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�51,1% _tf�,if%, Town of Southold 4/25/2016 14' ', P.O.Box 1179 cf...„ I c3 s' 53095 Main Rd y47,0 dl bSouthold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38264 Date: 4/25/2016 THIS CERTIFIES that the building COMMERCIAL ALTERATION Location of Property: 41150 CR 48, Southold SCTM#: 473889 Sec/Block/Lot: 59.-10-4 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filedin this office dated 5/15/2015 pursuant to which Building Permit No. 39865 dated 6/10/2015 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: alterations to an existing commercial building for a restaurant as applied for. The certificate is issued to FHV LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL C10-14-0006 3/24/2016 ELECTRICAL CERTIFICATE NO. 39865 3/9/2016 PLUMBERS CERTIFICATION DATED Auted Signature f UFEo04K TOWN OF SOUTHOLD 4'64, 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#: 39865 Date: 6/10/2015 Permission is hereby granted to: FHV LLC PO BOX 1295 Cutchogue, NY 11935 To: Alteration to an existing commercial building as applied for. At premises located at: 41150 CR 48, Southold SCTM #473889 Sec/Block/Lot# 59.-10-4 Pursuant to application dated 5/15/2015 and approved by the Building Inspector. To expire on 12/9/2016. Fees: COMMERCIAL ADDITION/ALTERATION $250.00 CO -COMMERCIAL $50.00 Total: $300.00 _A - I/O) = i gud Inspector I, �41®FSOij, ,® Town Hall Annex �, ", e., , Telephone(631)765-1802 54375 Main Road ` ill illiZ Fax(631)765-9502 P.O.Box 1179 G Q Southold,NY 11971-0959 ; �Ol� ..% ) e` roger.richertl town.southold.ny.us = c®UNT`I- „ ,•/� ... .. S BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: FHV LLC(Creative Course Catering) Address: 41150 County Road 48 City: Southold St: New York Zip: 11971 Building Permit#: 40030&39865 Section. 59 Block: 10 Lot: 4 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: GJS Electric License No: 4839-ME SITE DETAILS Office Use Only Residential Indoor X Basement Service Only Commerical X Outdoor X 1st Floor X Pool New Renovation X 2nd Floor Hot Tub Addition Survey Attic X Garage INVENTORY Service 1 ph Heat GAS Duplec Recpt 28 Ceiling Fixtures 9 HID Fixtures Service 3 ph Hot Water GAS GFCI Recpt 3 Wall Fixtures 5 Smoke Detectors Main Panel NC Condenser 1 Single Recpt 5 Recessed Fixtures 11 CO Detectors Sub Panel A/C Blower 1 Range Recpt Fluorescent Fixture 16 Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 20 Twist Lock Exit Fixtures 2 TVSS Other Equipment: 2- Combination "Exit/Emergency” Fixtures, Exhaust Fan and Hood System, Fire Suppression Control,1-Walk in Cooler. Notes: Inspector Signature: Date: March 9, 2016 Electrical 81 Compliance Form.xls CREATIVE COURSES CATERING L. L. 0 D . B .A THE NORTH FORK SHACK 41150 COUNTY RD 48, SOUTHOLD, NY 11971 SOUTHOLD BUILDING PERMIT 39865 r7,3) [KEINE , APR 22 2016 BUILDING DEPT. TOWN OF SOUTHOLD to whom it may concern This letterto inform you that there was no soldering done during the plumbing work of the said building. Plumbing work was started and completed by Peconic plumbing. Thank you, Samy Sabil The North Fork Shack sout4,- sE3 * cL TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECT)ON • FOUNDATION 1ST [v(ROUGH PLUMBING [ 1 FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: 'CA-) 1 C 9 P \L4: DATE A 3 1INSPECTOR �'Iho�/ 101ta7 �OF SO!/T�olo TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ROUGH PLUMBING [ ] F1.1NDATION 2ND [ ] INSULATION [ FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLA% N [ ] AULKING REMARKS: ,J2 DATE `// INSPECTOR 1,�o��OF SOUlyolo\` • / '''' �- ` ��-"CpUNi'1,„10011 11/1V TOWN OF SOUTHOLD BUILDING DEPT: 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] 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 [ ] CAULKING REMARKS: 0eAC4_ &f:1-&—e97Zer2,' — ‘ =._ DATE / Z' / INSPECTORC�"'� 1 'h��Of SOUry�lo,, TOWN OF SO • i I I NG DEPT. 765-1802 INS - ION [ ] FOUNDATION' 1ST [ ] 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 [ ] CAULKING REMARKS: fr% i �� /� 41- 30 eire old007— 'elj /r1( \ C LZ) I � DATE [e,-) INSPECTOR 3,q ti /1 ,---"- _ So TOF SOU _ '' ' t, Vfl D AwIlik :- - 41 H � G Q . �. gyp , ��OOUNi' I' TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH UMBING [ ] FOUNDATION 2ND [ ' ] IN ATION • [ ] FRAMING / STRAPPING [' FINAL [- ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: - e 411,A r 14)--P / (1 4-- ' . - - ) • - - { 7,„ , . 2 n DATE ` /40 INSPECTOR _ ,] Y ( * c- Srt-I4Ck-> - 1,,'O���F SOUryol F s:S ,o -2teoUNIVV Sq TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING FINAL [ ] FIREPLACE & CHIMNEY 4 FIR SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FI RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: 4 s me- f e_ 0 . DATE i�'l INSPECTOR0---arV Mar-08-2016 01:31pm From-NEMSCHICK SILVERMAN ARCHITECTS 6315632139 T-353 P.002/002 F-437 rptaltr ,(6) 9)11, March 7, 2016 41� Town of Southold NEMSCHICK SILVERMAN ARCHITECTS P.C. Building Department . . . the business of ARCHITECTURE." Town Hall Annex Building 54375 Route 25 P.O. Box 1179 Southold, NY 11971 Re: Creative Courses Catering, LLC 41150 County Road 48 Southold, NY SCTM # 1000-59-10-4 To Whom It May Concern, Please be advised, to the best of our knowledge, belief and professional judgement, we hereby certify that the drywells were installed per our site plan, as approved by your office, to meet or exceed the requirements for storm drainage runoff(Chapter 236). Should you require any further information, please contact our office at any time. Sincerely, NEMSCH1CK SILVERMAN ARCHITECTS P.C. t: 0,1* /4:7' Raymond Nemschick, AIA Principal r OF NES Cc: Samy Sabil, Creative Courses Catering, LLC RBgEivg. D MAR 8 2016 BUILDING DEPT. TOWN OF SOUTHOLD 160 MAIN STREET• SUITE 200 • SAYVILLE, NEW YORK 11782 • 631 563 2130 telephone • 631 663 2139 facsimile • wvwv.ns•arch.com April 21;2016 _ „ ,„ Town of Southold- NEMSCHICK SILVERMAN ARCHITECTS P.C. Building Department . . . tho business of ARCHITECTURE.” Town Hall Annex Building 54375 Route 25 P.O. Box 1179 Southold, NY 11971 Re: Creative Courses Catering, LLC 41150 County Road 48 Southold, NY SCTM# 1000-59-10-4 To Whom It May Concern, Please be advised, to the best of our knowledge, belief and professional judgement, we hereby certify that the renovated building conforms the 2014 Energy Conservation Construction Code of New York State (ECCNYS) and the plans prepared by our firm, as approved by your office Should you require any further information, please contact our office at any time. Sincerely, NEMSCHICK SILVERMAN ARCHITECTS P.G. riejetit dowselettix/e.... Raymond Nemschick, AIA Principal Cc: Samy Sabil, Creative Courses Catering, LLC D giCSNS D Ail 22 20 wiTELDDIG ®�H®LD TOWN OF 160 MAIN STREET•SUITE 200 • SAYVILLE, NEW YORK 11782 • 631 563 2.130 telephone • 631 563 2139 facsimile - www.ns-arch.com 176P-d Z00/Z00`d 1S£-1 6£LZ£991E9 S10311H00 NVV 3A1IS )I3IH3SI1 N-wo,q welq:01 910Z-ZZ-AV 1y FIELD INSPEO QN 1 Z ORT DATE .- COMMENTS '' ' E+QUNDAtION(1.ST) . . . • .. .. • g � .. ....7...p......+a..S...p • .. .. 1 • FOUNDATION(2ND) . . t•=1/1 / 4,71-j �� \/ L / % -.1 -1--)a , . . , � • A HROUGH FRAMING & / / i ; , - '- j. •Ai&PLUMBING °Ci . 1p- INSULATION PEA N.Y. _ �1 t .. '''-/,' STATE ENERGY CODE . _ (� J • • Viii ( ..,e i d'P I A I' C a 1 • d��e t•I - ZZ-i - .IIV 1 hD 5Qi a-O-A- a OtAMO--- •, . . . /. _ ,,, ._. . , , .,, .. ;7,. .,,,..1.4 yL/ ! • IA . . W,"I I-154.tel ., 1� • • �� . P� , I�-t1 -> � � �' . . • r ' i • a _ I Ir � �+ '- / +" 1 We'C e X- L-W i 1 t-e-- °'('-. .', r-r i-- . c ...:. '1(D : IP-e--- 1 4 C:(2.A.?(-:, .( -45'retiia, L-1 Art_hd :1-C4 ( .. • - ---1, @' . , �(.. \\, -C , Cdoo .z • •.t...A dl Q� 0 ��A Z j •a TOWN-9F: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) 765-9502Survey Tc---"G1 SoutholdTown.NorthFork.net . PERMIT NO. 39. Check Septic Form 'N.Y.S.D.E.C. Trustees Flood Permit Examined , ,20 Storm-Water Assessment Form" I' I 0 f Contact: Approved ,20 ( Mail to: Disapproved n c lu - 'uP r 4 • 'e �1131* Phone: Expiration ,20 1 .6 i ding Inspecto APPLICATION FOR BUILDING PERMIT Date 0 172 6 , 20 I Li 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. r,rentak_ C,l44.1-f.c c l(der) e L. L. (' (Signature of applicant or name,if a orporation) 41 eirW 128, i ZuerYne -i In (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder - Name of owner,of premises C K- e_S a (Kosier) As on the tax roll'otest 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 on which proposed work will be done: ® - e 015o Cak fm ` 4g 11 House Number Street Hamlet County Tax Map No. 1000 Section Block JO Lot Subdivision Filed Map No. Lot 2. State existing use and occupancy of premisesandinte ded use and occupancy of proposed construction: a. Existing use and occupancy 1-k&&c.kwt S b. Intended use and occupancy ' eAi r ctwit 3. Nature of work(check which applicable):New Building Addition Alteration (/- Repair 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 Lido 01° Rear 440 . ° Depth 6 b. 3° 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 .L..