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Home My WebLink About41894-Z �Of„4sUfFal,�coG' Town of Southold 10/24/2017 3 � P.O.Box 1179 0 a' 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39311 Date: 10/24/2017 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 4545 Route 25, Greenport SCTM#: 473889 Sec/Block/Lot: 35.-2-8 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/27/2017 pursuant to which Building Permit No. 41894 dated 8/21/2017 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: "AS BUILT"MINOR ALTERATIONS INCLUDING NEW FIRE SUPPRESSION SYSTEM TO AN EXISTING RESTAURANT AS APPLIED FOR The certificate is issued to 4545 Main Rd Enterprs Inc of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED ut o ' Signature rat p-�oTOWN OF SOUTHOLD BUILDING DEPARTMENT M 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#: 41894 Date: 8/21/2017 Permission is hereby granted to: 4545 Main Rd Enterprs Inc 4545 Main Rd Greenport, NY 11944 To: install a hood system in an existing restaurant as applied for. At premises located at: 4545 Route 25, Greenport SCTM # 473889 Sec/Block/Lot# 35.-2-8 Pursuant to application dated 6/27/2017 and approved by the Building Inspector. To expire on 2/20/2019. Fees: NEW COMMERCIAL, ALTERATION OR ADDITIONS $250.00 CO -COMMERCIAL $50.00 Total: $300.00 Building nspector Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings,property lines, streets,and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1%lead. 5. Commercial building, industrial building,multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings(prior to April 9, 1957)non-conforming uses,or buildings and"pre-existing"land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant.If a Certificate of Occupancy is denied,the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential $15.00, Commercial $15.00 f Date. New Construction: Old or Pre-existing Building: (check one) Location of Property: "I1� P, , �r {'l�r ,0^ %" 7 t �j House No. / Street Hamlet Owner or Owners of Property: `Z iM ih( 111f P-0 &-4" Suffolk County Tax Map No 1000, Section Block Z Lot Subdivision Filed Map. Lot: Permit No. Lq q Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: , / Request for: Temporary Certificate Final Certificate: 1/ (check one) Fee Submitted: $ 2 Applicant Signature SOUTH �o� olo TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION L ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ r,9 ULATION FRAMING / STRAPPING [ NAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: a ! ✓ �� Mtw�wti✓ ` on W 1 �,�C 1��✓ DATE 0 I �' INSPECTOR VAAA SO(/Ty� ��ycouNtr,a�' TOWN OF SOUTHOLD BUILDING DEPT® 765-1602 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLRG. [ ] FOUNDATION 2ND [ ] LATION [ ] FRAMING / STRAPPING [ IFINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ] ELECTRICAL NAL) R MARKS: u V A� V owv, e DATE D INSPECTOR To the town of Southold Building department Permit #41894 4545 Rt. 25 Greenport, NY 11944 To whom it may concern: The plumbing at 4545 route 25 Greenport, NY 11944 includes three compartment sink and ice bin behind bar. It was completed with only pex pipe and fittings with no solder work performed by Vanettan plumbing as witness. l v�zb�7 r OCT 2 0 2017 TOWN OF SOU'fHOLD —Municity Chronology of Events -- Caddy Shack 2011 —2020 — 35-2-8 2017 Brian Valanti, 631-477-2242, PO Box 13, East Marion 11939 2017-10-12 1St Fire Safety Inspection after renovations w/o a BP. Fire Safety Inspection —Violations — Building Permit#41894 1. Fan in kitchen not wired properly. 