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HomeMy WebLinkAbout40395-Z Town of Southold 1/23/2018 P.O.Box 1179 � 53095 Main Rd O0" Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39473 Date: 1/23/2018 THIS CERTIFIES that the building ALTERATION Location of Property: 600 Pike St, Mattituck SCTM#: 473889 See/Block/Lot: 140.-3-4 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/15/2015 pursuant to which Building Permit No. 40395 dated 1/8/2016 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: "as built"alterations and a fire sprinkler system installed for an existing accessory apartment in a commecial building as applied for. The certificate is issued to Zahra,Charles&Zahra, Jean of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 40395 1/11/2018 PLUMBERS CERTIFICATION DATED 12/12/2017 faren Hazzard 17 ho ' d Signature i TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY �o as 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#: 40395 Date: 1/8/2016 Permission is hereby granted to: Zahra, Charles & Zahra, Jean PO BOX 1137 Mattituck, NY 11952 To: legalize "as built" alterations and the installation of a fire sprinkler to an existing accessory apartment in a commecial building as applied for. At premises located at: 600 Pike St, Mattituck SCTM # 473889 Sec/Block/Lot# 140.-3-4 Pursuant to application dated 5/15/2015 and approved by the Building Inspector. To expire on 7/9/2017. Fees: AS BUILT -COMMERCIAL ADDITIONS/ALTERATIONS $1,295.20 CO--COMMERCIAL $50.00 Total: $1,345.20 Building Inspector Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines,streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings(prior to April 9, 1957) non-conforming uses,or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines,streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied,the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool $50.00,Accessory building$50.00,Additions to accessory building$50.00, Businesses$50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy -$.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy-Residential $15.00,Commercial $15.00 � j Date. / ! .`�.o /S New Construction: Old or Pre-existing Building: (check one) _ Location of Property: �1���j �� e S / ot I(Jj House No. Street Hamlet Owner or Owners of Property: C�) Q�1/�2`S V �1— �J Q/LL, C�,� V-;;12 Suffolk County Tax Map No 1000, Section Block 13 Lot Subdivision Filed Map Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval. Underwriters Approval. Planning Board Approval: Request for- Temporary Certificate Final Certificate: X — (check one) Fee Submitted: $ pplicanti nature �ok�'pF SO!/r�Ql Town Hall Annex Telephone(631)765-1802 54375 Main Road N Fax(631)765-9502 P.O.Box 1179 Q roger.richert( -)town.Southold.ny.us Southold,NY 11971-0959 Q BUILDING DEPARTMENT TOWN OF SOUTIHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Zahra Address: 600 Pike Street city Mattituck st: New York zip: 11952 Building Permit#• 40395 Section: 140 Block: 3 Lot: 4 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor. DBA: Majestic Electric License No. 3040-E SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor 1st Floor Pool New Renovation X 2nd Floor X Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph 100A Heat GAS Duplec Recpt 30 Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt 5 Wall Fixtures Smoke Detectors Main Panel 100A A/C Condenser Single Recpt Recessed Fixtures 25 CO Detectors Sub Panel A/C Blower Range Recpt 20A Fluorescent Fixture Pumps Transformer Appliances pW Dryer Recpt Emergency Fixture Time Clocks Disconnect 100A Switches 25 Twist Lock Exit Fixtures TVSS Other Equipment: Second Floor Apartment