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41692-Z
`pG. Town of Southold 6/14/2017 P.O.Box 1179 o - °' 53095 Main Rd �'1gyQ- Sao Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39016 Date: 6/14/2017 THIS CERTIFIES that the building HOOD FIRE SUPPRESSION SYSTEM Location of Property: 10095 Route 25, Mattituck SCTM#: 473889 Sec/Block/Lot: 142.4-26 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/30/2017 pursuant to which Building Permit No. 41692 dated 6/1/2017 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: hood/fire suppression system installed in an existing commercial unit(grocery store)as applied for. The certificate is issued to Mattituck Plaza LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Auth rizdd Signature �SUi�c TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 41692 Date: 6/1/2017 Permission is hereby granted to: Mattituck Plaza LLC PO BOX 77 Mattituck, NY 11952 To: install a hood/fire suppression system as applied for. At premises located at: 10095 Route 25, Mattituck SCTM # 473889 Sec/Block/Lot# 142.-1-26 Pursuant to application dated 5/30/2017 and approved by the Building Inspector. To expire on 6/1/2018. Fees: COMMERCIAL ADDITION/ALTERATION $250.00 CO -COMMERCIAL $50.00 Total: $300.00 z - Building Inspector o�a0F S0UTg�o TOWN OF SH UILDING DEPT. 765-1802 INSPE ION �[ ] FOUNDATION 1 S [ ] ROUGH PLBG. � [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION V \ [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: tic w " `off Ij 2 C� DATE INSPECTOR 1! 1 O •• " Irk 1 9E t -o s, l �1 r IC 1 i - IMIZATION STATE ENERGY CODZ b � d�r•'E _�•;v F�j 1~ 1 NO- 901 Ago y, r n • 1, rr • 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 RAX:(631)765-9502 G Z -.a7 Survey tr Southoldtownnygov PERMIT NO. Check Septic Form N,Y.S.D.E.C. Trances C.O.Application Flood Permit Examined ,20 Single&Separate Truss Identification Form Storm•Water Assessment Form I (act: Approved _120 Mail to:Aj9►P i^Fc4W_.j 0-J q Disapproved afe .1`0,4 fe S T CG�fA�O�. /tj Phone: V0 Jr--69Q J* Expiration '20 Building Inspecto DD APPLICAT BUILDI G ERMIT MAY 3 0 2017 ate ZZ• INSTRUCTIONS IBUMD][LOjG''DBMS application MUST be completely filled in by typewriter or in ink and submitted to the Building-Inspector with 4 •r®w o��s �cgyrnte plot plan to scale.Fee according to schedule. lofp an 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. 11 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 1S 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. ts'lmeric'Jo ! 1?),rAXL JT vg (Signature of applicant or name,ifn corporation) (Mailing address ofapplicam) W State whether applicant is owner,lessee,agent,architect,engineer,general contractor.electrician,plumber or builder (' -S.,AS c'�.,4..-�t�z� Name of owner of premises. .f�c.,r�4-a4,_ 19 ia.m (As on the tax roll or latest deed) If applic o ,signature of dulyo n�Sofl'icer A64-0 l loe r e t e4 . r me and title of corporate officer) Builders License No. Oct- ff Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which pr ed work will be done: 2 House Number Street Hamlet County Tax Map No. 1000 Section a Block Lot 10 Subdivision 000 Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy-of oronosed construction: a. Existing use and occupancy MAP—k-eT b. Intended use and occupancy St 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Wt . Irew N�6/56a..rrT�S/J�o�+. 4. Estimated Cost Fee "A {l 4P-ft �P�esja w (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_3�g.g a _Rear 13.