2. Exits need to open out with proper exiting hardware and no dead bolts except for the front door. 3. All electrical violations need correcting a. Open boxes b. Broken covers c. Bare wires 4. Bare bulbs need to be LED or covered. 5. CO/Smoke detector in basement 6. Flight fixtures over special boards to be repaired/replaced. Fire Suppression System in kitchen — Passed Occupancy calculated as 69 when Fire Safety Inspection is passed. 0 x bt . 1 0, Municity Fire Marshall Page 1 of 1 1 Fr FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(1ST) y ------------------------------------ N Q � FOUNDATION(2ND) �l�i Lo ROUGH FRAMING& p M y PLUMBING +�j o G\ 11r INSULATION PER N.Y-. ` y STATE ENERGY CODE A/. jr FINAL Keg- YNc-4, ADDITIONAL COMMENTS 11 ta CO-o-b r (s27 # I26 W#1ilkw 50 Zai m X 1 b H sz° H k� d tai b H 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 C, LS- Survey Southoldtownny.gov PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application / I Flood Permit Examined U l 20 Single&Separate Truss Identification Form Storm-Water Assessment Form Contact: Approved '20-0 Mail to: Disapproved a/c Phone: Expiration ,20 V3 p q11 (9 Y� 2— Builng Spector �+�� ,�•�,-a DD APPLICATION FOR BUILDING PERMIT JUS 2 7 2017 - Date , 20 )WILDING D - INSTRUCTIONS TQ*NlQFrWX i ST 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. T ' 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 inspeotion 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.(, 64 (Signature of applicant or name, if a corporation) (Mailing address of applicant) State whether applicant i owner lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises 1,1 S-9 J-- W 01 R-31) &I k, (As on the tax roll or lates deed) If appl'cant is a co.Eporalion, 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 whichro osed work will be done: 0 P a �- "�C--1- t, K)' l �� House Number Street Hamlet n Block County Tax Map No. 1000 SectioZ Lot ,� ` Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of prop sed constru ion: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work S �� >��cri ti 4. Estimated Cost J 0 Fee S � (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. _ 12 � 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear s, rDepth'j -'; "f 4 �;-_ 'C Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase 1 I Name of Former Owner ' 11. Zone or use district in which premises are situatedbL -'2—`f� s �� 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO V 13. Will lot be re-graded? YES NO ' ill excess fill be removed from premises? YES _ NO 14. Names of Owner of premises qS_ - Address ��' �t4 Phone No. Name of Architect :16Ids 1lAddress Phone No��,o�f'7 ® '72- 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 ey. 18. Are there any covenants and restrictions with respect to this property? * YES NO * IF YES, PROVIDE A COPY. STATE OF NEW YORK) COUNTY OFSui f°i' S U s �A,N1 1J ; tea`Iry being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the �y2yS i bg-,u r' 6 A-514 z5 W1 W k p F-X i (Contractor, Agent, Corporate Officer, etc.) of said owner ,,Pr owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in-this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this day of �j 20 r JEWRIE ODDON G NotarY Public,State of.New York - - Notary Public o' Si nature of A licant Qualified in Suffolk County g pp commission Expires November 14,20_1_� SUFFO-3 OP ID:GC ,4 o� DATE YY)CERTIFICATE OF LIABILITY INSURANCE 0510312017 , THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In Ileu of such endorsement(s). PRODUCER