Notes: 4- Combination Smoke/CO Detectors, Range Hood, 1- Bath Fan, 11- ARC Fault Circuit Breakers. Inspector Signature: _ - Date: January 11, 2018 0-Cert Electrical Compliance FormAs OF SO(/l�o � <o Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 d BUILDING DEPARTMENT [EggD TOWN OF SOUTHOLD DEC 26201 r BUUDINGD T• CERTIFICATION TOWN OF SOUTHOLD Date: I Building Permit No. z-O,3 9 Owner: 0f )CT I e-S ZG—J—) (Please print) I Plumber: (Please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (PrAberi Signature) Sworn to before me this 0 3 day of 20 1-1 Notary Public, GFTbI.k- County BARBARA H.TANDY Notary Public, State Of New York No. 01 TA6086001 Qualified In Suffolk County Commission Expires.01/13/20 I i o,\\OF SOUTyo 14o� � <o ,F ,F TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE &. CHIMNEY V�\FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: DATE INSPECTOR �pf SOUTy �o TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ( ] FOUNDATION 2ND [ ] I SULATION [ ] FRAMING / STRAPPING [ FINAL A A4 [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION. [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: ��► i C,- A DATE INSPECTOR SOUTyO� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) REMARKS: DATE r l r S7 INSPECTOR ' s 4 �xpF OUlyo - ,�o to CO2 i-c �yco TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] OUCH PLEIG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] E SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: C4V --�u�Ai o u 1 DATE Q INSPECTOR Condon Engineering, P.C. New York State Licensed Professional Engineers 1755 Sigsbee Road 631-298-1986 Mattituck,New York 11952 Fax 631-298-2651 condonengineering.com December 29, 2016 Mr. Mike Verity Chief Building Inspector Southold Town Building Department 53095 Route 25 P.O. Box 1179 Southold, New York 11971 Dear Mr. Verity: I inspected the plumbing for the bathroom and kitchen space on the second floor at 600 Pike Street in Mattituck.The plumbing was found to be free of any leakage and installed in accordance with code. I also inspected the framing on the second floor and found it to be structurally sound and in accordance with code. If you have any questions, please call me at 298-1986. Yours truly, , . :.,, tro ?; cn, 051684. o � VVV D JAN 3 W SUnMU4G DEPT- TOWN OF 5OUTH01D e' t I 0 • t " !1 1 f� s EMMA - v STATE ENE-ROY • e AMA iremi r� w • PWI .r.r►.•A :it�.�__ �.� ..rte_.__-•• :4�' 7 0 l MOM FAWAV 7, - r a wo, 'i -M I e I ' r • 0 L 1 TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL i!, ,r;r; 's. Board.ofiHealth SOUTHOLD,NY.11971 �,;4:sets bf Building Plans TEL: (631) 765-1802S� Planning Board approval FAX: (631) 765-9502 ti S;urvey. :r, ; SoutholdTown.NorthFork.net PERMIT NO. Q� r Check r1a, •}i':` ` !1 1 �` .l.' rteptic,fprrn _ ._. N.Y.S.D.E.C. J _-. _ .-_--.-•- _ - Trustees -- C.O.Application l r Flood Permit Examined 20, :, ,; �i ,,, - �� Single&Separate Q� ' I�• ,--I _ � Sto'r'm=Water.•Asses's`ment Form 0 14AY 15 IAK.:._ .I_ -Contact: ­j;, Approved ,20 Mail to'. 0-Al es C(,�V-0— Disapproved a/c K!DG. CE?l" ' - I"OoD6sG 11 7 )Y47(J7�VQC 4 NY TW,,i.D Phone:' Expiration ,20 - - - Tr_ -` ,. But d` n ct APPLICATION FOR BUILDING PERMIT - - - - Date ;20 INSTRUUTLONS %I 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 accoidfr g'io 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 com0 90menced;before issuance of Building Permit. d. Upon approval of thisapplication,theBtiRding Pn'spector will tssue a'Building`Perinifto 5tM'applicant. Such a:permit shall be kept on the premises available for inspection throughout the work. ,�� i } e.No building shallrbe occupied or used in whole o'r in`part forany)purpbse wHat'so.ever until the'Building Inspector issues a Certificate of Occupancy. f.Every building permitcshQI expire if the work authorize8'�hds not.c,ommenced.within'1:2'months after the:date of, issuance or has not been completed`Within 18 months from such.date' .tlf_no zoning amendmerits or other regulations affecting the property have been enacted in_thp.