HomeMy WebLinkAbout40413-Z ' SVEfO�4.44 Town of Southold 3/10/2016
P.O.Box 1179
Cl
53095 Main Rd
.40 Aft ►" Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38140 Date: 3/10/2016
THIS CERTIFIES that the building EXHAUST HOOD AND/OR FIRE SUPRESSION SYSTEM
Location of Property: 46520 CR 48, Southold
SCTM#: 473889 Sec/Block/Lot: 55.-5-7
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
1/12/2016 pursuant to which Building Permit No. 40413 dated 1/20/2016
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 for North Road Deli as applied for.
The certificate is issued to Mccarthy,Thomas
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
APT
Au horized Signatu e
t � nF ti TOWN OF SOUTHOLD
c , BUILDING DEPARTMENT
o TOWN CLERK'S OFFICE
t o f, 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#: 40413 Date: 1/20/2016
Permission is hereby granted to:
Mccarthy, Thomas
46520 CR 48
Southold, NY 11971
To: Install a Fire Suppresion System as applied for(North Road Deli)
At premises located at:
46520 CR 48, Southold
SCTM # 473889
Sec/Block/Lot# 55.-5-7
Pursuant to application dated 1/12/2016 and approved by the Building Inspector.
To expire on 7/21/2017.
Fees:
NEW COMMERCIAL, ALTERATION OR ADDITIONS $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 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. / r / 1
New Construction: Old or Pre-existing Building: (check one)
Location of Property: 14652-(9 C 2 T S()‘1T41.0
House No. Street 1 Hamlet
Owner or Owners of Property: 't1 VY',GCS N `c CCQ.,(4h y
Suffolk County Tax Map No 1000, Section 5 Block 5 Lot
Subdivision Filed Map. Lot:
Permit No. L-10/413 Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ 60 ''6
Applicant Signature
��,�o��OF SOUTyolo\: 1101- - -
. ,... , pc..,
,..3
'- ��,/ /RJ
TOWN OF SOUTHOLD BUILDING DEPT:.
765-1802
INSPECTIONI ;= -
[ ] FOUNDATION 1ST- [ ] ROUGH PLUMBING
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING A 4 FINAL
[ ] FIREPLACE & CHIMNEY V,' .4 -E SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REM L - KS:
1• /7---e , JP-P ' ,if(
fJL-L -- TFr1crcJ •e--®K--
4- --- or-- ,
a li* ---Vg-
- .)--------- ,,ei .T_A). -
-- 4----191
/
g it 6.-L. --- ,-
..
NI'l
ir
DATE P l'.--- / INSPECTOR R I '
C
'a f , .
FI�CLD 1V81"):0 ON TtA 'Or AA.T . CO 2. S '
•
FOUNDAfON(1ST) , --'-^-�--- Z 1
FOUNDATION(2ND) Rtc
-
•--- r
•
ROUGH FRG& , .
1'LYTNlBIN'G -,..-4.---.. ,
..,�
C
INSULATION PES N,Y.
EMI ' H
STATE ENERGY CODE r . .. • • . I . -.
•
IA .
FINAL r�_ . r r ,,.
loud un irol
'�- ,a..ni,.._,,,,,,,,,,,,,_ •--1+
-
Z.--2._.' or, p i
3 -� - rte 1n .�_ � ' A �
.c ! C s0 .1.iiiat"'
•
•
I
•
• _� z
. , e........i.
• ti
,., --. 0
Y l .. ' .., '�7
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. 74.r/ Check
- Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
Examined
FloodSingle Permit
f '9-1) ( 41‘
,20 &Separate
Storm-Water Assessment Form
ontact:
Approved ,20 Mail to: *Oat/
Disapproved a/c
, Milk Phone: 31— 6 a'7 75`I
Expiration 20
f ;J Il Building nspe-tor
+ rel `I_
JAN !IL LPPLICATION FOR B LDING P:RMIT
12 2016 I
__--__- __ _ f � Dat- S 4 Z-7 ,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
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. ,
(Signature f applicant or name,if a corporation)
/0614 /iin,z;/4-4 -hd&he ati SG ke nyfis
(Mailing address of applicant) /1 7,16
State whether applicant is owner, lessee, agent,architect, engineer, general contractor, electrician,plumber or builder
Name of owner of premises (1{J,-1- , 9cs.� ')-G` J
(As 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. 5C LIC it-nett,A
( ,A CiQ-a SE'® ,/J ‹sStysJ
1. Loc t��of land on which propos d�ork 11 be done:0-01 SG(A.AI_ e'
Cil
House Number Street Hamlet
County Tax Map No. 1000 Section 55 Block 5 Lot el
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 5lce1---
(Description)
4. Estimated Cost Qfrc> 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 newconstruction: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 S
* 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 COPYr''_
STATE OF NEW YORK) •
COUNTY OF (/►'e'frn- '
/4'u/ /S. -, e r being duly sworn,deposes and,says that(s)he is the applicant
(Name of individual signing coohtract)above named,
(S)He is the Y� Cal gCJ J�Ch/iS A-G5/� &'C) t.& '
(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 bef§• me this r/ , /
.: I, of ' G/- `0
STEVE C.DELUCA ./P ,
C •• -r ` ' BLIC.STATE OF NE«'YORK 1.