�J Depth N01' Height 21 Number of Stories I 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 a 9. Size of tot:Front s 3 Rear (e 04.310' Depth 10.Date of Purchase /°2 /4i 7 Name of Former Owner A550614-61 11.Zone or use district in which premises are situated �l'3 VA t'11u 1CQ j 0 YO (!Te 12.Does proposed construction violate any zoning law,ordinance or regulation?YES NO____ 13.Will lot be ro-graded?YES_NO Will excess fill be removed from premises?YES_NO_ 11i�-fir I k- lam!11�9.5'a 14.Names of Owner of premises itfK PIQ�t WkddressID�SIl�tl,t� Phone No. l03 Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a.Is this property within 100 feet of a tidal wetland or a freshwater wetland?*YES NO *IF YES,SOUTHOLD TOWN TRUSTEES&D.E.C.PERMITS MAY BE REQUIRED. b.Is this property within 300 feet of a tidal wetland?*YES NO *IF YES,D.E.C.PERMITS MAY BE REQUIRED. 16.Provide survey,to scale,with accurate foundation plan and distances to property lines. 17.If elevation at any point on property is at 10 feet or below,must provide topographical data on survey. 18.Are there any covenants and restrictions with respect to this properly?*YES NO ✓ *1F YES,PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF,J U r1 q 0 V`tD ��_ being duly sw - deposes and says that(s)he is the applicant (Name of individual siging contract ove named, (S)He is the �x P( ( ontractor,Agent,Corporate O icer,etc.) of said owner or owners,and is du{y auth 'zed.to perform or hav performed the id work and to make and file this application; that a{1 statements contained in this app' anon are true to the best f his knowledge and belief;and that the work will be performed in the manner set forth in t application filed therewith JAMES HALL �1►POC,$tale of New Yolk V t before me this No.OIR48121310 day of p 20j_� Qualilbd in Suffo>k County r Term E*w Jan.10,2021 Notary Public lure of Applicant SURVEY FOR too CONCRE'PE BLOCK WALL . AT MATTITUCK SHOPPING PLAZA °'0. SITUATE " e MATTITUCK lowe Z TOWN OF 50UTNOLD �. SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-142-01-26 SCALE 1"=60' JUNE 4. 2013 +f R AREA=351.014 aq. 11. � yf 8.747 oD. hA f y 6�►,' 1 f N6 s5avcr Is!OA 111E&GG11DR OF INE CO ETC BLOCK AomnoNALI501G�'IUINE0Be E t59�lOMNe uPROPM. :E a _ C7•. 0010r c. f L Y• AL bah rf \ d,1 0► w` '7�y 0 'T4 �. 4' NIM. •++nvas lax>� w ssetao J _ rr I ..w a r.D 1Dcwm + m10gic�.roi a<Ks aw sws vro - w ra�►hCo 4- yL wN hh 1 �'EZ°1�':-;.1;rwa,4;•• . �� �++�� � PwaioremKlDWbra.GmY. �• --___._..�—•--...HTS l<Ya s7 a sa asKro�mum d ON 4M rLand�s r °rch.wan Taft aft,p1Corwin III Surveyor mPF- Sxa IP 3•t`!^i��,' 18[EY+1D¢t ar mns ar x�r f°•(871}727-U27 ur •• L'!r WT�a�aMDRYt K. YD1DDL1°AIYILLD ° LDC1I I lq=ADD= 1D88 Ya �AbSlyr. �' �^�•%14 xn TeL r19V PA Ba.18 '"r�rt$r `�f 1.1N.lar 7190 Service Disconnect HOOD NOTES: This exhaust system installed in accordance with N.F.P.A.96. n40OOCFM r� Hoods shall have liquid tight external welds. Hoods shall overhand cooking equipment minimum 6"on all sides. / � Hood shall be listed and installed in accordance with its listings Fe 1� Exhaust ducts shall have liquid tight external welds. 1Exhaust ducts shall not be shared by other systems. 1Ca cck Ca Exhaust ducts shall not pass through firewalls. Exhaust duct access panels shall be left unobstructed. Exhaust fans shall be installed minimum 10'to air intake,property ®� lines,windows,doors or 3'vertical Electric Ran to Panel --I Metal Roof 18"x18" ppROVED AS NOTED Clean out Doors; 2 -90 Degree Elbows ! DATEWY' B.P.#on both Elbows Towards front of HoodFEE: BY:r ;�, 1 {D NOTIDEP,gRTPJIENT AT _ VIM I K-LI_-C,( OF 4 PM NEW - ORK STA� E&TOV1 N GOD OF FOLLOWINGAINSPEOCTIONS:FOR THE AS REQUIRED 1. FOUNDATION - TWO REQUIRED NOTE: 18„x18” Sn� :,, FOR POURED CONCRETE Make-Up Air by " Building HVAC nn,iTi i 'R Tn�AI\f DI t.i�.����r Q 2. ROUGH - FRAMING &; PLUMBING 3. INSULATION r u�i ri r�t,i,i?RuS TEES 4. FINAL CONSTRUCTION e MUST Ceiling BE COMPLETE FOR C.O. C nr n N SHALL MEET THE -ALL CONSTRUCTIO 28"x10" 16g REQUIREMENTS OF—THE—CODES OF NEW Blk Iron YORK STATE. NOT RES NSI POBLE FOR. , Exhuast Duct DESIGN OR CONSTRUCTION ERRORS' 00 Halton#INE-13 lir-ME "'PECTION 13'0" o Backshelf AMERICAN METAL,INC. 592 Oak Street, Copiague,NY 11726 ('a! 631-842-2567 Nb f Contact: Mike Periera Lic.