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!fof,the iUuance of.a;Building Permit pursuant to the Building Zone Ordinance of the Town'of,Southold;Suffolk County,New, pj�d,otther applicable Laws, Ordinances or Regulations, for the construction of building's, additions, or alterations,or for removal or;demolition•as;herein described. The. applicant agrees to comply with all applicable laws, ordinances,building,co{de,housing code,;and regulations;and to admit authorized inspectors on premises and in building for necessary inspections. ' i , •1` .. ,:ii ' ,.. ! 1 ,'f , , , is ' . (Signature of applicant or name,if a corporation) , Po 3 Hek H-o c k N 119S-2-; -" (M ilin'Waddress ofapplicant); State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Uj Name of owner of premises c—bQ1f (e-s Z-t..ji, V'C�_ (Ason'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. ,, .;i, 1. Location of land on which proposed work will be done; + House Number Street rl3Yb,V© ,�,3�,Htamlet s . i 1•, 1 r :.'r �> "ROY 161vaW:iQ 3'TAT2,0US1,❑YRATON County Tax Map No. 1000` Section ` I' 4Z-6 Blockowww o.- Lot yTVU00)ij0=1U2 yl C1313t.3AU0 S,Ot"DOUL 23R19X3 bt0128W.MO0 Subdivision Filed Map No. Lot ij 2. State existing use and occupancyiof'premises and intended use and occupancy of proposed construction: a. Existing use and+'o`ccupan'cy b. Intended use and_occuparicy h'tILI)-1cfl,C-�- 3. Nature of work(check Which'applicable):New BuildingAddition Alteration Repair Removal. Demolition Other Work ' (Description) 4. Estimated Cost Fee {+- (To be paid-onifiling this application) ' 5. If dwelling; number of;d'welling units Number of dwelling units on each floor If garage, number of cars YAC 6. If business, commercial or rr ike'd occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front 3 g RearDepth Height Number of Stories / Dimensions of same•structure with alterations or-additions:-Front 138-/ Rear Depth ` 5 Height 'i =/?z".l "`` 'ifl Number of Stories / 8. Dimensions of entire new constructi'dw.Front'`=�1 f�t� 1 /`(Rear'-%L-I" Depth Height Number of Stori s 9. Size of lot: Front si Rear r,'404' 1,j m Te.,,:IDepth O / 10. Date of Purchase' ' Nariie of F'o'riiier Owner`! i Y►�Y.i�i-"�- 'I�GLClL ` l 6 SSL. i'.-r ' l )2ifii='}; 1+_> , -"Ali)(l to hft. ,r>1 t'1 !U. 11. Zone'or use- i'strict in'which premises ar`e'situatecl` , . ! , 12. Does proposed consti action violate' ztonirig'law, ofdindnce or Tiegulation?YES; rrQ „ • �Tt1,i Jf;251;','{�!1'Pi!'�i S(.r:l�•:`.''•.i"i "'Ii �1lCii;� 'N : 13. Will lot be Te-graded,? ,YES.., NQ;..-, „Will,excesslfllfbeiremoyed.f;om•.prem.ises? YES ; NOX 0 t- 14. Names of.Owner,of,premises, ' ,jl" e&.•Z' r� AddressPo.A -!111;3f r ,.a. : ,Phone'No.,.&.3/—,)-9& Name-ofArchntect', !. ;rr t: r ,: ,i:, !Address' ,rl y' '!''"1vPhone:No' Name of Contractor'' ;: n, %LAddress) 'j ,r �Plion`e No. ,R 15 a. Is this property within'l00 feet"of a'ti'd'al weflarid'o'r a frest'water`wetlarid? *YES '' NO * IF YES,-SOUTHOL'D`TOWN•'TRUSTEE9, .E:C'. PERMITS '•' Y'BE'REQUIREY. ' '.iii' j �� ` it_i r ',+ b. Is this property`witliiri'300!feet of a Tt�tidal wetltand?