Notary Public Registration No.48613:4
Qualified in Suffolk G»nr Signature of Applicant
Commission Expires July 22,2018 '
Southold,NY- Official Website -Fee Schedule Page 1 of 2
You are here: Home>Government>Departments>Building Department>Fee Schedule
Fee Schedule
Building Department Fee Schedule
The following fees shall be paid upon the filing of an application with the building inspector for a building
permit. View the Electrical Inspection Price List.
Single Family Dwelling,Alterations and Additions
Type Fee
New dwellings, additions, and alterations including deck additions to existing $200 plus$0.40 for each
dwellings square foot of floor area
Accessory buildings, additions, and alterations to existing accessory buildings $100 plus$0.40 for each
square foot of floor area
Farm Buildings
Type Fee
Farm buildings, additions, and alterations to existing farm buildings $150 for each building
Multiple*
Type Fee
New buildings, additions and alterations to existing buildings $250 plus$0.40 for each
square foot
Accessory buildings, additions and alterations to existing accessory buildings $100 plus$0.40 for each
square foot of floor area
*Hotel, motel, multiple dwellings and businesses, industrial, and all other buildings including wineries
Foundations
Type Fee
Foundations constructed under existing buildings $200
Swimming Pools
Type Fee
In-ground swimming pool with fence enclosure $250
Above ground swimming pool with required fencing $250
Signs
Type Fee
All signs $75 per permit
Demolition
Type Fee
Demolition and/or removal and/or relocation of any building $100 minimum plus$0.30
for each square feet of
floor area
Notice of Disapproval
If an application is denied and a notice of disapproval is issued, the applicant shall pay a fee of$50.
http://www.southoldtownny.gov/index.aspx?nid=101&PREVIEW=YES 11/25/2015
Southold,NY- Official Website -Fee Schedule Page 2 of 2
"As Built" Permit
If any land clearing or excavation or building or commencement of any construction activity is without the
benefit of applicable town permits, all fees associated with such work will be equal to double the otherwise
associated fees.
Fencing
Type Fee
Deer fencing $75
Solar Panels
Solar panels- $200.00 ($50 permit,$100 electric and $50 c/o)
Generators
Generators-($100 permit,$85 electric and $50 c/o)
Certificate of Occupancy
Type Fee
Business buildings and/or business uses and additions and alterations thereto $50
New dwellings, additions, and alterations $50
Accessory buildings, additions, and alterations thereto $50
Pre-existing dwellings $100
Updated certificate of occupancy $50
Copy of certificate of occupancy $0.25
http://www.southoldtownny.gov/index.aspx?nid=101&PREVIEW=YES 11/25/2015
s
8' HOOD Z ^ -
12"X12" DUCT HOOD SEALS (TYP.) : rte, -
APPROVED
NOTED I NUL `aMr•h F,f"={"'• - li( , i.c4.t.-_,., 4.-a4a;.-,:--,1—a W N
A�q(� `�r g CONTROL ,*l 5�T. s� ( e� �y Z �
P8 14 Td E riAS I� — —36O�F }— — — HEAD 1 7 :) 4,l' ?,- F, Y (�..-_-i'2'- :Y y(�-'Szill<y ` oa �dx' a w M .