C James F.Sutton Agency Ltd. PN pNE 149 E.Main Street c No E AIC No): P.O.BOX 76 E-MAIL East Islip NY 11730 ADDRESS: Ryan D.Gullies INSURER(S)AFFORDING COVERAGE NAIC INSURER A:Admiral Insurance Co INSURED Suffolk Fire Inc DBA INSURERS: Anderson Fire Equipment 9 O'Neill Avenue INSURER C: Bay Shore,NY 11706 INSURER D: INSURER E: INSURER F' COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAYHAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE P11JUL UuUm POLICY EFF POLICY EXP LTR NS POLICY NUMBER MMIDD MMIDDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY CA000024162-02 04!2412017 04!2412018 DAMAGE TO RENTED PREMISES Ea occurrence $ 50,000 CLAIMS-MADE a OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 X Max Proj Agg$5MM GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY X PRO LOC BI/PD Ded $ 5,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS PER ACCIDENT $ UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION I NC STATU- TH- ORY EMPLOYERS'LIABILITY Y I NLIM ANY PROPRIETORIPARTNERIEXECUTIVE ❑ NIA E L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E L DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Proof of Insurance CERTIFICATE HOLDER CANCELLATION TOWN162 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Southold THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 54375 Route 25 PO Box 1169 AUTHORIZED REPRESENTATIVE Southold,NY 11971 O 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD New York State Insurance Fund Workers'Compensation&Disability Benefits Specialists Since 1914 8 CORPORATE CENTER DR,3RD FLR,MELVILLE,NEW YORK 11747-3129 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE 21- ❑ ^^^^"^ 113268460 SUFFOLK FIRE INC T/A ANDERSON FIRE EQUIPMENT CO 9 ONEIL AVE ❑ BAY SHORE NY 11706 Scan to Validate POLICYHOLDER CERTIFICATE HOLDER SUFFOLK FIRE INC T/A TOWN OF SOUTHOLD ANDERSON FIRE EQUIPMENT CO 54375 ROUTE 25A 9 ONEIL AVE PO BOX 1169 BAY SHORE NY 11706 SOUTHOLD NY 11971 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE 1723238-2 847022 10/29/2016 TO 10/29/2017 11/25/2016 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 723 238-2, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS:IIWWW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. PATRICK TURRO(PRESIDENT)OF A ONE PERSON CORPORATION THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STATE INSURANCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER:693661762 U-26.3 n � STATE OF NEW YORK WORKERS'COMPENSATION BOARD CERTIFICATE OF INSURANCE COVERAGE 1JNDER 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 Teleplioae Ntuttber of Insured SUFFOLK FIRE INC (631)665-6862 dba ANDERSON FIRE EQUIPTMENT Ic.NYS Unemployment InsumnceEmployer Registm0011 9 ONE ILL AVE Ntunber of hisuted BAY SHORE, NY 11706 1 d.FedemI Employer Identification Ntunber of Insured or Social sectlritvNlimber 113-26-8460 2. Natne vrd Address of the Entity Requesting Proof of 3a.Name of Insurance Calder Coven,ge(Entity Being Listed as the Certificate Holder) NEW YORK STATE INSURANCE FUND TOWN OF SOUTHOLD 54375 STATE ROUTE 25A 3b.Policy Ntmrber of entity listed iii.box,"la": PO BOX 1169 DBL 5853 65- 1 SOUTHOLD, NY 11971 3c.Policy e5ective period: 10/02/2016 to 10/02/2017 4.Policy covers: . a. All of the employees employees eligible under the New York Disability Benefits Law b.