*L � YES' NO _�' IF YES, D.E.C. PERMITS MAYBEREQbIRED: 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at-any point on property is'at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and&restrictions with respect to this property? * YES NO * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF I k - O—V Ie.S' S 4"rte- being duly sworn;deposes and-says-that( he is the applicant (Name of individual signing contract)'above`named, !:5.,1 1: ,;,;ii '(till, `,, :'!!.;1f l'• .. :v. • He is the ( e (Contractor,Agent, Corporate Officer,etc.) , of said owner or owners,and is duly authorized to perform or have, performed.the said work and to.make and file-this�application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be: performed in the manner set forth in the application filed therewith Sworn to before me this �, i rte day of MiZU 2015 dN -otary Public TRACEY`L. DWY Signat e Applicant NOTARY PUBLIC,STATE OF NEW YORK NO.01 Dw6306900 - QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,2Llg Scott A. Russell SUIFQ ST01KN[WAT]EIK SUPERVISOR 0I��J[A\I�A�G IEIMHENT z SOUTHOLD TOWN HALL-P.O.Box 1179 p 53095 Main Road-SOUTHOLD,NEW YORK 11971 yy �- Town of So u th o l d CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) DOES THIS PROJECT INVOLVE ANY OF THE FOLLOWING: Yes No (CHECK ALL THAT APPLY) ❑® A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square'feet of ground surface. ❑© B. Excavation or filling involving more than 200 cubic yards of material within any parcel or any contiguous area. ❑© C. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. ❑0 D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. E13 E. Site preparation within the one-hundred-year f loodplain as depicted on FIRM Map of any watercourse. ❑® F. Installation of new or resurfaced impervious surfaces of 1,000 square feet or more, unless prior approval of a Stormwater Management Control Plan was received by the Town and the proposal includes in-kind replacement of impervious surfaces. If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name, Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project. If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan and a completed Check List Form to the Building Department with your Building Permit Application. APPLICANT. (Property Owner,Design Professional,Agent.Contractor,Other) S.C.T.M. # 1 000 Date: �District NAME. •-S /, V PI'S' )YO IQ-J— Q�_ d 2e S Section Block Lot FFR. BLIR.-DINU DEPA1?'PJ[.N"f UQE c:i UI; Contact Information: 3 o n :I rinJgrc Nun,0.. �// Reviewed By. , l/J� — — — — — — — — — — — — — — — — — Date: Property Address / Location of Construction Work. — — — — — — — — — — — — — — — — — Approved for processing Building Permit QS a 7 �i�c� Stormwater Management Control Plan Not Required ❑ Stormwater Management Control Plan is Required. (Forward to Engineering Department for Review.) FORM SMCP-TOS MAY 2014 �-6`'s C, b � y o foo cS Town Hall Annex J [ Telephone(631)765-1802 54375 Main Road max(631)765- S0 P.O.Boz 1179 Q roger.richert(autown.soutf9olld.ny.us Southold,NY 11971-0959 OlyCt7 ^p�0 BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: (��Q�(j /)')AT�c� f�O Date: _� 7 Company Name: /')')#9 Xe5'-71 G T4 EC OP,4- Name: -G-fOR GT. ._1776 T6- D - -_ - - License No.: 30 _ © 1057' Address: /01/9 (,���� five G.7 V1 wf� 7 � Phone No.: - Co?v Sa`Z— 400 q(o JOBSITE INFORMATION: (*Indicates required information) *Name: *Address: *Cross Street: u2c 2^ i *Phone No.: (03 Permit No.: µ-p39 Tax Map District: 1000 Section: Block: -,3 Lot: - *BRIEF DESCRIPTION OF WORK (Please Print.Clearly) (Please Circle All That Apply) y~ *Is job ready for inspection: YE / NO Rough In Final *Do you need a Temp Certificate: YES X101 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 82-Request for Inspection Form �� �� ��S�FFOLK�f1 Town Hall Annex �4 ` G Telephone(631-1802 54375 Main Road c :�t Fax(631)734-9502 P.O. Box 1179 y Southold, NY 11971-0959 } BUILDING. D:EP-ARTM°ENT NOTICE OF UTILIZATION.OF.TRUSS T-YPX CONSTRUCTLON PRE-ENGINEERED WOOD C"TRUCTION AIMOR VMBER CONSTRUCTION Date: A"i a o A-4 Owner:. tie -s ,hl,% _;.. Location of Property. �'� -i C- Please take notice that the check al 'line • . n New.residential structure ' : Addition.to existing residential structure Rehabilitation to an:eAsting residential struct�re y.. x:r.. to be constructed or performed at the'!