[ 6OF —
U B
B NL1H — El`-{.uJ;IF:_''E‘
/� �1, ��4�3�.:;,n�.z �_ y x4 w j' z
LATE /� , � - _ ._,`� rit y.-,+• ,moi L N -
ril
\.__ By. Ol il_ — T — — — -1 I
' ....� ... _._.. _ _.._...e,,S. �'1(Jllil:'-1�1A��{ P'.3, Q�O co
�.`�;i _�,. •�,.._ __ .__. — — — pO _v>,...,.�,.�,....�,-�r- _-• - 'C� �N�,�,r�f�,t {�R !i:H�N�',*TMY3k-• , tL'nNOT+, BUIL?iNG DEP?,RTP;TENT AT I o _ _, )'_his.:r1T0,tdi`,,.PLr.R�•.�lV�z..Jral cl_
765-1802 8 AM iO 4 PM FOR THE I / i NL1H _ NL2L _1 J _amu_ �_ ti nFOLLOWING INSPECTIONS: I NL1H NL2H _..`: c'.J"ii L%'i."�oTI ISTEEW Q'
1. FOUNDATION - TWO REQUIRED — — PROTEX II mun-l�
:::
FOR POURED CONCRETE — SYSTEM m6= Z
2. ROUGH - FRAMING & PLUMBING 8 FLOWPOINTS Iii :
3. INSULATION y a
4. FINAL - CONSTRUCTION MUST ._ co
i Q
(1) 1.6 GALLON (6 BE COMPLETE FOR C.O. o "o+ I I ' °' o RPSM FIRE INSPECTION wti' ;.'
LITER) CLASS K FIRE ALL CONSTRUCTION SHALL MEET THE �, Z PREP YER 6 BURNER 1" GAS STATON REQUIRED BEFORE ��
EXTINGUISHER MUST REQUIREMENTS OF THE CODES OF NEW -:41-
(3.1 o TABLE 1 RANGE VALVE o �t
BE INSTALLED WITHIN YORK STATE. NOT „ESPONSIBLE FOR Jio HIGH 36"W ®— OPENING N o W
30 FEET OF EACH SET DESIGN OR CONSTRUCTION ERRORS. aor 0 T MOUNT LOW MOUNT �t P_�� x 1
OF (3) INSTALLED " y - 9\IEIV ' 2
FRYERS. F—\ �V / ( °
q
AES MANUFACTURER: ��� �`'�1 :)'?,,, �CTION ALONG C00KLINE / ��=- �\
PROTEX II : (1) L3000 L4600 _ L6000 0-- ti
1 �
M-1 SCALE: 3/8" = 1'-0" Piping Material BLACK SCH 40 Max. Rise 10' n \\ Is n
o c(,
Supply Pipe Size 1/2" Branch Pipe Size 3/8" `S 0 7 7 5� P�
COOKING SURFACE NOZZLE eO -
APPLIANCE QTY. MAX NOZZLE HEIGHT NOZZLE LOCATION AIMING POINT NOTE Gas Valve Type: MECH Size 1 Manufacturer HEISER ROFESS�e
17" MAX ONE SIDE, " „ Detector Temperature Rating: 360' & 450' 1
DUCT, SMALL 1NL1 L 0"-6" CENTER CENTER 16" DIAMETER CIRCULAR DUCT, MAX. �,
50" PERIMETER Hood Size: 8-0' Duct Size: 12"x12" X �Zo 0
34" 31-7/8" DIAMETER CIRCULAR DUCT, 60/ e Lq_ W W W
DUCT, LARGE MAX ONE SIDE, NL2D 0"-6" CENTER CENTER / g- _ 6 0-2
0 •z, g2s 3 zz a
100" PERIMETER MAX. PROTEX II L3000 APPURTENANT COMPONENTS. N.O.S. oo °
PLENUM 1 48" DEEP NL1H ---- 2" FORWARD OF LOWER EDGE LONGITUDINALLY ALONG INSTALL 10' O.C., MAX MAX. FLOW POINTS = 10 ENMCHU2 ENCLOSURE (PRIMARY) F OF mEg 8 �'
OF BAFFLE, 2/3 UP HEIGHT PLENUM MAX. PIPE VOLUME = 1910 ML ENS ENCLOSURE (SECONDARY) O=No g<i_g oEHa
2 BURNER RANGE, " ---- MAX. VOLUME BETWEEN FIRST AND 4 < .h41 y�
HIGH MOUNT 1
12"X28" NL1H 40 -50 PERIMETER CENTER210SH LINK HOUSING KIT s W
LAST NOZZLE 1125 ML 20=y Fos € '
MS3PDT2 ELEC. SW. THREE SW. ASSBY. N-1-<- D441 L- @
