INDIRECT WASTE a 0 rrin I._ �=-J--j - ,_` _ Raa+a�.e.wnu as"aeE NOT TO SCALE O NOT TO SCALE EhcatCharanxl�rM763rCtasct ' 'fu,JJ' �— i wa, E .os=iss UNISEX `f a t7'nur IWO —3b5 t 1» 'a..m•°"` -_ ' 's 2 OCCUPANCY: AREA: OCCUPANCY TOTAL a2,nn � S.F.AREA OCCUPANTS: [ ':,. z -- r FLOOR OR GROUND SURFACES DRAWN BY: MH L�- ;o o:_' ..... .�)f tilx N.T.S. TOTAL BUILDING: 922 SQ FT. - - e Floor or ground surfaces are to be stable, j srr 12/12/2013 S f 1S Ii._......... ..•. K firm,and slip resistant,and shall comply NA c 1. with Section 302.Changes in level in floor f �40m� KK• or ground surfaces shall comply with Section 303. SEATING AREA 200 SQ FT 1/15 25 RESTROOM SIGNAGE Carpet or carpet the shall be securely CARPET ON FLOOR OR GROUND SURFACES sld•Lvta CrNh F5,t 1ac Moliea WALL LEGEND attatched and shall have a firm cushion, SCALE: 1/4" = 1'-0'I Rm+r I•r Wadr Cheat C1ar Fbor gPsca at Lav pad,or backing or no cushion or pad.Carpet KITCHEN 316 SQ.FT. 1/200 1 -------------- or carpet the shall have a level loop,textured u* rWALL TO BE REMOVED loop,level cut pile,or level cut/uncut piler.......imi, `--------------' texture.Pile height shall be 1/2 inch maximum. RETAIL AREA 228 SQ FT. 1/60 3 Exposed edges of carpet shall be fastened to VERTICAL CHAN. S IN LEVEL floor or ground surfaces and shall trim along EXISTING WALL the entire length of the exposed edge.Carpet SHEET NO: edge trim shall comply with Section 303. v<. Changes in level between 1/4 inch high rz NEW WALL minimum and 1/2 inch high maximum shall TOTAL- ( QF y be beveled with a slope not steeper than 1:2. SIN EVF �P • D BEVELEDHAN Changes in level greater than 1/2 inch shall I NOTE: be ramped and shall comply with Section I 0� DIMENSIONS OF EXISTING WALLS ARE FROM FINISHED WALL 405 or 406. Q Curb ramps on accessible routes shall comply [INT.:2X4=4-1/2,2X6=6-1R",EXT.:2X4=4-",2X6=6"J with Section 406. 1YPP CONSTRUCTION >�p I NGAA Slopes of curb ramps shall comply with Section rn , �' LLUJ DIMENSIONS OF NEW WALLS ARE FROM STUDS 405.2. IC [EXT./I NT:2X4=3-1/2",2X6=5-1/2"J COUNTER SLOPE OF SURFACES AD7ACENT TO CURB RAMPSPROVIDE EMERGENCY EXIT LIGHTS,LIGHTED I i �� Q DETECTORS PER CO OA o 072 O EXISTING STRUCTURE:CLAS OC R IONP� � l� 1.Nailheads-Exposed or covered with joint finisher. �Y 2.Joints- Exposed or covered with fiber tape and joint finisher.As an alternate,nominal 3/32 in.thick gypsum veneer plaster may be applied to the entire surface of Classified veneer baseboard.Joints reinforced. 3.Nails-6d cement mated naps 1-7/8 mlong, in.shank diam,1/4 in.diam heads, WALL RATING 2 H R■ M C H and 8d cement coated nails 2-3/8 in.long, in.shank 0.113 in.shank diam,9/32 in.diam heads. GypsumBoard-_-5/8hhick,twolayersappliedeitherhorizontallyorvertically.Inner la with 263 (DESIGN NO. U301) Design Services layer attached to studs the 1-7/8 in.nails spaced 6 In.OC.Outer layer attached to studs over inner layer with the 2-3/8 in.log nails spaced 8 In.OC.Vertical joints located over studs. All joints in face layers staggered with joints in base layers.Joints of each base layer offset with joints of base layer on opposite side. rt O.C.When used in widths other than 48 in.,gypsum board to be installed horizontally. 16 O.C. 16" C When Steel Framing Members*(Item 6)are used,base layer attached to furring channels with 1 In.long Type S bugle-head steel screws spaced max 24 in.OC;face layer attached with 1-5/8 in, www.mchdesignservlces.com long Type S bugle-head steel screws spaced max 12 in.OC. 4A.Gypsum Board*- ) phone: yp (As an alternate to Item 4 -Nom 3/4 in.thick,installed as described in Item 4. (631)298-2250 4B.Gypsum Board*-(As an alternate to Items 4 and 4A}-5/8 in.thick,2 ft wide,tongue e-mail; and groove edge,applied horizontally as the outer layer to one side of the assembly.Secured as michael@mchdesignsetVices.com described in Item 4.Joint covering(Item 2)not required. 