-j� 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES NO v 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 t/ * 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 e/ * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS'. COUNTY OF ) A A SN6\L being duly sworn,deposes and says that(s)he is the applicant (Name of inch idual signing contract)above named, (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 tobefore me thi 201 / MART Migfd ig :ture of Applicant, Nota ' *us lic, State of New York No. 01F16056707 yy Commission Expires Mach County Commission e Imo.. i • 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 www. northfork.net/Southold/ PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees Examined ,20 Contact: Approved ,20 Mail to: Disapproved a/c Phone: Expiration ,20 446o� RECE - VE,t11 Building Inspector p4 tb- "Pj- OCT 7 2014ICATION FOR BUILDING PERMIT BLDG DEPT Date September 30th , 2014 TOWN OF SOUTHOLD INSTRUCTIONS a.This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 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 of applicant or name,if a corporation) 160 Main St. Suite 200, Sayville (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Architect Name of owner of premises FHV LLC (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. 1. Location of land on which proposed work will be done: 41150 County Road 48 Southold House Number Street Hamlet County Tax Map No. 1000 Section 59 Block 10 Lot 4 Subdivision Filed Map No. Lot (Name) Gr ._ F 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Machine Shop b. Intended use and occupancy Take out restaurant, business 3. Nature of work(check which applicable): New Building Addition Alteration V 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. Take out Rest. 7. Dimensions of existing structures, if any: Front 40.2 Rear 40.2 Depth 60.3 Height Number of Stories 1 Dimensions of same structure with alterations or additions: Front 40.2 Rear 40.2 Depth 60.3 Height Number of Stories 8. Dimensions of entire new construction:Front 40.2 Rear 40.2 Depth 60.3 Height Number of Stories 1 9. Size of lot: Front 54.26 Rear 54.21 Depth +1- 245 10.Date of Purchase Name of Former Owner 11.Zone or usedistrict in which premises are situated LB 12.Does proposed construction violate any zoning law, ordinance or regulation?YES NO V 13. Will lot be re-graded?YES NO V Will excess fill be removed from premises?YES NO V PO BOX, 1295 14.Names of Owner of premises FHV LLC Address Cutchoque Phone No. 786-1809 Name of Architect Ray Nemschick Address 160 Main ST Phone No 563-2130 Name of Contractor Address Sayville NY ©Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO V * 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 V * 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. STATE OF NEW YORK) SS: COUNTY OF Imin i-) Raymond Nemschick being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the Agent (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 o before me this daof ©(. D1 V 201L1 r\ klagt....tAiL,g 40....L0 , / , Al _ _Itibide Notary Publ."' ! Signatures _ :. ant PEINNY��BEDELL '''';_4, " /k r' Notary Public:,8tate ottl York ;-Tr No.0'1 6,099317 9ualifiertirr`Suffolk*coun P,' UOMMI sIon Expires Sept.29, ,` Town Hall Annex 54375 Main Rod ; Telephone(631)765-1302 P.O.Box 1179 rod]er.richerttiral gaii ltl.nv.us • Southold,NY 11971-0959 ‘4• 6"Xio BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION - REQUESTED BY: QQ( J \LI -1 \ 15I �e Date: I I Company Name: Go-5__) l Name: Cc sCi CC'_ License No.: L{ 3 Address: aol`5 10(\'n 2f4i . PC 'VV)C,( 'n \\cnQ Phone No.: " (03\- QqV - q5 JOBSITE INFORMATION: (*Indicates required information) *Name: _ CX\ Q\C% Vim, C P r` *Address: (-V1 5 C c)-\\A1� �h \( n \\T-1 *Cross Street: t *Phone No.: \_ C11-11- _`1NDA Permit No.: '39$(6, Tax•Map District: 1000 Section: i7 i . Block: 10 Lot:4 *BRIEF DESCRIPTION OF WORK(Please Print Clearly) re(\o4 her asps (Please circle All That Apply) *Is job ready for inspection: YES/ Rough Final *Do you need a Temp Certificate: 41111V / NO Temp Information(If needed) `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 t � k 82=Request for Inspection Form / QGS � SOUTHOLD TOWN FIRE MARSHALL -- NOTES & COMMENTS — BUSINESS/JOB C4- --,4_,--i-1 U.E Gt.) ..s- s S/B/L 59 /0 -- / DATE --.44-4.c Date Notes &Comment —1-- -1 V. /17'0 C- ' °tM- __/ci S ilfieD0 7- Wit_ s_. �i� . '//`\'/1'/�/'�/[� °; ,',-1 Edi tu::' ,-i3 -, Arial �� ��yz .....7 sY:�1 .3.n t"":.p'. '' 'S; A...3,-L., ^.i�,�t= FM . K.,1,-LJ"f.' • '< -.,""` err_ -<.,,- • ..1.,4,,,n 1 °}f 'iy„9d i'4.m»°...:.•:”< .f, ,.=:P,` s - F1.,! ; ,;';,'..?ii',.;', "::',.'"'-'-i'37,1•.r :s�-'�'�'' ;,L,J` � Kp ter:i•' I �fa�}' ..n ���d'�� .� tt`y iu;�.{'' -.S•-'Y \'...,,72,4°. C. it=';':,'.= }C - .,;z'i.. 1-,� ` _ _ � •i, f 9" -,, 111tt•- ''.,,-.•...k:;,,eN `i tea. iEr.' ,<t.x� • _ '- 3 .. `+•}'' .,.d:'s':4s ,4•w-, -----1—c Er.1:{d - _. . ,:}v: .. `a. taari p:'_~��,_•IF :,t-.:J'".;„::::,.....31 ,,,,,,,,,,,,,..71, 'Lel [._'Ft,,"'.�:1, 1 f:s.lfi�•,a.•Y ..,:•' A.. :.,; .a `k..;4'F):i¢,,F• a "}+.w Sa `�:i. T. .zb n c- " ..t~ '>..ew ,:.4.,"'kr 'Z''..-Ji cF v'a rg. .1!1.c h F..9'.:J FIRENOTES.docx Mar-08-2016 01:31pm From-NEMSCHICK SILVERMAN ARCHITECTS 6315632139 T-353 P 001/002 F-437 • t/n NEMSCHICK SILVERMAN ARCHITECTS P.C. "•. . , the business of ARCHITECTURE." FACSIMILE . To: Town of Southold Building Department Company: Town Hall Annex Building Facsimile Number: 631 765 9502 Date: 3/8116 From: Ray Nemschick Regarding: Creative Courses NS Project#: 14-1796 #of Pages(Including cover page): 2 r r 1 ::. .... • � .. t � r i ) a li 111, [ECIEUVE D ix MAR . 82016 BUILDING DEPT. TOWN OF SOUTHOLD 160 MAIN STREET• SUITE 200 • SAYVILLE, NEW YORK 11782 • 631,563 2130 telephone • 631 563 2139 facsimile • www.ns-arch.com -'�o' SOUry- Town Hall Annex ��,I~®� Old : Telephone(631)765-1802 � P 54375 Main Road C 4 * t Fax(631)765-9502 P.O.Box 1179lk G Q ,�� Southold,NY 11971-0959 '- 11 (yCOUNVT{\\ o __... %,," ' March 31, 2016 BUILDING DEPARTMENT ,TOWN OF SOUTHOLD FHV LLC PO Box 1295 Cutchogue NY 11935 RE: 41150 CR 48,Southold TO WHOM IT MAY CONCERN: The Following Items(if Checked)Are Needed To Complete Your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. �A fee of$50.00. 4;' Final Health Department Approval.Y-dai i I Nli Plumbers Solder Certificate. (All permits involving plumbing6aftero�d �bv\INrvl- 411184) I .ii Trustees Certificate of Compliance. (Town Trustees#765-1892) eliFinal Planning Board Approval. (Planning#765-1938) /e.�co q-1-'/( 04-/ Final Fire Inspection from Fire Marshall. 014-- IVCvi<( — 4-S-'t) Final Landmark Preservation approval. Final inspection by Building Dept. Final Storm Water Runoff Approval from Town Engineer BUILDING PERMIT - 39865— Commercial Alteration ACTON SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICESPAGE CONT ElCHGE❑ NEW Cil DELT❑ FOOD ESTABLISHMENT INSPECTION REPORTES1 OF UAB.I D , SANIT ESTAB. ESTAB. tit-).(11-1111 J. iI�}J^ I I9 } 'I I7 -I'c I I I I NUMBER '�; i I �I �I AREA -�� CLASS � I IQ NAME } ) _i 1 `r' �'/ � ESTABDRF14 Il ^�? I �����i ��OI tj ,1.,, DES. 1� ACTIV i0. DIY YR. PERMIT �� I _� ADDRESS ��yy +! I l4 ly DES. DATE RESTR. `.4„,J� CrI t/' OWNERS CORP. ESTAB. NAME S I)f`L V Iwo,� I I I I 1 1 NAME C1`A.111Al L C(I O v.,15 I Ci c�.cd,,PHONE# I I I I I CORP II�� 1 fj t�- I R I t I I I ZIP I� I I I WATER SEWAGE FROZEN ADDRESS 7 P a 0114415-40 CODE SUPPLY DISP. DESSERT ACTIVITY CODE 11 -1 n NUMBER RS T I I I INSPECTION MoIi Op )IR�, TIME OF AM- M WATER SAMPLE, MO. DAY YR t t I. DATE CHOKING SIGN ECONOMIC S.A F.E. / REINSPECTION POSTED YES 17 NO 0 VIOLATION YES❑ NO 0 CLASSIFICATION 1 Q 2❑ 3 DATE PART 1: RED CRITICAL ITEMS SUMMARY OF ITEM VIOLATIONS NO. ITEM DESCRIPTION OF VIOLATION DATE NO. THESE ITEMS RELATE DIRECTLY TO FACTORS WHICH LEAD TO FOODBORNE� �fILLLNESS AND/MUST RECEIVE IMMEDIATE ATTENTION CORRECTED '-' P' f ALLIYi tt{ III !Al4T Pr 2(55J2f,r' l 1 199_ AJN 9:L &)AIn14 r Tr T) `b 4 ----- O qoait cei-r,( i Vi- '144, Sit( 1-I`5i('c(r,kv `7 -17-1-4-17-1-4kiiCf-k4_ro F)ltc t-tr, ct r-1,..,k_.‘ III-4°11 ! .e14-4., �U1‘,01_3\11,, 1/ 1) Nn-1 14-R`I/4 IN e(I 1xf4_ 1f/f(l{ i: _Ow V4/Vf/i t ' 1),2,tit rct Irt5ciq-i r k -‹ Q/LoT4G{ —T/i A-/-- /..)47-4-, Scrett-1, PART 2:BLUE MAINTENANCE ITEMS SUMMARY OF ITEM VIOLAl I ITEM TIONS NO. DES IflP I IO VIOLA I ION CORRECT NO. �j THESE ITEMS RELATE TO MAINTENANCE OF THE FOOD SERVICE OPERATION� AND CLEANLINESS.CORRECT AS SCHEDULED. BY �+ e? OMA'1,1O 5�A r l Via) �tJ1�JYv1� }, ooc ©rr1 oc-JA g �fq Of WOili Wei...0 S '?-)1 4e!Au- 4i)AI.DS tr47 - mo-r !ivS'i -,. .4,b /i(ilk. tattoo/pi 4 /Mwn 4,,,,t4,1- 'i1,,,I t�,s m t tAvet, /).)✓,7.