§.0*ct-{iro'lier}i° of re_ iree.above will utilize (check applicable line): Truss type construction.(il'� 4 Pre-engineered wwd,Fonstcuc Timber construction in the following location(s) (check applicable line): Floor framing, indiiding.;gitders.,and be!ams.(F}. - Roof-fraraing`(R) _ Floor and roof framing (FR) Signature: Name (person submitting this form): Capacity(check applicable line): Owner Owner representative TrussResReg15.docx Effective 1/12015 SOUTHOLD TOWN FIRE MARSHALL -- NOTES & COMMENTS BUSINESS/JOB S/B/L 1{.0 - DATE Date Notes &Comment sem' 2-- r� FIRENOTES.docx Condon Engineering, P.C. New York State Licensed Professional Engineers 631-298-1986 1755 Sigsbee Road Fax 631-298-2651 Mattituck,New York 11952 condonengineering-com January 28, 2016 Mr. Mike Verity Chief Building Inspector Southold Town Building Department 53095 Route 25 P.O. Box 1179 Southold, New York 11971 Dear Mr.Verity I inspected the installation of the fire rated walls between the three first floor spaces and the specifications for the new Greek food store located in the front northwestern space in the Zahara building located at 600 Pike Street in Mattituck. Inspection found the work to be instal accordance with the plans approved for construction and building permits 40393 a 40394 ated January 8, 2016. If you have any questions please call me at 298-1986. Yours truly, ndon, P.E. r 1 1 JAN 2 9 2016 1 W c, February 23, 2011 To Whom It May Concern: RE: 600 Pike Street, Mattituck S.C.T.M. 1000-140-3-4 The above parcel my use the following addresses to accommodate the 3 units on this property: 600 Pike Street 605 Pike Street �- � -'1 a' ✓ �y 610 0Pke Shvet, y if you have any questions, please contact me. Respectfully, Southold Town Building Dept Connie Bunch 631-765-1802 Mr. Charles J. Zahra PO Boz 1137 Mattituck, NY 11952 May 13, 2015 Mr. Michael Verity Town of Southold Building Department Town Hall Southold, NY 11971 Re: 600 Pike Street, Mattituck, NY 11952 Dear Mr. Verity, As per our discussion on May 13, 2015, please f ind all the completed paperwork, as requested. Please let us know if there is anything further that you may require. Our contact telephone numbers are 631-298-1733 or 631-298-4091. We also request that you notify us of the fee amount the check should be written for. Thanking you in advance for any consideration you may show with regard to our applications and for all your help with the above mentioned matter. Very truly yours, Charles J. Zahra f�+ a4 � f MAP OF= P20Pee-r"Y .: P!lGF S?'l ET 5Ui2VeYEt7 P� -- ' ---- MAT7'rrLjcv- tio9 fo TowN OF Soc1T . n a 0 APPROVED By fix. O N . o PLA' BOARD BOARD bu r t a t Y_ I Q II oS Or: OUTHO'D TOy��i I DAT d` 00 �I `COrr, f*+CfCft + = G►'i7SSCCN- iH WQlIG 00 �, Z ✓cJ�- NN' � { IXA1lrM0ruLEO Aq%ATrun OR AUO(TICn r to TMIS SURVET IS A VIOLATION OF f,. L! • j ICWN 7209 OF THE NEW YORK STArl !ASILAUON LAW. �``• S.�3°45=40"W.--40.0 �t ti�• '� ;.pVlEi Of THIS SiAtVEV RW riot IEA[IWG ex-so rom-ke 4o LAS EURVEYC"lwa SEAL on :` 1 W✓I I �r n !WSSID SEAL U"Lj NOT is CoM�omou. v"� ! , LO DE A VALIO rUX Copy. MATTITU4c G" May t2,1983- GUARA HRES D�CICArED MER20N SMALL UM is gpILT T'O TME VE15oN FOR WHOM TME L'lI1RV!•� .