® Only the following class or classes of the employer's mployees: Under penalty of perjury.I certify that 1 Ani an authorized representative or licensed agent of the nisurance carrier tefereitced above- and that the tt.7iued ursured has NYS Disability Benefits insurance coverage ns described above. Date Signed 11/25/2016 By. Dom. Joseph J. Masi (Sigmtu,e of irsuranoe carner s authorized repremnatrie of NYS Ucersed irsura rce bent of that irsumme carrier) Telephone Number (866)697-4332 Title Director of Disability Benefits Insurance IMPORTANT: If box"-la"is checked.and this fonn is signed by the ium mice cnifices authorized representative or NTS Licensed Instimuce Agent of dwl carrier.this cerliticate is COAIPLETE. ,hail it directly Io IIIc certificate holder. If box-4V is checked,this cetrficate is NOT COMPLETE for ptrgwses of Section 230.Subd.8 of Uta DiSabihiy Benefits Lay. It nruit be mauled for completion to the Workers'Coltrpensation board.DB Plans Acceptance unit.20 P.uk Street.Albury.Nd%v 2'0x1:12.207. PART 2.To 5e completed by NYS Workers'Compensation Board(Only If box"4b"of Part 1 has been checked) State Of New York Workers'Compensation Beard According to informatiotr maintained by the NYS Workers'Compensation Board.the above-panted employer has complied m ith tlae NYS Disability Benefits Lath with mpect to all of his;+her employees. Date Signed By (sigantlrrc of N'1's workers'Couipemntion Board Employee) Telephone Number Title Please Dote:Only insiunace carriers licensed to u*rite NYS disability benefits insum ace policies and NYS licensed insurance agents of those uisurtttce carriers are autliorized to issue F*nii DB-120.1. Insurance brokers are NOT authorized to issue this forth. DB-120.1(-1-06) Certificate Number 405374 r Additional I115t111Ct1o11S for Fo17.11 DB-120.1 13v signing this form,the insurance carrier identified in box'T' on this form is certif* that it is ilisurin6 the btisineSc referenced in box"l a" for disabilitZ•benefits tinder the New York State Disabilir;Benefits Lair. The Listuance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed as the certificate holder in box ",". This Certificate is valid for the earlier o one,t'ear after this form is approved bt'the insmance carrier or its licensed agent,or thepolie)'mpiration date listed in boa' "3c". Please Note:Ltpoll the camcellatlon of the disability benefits poky indkited on this form,if the business continue:to be nimet on a pennit,licelise of contract issued by a certificate liolder,tL•e business must pro-vide that certificate holder with a new Certificate of NTS Disability Benefits Coverage or other authorized proof that the business is complying with the mandator;coverage requirements of the ilety York State Disabili- Benefits Lm. DISABILITY BENEFITS LAIN §220. Subd,8 (a) The head of a State or municipal department, board. conulli cion or office authorized or required by lacy to issue ally perillit for of ill connection with any work involving the employment of employees in employment as defined in this article. and not withstanding any general or special Statute requiring or authorizing the issue of such perillits, shall not issue Sticll perinit uilless proof dally subscribed by all insurance carrier is produced in a forill satisfactory to the chair, that the payment of disability benefits for all employees has been secured as prot,ided by this article. Nothing herein. hoe' ever. shall be construed as creating filly liability oil the pati of Sticll State or municipal department. board, commissioIl of office to pay any disability benefits to any Sticll employee if do employed. (b) The head of a ;tate or municipal department. board, commission or office authorized or required by lain to enter into any contract for or in connection