4 BURNER RANGE, „ " "_ REFER TO INSTALLATION MANUAL oz�WW�o� B�
HIGH MOUNT 1
28"X28" NL2L 34"-48" CENTER CENTER CO26 CO2 CARTRIDGE ooW �m �� NW�/7�
FOR VARYING NOZZLE LOCATION PROTEX II L4600 e L" . f, O [2'9
90KBS CORNER PULLEY ath il4 oilo
SMALL GRIDDLE, HIGH 0 36"W, 1080 SQ.IN. NL1H 24"-48" CORNER 12" IN AND 12" OVER FROM ____ MAX. FLOW POINTS = 15 �`�NWsa�»< W�
MOUNT CORNER BELOW NOZZLE MAX. PIPE VOLUME = 2600 ML
UPRIGHT BROILER, „ ABOVE GRATE ____ MAX. VOLUME BETWEEN FIRST AND
0
36"WX28"D NL1 L OPPOSITE REAR CORNER CENTER
SALAMANDER AT ENTRY LAST NOZZLE 2000 ML _ V1
FRYER W/ DRIP 1 324 SQ.IN., 18” VAT NL2H 24"-48" ABOVE COOKING SURFACE CENTER _ 500 SQ.IN., 27.75"D OVERALL _ Z u>
BOARD, HIGH MOUNT 371 SQ.IN., 19.5 VAT 495 SQ.IN., 25.37"D OVERALL PROTEX II L6000, 14 FP/BRANCH MAX
SMALL GRILL, GAS 1 26"W, 624 SQ.IN. NL1H H 24"-48" ABOVE COOKING SURFACE CENTER ____ MAX. FLOW POINTS = 20 -1 z
RADIANT, HIGH MOUNT MAX. PIPE VOLUME = 3465 ML ALL THREADED PIPE JOINTS WITHIN HOOD W e2 H
LARGE GRILL, GAS MAX. VOLUME BETWEEN FIRST AND SHALL BE FITTED USING TEFLON TAPE. THE 0 r ••`
RADIANT, HIGH MOUNT 0 36"W, 864 SQ.IN. NL2H 36"-48" CORNER CENTER ---- COO 0 z o o 0
LAST NOZZLE 1313 ML PER BRANCH USE OF PUTTY IS PROHIBITED. ( o ►-�
SMALL WOK, HIGH ____ ° m z
0 24"0X6"D NL1H 24"-48" PERIMETER CENTER MOUNT x Fryers to have High Limit Control to shut•off fuel at 425'. Q Q IT V1 Lu ci
e.
LARGE WOK, HIGH " „ WOK MUST BE GREATER THAN 24" x Detectors shall be located over every piece of equipment. J Q ° a w N
MOUNT 0 30 0X8 D NL2H 24"-48" PERIMETER CENTER IN DIAMETER x The System installed as per manufacturers specs and the AHJ. Q Ce 0 0 'a 2
22" x The System has been installed as per UL300. H o E5
2 BURNER RANGE, 0 12"X28" NL1L 13"-23.5" FROM FRONT EDGE, BACK 1/2 OF HEIGHT FROM NOZZLE MUST BE AT OR BELOW x The followingfunctions to operate upon system discharge:
LOW MOUNT CENTERED FRONT EDGE, CENTERED HEIGHT OF ANY BACKSHELF p p Y g : CO0O I W H ° ,-
* Supply air damper closes * Gas fuel shuts off in kitchen Z — o Z °m
MINIMUM PIPE VOLUMES FOR A FRYER, RANGE AND WOK * Exhaust fan remains on * Electric fuel shut off under hood — "
CYLINDER SIZE AT OR BEFORE FIRST APPLIANCE 4" g" * All systems to activate simultaneously in same hazard area. 0 1 8
L1600- 180m1 - 1 FLOW POINT 3.Oft 4.8ft * Fire Alarm shall activate. Y
10L3000 239m1 - 2 FLOW POINTS 4.Oft 6.4ft 4 x Manual Pull is located a maximum 20 ft. from hood and 4 ft. Z o -
L4600 180m1 - 2 FLOW POINTS 3.Oft 4.8ft from floor. o
L6000 120m1 - 2 FLOW POINTS 2.Oft 3.2ft x All fuel sources are GAS unless otherwise linoted. 4-4