-A r-i,, .,4-i(•-ki fir" 60,7•J /-42.o7) 69r'J G 5J eA-c _s cam"?' (iI; ,rT i 11-4-m) 5,iiJ( Ra-Nf 6lhrlf_ Nem - cam_ fear) 0,1tA?0,4 sAr e jN y-14_ k .1 -m J ) ''`�YH- aeon) 4v),,1Y MIicrt 'rt) `T 4.. 1 (N mk1J imQ.1"}' Cl iki/i. 91 't�f6.. i 5'*IPoutrii. 7-a;.-Cr oef'1 F12. t-J4s Nor- 5c0Ccrc/k . IAS 7tH 9 14.4 e r);,/4:4 -7-0i.i_et."1.- 1ZUDM . cb t"-W). ir` 4t or li 55.t\II(6r k.10..tno(A, 2.U/i-z2 MT '01''7ILV -, c c_ /4J7 4- I7 1.311-5 (,)01&eM ���4 R/, .1 tatkic h-?.k_� aoi,,1 ,92) ‘3 Ibis', ki4il/•-1,U QQ4fi, cn/ r._ (olvb,,A6• r-- �,r;ly i,thie.. ),%7eir rc_A �t`? • 1-)t (t-E-(.M- Ga/ Cerro lilt' ('irf G) )r'Jg()ACAe .. 00 PL,06. OF - 7 '{. L,kJ 1. THE MARKED ITEMS'ABOVE ARE VIOLATIONS FOUND DURING AN INSPECTION OF THE OPERATION OF THE FACILITIES IN THIS ESTABLISHMENT WHICH MUST BE CORRECTED AS INDICATED. FAILURE TO COMPLY MAY RESULT IN THE INITIATION OF LEGAL ACTION AGAINST THIS ESTABLISHMENT AS PROVIDED FOR IN ARTICLES 2 AND13 OF THE SUFFOLK COUNTY SANITARY CODE INCLUDING A HEARING, POSSIBLE SUSPENSION OF YOUR FOOD OPERATION, AND OR T,HEI PUBLICATION OF THE VIOLATION AND FINES. SIGNATURE OF PERSON 1 TITLE / SANITARI N SAN.ID.gbe'INSPECTION j V RECEIVING REPORT,==—,, .,„...r.,---7,5--,-......_,/1 ,�1//l i���/�1-.� NO. tJ STATUS (i' /II'Vjt! C A9 9 Ai ILL FOOD ESTABLISHMENT INSPECTION REPORT - _ NAME OF ESTABLISHMENT DATE — ITEM RED CRITICAL ITEMS DATE NO. THESE VIOLATIONS MAY LEAD TO FOODBORNE ILLNESS . CORRECTED A-16.1 A 6,Y, r)-n( r) Kro (1-* /V A ORM& S.141-4\111,1't,r; AIIJ (Tr:\ k) 71 51A5S-7):;;'./71,Cji A-1( 00,14, A,.(4,(tc-14, ) . -rt Sc CZ- IT- ` ITEM - ' BLUE MAINTENANCE ITEMS/CORRECT AS SCHEDULED CORRECT BY f,-0/214.5Li P-7.146'Adr- ort,ro hki(0 Al( roof) (0 AY/At-1 7 Sttkr_cC. Alm & OP,hi (4 P-1 LL/ iiVS4-f) Al\st) 1Th '0101,11r;fr,-) riV4PA=r6A, 144Th T) 1,-- y-A14,gy Cp.')if 7M71111 / ,1,1,61-roA /1--m A (- , .14.,A37,70A1 -Dct.V 4;41\t'iv) . FC987-2 PAGE ) OF "--/ • - Verity, Mike From: Catering By CreativeCourses <info@creativecoursescatering.com> Sent: Wednesday,April 20, 2016 4:50 PM To: Verity, Mike Subject: [FWD: RE: The North Fork Shack] Mike, This is the email I received from Anne Spooner at the health department. Samy Original Message Subject: RE: The North Fork Shack From: "Spooner, Anne" <Anne.Spooner@asuffolkcountyny.gov> Date: Wed, April 20, 2016 1:09 pm To: 'Catering By CreativeCourses' <info@ creativecoursescatering.com> Cc: "McDonnell, Amanda" <Amanda.McDonnell©i suffolkcountyny.gov> Samy, The town should accept the copy of the inspection report that was given to you at your pre-op. If they don't accept that, let me or my supervisor know(she is cc'd on this email) and we can get you something that would be acceptable. I can check when I'm in the office on Friday if your permit has been mailed out yet. Regards, Anne Spooner Public Health Sanitarian Suffolk County Department of Health Services Bureau of Public Health Protection 360 Yaphank Avenue Suite 2A Yaphank, NY 11980 Office: (631) 852-5867 Fax: (631) 852-5871 Food Manager's Course: http://apps.suffol kcou ntyny.g ov/health/FoodO n l i neCou rse/ Please use the following link to register for classroom training: http://health.suffolkcountyny.gov/foodmgttrain/Register Note.aspx Please use the following link to register for the online course: http://apps.suffolkcountyny.gov/health/foodonlinecourse/ CONFIDENTIALITY NOTICE: This electronic mail transmission is intended only for the use of the individual or entity to which it is addressed and may contain confidential information belonging to the sender which is protected by the attorney-client privilege. If you are not the intended 1 recipient, you are hereby notified that any disclosure, copying, distribution, or the taking of any action in reliance on the contents of this information is strictly prohibited. If you have received this transmission in error, please notify the sender immediately by e-mail and delete the original message. From: Catering By CreativeCourses [mailto:info(acreativecoursescaterino.com] Sent: Wednesday, April 20, 2016 9:37 AM To: Spooner, Anne Subject: RE: The North Fork Shack Hi Ann, I Just wanted to check to see how long it takes to get the certificate from your office. I'm just waiting for that to get the CO from the town and open. Samy Original Message Subject: RE: The North Fork Shack From: "Spooner, Anne" <Anne.Spooner©suffolkcountynv.gov> Date: Fri, April 15, 2016 8:59 am To: 'Catering By CreativeCourses' <info©creativecoursescatering.com> Got it. Thanks! Anne Spooner Public Health Sanitarian Suffolk County Department of Health Services Bureau of Public Health Protection 360 Yaphank Avenue Suite 2A Yaphank, NY 11980 Office: (631) 852-5867 Fax: (631) 852-5871 Food Manager's Course: http://apps.suffolktountyny.gov/health/FoodOnlineCourse/ Please use the following link to register for classroom training: http://health.suffolkcountyny.gov/foodmgttrain/Register Note.aspx Please use the following link to register for the online course: http://apps.suffolkcountyny.gov/health/foodonlinecourse/ CONFIDENTIALITY NOTICE: This electronic mail transmission is intended only for the use of the individual or entity to which it is addressed and may contain confidential information belonging to the sender which is protected by the attorney-client privilege. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution, or the taking of any action in reliance on the contents of this information is strictly prohibited. If you have received this transmission in error, please notify the sender immediately by e-mail and delete the original message. 2 From: Catering By CreativeCourses [mailto:info@creativecoursescatering.com] Sent: Friday, April 15, 2016 11:56 AM To: Spooner, Anne Subject:The North Fork Shack Hi Anne, It was great meeting you last week! Sorry about the delay but attached are the workers comp and disability insurance. Samy 3 , ,. „., ,,,,,,,,,,,, 4 Apt'I 1 22, 2016 — ..._.—.. .__—. - , k --- ,—� Tewn of Southold NEMSCHICK SILVERMAN ARCHITECTS P.C. Bu Id ing Department . . the business of ARCHITECTURE, Town Hal I Annex Bu i 1 d ing 54375 Route 25 P.O. Box 1179 Southold, NY 11971 Re: Creative Courses Catering, LLC 41150 County Road 48 Southold, New York NSA Project # 14-1796 LETTER OF TRANSMITTAL VIjCARE SENDING YOU: ElAttached p Under separate cover via the fo I lowing i terns: 0 Shop Drawings InS Prints 0 Plans 0 ampfes d Specifications El Product Data El Change Order p Copy of Letter ❑Other .. r: @' a gpr p 6n ^. 1.. 1---_ 4/22/16 Letter of Approval - - ,� _. - ----- .._ ._ THESE ARE TRAVITTIM as checked below: (] ResubmitCoples for Approval ❑ For Approval ❑ I�evlewed II For Your Use d No Objection with Revisions Noted CISubmit Copies for Distribution 0 Return Corrected prints ❑As Requested ❑ Rejectedpor: ❑ For Review and Ccm-r nt Cl Revise and Resukmit 0 CaTliients: IRIECEIVE 1 j f'R 22 2016 Fran: Raymond Ne nsch ick, AIA Copy to: . Principal B> 1LDING DEPT. TOWN OF SO )TU0 D 160 MAIN STREET u SUITE 200 0 SAW ILLE, NEW ins-782h.can 631 563 2130 telephone 0 631 563 2139 facsimile i 176V-d 200/100-d 2S8-1 6612E991E9 S1331IH3aV NVVYa3A1IS )l3IH3SH3N-ward weli':01 910Z-ZZ-AV _ - PB , 1-1-/, p---7-- foup,,c _f -. -..... I L. • ‘• I ,_,- _ FOR INTERNAL USE ONLY /at .. SITE PLAN USE DETERMINATION . Initial Determination ���� t Date Sent:_ _A_._ Project Name: •--.r/' _., 8' Project Address: • Suffolk County Tax Map No.:1000- _AL= _ / • .fe•�/," (//vim / A l ,�"=�--�--=-� Request: �r/=-%–. Idocumentation a�to (Note: Copy of Building Permit Application and supporting proposed use or uses should be submitted.) ►� - , 1 .'` initial Determination as to whether pew itte': l' 'l.. I -1 ��' Determination as to whether plan is required: Initial . Sig ature of Building Inspector Planning Department (P.D.) Referral: Date of Comment: _ —'�-r P.D. Date Received: �' /�`�� C'mments: Li_ evie(,3 callEri. 54.71.164:: ft, t n Signature of Planning De(.I0•tall Reviewer FinalDetermination • Date: / - Decision: . ,n..:1,-Isnn IncnPctnr / . TOWN OF SOUTHOLD FORM NO. 3 NOTICE OF DISAPPROVAL DATE: April 28, 2014 TO: Samy Sabil for Koster(Sauce) 212 Park Road Riverhead,NY 11901 Please take notice that your application dated April 2, 2014 For Permit to occupy an existing space as restaurant at Location of property: 41150 County Road, Southold, NY County Tax Map No. 1000- Section 59 Block 10 Lot 4 Is returned herewith and disapproved on the following grounds: The proposed alterations require approval from the Southold Town Planning Board. Also, Special Exception is required through the Zoning Board. teac,:--tk-- Cli- Authorized Signature CC: file, Planning Bd., ZBA Note to Applicant: Any change or deviation to the above referenced application, may require further review by the Southold Town Building Department. TOWN OF SOUTHOLD FORM NO. 3 NOTICE OF DISAPPROVAL DATE: April 28, 2014 * Revised: May 9, 2014 TO: Samy Sabil for Koster(Salice) 212 Park Road Riverhead, NY 11901 Please take notice that your application dated April 2, 2014 For Permit to occupy an existing space as restaurant at Location of property: 41150 County Road, Southold, NY County Tax Map No. 1000 - Section 59 Block 10 Lot 4 Is returned herewith and disapproved on the following grounds: The proposed alterations require approval from the Southold Town Planning Board. /a4,t;k Authorized Signature *Removed Special Exception requirement notice - CC: file, Planning Bd., ZBA Note to Applicant: Any change or deviation to the above referenced application, may require further review by the Southold Town Building Department. /�,,.,,,,, MAILING ADDRESS: PLANNING BOARD MEMBERS ,i"i�c? SOUL' - P.O. Box 1179 DONALD J.WILCENSKI 1if�Q� g'plo Southold,NY 11971 Chair * , OFFICE LOCATION: WILLIAM J.CREMERS • vs Town Hall Annex PIERCE RAFFERTY :- �Q,it 54375 State Route 25 JAMES H.RICH III :� (cor.Main Rd. &Youngs Ave.) MARTIN H.SIDOft �'YCpUMyS� ����/ Southold,NY --- _----__ I , . 