with ally work fiivolying the employment of employees in employment as defined in this article. and Ilom� ithstailding any general or Special statute requiring or authorizing any Sticll contract'. shall not eIlter into any Sticll contract unless proof dally, subscribed by- all insurance carrier is produced in a form satisfactory to the chair, that the payment of disability benefits for all employees has been secured as provided by this article. DB-120.1 (7-06)Reverse UFO:DLK COUWY DEPARTMENT of FoRE9 RESCUE AND MWERGENCY EXM # AND o�qy �,p�yyp�g� �p p�y�ye�{ �8� i � F41�f6d' R+N�l i�`� 4�&I48 r lits �bl�.a*rJ CERTIFICATE OF REG %A- n& bite. Im. ft mon F we LgUg t+rr*nl v shom, I 1706 Suffolk County _ Portable Fire Extinguisher and Automatic Fire Ex!lnguishing Systems Licensing Board COMMON I ,,cy,��!p r •9 Llconcoo: ID Fa ;fy ti 1�'i 3 � .•t� Jil' �W Patrick Turro og s ro oc a: SulMlk Firo Ino,db;Anderson Fire Equipment eonoo Number: This certifies that this 113D Individual is'duly licensed oars ssa : by the County of Suffolk. 01/19/2017 Joseph F. IMMIams prarlon Da u. Commissioner i 01/31/2019 foaffiD X36' r • y eatfitate of eollipletion This is to certify that Patrick Turr® an employee of ANDERSON FIRE EQUIPMENT an Authorized Badger Distributor has successfully completed a certification training session covering design, installation, operation and maintenance and has demonstrated a practical knowledge of the following Badger product: Range Guard Systems �/ BADGER Issue Date: 4/4/2017 Ptrjetta Ruokola Expiration Date: 4/4/2020 This certificate is non-transferable.Certificate is only valid as long as the above named company employs the certified individual.Acceptance of this certificate implies agreement to abide by the terms of distributor agreement by the above named company and individual.Any violation or alteration of this certificate will result in the immediate voiding of this certificate. ELECTRICAL INSPECTOGN REGUMED OCCUPANCY OR y: RE INSPECT,!&_ DOl lidT APPRO ED AS NOTED WITHOUT CERTIFICATE SEAL TIGHTS (TYP.) � A DAT 3.P.# �OF OCCUPANCY „ 3/" TO Yen REDUCING TEE W Z 13 x13 DUCT D �b 15 —7 HOOD o FEE: BY: VENT PLUGCL 12 NOT Y BUILDING DEPARTM AT (EXISTING) ADP * ADP Z 765-'802 8 AM TO 4 PM FOR THE I W ® --�- -®- -- -�- - - - --- -- --- WWW WWI FOU WING INSPECTIONS: — — — — IL — 450' 450' 450' ADP 360' 6 360' ADP CONTROL (n Z 1. F UNDATION - TWO REQUIRED - - - -- --- �g--- - ----- HEAD F R POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING F -- � --r"- --- - - — -- - -- --r-- L- 3. IN 3ULATION 4. FI IAL - C30-".;i T ION MUST I I I I I I I RG I I a+ Cf) COMPL "i I"` i G.O. ♦ ♦ ♦ ,� ♦ ♦ �, 6.0 I z ALL ONSTFR,"C i i0 i SHALL MEET THE F F F ADP R R R R GAL. I I w REQ IREMEN,S OF THE CODES OF NEW I I Q YOR STATE. NOT RESPONSIBLE FOR o DES I N OR CONSTRUCTION ERRORS. I o a 0 6" PULL x a Z LU STATION >- o r o n n n I o OMPLY WITH ALL CODES OF Of m U m a= m 36"x24" 36"x24" 1 Y2 GAS I i a O� ` " 14' NE YORK STATE & TOWN CODES MIN. TO EDGE `` a a 36"x24" 6 BURNER 6 BURNER VALVE AS EQUIRED AND CONDITIONS OF BOTH OF OSIDES OD N M o M o M FLAT GRIDDLE RANGE RANGE (EXISTING) I �� ACFr� s X� x � X 1-� NO SHELF NO SHELF i� p. ► 5 FRONT VIEW 0 j1p �e SCALE:%"=1'-0" °\Fo ROFESS\O AES MANUFACTURER: COMPONENTS: NOTES: W RANGE GUARD: _RG 1.25 GAL. _RG 2.5 GAL. _RG 4 GAL. X RG 6 GAL. RANGE GUARD x Fryers to have High Limit Control to shut off fuel at 425'. o Z o� ==2 Piping Material BLACK SCH 40 Max. Rise 12' RG 6.0 GALLON – MAX. FLOW POINTS = 18 x Detectors shall be located over every piece of