•; PA2K Qt ST. 3 eq,�ARED, AND ON MIS DEHALF TO ftICld v�V 7L T C� ` .v. JULE CObWAMr, GOVERNMENTAL A WY Ao' �• _ f ` pp MOM INSTTTIITION USTED MENON, AND V rE.',• '1 (O THE Ams Of TME uww4G twat ....�_�/ C' .,,. -- gv,^z TWIOEk CUTAdAJaM ARE NOT TRAIal/E.A L�CG�I�:.C7 LCY ..7� k C.auh-k j-rdx Ma� C7esicj"c4Awfsi co ADORiOPMI R�s*mn+o.�a c. suR�.r }mss oVn�RR. '�si-, 10001 Sect.1.40, 6ttc. 3, F-�l• .4.y � C- �or'•1- �-�- New York .......... N L0 O� AF 00 19 .-i o Y j 00 r0i FIRE INSPECTION GUG'i r:; ,, P�.ir,;. ,,3 3. % ULf;i IGi i `n REQUIRED BEFORE 4. i ,i'r'AL CC i ' :C,"A Pv:U`T �o 1 OPENING ALL CGNS�f ' :;fi`.:i'J '�-,-� w!E'�J iii-_ G'!,,�, ,,=iSr< 1","tTf=. IivT . .:v; ,�N'S;3Lt FOR DES1011 OR CC-NS iTiUCTION LRRCR . { N cn c o ' LK- IIS I ; ;ti _ .c i 4- //10 /, r2 P_5ep i �� a� LT>?ato.W.�ra%9' `°ii Cmc �C_ � ' O -,, n L N vNr aZ5.28�is It I,ld F UNLNWFUL CER FIFIi CATF r °�r CCC�JPANCY T w tu d. 12"(oC7L _ tart ' wl FN 2- I/2 6 L. P Ll VJ 3'/�'Ga; � :C(�U)Mt�1µ - �� t E 'L yry, y/ O ' ,Iy '1.•-� tib ' 10 i � pay � MH 121-1 jZj-Sp= . ., 61'IMG�GY LIGE-f /I_D SSit��� '" 2-T1�12irO41© � _ R ti�� NE;fy�„ p!�R-r1t'"i©h( WALLS /�X0, tl 4-- P P4E6 Contractor's Material and Test Certificate for the Above Ground shall be submitted to the fire marshal prior to the approval of the installation. All required signs to be installed. Building owner/occupant responsible to maintain fire suppression system in accordance with N.F.P.A.#25. All piping hung in accordance with N.F.P.A.#13. , This plan is approved only for the work submitted on the application sheet, all other matters are not to be considered as being approved or in accordance with applicable codes. Building owner/occupant responsible to maintain heat not lower than 40 degrees. All new pipe is schedule 40. SYMcNT POSITION IFINISH ITEMP I K INPT ISIN MFG. MODEL Seismic restraints shall comply with N.F.P.A.#13 and Building Codes of New York State. 1019 PEND WHITE 155 4.90 11/2" TY2234 Tyco LFII This is a Residential Means of Egress design system. Walkin closet Bedroom Bathroom Co 18j 168.0 1 2� s o 187 Half wall around Living Space stairs 0 N 181 18] � N 168. i 189 0 1 �1 1 1 SOF 5-5h 1-2h 8-6 183 8-9h / 6-2h 183 Bedroom Head at base of z' stairs Living Space " CD 070�� O��v Second Floor sF° PROEEss� Basement ioire Spnklerah a ra Building Apollo F 69 Bobann Dr. �i � ' ' i I� 2 o; Pike Street a T— Nesconset NY 11767I NOV 1g 15 � ' 631-724-8878 Fax 31-3 6-23.83. attituck, NY 11952 WE ;' ,s 600 Pike Street Septic System Calculations Flow Calculation-Suffolk County Health Department Standard Greek Store-Wet Store with Food <16 Seats 0.03 Gpd/Sf x 823.5 Sf= 24.7 Gpd Density Flow 0.12 Gpd/Sf x 823.5 Sf= 98.8 Gpd Kitchen Flow Office-Non Medical 0.06 Gpd/Sf x 331.6 Sf= 19.9 Gpd Density Flow Residence 993.75 Sf-601-1200 Sf Unit =225 Gpd Density Flow. Gym-Spa/Fitness Center-No Food 0.1 Gpd/Sf x 1,710 Sf = 171 Gpd Density Flow Densi Flow=440.6 Gpd Total Kitchen ow= Total Flow = 539.4 Gpd Septic S-ystem Requirements versus.-Installed Septic Tank-2 Day Flow=2 x 440.6 Gpd=881.2 G Existing Septic 10'0 x 6' Depth x 500 G/Ft=3,000 G >881.2 G Existing Grease Trap-8'4)x 5' Depth= 1,500 G Kitchen Flow=98.8 G < 1,500 G Capacity Leaching Pool Sf Required-539.4 Gpd/ 1.5 G/Sf=359.6 Sf Existing Leaching Pools 8'(D-2 n 4'=25.13 Ft/LF LF of Leaching Pool Required=359.6 Sf 125.13 Ft/LF= 14.3 LF Existing 4-8'4)x 10' LF=40 LF> 14.3 LF OF NEW 7 $r 1684. ��►� PR�FES �A" A -SS14N� SIO ' (MMIESON Contractor's Material and Test Certificate for Aboveground Piping PROCEDURE Upon completion of work,inspection and tests shall be made by the contractors representative and witnessed by an owners representative. All defects shall be corrected and