0'. Telephone: 631 765-1938 1 �, . 'I -,1 � www.southoldtownny.gov , PLANNING BOARD OFFICE i`4�l i i'�� TOWN OF SOUTHOLD I MAY 1 5 2015 „, MEMORANDUM i 1 To: Michael J. Verity, Chief Building Inspector From: Donald J. Wilcenski, Plantfing)B,oard bhairman p\ 10 .;�• • `.,as ,; .,,,,,yam , ° ; Date: February 25, 2015 : -i ;ACV ' Re: Creative Courses Caterii LLC - • SCTM #1000-59-10-4 ---7r• : '�_• • ' ' t j The Planning Board has reviewed the applicant's request (see attached) to proceed with all necessary permits to open and•operate the commercial kitchen aspect of their business without having to complete the site plan profess. The Board agrees with this approach with certain conditions as follows: , 1. The site will be used for the commercial kitchen only, and any food prepared will be taken off-site. 2. That public will not enter the site. 3. There will be no take-out restaurant on site until a site plan application is completed and approved by the Planning Board. 1 The Board has agreed with this approach and recommends the same to the Chief Building Inspector, because with only six employees using the site, it would seem that the use of the site would be no more intense than the previous use, thus not rising to the level of needing a site plan. 1 E SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES CERTIFICATE OF APPROVAL OF FOOD SERVICE ESTABLISHMENT FOR CONSTRUCTION, ALTERATION OR REMODELING Applicant Establishment Location North Fork Food Shack 41150 Country Road Southold,'NY 11971 Approval is issued under the provisions of Article 13, Section 1304 of the Suffolk County - Sanitary Code for: 1)X New Application 2) Remodeling THE FOLLOWING CONDITIONS'APPLY: 1) PROPOSED CONSTRUCTION IS IN CONFORMITY WITH THE PLANS AND SPECIFICATIONS APPROVED BY THIS DEPARTMENT. 2) REVIEW IS BASED UPON THE APPLICATION, PLANS AND MENU YOU PROVIDED. ANY CHANGES REQUIRE WRITTEN APPROVAL FROM THE DEPARTMENT OF HEALTH SERVICES BEFORE THE CHANGES CAN BE MADE. 3)THE APPLICANT MUST CONTACT THE FOOD CONTROL UNIT AT 631-852-5873 TO ARRANGE AN INSPECTION OF COMPLETED CONSTRUCTION PRIOR TO OPERATION. 4) THIS CERTIFICATE IS NOT A PERMIT TO OPERATE A FOOD SERVCE ESTABLISHMENT. OPERATION WITHOUT A SATISFACTORY PRE-OPERATIONAL INSPECTION AND/OR A PERMIT TO OPERATE WILL RESULT IN LEGAL ACTION. 5) PLEASE MAINTAIN YOUR SET OF APPROVED PLANS AT THE ESTABLISHMENT FOR USE DURING CONSTRUCTION AND INSPECTIONS. 6)THIS APPROVAL DOES NOT CONSTITUTE APPROVAL BY ANY OTHER STATE OR LOCAL REGULATORY AGENCY. 7) THE APPROVAL TO CONSTRUCT IS VALID FOR 2 YEARS. AN EXTENSION MAY BE GRANTED UPON WRITTEN REQUEST WITHIN 30 DAYS OF EXPIRATION. 8) THE APPLICANT SHALL ASSURE CONFORMANCE WITH THE FOLLOWING AMENDMENTS TO PLANS AND SPECIFICATIONS: - Restricted — dishwasher may only be used for pots. Preliminary Wastewater Management approval issued for a take-out establishment, 16 seats maximum, and single service only. - All equipment must be properly drained or indirectly drained as required - Field inspection to confirm adequate refrigeration - Provide adequate menu advisory - Final Wastewater Management approval is required. ISSUED FOR T i ISSIONER OF HEALTH DESI A / • PRESENTATIVE ' AT TRAINING AND PLAN REVIEW UNIT 360 Yaphank Ave.Yaphank,N Y 11980 (631)852-5873 06/10 3 9 Sito R4\0 OFFICE LOCATION: - MAILING ADDRESS: Town Hall Annex � oE SOUjjy® P.O. Box 1179 54375 State Route 25 , ,`O ;- l0 . Southold,NY 11971 (cor.Main Rd. &Youngs Ave.) Southold, NY Telephone: 631 765-1938 G ' t! www.southoldtownny.gov ouNri PLANNING BOARD OFFICE R ECLEGyg TOWN OF SOUTHOLD � 18 April 1, 2016 B1�DIAPR NG1 DE20PT. TOWN OF SOUTB p,D Mr. Ray Nemschick 160 Main Street Sayville, NY 11782 Re: Approved Site Plan for Creative Courses Catering, LLC 41150 County Road 48, ±850' slw/o CR 48 & Tuckers Lane, Southold SCTM#1000-59.-10-4 Dear Mr. Nemschick: The Planning Board has found that the requirements of the above-referenced Site Plan, and the two (2) items required in the March 25, 2016 Planning Board letter, have been completed based on the site inspection made March 30, 2016. The site is now in conformance with the Site Plan entitled "Creative Courses", prepared by Raymond W. Nemschick on August 8, 2014, last revised September 17, 2014. This letter does not condone any changes from the approved Site Plan and from approvals permitted by other agencies; Planning Board approval is required prior to any significant changes to the site. Please, if you have any questions regarding this site plan or its process, do not hesitate to call this office at 631-765-1938. Very truly yours, `300 Donald J. Wilcenski Chairman cc: Michael Verity, Chief Building Inspector Jamie Richter, Town Engineering Inspector SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES CERTIFICATE OF APPROVAL OF FOOD SERVICE ESTABLISHMENT FOR CONSTRUCTION, ALTERATION OR REMODELING Applicant Establishment Location North Fork Food Shack 41150 Country Road Southold, NY 11971 Approval is issued under the provisions of Article 13, Section 1304 of the Suffolk County Sanitary Code for: 1)X New Application 2) Remodeling THE FOLLOWING CONDITIONS APPLY: 1) PROPOSED CONSTRUCTION IS IN CONFORMITY WITH THE PLANS AND SPECIFICATIONS APPROVED BY THIS DEPARTMENT. . 2) REVIEW IS BASED UPON THE APPLICATION, PLANS AND MENU YOU PROVIDED. ANY CHANGES REQUIRE WRITTEN APPROVAL FROM THE DEPARTMENT OF HEALTH SERVICES BEFORE THE CHANGES CAN BE MADE. 3)THE APPLICANT MUST CONTACT THE FOOD CONTROL UNIT AT.631-852-5873 TO ARRANGE AN INSPECTION OF COMPLETED CONSTRUCTION PRIOR TO OPERATION. 4) THIS CERTIFICATE IS NOT PERMIT TO OPERATE A FOOD SERVICE ESTABLISHMENT. OPERATION WITHOUT A SATISFACTORY PRE-OPERATIONAL INSPECTION AND/OR A PERMIT TO OPERATE WILL RESULT IN LEGAL ACTION. 5) PLEASE MAINTAIN YOUR SET OF APPROVED PLANS AT THE ESTABLISHMENT FOR USE DURING CONSTRUCTION AND INSPECTIONS. 6)THIS APPROVAL DOES NOT CONSTITUTE APPROVAL BY ANY OTHER STATE OR LOCAL REGULATORY AGENCY. 7) THE APPROVAL TO CONSTRUCT IS VALID FOR 2 YEARS. AN EXTENSION MAY BE GRANTED UPON WRITTEN REQUEST WITHIN 30 DAYS OF EXPIRATION. 8) THE APPLICANT SHALL ASSURE CONFORMANCE WITH THE FOLLOWING AMENDMENTS TO PLANS AND SPECIFICATIONS: - Restricted — dishwasher may only be used for pots. Preliminary Wastewater Management approval issued for a take-out establishment, 16 seats maximum, and single service only. - All equipment must be properly drained or indirectly drained as required - Field inspection to confirm adequate refrigeration • - Provide adequate menu advisory - Final Wastewater Management approval is required. ISSUED FORT ; � � ' ISSIONER OF HEALTH DESI , Ayr/PRESENTATIVE AT TRAINING AND PLAN REVIEW UNIT 360 Yaphank Ave Yaphank,N.Y 11980 (631)852-5873 06/10 6q-(0- 14 . COUNTY OF,SUFFOLK 00P 3 C)1c'1O - ` .,-„4 .A fmI�;a; STEVEN BELLONE ''-°„ ``• SUFFOLK COUNTY EXECUTIVE DEPARTMENT OF PUBLIC WORKS PHILIP A.BERDOLT GILBERT ANDERSON,P.E. DARNELL TYSON,P.E. DEPUTY COMMIISSIONER COMMISSIONER DEPUTY COMMIISSIONER April 25,2016 Creative Courses Catering LLC 212 Park Rd. Riverhead,NY 11901 RE: Permit#48-325,CR 48,Middle Rd. 4 II 5O LC 5o(ni County treasurer has been authorized to-refund your security in the amount of$5,000.00. To'Whom It May Concern: - , e ' This is to advise you that work under the above-referenced permit has been inspected and found to be completed in a satisfactory manner to this Department." ' - -- - - Very truly yours, - William Hillman,P.E. Chief Engineer By: C9 , Daniel J.-D -sch, J . � Director of Traffic Engineering :DD:ln Cc: Town of Southold SUFFOLK COUNTY IS AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER 335 YAPHANK AVENUE ■ YAPHANK,N.Y.11980 ■ (631)852-4081/4100 FAX(631)852-4079 _ y,� / TOWN OF SOUTHOLD PROPERTY RECORD CARD - 33 �. — _ OWNER STREET /Litt X,70 VILLAGE k DIST." SUB. LOT I 1 (-I l t..,...... , J:QRMERAWN-ER.. /S - KOs r_ N ' E ACR. I .-Td- r p /i O5Yfr: ,-01r9 i ayr Fre I (- ,3f 1 Eici vve f/-c; 'ec.)5 Y-e r- S 1 W TYPE OF BUILDING ,h r.,. i 44- -.