#:HDL-961 ZD 24"x24"Griddle 9 ® mtD mtDm o 11N1��i 1 1"l�Cl� MA P-11 E-17 _ 10095 Main Rd. r I o o� C3 Mattituck, NY 11952 00000 Range 36"x24" Pressure Fryer By: TDG No.: HOOD-1 Scale: %:" 14"x21" Floor EQUIPMENT QTY. SURFACE TIP NOZZLE LOCATION AES MANUFACTURER: ANSUL-MEA#59-95E AM COWN"rim rawma7mm,me. AREA HEIGHTS Ansul R102-3.0 Gallon x2 P.O.Sox 90 East Moriches,]NY 11940 Duct 1 see below 2W Piping Material- Black Pipe Max Length-35' 631-874-3279 Plenum 2 10'max. IN Max Rise-6' Supply Pipe Size-3/8" cositact: Walter Gebhardt Lic.#: 157 Fryer 1 18"x27 5/8"max. 3N 25"-35" Center Branch Pipe Size-3/8" Gas Valve Type-Mach Range 2 24"x36"max 290 15"-20" Center Size-2" Manufacturer-Ansul Griddle 1 48"x30"max 290 30"-50" Center Detector Temp.Rating-360 degrees Quantity-5 ,4 _ MA2W_�E Hood S¢e-14'2" Dud Size-28"x10" 10095 Main Rd. Hood Size- Dud Size- Hood Size- Dud Size- Mattituck, NY 11952 By: TD No. AES-1 Scale: Y2" l 2W <_>—--————— - -------a--------a----- ------------------- 1N 1N 0I _ I I I I I I - I I - I 290 I I 3.0, 3.0 Gal Gal- 3 NI I _ I Backshelf ILLJ L—Li 290 290 I ®R� ®� ` I Manual ® I 24"x24"Griddle 9 m m m m or a) „} I Pull O O I Located 00000I 48"AFF 00 I Range 36"x24" 2"Mechanical Pressure 14 x2lFryer rz Gas Valve iY " " Service Disconnect 71 HUNTINGTON HOOD NOTES: This exhaust system installed in accordance with N.F.P.A.96. Dayton Hoods shall have liquid fight external welds. Hoods shall overhand cooking equipment minimum 6"on all sides. #7A625 Grease Hood shall be listed and installed in accordance with its listings 3200 CFM Catch Exhaust ducts shall have liquid fight external welds. I Exhaust ducts shall not be shared by other systems. 1 / Exhaust ducts shall not pass through firewalls. I[/ Exhaust duct access panels shall be left unobstructed. Exhaust fans shall be installed minimum 10'to air intake,property I lines,windows,-doors or 3'vertical __________I Electric Ran to Panel Metal Roof NOTE: Make-Up Air by Building HVAC 12"x12" 16g Blk Iron Exhaust Ceiling Duct zo 18g Stainless Steel Welded Hood 8,0„ o 0 -� AMERICAN METAL,INC. If. If. 592 Oak Street, ��°��O G^ �® ©✓� Copiague,NY 11726 631- 842-2567 9 O m O tD 8®00 8 Contact: Mike Periera Lic.#:HDL-961 1 Range 11CT�TTI,T�1(,�2_ 12-���T 36"x24° Fryer 10095 Main Rd. 14'x21" Mattituck, NY 11952 Floor By: TDG No,: HOOD-2 Scale: Y.- EQUIPMENT NOZZLE SURFACE PART# HEIGHTS LOCATION / QTY AREA t --------_.. -----•-------F-------------------i------------__�_—_______— i CHART ( ' DUCT S0'PER.MAX. 1 L ! DUCT 1 100"PERM.MAX 2D SYSTEM TANK MAX FLOW MAX.PIPE MAX VOL. PLENUM 1 10'LINEAR MAX 1H DESIGN SIZE NUMBERS VOLUME mm BETWEEN FRYER 1 14"X21" 2H 24"-48" PERIMETER 1st&LAST FRYER 2H 24"-48" PERNETER NOZZLE mm 2 BURN. RANGE HIGH 12"-28" 1 H 40"-50" OVER CENTER 1.6 Gallon 5 1500 600 2 BURN. RANGE LOW 3 12"X28" IL 13"-24" 22"FROM FRONT EDGE L1600 4 BURN.RANGE HIGH 24"X28" 2L 34"-48" OVERCENTER x 3.0 Gallon 10 1910 1125 SMALL WOK 24"DIA. 1 H 24"AB" EDGE L3000 LARGE WOK 30"DIA. 2H 24"-48" EDGE 4.6 Gallon 14' 3400 3000 SMALL GRIDDLE 1 H 24"-48" CORNER L4600 LARGE GRIDDLE 2H 24"-48" CORNER 4.6 Gallon 15 2600 2000 RADIANT GRILL 1H 24"-48" OVER APPL. L4600 RADIANT GRILL 2H 36"-48" OVER CORNER 6.0 Gallon 19 4215 1688/side LAVA ROCK GRILL 2L 24-48' OVERAPPL. L6000 UPRIGHT BROILER 1 L TOP CORNER 6.0 Gallon 20 3465 1313/side CANDYSTOVE 2L , 40",50" OVER CENTER L6000 TILT SKILLET 2H 24"A8" FRONT EDGE OTHER - - OTHER OTHER 2D 0----- ---- C>-------- -------------I 1H<-J[ I • I I 1 2H 1L 11- 1L ALL COUNTY NIM FROTECT)ION,WC. P.O.Sox 90 East Morlclae- 2 7 11940 �® ©� 9 m m m m m m gma®� 6r Gebb-3249 Cos�tact: Walter Gebl�ardt Lic.#: 154 _l�ifre1;T ® {z �� 36°x24 ° Fryer Main Rd. 14"x21" Mattituck, NY 11952 By: TDG No. AES-2 Scale: I