equipment. ZMOLA yid= fig. P 9 POINTS USED = 15 x The System installed as per manufacturers specs and the AHJ. 29=Zs Supply Pipe Size -3L4" Branch Pipe Size 1 2" DROPS 3 8" TOTAL PIPE VOLUME NOT TO EXCEED 400 CUBIC INCHES x The System has been installed as per UL300. ?ng z� � Gas Valve Type: MECH Size 1 1/2" Manufacturer ASCO (EXISTING) MAX. PIPE LENGHT 75 Fr. x The following functions to operate upon system discharge: �oo4o ow F e' fa Detector Temperature Rating: 360' 450' RG-6.0 GAL CYLINDER #60-120005-001 * Supply air damper closes * Gas fuel shuts off in kitchen oZ91og�� g oe g > n n DISCHARGE ADPT. KIT #83-844908-000 * Exhaust fan remains on * Electric fuel shut off under hood to MON 0-6z Hood Size: 15'-7" (EXISTING) Duct Size: 13 x13 VENT PLUG #9196984 * All systems to activate simultaneously in some hazard area. ��ds �� ffl S oe SHELF BRACKET #9197414 Fire Alarm shall activate. EQUIPMENT # QTY. SURFACE TIP#/QTY. NOZZLE LOCATIONS CONTROL HEAD B120099 x Manual Pull Station shall be located a minimum of 10 ft. from �C o TYPE AREA HEIGHTS DUAL SPDT #8120039 hood & a maximum of 20 ft. from hood and 4 ft from floor. U W DUCT 1 13"X13" ADP 2 0"-6" 0"-6" IN OPENING ADP NOZZLE #87-120011-001 x All fuel sources are GAS unless otherwise noted. 4 n a PLENUM 1 15'-7" ADP 2 0"-6" FROM END OF PLENUM F NOZZLE #87-120012-001 _ °' •'"y RNOZZLE - #87-120014-001 U) >: FRYER 3 14"x23.5" F 3 27.5"-45" 45' TO 90 >: z o FLAT GRIDDLE 1 36"x24" ADP 1 13"-48" ON PERIMETER AIM WfIHIN 3" CTR, LINK HOUSING #120064 z ca MANUAL RELEASE #8875572 6 BURNER RANGE 2 36"x24" R 4 20"-42" CENTER 36T LINK #WK-282664 1�� u 4 450' LINK #WK-282663 m 1 Y2" GAS VALVE #8120074 rI, 0 N N C O O Q r Uv a) Cl) A FIRE EXTINGUISHER WITH A MINIMUM RATING ULO o�, OF CLASS K MUST BE INSTALLED WITHIN THE O °' VICINITY OF THE COOKING AREA. �� a c t da CADDY SHACK wAEh o C CDML� RE=EA 4545 ROUTE25 5 . D GREENPORT NY AUG 2 0 2017 aiiuiocEanroa l ,, 1 EXISTING: 1966.9 SQ.FT. RESTAURANT/BAR E- .USD TOWN OF SOUMOLD PROPOSED: SAME WITH INTERIOR 101 b b 101 / RENOVATION INCLUDING NEW BAR. I ,�Ee / It FE Z R GENERAL NOTES � r 1. All work shall conform to the requirements of the 2015 IBC, 3 County and Town Department Regulations, Utility Company requirements and best trade practises. 2. Before commencing work the Contractor shall file all documents required by the Building Department, pay all fees required by local agencies and obtain all required permits. 3. The Contractor shall visit the site and verify all dimensions and the existing 17777�1conditions affecting the work prior to construction. Any discrepancies which would interfere with the satisfactory completetion of the work described herein shall be fRE IN'SPECTION reported to the architect or property owner. Do not start work until such conditions have been examined and a course of action mutually agreed upon. Failure to notify GQVILJ PFRORF. lam, 1111 the owner or architect of unsatisfactory conditions will be construed as an acceptance N1 I IN 0. ----- - EXIST. CONC. SLAB of the conditions to properly perform the required work. ' DINING"/ 9F ` 4. All work is to conform to the drawings and specifications of the architect and _ _____ WALK-IN engineer consultants. 9� ----- ---- REFRIDGEIRATOR OO 5. The Contractor is to maintain a complete and up to date set of plans on the ------- - ---------- 9 job site at all times 6. The drawings are not to be scaled under any circumstances. 