-J.--c- c'--1 `"f- PO, rAr Cc.--) '3 ( `fSA,c:.ci-- c�-., r .f I 1 RES. SEAS. i VL. FARM COV„.-- CB. MICS. Mkt. Vale LAND IMP. TOTAL DATE REMARKS / • 15 b o 4,^4 9 O SW D / 1/2_1.174 .... � t� . .../..1 1-44. 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L!CFtuser; tAs.D :tiiLl6\0i19 , civ.c.;1; 3nT , s: .4 Yee 0STREET ADDRESS: 41180 C,R. 48 IN o 47^ 1 SURVEY OF PROPERTY AT SOUTHOLD I �\ TOWN OF SOUT,KOLD \, • SUFFOLK COUNTY, N.Y. . a,. � 1000-59-10-04 . $, 1, , ., ,/` \ • SCALE. 1°=30' AUGUST 22, 2013 $ /'Y ''. \ \ o itta ` /iiki-A9r) . -6, .... N. . . 1.4 s. IP 16, OA 646:k 0 ' L� ‘ . A\ \ 4OF NEH ; .141* % 7 'O�f 4 'h4 alb 04. 4b,4Di18 "y 'a- ARBA�f4,217 80.Ff. ,; 4 cAND 6 16 N.Y.S 1,1LI 48618 ANY ALIERATIAV OR ADaON/C7ICN 7O THIS SURREY ISA VIOLATION `� YOBS, P.C. OF ASRSE77v7�DVHTE A �nFEEXC T PER 2MW ALLCATIOVS CERTIFIED TO: (631) 765-5020 FAX (631) 765-1797 HEREON ARE VAUD FOR THIS MAP AND COPIES THEREOF ONLY IF MATT MED LLC P,O. BOX 909 roar SAID SIGNA OR RE APPEAR TER IMPRESSEDSEAL OF THE SURVEYOR FIDELITY NATIONAL TITLE INSURANCE SERVICES LLC 1230 TRAVELER STREET �,�rj, c� SOUTHOLD, N.Y 11871 13-231 cF N SURVEY OF PROPERTY W+E SD`s Co , G SITUATE: SOUTHOLD 0, O' Di- TOWN : SOUTHOLD QNc O � • \ x SUFFOLK COUNTY, NY n , SURVEYED 07-23-2014 V / �� //^^Q REVISED 07-31 -2014 �iO� 'JQQ p`' co <",...., SUFFOLK COUNTY TAX # 4 `�c 0 / �,�� 1 000 59 - 10 4 N/ �� % / / \ CERTIFIED TO: 0 '\ *w / / r\ \ CREATIVE COURSES CATERING, LLC \ L �� " \ O �� ./Q / \ ()) (..,„, /, �� �Q \ S f 40 \ 4 , , . / O\ O,....), 4,-!/ / , / - <\ . \ / , , ,,--57, �d� • \� �,L \ LO%O-� JQO ' ' \') \\ ����p-P 370 N. • \ k)0 1- <"\,p, , -i'• Ve\ 1->\<? k`.. x _� ' bo? is �-� 6 �T X, -o s2, 2Q �O � �� 6, 2�t�`����O� • �0 P�JW \ / 0 ��cO o \ syr° G \ • • G• Q �P \ •• \ \ ELEVATIONS SHOWN REF. N.G.V.D. 1929 DATUM 7 \ "Unauthorized alteration or addition to a survey map bearing a licensed land surveyor's seal is a \ violation of section 7209, sub—division 2, of the New York State Education Law" \l•( �,J \ "Only copies from the original of this survey �j marked with an original of the land surveyor's JC/ stamped seal shall be considered to be valid true pi0 comes" 'Certifications indicated hereon signify that this ,\'r/�� survey was prepared in accordonce with the ex— V !stingCode of Practice for Land Surveys adopted byythe New York State Association of Professional Land Surveyors Said certifications shall run only 4 to the person for whom the survey is prepared, 0 and on his behalf to the title company, governmen— tal agency and lending institution listed hereon, and to the assignees of the lending institution Certifies— tions ore not transferable to additional institutions /'� NOTES 0' � \ 6• MONUMENT FOUND , JO H N C C. E HtRS LAN D S U RV EYO K Gj� V ?1:3,* • PIPE FOUND 00) 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 ��O �O e--\\* �0 Area = 14,218 Sq. Ft • RIVERHEAD, N.Y. 11901 369-8288 Fax 369-8287 �� �Q Q)5-� �,, Area = 0,3264 Acres ��� -,PG`1�,��' �,e GRAM-1IC SCALE I"= 20' longlslandlandsurveyor.com �Q MI I4-168 L�l_n :i�d � l._� p N MAK l 3 20i6 /yam S U IAV EY Of P ISO P E RTY II a'11;;= r I,--,.T: -ln‘,er.r-r, �/ t :,-_-Y•411F I _ �J SITUATE: SOUTHOLD P� O' TOWN : SOUTHOLD s Q O x SUFFOLK COUNTY, NY n ,n SURVEYED 07-23-20I 4 �/ O REVISED 07-3 I -20 14 o4Q Ii /�'� UPDATE 03- 14-20 16 4 . �� l� JQO C� `-r7 UPDATE 03-23-2016 kis O�� / SUFFOLK COUNTY TAX # �� ��� / / \- I000 - 59 - I0 - 4 %.?, Z0 / �.` CERTIFIED TO: 0 rzr i'N ,./si , AN (L., , , �� CREATIVE COURSES CATERING. LLC v. 0 Q \ / / 0} G5.C.D.H.S. REF. # CIO-14-0006 / C� \\ 0 ------- U. SUFFOLK COUNTY DEPARTMENT OF HEALTH H SERVICES o �� APPROVAL CF CONSTRUCTED ONST RUC TED WORKS nate a/ • \ 4,5 / }i o 2 o 21125 0n Water supply facilities `�I/ \ The sag)d:spos�1 liii;1,0z yaEvi; v,been inspected aZ�i�P\ O� iiar#roaet :r other v t v,s2trStaCtory./, / GQ \ c:ci of*` / AT- I \ O l��I:cl J. rill ;;rt, • GQ� / I ♦ • \S \ '��7ce rf`'vcstewat�r Mara ,,\ 0 J�ov� 8.,� vO In .\\\ yCl %o�'O ts $ v'O *gaa_ 3-d' , Vir / Ak l 0' � ps G - 0 170 SOF •ASO .0, • s), \,, 0 *- x- --_;/ k:_ \,,,_,,, /1-‹,,,,, 0 ,,, -,, Eli,. \ - \\,0"' t‘ <c\-5%.161Q-0' 7,p 4°' \ ,,, ,,,, „ \ ,. 0 , -4-4111L. ,,,_ ,, ....., �i OCG �� ��P\�\ S N \"7 / LBO \ 0 7a \ I \ - FfI7►'li7r4i "Unauthorized olterotioo licensedn or addition to a survisey \ / _b\4\- I \ Ail�+� ®� ���� ry violabtion rofgsection 7209,lansub d surveyor's vision 2. of the a 0 \ ff# �� �!°i,!i New York;:ç Education Low' • wl -wl \ e 60+''' V`7 V`t / 'w���O�N RC"Fti� Only copies from the d r� siomped seal shall be consirto be valid true �`* r ,5$ (� copies M.,<4-t',' �6 4.a 71 ILVO1�tii�l "Certifications indicated hereon signify that this G• O / ` Ve * survey was prepared m accordance with the x— G • � 1• ex- isting Code of Practice for Land Surveys adopted Ik by the New York State Association of Professional ` ' �� ,;z1jIA Q�� Land Surveyors Said certifications shall run only �� ,Af� to the person (or whom the survey is prepared, O -n+`s� .J0202 ,-. and on his behalf to the title company, governmen— /� Q , .� tat agency and lending institution listed hereon, and \ �qND SVP' •F to the assignees of the lending institution Certifica- �����. o,0 Olt -R- tions are not transferable to additional institutions NOTES _ Q O �0` 0 MONUMENT FOUND JOHN C. EhLE(�S LAND SURVEYOR (?,\ �'.C2--\' \� A PIPE FOUND SEPTIC COVERS TO GRADE �• � �� WELL FOR IRRIGATION ONLY 0�� PG �O X 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 o� e-\\ 4) Area = 14,218 Sa. Ft. RIVERHEAD, N.Y. 1 1901 369-8288 Fax 369-8287 P�Q �D�G��\\,��Q \G Area = 0.3264 Acres GRAPHIC SCALE I"= 20' loncglslandlandsurveyor.com E I= 14-165 494vg Workers' CERTIFICATE OF INSURANCE COVERAGE ATS Compensation BoardUNDER THE NYS DISABILITY BENEFITS LAW PART 1.To be completed by Disability Benefits Carrier or Licensed insurance Agent of that Carrier la.Legal Name and Address of Insured(Use street address only) lb.Business Telephone Number of Insured CREATIVE COURSES CATERING LLC 631-974-7564 1a NYS Unemployment Insurance Employer Registration Number of Insured 212 PARK ROAD 1d.Federal Employer Identification Number of Insured RIVERHEAD, NY 11901 or Social Security Number 454811355 2.Name and Address of the Entity requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity being listed as the Certificate Holder) ShelterPoint Life Insurance Company Suffolk County Dept. of Health Services 3b.Policy Number of Entity listed in box"la": Food Control Unit, Suite 2A DBt,484758 360 Yaphank Avenue 3c.Policy effective period: Yaphank, NY 11980 04/14/2016 to 04/13/2017 4.Policy covers: a.® All of the employer's employees eligible under the New York Disability Benefits Law b. Only the following class or classes of the employer's employees: Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has NYS Disability Benefits insurance coverage as described above. Date Si ned 4/14/2016 B (P !/j� 9 y 41 (Signature of insurance carrier's authorized representative or NYS Licensed Insurance Agent of that insurance carrier) Telephone Number 516-829-8100 Title Chief Executive Officer IMPORTANT:If box"4a"is checked,and this form is signed by the insurance carrier's authorized representative or NYS Licensed Insurance Agent of that carrier,this certificate is COMPLETE.Mail it directly to the certificate holder. If box"4b"Is checked,this certificate is NOT COMPLETE for the purposes of Section 220,Subd.8 of the Disability Benefits Law. It must be mailed for completion to the Worker's Compensation Board,D8 Plans Acceptance Unit,328 State Street,Schenectady,NY 12305. PART 2.To be completed by NYS Worker's Compensation Board(Only if box"4b"of Part 1 has been checked) State of New York Worker's Compensation Board According to information maintained by the NYS Worker's Compensation Board,the above-named employer has complied with the NYS Disability Benefits Law with respect to all of his/her employees. Date Signed By (Signature of NYS Worker's Compensation Board Employee) Telephone Number Title Please Note:Only insurance carriers licensed to write NYS Disability Benefits insurance policies and NYS Licensed Insurance Agents of those insurance carriers are authorized to issue Form DB-120.1.Insurance brokers are NOT authorized to issue this form. DB-120,1(9-15) STATE OF NEW YORK WORKERS'COIVPENSATION BOARD CERTIFICATE OF NYS WORKERS' COMPENSATION INSURANCE COVERAGE la.Legal Name&Address of Insured(Use street address only) lb.Business Telephone Number of Insured 631-974-7564 Creative Courses Catering,LLC ic.NYS Unemployment Insurance Employer 212 Park Road Registration Number of Insured Riverhead,NY 11901 Work Location of Insured(Only required if coverage is specifically id.Federal Employer Identification Number of Insured limited to certain locations in New York State, I.e., a Wrap-Up or Social Security Number Policy) 45-4811355 2.Name and Address of the Entity Requesting Proof of 3a. Name of Insurance Carrier Coverage(Entity Being Listed as the Certificate Holder) The Hartford 3b.Policy Number of entity listed in box"1a" 12WECZ18457 Suffolk County Dept.of Health Services 3c. Policy effective period Food Control Unit,Suite 2A 360 Yaphank Avenue 04/14/2016-04/14/2017 Yaphank,NY 11980 3d. The Proprietor,Partners or Executive Officers are included. (Only check box Wall partners/officers Included) X all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box "3" insures the business referenced above in box "la" for workers' compensation under the New York State Workers'Compensation Law.