6.Steel Framing Members-(Optional,Not Shown)*-Furring channels and resilient sound Isolation clip as described below: A.Furring Channels-Formed of No.25 MSG galv steel.2-3/8 in.wide by 7/8 in.deep,spaced 24 in, v l OC perpendicular to studs.Channels secured to studs as described in Item b.Ends of adjoining channels ,f are overlapped 6 In.and tied together with double strand of No.18 SWG gale steel wire near each end of 4 3 2 1 overlap.As an alternate,ends of adjoining channels may be overlapped 6 in.and secured together with Z two self-tapping#6 framing screws,min.7/16 In.long at the midpoint of the overlap,with one screw on �/�t each flange of the channel.Wallboard attached to furring channels as described In Item 4. 2X4h S f IRLS 1 OPPED B.Steel Framing Members*-Resilient sound isolation clip used to attach furring channels(Item 6a)to O studs.Clips spaced 48 tn.OC.,and secured to studs with No.8 x 2-1/2 in.coarse drywall screw through the center grommet.Furring channels are friction fitted into dips. PAC INTERNATIONAL INC-Type RSIC-1. EQUIPMENT LIST UJ 1 NUMBER DISCRIPTION QTY MANUF. GAS VOLTS AMPS AMPS WATER DRAIN J 1 3 BAY SINK I _ _ _ _ _ H/C INDIRECT CEILING ASSEMBLY RATING - 2HR. 2 12X14 DRAIN SHELF I _ _ _ _ _ _ _ ANSI/UL 263 (DESIGN NO. L511) 3 HAND SINK WITH 5/5 SPLASH GUARDS 3 - - - - - H/C DIRECT 4 21X21 MOP SINK I - - - - - H/C DIRECT1 2 3 W 5 MOP HOOKS I �' 6 PAPER STORAGE w 6A DRY GOODS I EMPLOYEE LOCKERS I = _ _ _ _ _ _ V� P4 �U�:) -, 8 36" DIA. KETTLE WITH 38" HOOD I _ _ _ _ _ _ v J za � zE­4 9 10x10 WALK-IN FREEZER I 44 10 5X6 WALK-IN FREEZER 1 _ _ _ = = = = 11 60"X24" WORK TOP TABLE W/STOR UNDER FOR CAN GOODSI _ _ 0 12 18"X60" STORAGE SHELF ABOVE FOR PAPER GOOD STOR. 1 _ _ _ _ _ _ _ 4 5 1 'x'W 13 4'X8' BAGEL OVEN I SUROCCO - 230V 30AMP - C INDIRECT 14 84"XI8" WORKTOP 5/8 PREP TABLE W/CHEM STOR BELOW 1 _ _ _ _ _ _ _ 2 Q 15 84"X12" WALK-IN REFRIGERATOR I ARTIC - 208V 20AMP - C INDIRECT UJ 16 3 DOOR SODA BOX REFRIGERATED 1 TRUE - 115V IOAMP - - S/C �1 2-5/8- 48" 'l O 11 SANDWICH PREP REFRIGERATOR 1 TRUE - 115V IOAMP - - 8/G „ 5/B. 'T 18 BREAD BOX 1 - - - - - - - 1/2^ 5 5 19 FLAT GRIDDLER - 42" WITH CHEESE MELTER 1/z^ 1/z^ O I - 3/4 GAS - - - _ _ 20 16" DEEP FRYER I - 3/4 GAS - 1-1/4^ RESILIENT FIRST LAYER SECOND LAYER 21 4 BURNER STOVE W/OVEN 1 - 3/4 GAS - - - - - CHANNEL DETAIL END JOINT DETAIL END JOINT DETAIL 22 60"X21" LOW BOY REFRIGERATOR 1 - - 115V IOAMP - - S/G 23 MEAT SLICER 1 - - 115V IOAMP - - 24 COUNTER WITH STORAGE UNDER1.Flooring Systems-The flooring system shall consist of one of the following: S.Gypsum Board*-Two layers of nom 5/8 in.thick,4 It wide gypsum board.When DRAWN BY. MH 1 System No.1 resilient channels(Item 4)are used,first layer installed perpendicular to joists with end Subflooring-Min I by 6 in.T&G lumber fastened diagonally to joists. joints located over bottom of joists.Gypsum board attached to joists with 6d cement 25 8 GAIN MARIE 1 _ _ _ _ _ - - coated cooler nails spaced 1 in.,6 in.and 21 in.from each side edge in he field of the Vapor Barrier-Nom 0.010 in.thick commercial rosin-sized building paper. board.Butt edges shall occur under joists,fastened with nails spaced 1 in.,6 in.,15 in. 12/12/2013�/ij /")L13 01 ^� 26 COFFEE MACHINE — SELF SERVICE _ and 21 in.from side edges of board,and 1/2 in,back from butt edge.Second