7. It shall be the Contractor's responsibility to ascertain all prevailing procedures including storage and toilet facIlit ies,protection of existing work to remain,access to OCCUPANCY(NO SCALE) XIST. BILCO work area, hours of permitted work,availability of water and electric power and all DCOR other conditions and restrictions for this particular location in order to execute the work in a careful and orderly manner with the least possible disturbance to the public. 8. The Contractor shall make the neccesary arrangements to utilities and services temporarily disconnected while performing the work as required. 9. The Contractor shall provide all dimensions and cut-outs for other trades. 10. The Contractor shall provide proper shoring and bracing for all remaining structure FIRE pror to removal of existing structure. _3• l v J ( ) EXT. 11. Plumbing, electrical, HVAC and similar work shall be performed by licensed persons who shall arrange for and obtain all required inspections.The General It v Contractor shall be responsible for scheduling all other inspections as required. 12. The Contractor is solely responsible for construction safety and shall hold the owner and architect harmless from litigation arising out of the Contractor's failure to provide construction safety means and methods. BATHROOM BATHROOM PREP AREA CONSTRUCTION NOTES DISH-WASHING °+ +� AREA 1. All footings shall rest on undisturbed soil at a minimum of 36" below fin. grade. 2. Poured concrete shall have a minimum psi of 2800 at 28 days unless noted. 3. Sill plates shall be preserved, treated wood and be installed above a 16 oz. copper termite sheild. 4. Shingle siding shall conform to ASTM D 3679 and be installed in accordance STANDING ROOMO ? 3 with the New York State Building Code and manufacturers specifications. S 5. Pilings shall be installed by a licensed contractor to a depth and bearing agreed r 153 SQ.FT. upon by an engineer and certificates shall be issued stating same. ED 6. Unless otherwise noted all framing and structural wood components shall be o #2 or better Douglas Fir. x +6� FIRE 7. All framing techniques and methods shall be as prescriptive design based on I tiI EXT. ,gyp ' 1w AF&P Wood Frame Construction Manual for One and two Family Dwellings (WFCM) or as specified in .1.1 8. All building envelope components shall comply with IBC 2015 9. Fireblocking shall be provided in all wood framed construction in accordance with IBC 2015 CO2 10. Protective panels shall be provided for glazed openings in accordance with NYS code R301.2.1.2 if they are required. O 11. All portions of the new structure are designed to comply with local geographic CO2 and climatic criteria as stated in the following table. Cy �c � KITCHEN GEOGRAPHIC & CLIMATE DESIGN CRITERIA 628.6 SQ.FT. GROUND SNOW LOAD 45 pst 1 sal �.S*Q� i WIND SPEED SEISMIC DESIGN CATATGORY 1B0 MPH WEATHERING SEVERE FROST LINE DEPTH 36" 5 DECAY SLIGHT TERMITE THREAT SLIIG R TO MODERATE WINTER DESIGN TEMPERATURE 11 +o ( FLOOD HAZARD AS NOTED ti 3 SKIT SUFFOLK COUNTY DEPT. HEALTH PERMIT PT0000248 O OCCUPANCY 69 SEATS STANDING ROOM - 234.59 SQ.FT. = 47 OCCUPANCY o TABLE ROOM - 268.9 SQ.FT. = 18 OCCUPANCY M I COUNTERTOP &SHELVES KITCHEN = 3 OCCUPANCY TOTAL OCCUPANCY = 68 DINING ROOM OCCUPANCY A-2 (TABLES & CHAIRS) BAR AREA �_. DETERMINED BY 2015 IBC TABLE 1004.1.2 268.9 SQ. FT. /'(�( i l t'.,'•; �\ Fes. 77 FLOOR PLAN FIXED BAR SCALE AS NOTED AUGUST 25, 2017 JOAN CHAMBERS PO BOX 49 �b STANDING ROOM `TOFFSS�O SOUTHOLD NY 11971 ro 81.59 SQ.FT. +� 631-294-4241 o �' EhCIT press FLOOR PLAN A `� Ill-It{��t( l�niS�e-S A 101 8.. 1/4"=1'-0" 8.25.17 ` TART 48.5° t w permits I drafting I expediting 1 OF 1 i