(To use this form,New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2". The Insurance Carrier will also notify the above certificate holder within 10 days IF a policy is canceled due to nonpayment ofpremiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insuredfrom the coverage indicated on this Certificate. (These notices may be sent by regular mail) Otherwise,this Certificate is valid for one year after this forin is approved by the insurance carrier or its licensed agent,or until the policy expiration date listed in box"3c",whichever is earlier. Please Note:Upon the cancellation of the workers' compensation policy indicated on this form,if the business continues to be named on a permit,license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Workers' Compensation Coverage or other authorized proof.that the business is complying with the mandatory coverage requirements of the New York State Workers'Compensation Law. Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by: John Kosciusko (Print name of authorized representative or licensed agent of insurance carrier) Approved by: %arc. ��� 04/14/2016 (Signature) (Date) Title: Partner Telephone Number of authorized representative or licensed agent of insurance carrier: 631-722-3500 Please Note: Only insurance carriers and their licensed agents are authorized to issue Form C-105.2. Insurance brokers are NOT authorized to issue it. • inft.. COMcheck Software Version 4.0.1 Envelope Compliance Certificate Ni Project Information D E C W E TT Energy Code: 2014 New York Energy Conservation Construction Code Project Title: Creative Courses DEC - 8 2015 Location: Suffolk County,New York Climate Zone: 4a Project Type: Alteration BLDG.DEPT. TOWN OF SOUTHOLD • Construction Site: Owner/Agent: Designer/Contractor: 41150 County Road 48 Raymond Nemschick Southold,NY 11971 Nemschick Silverman Architects,pc 160 Main St Sayville,NY 11782 631-563-2130 r.nemschIck@ns-arch.com Building Area Floor Area 1-Dining:cafeteria/fast food:Nonresidential 2410 Envelope Assemblies R-Value Proposed Max.Allowed Post-Alteration Assembly Cavity Cont. U-Factor SHGC U-Factor SHGC Exterior Wall 1:Concrete Block:8°,Partially Grouted,Cells 11.0 0.0 0.080 --- 0.104 •-- Empty,Furring:Wood,[Bldg.Use 1-Dining:cafeteria/fast food] Roof 1:Attic Roof with Wood Joists,[Bldg.Use 1-Dining: 30.0 38.0 0.015 -•- 0.027 -- cafeteria/fast food] Envelope PASSES Envelope Compliance Statement Compliance Statement: The proposed envelope alteration project represented in this document Is consistent with the building plans,specifications,and other calculations submitted with this permit a.:'cation.The proposed envelope systems have been designed to meet the 2014 New York Energy Conservation COnstruc •de requirements in COMcheck Version 4.0.1 and to omply win the mandatory requirements listed in the Inspects•- e 1st. i\ M 41(�((�.,- 92,WC1An- Ate.' I2,ti- ame Title 1 Sig . 1 Date �FtED / 5� ��04V—ter , scy * IWO* -4) ig#4 No.02sos6 14 °P NES Project Title: Creative Courses Report date: 12/08/15 Data filename: P:12014\14-1796 Proposed Restaurant-Soulhold\00-Admin100-Docs11796 comcheck.cck Page i of 8 • CO Vlcheck Software Version 40001 Inspection Checklist Energy Code: 2014 New York Energy Conservation Construction Code Requirements: 0.0%were addressed directly in the COM check software Text in the"Comments/Assumptions"column is provided by the user in the COMcheck Requirements screen. For each requirement,the user certifies that a code requirement will be met and how that is documented,or that an exception is being claimed.Where compliance is itemized in a separate table,a reference to that table is provided. 2014 New . - -York Plan Review Complies? Comments/Assumptions Energy C103.2 Plans and/or specifications provide all '❑Complies [PR1]1 Information with which compliance ❑Does Not can be determined for the building envelope and document where ['Not Observable exceptions to the standard are ONot Applicable claimed. C402.3.1 ;Vertical fenestration area<=30 '❑Complies [PR1O]1 1 percent of the gross above-grade wall ❑Does Not ;area. ONot Observable ONot Applicable C402.3.1 Skylight area<=3 percent of the '❑Complies (PR11]1 gross roof area. ❑Does Not ['Not Observable, ONot Applicable C402.3.2 In enclosed spaces>10,000 ft2 ❑Complies [PRA]1 directly under a roof with ceiling Oboes Not heights>15 ft.and used as an office, ONot Observable lobby,atrium,concourse,corridor, storage,gymnasium/exercise center, ONot Applicable convention center,automotive service,manufacturing,non- refrigerated warehouse,retail store, distribution/sorting area, transportation,or workshop,the following requirements apply:(a)the daylight zone under skylights is>= half the floor area;(b)the skylight area to daylight zone is>=3 percent with a skylight VT>=0.40;or a minimum skylight effective aperture >=1 percent. C402.3.2. Areas with obstructions that block '❑Complies 2 direct beam sunlight on>=1/2 of the [Imes Not [PR15]1 roof over the enclosed area for more than 1,500 daytime hours per year ❑Not Observable between 8 am and 4 pm. ONot Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) ( 2' Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Creative Courses Report date: 12/08/15 Data filename: :M20141144796 Proposed Restaurant-Southold100-Admin100-Docs11796 comcheck.cck Page 2 of 8 2014 New •- York Footing/Foundation Inspection Complies? Comments/Assumptions Energy , C403.2.7, 'Exterior insulation protected against OComplies C408.2.8, damage,sunlight,moisture,wind, ODoes Not C404.5 landscaping and equipment [F06]1 maintenance activities. ONot Observable ONot Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 (Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Creative Courses Report date: 12/08/15 Data filename: P:\2014\14-1796 Proposed Restaurant-Southol00-Admin\00-Docs\1796 comcheck.cck Page 3 of 8 2014 New - • York - Framing/Rough-1n inspection Complies? • ' Comments/Assumptions Energy _ C402.4.1, The building envelope contains a 'DComplies C402.4.2 continuous air barrier that is sealed in Oboes Not [FR16]1 an approved manner and either (]Not Observable constructed or tested in an approved manner.Air barrier penetrations are ONot Applicable sealed in an approved manner. Additional Comments/Assumptions: 1 High Impact(Tier 1) I 2 Medium Impact(Tier 2) 3 Low Impact'(Tier 3) Project Title: Creative Courses Report date: 12/08/15 Data filename: P:\2014\14-1796 Proposed Restaurant-Southold\00-Admin\00-Docs\1796 comcheck.cck Page: 4 of 8 2014 New , - -. - York Mechanical Rough-In Inspection- _ Complies? Comments/Assumptions Energy • - - C402.4.5. Stair and elevator shaft vents have -❑Complies 1 motorized dampers that automatically ❑Does Not [ME3]3 close. ❑Not Observable ONot Applicable C402.4.5. Outdoor air and exhaust systems have'❑Complies 2 motorized dampers that automatically ❑Does Not [ME58)3 shut when not in use and meet maximum leakage rates.Check ONot Observable gravity dampers where allowed. ONot Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Creative Courses Report date: 12/08/15 Data filename: P:\2014\14-1796 Proposed Restaurant-Southold\00-Admin\00-Docs11796 comcheck.cck Page 5 of 8 Section - . Plans Verified Field Verified # Insulation Inspection Value Value Complies? Comments/Assumptions &Req.ID - C402.4.1. All sources of air leakage in the S - , • , ['Complies 1 building thermal envelope are , _ „ ' - - • ❑Does Not [INV sealed,caulked,gasketed, -• • ❑Not Observable weather stripped or wrapped with. F • , • moisture vapor-permeable i' ' •!ONot Applicable wrapping material to minimize air} - ' - • ;` leakage. • C402.4.2. Roof R-value.For some ceiling R- R- 'OComplies See the Envelope Assemblies 1 systems,verification may need to 0 Above deck 0 Above deck ❑Does Not table for values. (IN2]' occur during Framing Inspection. ❑ Metal ❑ Metal ONot Observable 0 Attic 0 Attic ❑Not Applicable I C303.2 Roof insulation installed per _ - • • IDComplies [IN3]' manufacturer's instructions. ;IJDoes Not Blown or poured loose-fill _ insulation is installed only where ;,3❑Not Observable the roof slope is<=3 in 12. ' - - - j❑Not Applicable C303.2 Above-grade wall insulation " • ' ' - ' .00ompiles [IN7]' installed per manufacturer's • , •`• ' '❑Does Not instructions. - „ • ' ❑Not Observable - i❑Not Applicable C303.1 ;Building envelope insulation is - ' ',- ❑Complies ' (IN-O]2 ' `labeled with R-value or Insulation " ' - ' • , - ' - • Oboes Not certificate providing R-value and - - - , other relevant data. - ONot Observable ,:•'-ONot Applicable C303.2.1 I Exterior insulation is protected ''.. _ ' • ;-6-„ -, , -' '❑Complies (IN14]2 tfrom damage with a protective i. : - ODoes Not material.Verification for exposed • ' ' - foundation insulation may need i.