layer of 1 I - - _ _ _ _ Finish Flooring-Min 1 by 3 in.T&G and end matched,laid perpendicular to joists. gypsum board secured to resilient channels with 1 in.long No.7 Type S bugle head 21 ° screws spaced 12 In.OC with additional screws placed 3 in.from each side edge.End 96 DELI CASE H I I - - I15V - - - S/G 2.Wood Joists-Min 2 by 10,spaced 16 In.OC and effectively fireblocked in joints of second layer offset from end joints in first layer,and secured to both resilient i accordance with local codes. channels as shown in end joint detail.Screws located 3/4 in.and 1-1/4 in.from side 4A)are used,sheets SCALE: 1/4�f — 1 f-Olf 28 CUSTOM BAGEL CASE I _ 3.Cross Bridging-Min 1 by 3 in.or min 2 by 10 solid blocking. nnstalled joints log dimensions paraen llelFw h joists.Base layer raming Members trnattached to he furring 9 channels using 1 in.long No.7 Type S bugle head steel screws spaced 81n.OC along 2 CUSTOM COUNTER FOR REGISTER 1 _ _ _ _ - - - 4.Resilient Channels-Formed of 25 MSG galy steel,spaced 24 in.OC perpendicular butted end joints and 12 in.OC in the field of the board.Butted end joints shall be to joists and located 12 in.from each side edge of base layer gypsum board.Channels staggered min 2 ft within the assembly,and occur midway between the continuous placed with 1/4 in.clearance at the ends and fastened to each joist with 1-7/8 in,kxhg furring channels.Each end of each gypsum board shall be supported by a single length 29A REGISTER i equal ll e s width of the gypsum board plus 6 in.on each end.The SHEET N O■ 1 Additional channelis 60am.ong,splaced adjacieent to mntinuouslchannels at/end joints of two furring channels shall be spaced approximately 3-1/2 in.OC,and be attached to 30 96"X 48 EXHAUST HOOD I _ _ 208V _ - _ - second layers of gypsum board(Item 5)and similarly secured.Channel ends to extend underside of the joist with one RSIC-1 clip at each end of the 6 in.beyond each side of joint. layer end joints to be offset a min of 24 in.in adjacent c r(fir he furring channels using 1-5/8 in.long No.7 Type S �d 31 48"X24" COOLING TRAY 4A.Steel Framing Members(Not Shown)*-As an alternate to Item 4,furring 8 in.OC at butted joints and 12 in.OC in the field. 6�11� be channels and Steel Framing Members as described below: of 8 in.from base layer end joints.Butted side joint kt o G a.Furring Channels-Formed of No.25 MSG galy steel.2-3/8 in.wide by 7/8 in. In.from butted side joints of base layer. ,Q deep,spaced 24 in.OC perpendicular to joists.Channels secured to joists as described N in Item b.Ends of adjoining channels overlapped 6 in.and tied together with double 6.Finishing System-(Not Shown)-Vinyl,dry or joint kd Z strand of No.18 SWG gals steel wire near each end of overlap. in two coats to joints and screw-heads.Nom 2 in. i per to dust b.Steel Framing Members*-Used to attach furring channels(Item a)to joists.Clips layer of compound over all joints.As an alternate, 32 i i 9 a ster spaced 48 n.OC.,and secured to alternating joists with No.8 x 2-1/2 in.coarse may be applied to the entire surface of the gypsu o(rd. 5 ^rpt Q LU drywall screw through the center grommet.Furring channels are friction fitted into Q 2C, '`_3 _ ❑ dips.Adjoining channels are overlapped as described in Item a.As an alternate,ends .O 2 of adjoining channels may be overlapped 6 in.and secured together with two7 2 50 self-tapping No.6 framing screws,min 7/16 In.long at the midpoint of the overlap, �OF SS I ON with one screw on each flange of the channel.Additional dips required to hold furring channel that supports the gypsum board butt joints,as described in Item S.