- -, ONot Observable to occur during Foundation ,- - ONot Applicable , Inspection. - • C402.2.1 Insulation intended to meet the , - ,, , ' ❑Complies [IN1713 roof insulation requirements - - : ;❑Does Not ' cannot be installed on top of a suspended ceiling.Mark this - . ONot Observable requirement compliant if _ iDNot Applicable insulation is installed accordingly. - • : • ', . - 1 Additional Comments/Assumptions: i 1 High Impact(Tier 1) .2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Creative Courses Report date: 12/08/15 Data filename: P:12014\14-1796 Proposed Restaurant-Southold100-Admin100-Docs11796_comcheck.cck Page 6 of 8 2014 New - York Final Inspection Complies? Comments/Assumptions , Energy - _ C402.4;8 Recessed luminaires in thermal • '❑Complies [FI26]3 envelope to limit infiltration and be IC ❑Does Not rated and labeled.Seal between interior finish and luminaire housing. ['Not Observable ❑Not Applicable C406 Efficient HVAC performance,efficient ❑Complies [F134]1 lighting system,or on-site supply of ODoes Not renewable energy consistent with what is shown the approved plans. ONot Observable ❑Not Applicable Additional Comments/Assumptions: 1(High Impact(Tier 1) `2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Creative Courses Report date: 12/08/15 Data filename: P:12014\14-1796 Proposed Restaurant-5outhold100-Admin\00-Docs11796_comcheck.cck Page 7 of 8 l .L..-i , [ , : ... 1,._,,p,,_e_ 1. k 4 f L4,,,,, .i. - , \rx) :E4)(-- ( V lV/ ` 1 I IN . 1 , 1 . ,,q , ,s_., _ 9 , (1_46\‘; . 1. 17,.1 , ..._., , ,otx ...1,,,___5„.____ , . . _ . _ __ _ .. .. 1 1 i S ) , --1 , ,ci-J ; ) • 3, •3/ cl-- 4) -5 c13 I d, 4 c 1 ' h 1-.... . _ . 1 \-1C31/e I • N _ , _ i _ 7 , 8 1147kIf— ' --PiTf5t/e L 7 i 3 , -1-W‘ I , 17- (17VO' ' 7. 11\-1121,:e-: • --nP1-61.1 'aP e zr--" sCi vs... '''.".......za 41 //7/7/ ''7 .-7 / „// // / I , 1 , I cc c- _� _ _a•Ji:'!,^.�1rJ{,�.L'"i..*� �r2I'f`aI Ti.e:iL��� {� �'. saj� :;:vic LIGhTING SCHEDULE 5URVEY INFORMATION TAKEN Ppprrv=jccrcon uctjon-0th ng?I,- MPFROM SURVEY PREPARED BY A..;1.•`, ,r. Vo. o- `-('bd6/ Desi nF o-w2-S\,)N ° JOHN G. EHLERS, :_,,,t,., �-� A c' 0FULLY SHIELDED FIXTURE (SEE SPEC) DATBD JULY23 20/4. ` ' h:v herere eFar erenalconformancewithSuffolkCe i,:=t/ Department of FlcaiitRh Ser`vices stndards, relating to water 1 Q ,-`a+ ply and sev.age disposal. Rears s of any omissions, . 2� �leu�''C'/C--C-V\' i.; enristencies cr lack of de.vii, ccnctructiaa is required to be in 1 2 accardance with the a=. .ched permit conditions and applicabie 1 ShEILDED PAR FLOOD (SEE SPEC) stag:dards,unlessspoeS cailywaivedbytheDepartment.Thisapproval(c-13 C N7expires 3 years from the er rrove iya,unless eilended or renewed. 1 B Y 1 1 2015\l't Approval Date `Gvie�•iip 1 NOTE: ALL LIGIITING TO BE MOTION EXISTING CONCRETE SLAB AND AIR CONDITIONING UNIT 77��� C: ���i/.c� (3?4,4,1- ACTIVATED. G��PROPOSED W 1. COOLER 8XI2X8'SET OVER NF1'4"REINF. CONCRETE SLAB. (q6 65F) 2 LAND NOW OR FORMERLY OF: y_ � l,,,,,,1,.._,a= _ - -s.AlcO l � dei''==EE. C>n.'i} `;� f.!?'µ':. ... . , ,^ , fi`A' R, "' . 11';� �.�,. >..'`�'_ � �-'i 2""�; %im}� i,`Sftri',"„sd� KAROL FILIPKOWSKI EXISTING CONVERTED TO IRR/CATION USE ONLY (,,--sr tip�:.t;��;,: .'y s r,ti,ry,,,'EXISTING SANITARY SYSTEM TO BE PUMPED t�� `` i"'j 'AAND REM01/ED PER 5C. POLLUTIONEXISTING STORAGE CONTAINER 8X20X8.5' TLS BE '�"'�""�� -��•CONTROL STANDARDS. VERIFY EXACTPROP. CONCRETE SLAB® BLDG. ENTRANCE REMOVED. (160 G5F) -1LOCATION IN FIELD EXISTING ELEC. METERS 2 — NEI'6"X/8"CONCRETE CURBING EXISTING GAS METER Altai eo0 (�\ 72.1 - _ 245. 1';, �� o , „ © . �...a� _ . , S. 30 54 00 E. v► v, �l �, 6" DARK BROI'N LOAM OL ck \ - Z� O.H.W. — — — - — — — ` . .NNW .. ��AMEN111.1111111111111.11.iMillb O t. - --- 3' BROHN SILT ML 4). r'" 460.3 i Iv \ \\ \\ QC`1 �� 13��u I S.T. --- 14 x-- ,' ,,,lic Or T L.P. I _ I �, 10' BROWN SILTY SAND 5M \ 2� oi EXPANSION POOL I r I /� - , eel - ---a \ ....., „, NMI MUM • MIIIK MN& MIMI BIM MM. MIK 1111111 111110111, i 6 ,...0 II ICN:1: MIMI INOOK .. NOM . . .i ... . . ',.9111111111111r i>. .. . • . •'.\ . • 1771:. proviorpi 6,..0.- n - . ,` I• _ 0 , • I.. L ' . • • • \ /a - EXIST. 15TY. MASONRY BLDG. IW)0 \ \ •• o' , i . - N °10OM 'I • r 01 o _\ • / 2,424 G5F —.� \ \ zo �• • b ( HC T ►,��,' 8,-0„ (NO BASEMENT) • `i: • 23' PALEBROhTI, FINETOtO `� \ 4C\ 41 ts.,.. i• _ % -- - v T Q MEDIUMSAND SP \ \b` t • � %'-e4" O 2 0 4* 111A :::1711111111..111111111mimimilmiligamillijDA5 �/• GOMMENTs:FE • eq / f� v NO l'A�tkENCOUNTERED• O • , 3• • • 5'�" • • ul \ Y MGDO �4C•?:).:, O \ \ ,� NANDIGAA PARKING 5/GN `✓ / •. • NLDGEOSG/ENGTINSTAL 1 Fn PER TOtNN 6O. -;'� • 'I,a<IA , \ � G�JH f�L FARKINO STANDARDS .. .. 0 0 • /5' • " ® :.l• ry • x � \ fltT�: 6/24//4�J •,, • • • • • • . \ --:„.....,_ • • N� , > 3.�7-----\ \ \\ __.„ pRivElAtA'( 3i�,. I • • : . . ,.. " T HOLE DA TA .:--\,-----, \ \ .\\\ � beSERV/GE LINE O X15Tl N6 f�S�N/�LT ►' d' - O _ _ O b , SCALE- NTS, ' - - - - 217.3 \ , - - ' .- __ \ - TEST HOLE LOCATION LOAD/NG BAY i" .,.-4 t, E, EXISTING 5G1'A MAIN • F l0'DIA. X I3'EFF DEPTH DRYHELLS ' _ :i1:.,,, ,`Iii,: ( 6X8X6'HIGH FENCED TRASH ENGLGSiIREW/DBL GATEf' �;' CI i�° R\ Crl r.. :t .e . _; " . ;. . . OVER CONCRETE SLAB. ��� r _ .'IPVIIIPIW—'i \ N` • 34 30 2 0 .e+ 52=E: ,_ :: ;. sl:. i L ,rias, Yi j-. i N "a; ° a5. �;, earl r € fl - \ €.:1:-.`.1'i- i'.;•2-1!..---.• .a._ ._.--- . I KEY PLAN \\ U>� EXIST. EDGE OF PAVEMENT NEW 6"CONC. FILLED STEEL BOLLARDS CO CORNERS 2 FORMERLY OF: / PROPC5E ) 5/T P AN `� \ . LAND NOW ORNOTE: . , ,THERE ARE NO NEIGHBORING ' 1 c � _ "_ 2 * BER �'A GARRIS SCALE l lO % I \ R 0 T7' WELLS !N/TH/N /50 FT. OP THi5 ,-0 s JACK y�EI SK0 1 I PROPERTY. v -c e SANITARY PLOX CALCULAT/OIWS SEPTIC SYSTEM DE5/GN ZONING INFORMATION 4',. � '; °� , c. S.G. GROUND HA 1t MGT ZONE: IV SYSTEM COMPONENTS: 1 SCTM 1000-54-10-4tf) RA \AEC' AC' A ONS ,,, c, ALLOWABLE DENSITY= .326AC X 600 GAD/AC = Ig5.7 GPD GREASE TRAP: 1 (I6 SEAT SINGLE SERVICE) REQUIRED SIZE 321.6 GPD(1500 GPD MINIc HET STORE WITH FOOD PROVIDE 8'X 5'LIQUID DEPTH = 1500 GAL CAPACITY. ZONING DISTRICT: LB USE MA ItkIAL AREA (S.F)X RUNOFF COEF. =EQUIV. DRAIN DESIGN X DESIGN RAINFALL = DESIGN VOL. (C.F) ;4 DENSITY=2680 5F. X 0.03 6PD/SF= 80.4 GPD SEPTIC TANK: 1 ROOFING ASPHALT 2,5112 5.F. X 1.00 = 25112 x.16= TOTAL RUNOFF LOAD: ': MINIMUM 2 DAY STORAGE REQUIRED. 1SHINGLE AREA l G.F. STORAGE REQUIRED = 415 415 + q7q+262 = 1,656 C.F. Rd 8d i4 SITE AREA: .326 AC (14,2/3 5F) �� KITCHEN/GRAY LOAD REQUIRED 5.T = 402 x 2 DAYS = 804 GPD DENSITY=2680 SF. X 0.12 6PD/SF= 321.6 GPD PROVIDE 8'X 4'LIQUID DEPTH= 1200 GPD 2 , . 4 BUILDING AREA: 2424 BLDG. STORAGE CAPACITY OF 10'DIAMETER TANK ' HYDRAULIGE SF. X 0.15 6PD/SF= 402 GPD !-EAGHING POOLS: q6 H.I. COOLER PARKING GRAVEL 6,118 5.F. X 1.0 = 6,1/8 x.16= BY HARRIS FRE-CAST OR EQUIVALENT DENSITY= REQUIRED SIDE WALL AREA = 402 GPD/(13 6/SF/'D) = AREA l C.F STORAGE REQUIRED = q7q AT I V.F.= 68.42 V.F. 268 SF. (MINIMUM REQUIRED = 300 S.F. l60 STORAGE CONTAINER PROVIDE 8'X 12'DEEP POOL. I 2680 5F TOTAL U5E(2)10'DIAMtJtk TANKS AT 13 V.F. EACH SEAL: REVISIONS/SUBMISSIONS: DRAWING TITLE: 2 PARKING GALLS.: SEATS X l6 = ,c�AED A,qC DATE DESCRIPTION: \,D W. 4- '// 8/8/14 JCDq/ AREA I G.F. STORAGE REQUIRED = 262 TOTAL DRAINAGE CAPACITY: ��'� - '' c Cna 9/17/1410D11/ JCD�GOMMMF1ij/ REQ27 = 4 LANDSCAPING GRASS 5,455 S.F. X 0.3 = 1 37 x.16= o /s 2i PROPOSED 8 26 X 68.42 =1,7711 C.F. 94/20/15 JCD13/ PLOT PLA/') A/`ID CALCULATIO/If * , 4, . ,,, ,+ * t 5/7/15 (CM/rr I - t �,), 029086 JOP CAD FILE NAME: P:14-1796\20 - Design\10 - Concept\1796_060214 PROJECT TITLE: DATE NSA PROJECT *: NEMSCHICKSILVERMAN ARCHITECTS P.C. CREATIVE. COURILT 08/8/14 14-1796 "...the business of ARCHITECTURE." ,0 ivc. _7, — __-- _ _ _.._.. _ _._._.. ___-- .-- . --.._... _ 41150 COU/YTY ROAD - - SCALE: DRAWING NO:160 Main Street, Suite 200 �, — JOUTHOLD,/YY 11971 Sayville, New York 117829 �/ NOTED 1 Phone : 631-563-2130 Fax : 631-563-2139 DISTRICT: SECTION: BLOCK: LOT: DRAWN BY: /pilling h tt p://vvww_n s-arch.co m PLAN NORTH @ COPYRIGHT 2014 I EMSCHCIc SIVERMAN ARCHTECTS P.C. 1000 59 10 4 ib 1 APPROVAL 5TAMP HEAVY DUTY AND LOCKING CAST IRON COVERS TO GRADE ---\ HEAVY DUTY AND LOCKING PRE-CAST CHIMNEYFINISHED GRADE P=8"MIN. P-8"MIN. CAST IRON COVERS TO GRADE \-\ _ t \_ N. 14 ' 4/ / / 8"MIN. TRAFFIC BEARING TOP x / / -�- l=8" TYP —� ry " SUFFOLK COU�•1'Y Y DEFT T MENTOF HEALTH SERVICES N 24" 2'MAX. 24" MIN. 4 DIA. EHCI CHIMNEY N PITCHED MIN. I/4"/l' O"M/ O"Ml � MIN. 4 DIA. 5DR 35 PVC PIPE ••�'• -E'�•� `�"'° . OR EQUIVALANT.. PITCHED MIN. INLET MI . 4"DIA. 5DR 35 PVC _ //8 // " 2 F`�EE�L'I'��'aCE 1�3�����I�: - 1 `� - 0 0 t P v PITCH MIN. I/8 /l N. • =:Y� ` `fl \ -__ a\ ;:.- •• ourLET t , SEE I I' '��T�'i=C; LoFi ..FoRsPEcJiLcoNDITIoNs FLOhfDi �r — •1=11: / �/� > ®®® ® D =1I: �L _ �; =L 3'-0"MIN. ®®® ® D I- ,. AEVIEWI R'S I�1iTIAI.S: -•-r `�- - •-•`=• IIP ?PI: `: I, • = -11 /®® � ILII I P-•�. `41'i.ro,' Q II II ®® ® D =II. -' II ._ _.Y • 11= - z ,::,•; T AI BACKFILL WITH CLEAN, I -,II u, F �� e GRANULAR MATERIAL l-0ALL 4 -II \ = �' • '" AROUND SEPTIC TANK FOR HULL ;'= 1 �' •L_e�f-.....--•-:_� _L:_•-•i_i_ •-! ett_;-'-c-?---'. i AFr /=dr iT As NOTED Cu . L}' 1 + HI E S OF DATE:'6 /C" 11:-E.P.V- g�5" ASYQI'N< ST/^...,_E & TOWN CODES Vj��/�yL /A2// REQUIRED AN D-e -N-B7-1-O J OF_ FEE: :._. 1.-" :' - _ _--.-_,�..... NOT 1 EUILDr:2, D:;, AR i I, ENT AT SCUT - ,-- -Z ROI. SAW CUT SLAB AS REQUIRED FOR NEW PLUMBING CONNECTIONS 765-18f2 8 AM T':.:1 4 FM FOR THE R02. REMOVE AS OItU FLOOR FINISHES. 765-18.2 3 INSPECTIONS: Oli, TO ,I " l\IN -BOARD R03. REMOVE ALL EXISTING WALL FINISHES. 1. FOUNDATION - TWO REQUIRED -- ._._._ " :- r. ^-E R04. EXISTING CEILING TO REMAIN. FOR POURED GO1',ICRFE-TE RG5. REMOVEDRYWALL A5 NECESSARY TO INSTALL BLOCKING FOR NEW SHELVING_ 2. ROUGH - FRAMING: & PLUMBING ____�., .--. -'- LY.S."'``�' 3. ALATIGty OCCUPANCY OR 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. USE IS UNLAWFUL ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW WITHOUT CERTIFICATE YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERROR�LOSETA A.G. EXIST. TOIL OCCUPANCY ®N� 1�U� �® ® � ' 103 106 UNIT GOI PATCH AND REPAIR EXISTING WALLS TO RECEIVE NEW FINISHES. W2 NEW 3X7'SOLID CORE WOOD DOOR WITH SCHLAGE AL SERIES CYLINDRAL SELF CLOSING LOCK, 54 TURN LEVER AL405, PASSAGE SET, FINISH: 609,•LGN CLOSER r'wirer"ice =1W 1520 SERIES i\J/ G03 INSTALL NEW WALL. SEE DETAIL DRAWING FOR WALL TWE l ON SHEET ' ® A-I FOR ADDITIONAL INFORMATION. 001 ------ HI G04 r - G04IA 3=4" 001 FIDE INSPECTION Goo PREPARE FLOOR TO RECEIVE NEW FINISHES. 14- '''N / Col 0 REQUIRED BES 'Rol NEN_ COOLER DRY TO I GOI G05 ADDITlON.4L INI=GRTIO BE INSTALLED. SEE EQUIPMENT SCHEDULE FOR - _ = OPENING _ OFFICE STORAGE �l a ALIGN I Or✓" I O.7 � PROVIDE 4'-O"WIDE X 3'-O"HIGH OPENING IN NEW WALL FOR KITCHEN SELF CLOSING ITr 1 G03 KITCHENi GI I G01 PASS THROUGH. i 104 04 GO4 GOl PROVIDE NEW COUNTER TOP AND CABINET. G03 FD ® _ COOLER I IA 't i GOq I I OS co& NEW 3X7'OPPOSITE ACTING SOLID WOOD CORE DOORS WITH PUSH-PULL 10 , O 72HARDWARE TO BE INSTALLED. _ ____ - — - - - - .- ----ir I ,- INSTALL NEW WATER HEATER. SEE DETAIL 3 ON SHEET P-1 FOR DETAILS. CA2 r clo PROVIDE NEW FLUE THROUGH AGH ROOF. PA TCH AND REPAIR ROOF 0 OF A5NEW H.G.T. \ NECESSARY. FULLY FLASH FLUE VENT I02 0,...t:: O O i GII PROVIDE FRP PANELS ON ALL KITCHEN WALLS. " " m (----1/ lay 5" 11/ =.r" O i,1,, G031 GOI j ,, �, Goo 7I � 1� 1 N®� � GOI PLUMBER CERTIFICATION I Goa GI I EXISTING/ GO4 ON LEAD CONTENT BEFORE I. PROVIDE BLOCKING IN WALL FOR HANDICAP TOILET ACCESSORIES AND CERTIFICATE OF OCCUPANCY HEATER TO I IN KITCHEN WHERE REQUIRED. REMOVED AND _ , . SOLDER USED IN WATER REPLACED WITH NEW —I 1=,t,7.O ; ry V-4 ' SUPPLYSYSTEM-CANNOTG KITCHEN " ' 0 104 ,..�,� °'"�,t,�'s `� " EX�� /Z/'1 f�OF 1%LEAD. ':S ;w coo ill r PLUmerR'.! 0 ALL PLUMBING V"2: GOl CANVAS CANOPY &WATER LINES t1.1:-%, �I'. TESTING BEFORE COVERING 'IN SEATING AREA II h ROI I CONTINUOUSBACKER ROD AND IL,O I CAULK BOTH SIDES WITH HILTI IFIRE BARRIER CP 25h1®CAULK. — I04 / �� „do, GONG. SLAB "VI 256A. 2"DEEP LEG TOP RUNNER _L TO SLEC ON TRA320.C.GK EXP. BOL)EU 114 001 1 L ` 3" THERMAFIBER SAFB INSULATION 4 GO4 . '.�.�,li (SOUND ATTEIWJATION FIRE GI I COI BLANKETS) i GO4 I W6 [ ,:-'111P9— . . . .. CONTINUOUS l-1/2"X l-1/2"166A. O GC3 — p11 p COLD ROLLED CHANNEL CAT AT �/ . �0, &-O"O.G. VERTICALLY MAX. p� Pi LAYER 5/6"GYP. BOARD EACH 1 U rL1 SIDE 3 5/6"577_ SWD5 22 GA ®l6"O.C. -'1 WALL BASE. REFER TO FINISH SCHEDULE CONTINUOUS 6"206A. GALV. SHEET '�!�� STEEL KICK. (50771 SIDES) 25GA. BOTTOM RUNNER EXP. BOLTED TO SLAB 32"O.G. j1011CONTINUOUS BACKER ROD AND 4 CAULK BOTH SIDES WITH HIL TI FIRE ! ;in;-..— — BARRIER CP 25H13 CAULK. I• 7���'�. NEW FINISHED FLOOR NSR MOVAL ACON5TRUCTION PLAN FLOOR SLAB ED SCALE= 1/4"= l'-O" _ -_.____ _ WALL TYFE i-,,-:-), - _ __- ------1;' --- . ,' NO RATING I' 1 \ -'',1I\ SUN 10 2015 �'a!,. SEAL: REVISIONS/SUBMISSIONS: DRAWING TITLE: �AED &,9 DATE: DESCRIPTION: / ,� , W. A/6.„,ctii 02/04/15 FOODco/1TROL REMOVAL AND CO,i/TRUCTIO/1I PLA/1 400 ,��° s,-, 05/04/15 ReVITED Pea roof Trn.A Q 45 I.t1' o io 04/02/15 CUE/1T CMA/1GPJ' i ,f .: --, 04/0.5/15 RCVULD PLR r000 C ' 6 *. 06/09/15 RE.VJ/t7JOUTHOID 6 y� No.029086 (2•-• CAD FILE NAME: 0 Op NO -1°� y 14-1796 PROJECT TITLE: DATE: NSA PROJECT *: Nemschick Silverman Architects P.C. CREATIVE COULJLJ 01/05/15 14-1796 "...the business of ARCHITECTURE." 4140. 1M 41150 COUNTY ROAD P ,,.'N. - — SCALE: DRAWING NO.: ' /OUTUOLD, /YY 11971 160 MAIN STREET, SUITE 200 —_......_ /1OTED SAYVILLE, NEW YORK 11782 DISTRICT: SECTION: BLOCK: LOT: DRAWN BY: As. 1 Phone : 631 563 2130 Fax : 631 563 2139 www.ns-arch.com 0 COPYRIGHT 2011 NEMSCHCK SLVERMAN ARCHTECTS P.C. 1000 59 10 4 CC eP4"-- m.J'9 E(.05 • • / 2 ^f ( rim-, I1I t t I ), i I' SUFFOLK COUNTY DEPT OF HEALTH SERVICES „ I� DEC - 7 2015 , i FOOD CONTROL NOTES: h - i I 1 I. TOILET ROOM DOORS TO BE SELF-CLOSING. --- — 2. EMPLOYEES SHALL U5E TOILET FACILITIES FOR CHANGING. 3. DUMPSTERS ARE LOCATED AT REAR OF STORE. )'' Q 8 3/4" y 4. THERE ARE NO ROOF DRAINS LOCATED ABOVE FOOD PREP AREA. C� EXIST. TOILET I06 /01 11 3/4 " • 51, 3/411 qI 5 5/5 " 3,_0,1 A.G. / e ,.....0„ / 0 ,...0„ y / ,31-411/ / o / UNIT CLEANING SUPPLIES f 1 1 1 \ EdV/IMENT 5CHEtJLE \ \ '18"X 36" r—. LI 18 X 42 18"X 4 " 18"X 1.' 18"X 42" 'L� 18r�' ,t,�18"X 54" , 0 • Q • (19) 3 _ 3L)(l7) 3 (17) 3 (In (/7) w ,;.//,/, " "'�//' ;/'�/i/,///////,N;\ ITEM NUMBER QUANTITY EQUIPMENT CATEGORY REMARKS/COMMENTS \ `/ V 4 4 21 CLOSET A '� \ � (14) � � (LID° '18"X 36" I I STORAGE N l7 /'� �� SELF CLOSING NO FOOD PREP DRY WO % i I / HOOD W /TH ANSUL SYSTEM B.O. 7. q '\ S I. OFFICE105 I � STORAGE101 (/7) — ," a0 ", 2 1 60"RANGE BEVERAGE - ® - PAPER GOODSCo 0 ri x STORAGE rn (17) 18 % 3 I GHARBROILER FD REIN /' /7 — l /1 H.V.T. 18"X 42" 8"X 36" 7'1 �(/7J IN ,I TiC 4) 11,a- OLER5 / COCTION OVEN 08 SELF CLOSING (/3) cl) 6 12 WORK TABLE/EQUIPMENT STAND MULTIPLE SIZES `N O ` m ___I -� �"rn C// ) .1...-- -111'' EW WATE _ J I 7 I BEVERAGE REFRIGERATOR BY VENDOR EATER � � -- I I :1) I B / PRE RINSE SPRAYER ,(Ci . .....1 \ _.... i u NEW 36 5W/NG GATE I L ( --/ e.) I 9 I CASHIER SYSTEM W 11 _ I u KITCHEN l0 / ICE MAKER AND BIN SEATING AREA f=o 1 (22) m 104 01 L 11 / TRASH RECEPTACLE LOU 23 � ® T® ��� 12 1 UNDERCOUNTER DISHWASHER GT) U C) CD CD CANVAS CANOPY ,,, O �.1 •. u� 13 / REACH IN FREEZER n I• Il�nlm 4 ® ■ ■ ■■ ■■ C-) O1 l4 -- LOCKERS UMIMIIM Cy O O (21) • 0--1 NM ® l5 / PREP SINK TO REMAIN L GARAGE DOOR PAPER STORAGE BELOW PERMANENTLY CLOSED, NOT 16 / THREE COMPARTMENT SINK OPERABLE -- 3 4, ("v L- 17 /6 DRY STORAGE SHELVING MULTIPLE SIZES w I & # /0, \ ),...., 8 # (4� ��`�� I l8 I WALK /N COOLER UNIT Elr�`..`'\ — I .1 I (22) (I6) l2 30 29 B u _ �' l9 I FIBERGLASS MOP SINK AND FAUCET. A5 SELECTED . ,r x _ ������ ���������� � ��I /,. ,,i f �. ,_ —TTS - I i� 20 1 BOBRICK MOP HOOK 1 ) 2/ I DROP IN HAND WASH SINK WITH SPLASH GUARDS /�,!/ Q// 4' 7 //� �� 2 Q Ji// 5/4 fl 22 3 WALL HAND SINK WITH SPLASH GUARDS / / / 0 / CJ / WALL BEHIND HOOD 23 I BUNN COFFEE BREWER 251-.5 3/4" - TO BE STAINLESS / / STEEL ,/ 24 / TRUE FOOD PREP TABLE WITH REFRIGERATION 57'/0 //4" - / 'Jr 25 I SLICER LEGEND 26 1 PASTRY DISPLAY FIR5T FL OOR FLA/ .- _ 27 I STEAM TABLE SCALE = 1/4" = l'-O" EXISTING WALLS 23 I CAN OPENER BY BROWN FOOD SERVICE - - NEW MALLS- 2X4 FRAMING COVERED WITH i GYP. 29 1 DISHTABLE(UNDERCOUNTER) .. BOARD TYP. 4 INSULATED — W/ R-13 ON EXTERIOR WALLS 30 I SLANT RACK WALL-MOUNT OVER DISHTABLE SEAL: REVISIONS/SUBMISSIONS: DRAWING TITLE: DATE: DESCRIPTION: 02/04/15 FOODCO/1TROL AEQUIPME/ITJC=IEDULE 05/04/15 REVS PER FOOD TRL/I\ 04/02/15 CUMT CII/1GF/ 04/05/15 REVfED PER FOOD CTRL 12/07/15 A/BUILT FLOOR PLA/1 A ir CAD FILE NAME: 14-1796 — PROJECT TITLE: DATE: NSA PROJECT *: Nemschick Silverman Architects P.C. ,7 AdP. CREATIVE COURfEf 01/05/15 14-1796 ".. .the business of ARCHITECTURE:" j• SCALE DRAWING NO _" _ _ _ _ _ __ 41150 COUNTY ROAD � ,,,,- `- fOUTHOLD, /1Y 11971 NOTED 160 MAIN STREET, SUITE 200 ,......-.-c__.) u-ii::: ------=.... - _......._.—_..._ _.—. — f DISTRICT: SECTION: BLOCK: LOT: DRAWN BY: SAYVILLE, NEW YORK 11782 A..5 Phone : 631 563 2130 Fax : 631 563 2139 www.ns-arch.com 0 COPYRIGHT 2011 NEMSCHCK SILVERMAN ARCHITECTS P.C. 1000 59 10 4 CC