system left in service before contractors personnel finally leave the job. A certificate shall be filled out and signed by both representatives. Copies shall be prepared for approving authorities,owners,and contractor It is understood the owners representative's signature in noway prejudices any claim against contractor for faulty material,poor workmanship,or failure to comply with approving authority's requirements or local ordinances. PROPERTY NAME Zahara Residence DATE 4/13/16 PROPERTY ADDRESS 600 Pike St. Mattituck NY 11952 ACCEPTED BY APPROVING AUTHORITIES(NAMES) Town Of Southold ADDRESS 54375 Rte 25 Southold NY 11971 PLANS INSTALLATION CONFORMS TO ACCEPT PLANS E' YES ® NO EQUIPMENT UDED IS APPROVED IF NO,EXPLAIN DEVIATIONS E' YES Q NO HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO 0' YES ©. NO LOCATION OF CONTROL VALVES AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT? IF NO,EXPLAIN INSTRUCTIONS HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES? Q. YES © NO 1 SYSTEM COMPONENTS INSTRUCTIONS E' YES 13 NO 2. CARE AND MAINTENANCE INSTRUCTIONS M YES © NO 3. NFPA 25 13 YES I Im NO LOCATION OF Second floor SYSTEM YEAR OF TEMPERATURE MAKE MODEL MANUFACTURE ORIFICE SIZE QUANTITY RATING Tyco LFII 2016 1/2" 9 155 SPRINKLERS PIPE AND Type of Pipe Schedule 40 FITTINGS Type of Fittings Ductile iron. MAXIMUM TIME TO OPERATE ALARM VALVE ALARM DIVICE THROUGH TEST CONNECTION OR FLOW TYPE MAKE MODEL MINUTE SECOND INDICATOR Flow Potter VSR DRY VALVE Q.O.D. MAKE MODEL SERIAL NO MAKE MODEL SERIAL NO N/A TIME TO TRIP TIME WATER ALARM THROUGH TEST WATER TRIP POINT AIR REACHED OPERATED DRY PIPE CONNECTION' PRESSURE AIR PRESSURE PRESSURE TEST OUTLET' PROPERLY OPERATING MIN SEC PSI PSI PSI MIN SEC YES NO TEST Without Q.O.D With O.O.D. IF NO,EXPLAIN MEASURED FROM TIME INSPECTOR'S TEST CONNECTION IS OPENED. OPERATION ❑ PNEUMATIC ❑ ELECTRIC ❑ HYDRAULIC PIPING SUPERVISED ® YES ® NO I DETECTING MEDIA SUPERVISED ® YES © NO DOES VALVE OPERATE FROM'THE MANUAL TRIP,REMOTE,OR BOTH CONTROL STATIONS 11YES NO DELUGE AND IS THERE AN ACCESSIBLE FACILITY IN EACH CIRCUIT FOR TESTING ® YES ® NO PREACTION IF NO,EXPLAIN VALVES DOES EACH CIRCUIT OPERATE DOES EACH CIRCUIT MAXIMUM TIME TO MAKE MODEL SUPERVISION LOSS ALARM? OPERATE VALVE RELEASE? OPERATE RELEASE N/A I YES NO YES NO MIN SEC PRESSURE LOCATION MAKE& RESIDUAL PRESSURE FLOW REDUCING &FLOOR MODEL SETTING STATIC PRESSURE FLOWING RATE VALVE TEST N/A INLET PSI OUTLET PSI INLET PSI OUTLET PSI FLOW GPM HYDROSTATIC: Hydrostatic tests shall be made at not less than 200 psi(13.6 bars)for 2.hours or 50 psi(3.4 bars)above static pressure in excess of 150 psi(10.2 bars)for 2 hours. Differential dry-pipe valve clappers shall beleft open during the test to TEST prevent damage. All aboveground piping leakage shall be stopped. DESCRIPTION PNEUMATIC: Establish 40 psi(2.7 bars)air pressure and measure drop,which shall not exceed 1'%psi(0.1 bars)in 24 hours. Test pressure tanks at normal water level and air pressure and measure air pressure drop,which shall not exceed 1'%psi 0.1 bars in 24 hours. ALL PIPING HYDROSTATICALLY TESTED AT_PSI( BARS)FOR_HOURS DRY PIPING PNEUMATICALLY TESTED? El YES ® NO EQUIPMENT OPERATES PROPERLY? [3 YES © NO IF NO,STATE REASON Working pressure only DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT ADDITIVES AND CORROSIVE CHEMICALS,SODIUM SILICATE OR DERIVATIVES OF SODIUM SILICATE,BRINE,OR OTHER CORROSIVE CHEMICALS WERE NOT USED FOR TESTS TESTING SYSTEMS OR STOPPING LEAKS? F © YES [3 NO DRAIN I READING OF GAUGE LOCATED NEAR WATER RESIDUAL PRESSURE WITH VALVE IN TEST TEST SUPPLY TEST CONNECTION:75 PSI BARS CONNECTION OPEN WIDE:45 PSI BARS UNDERGROUND MAINS AND LEAD IN CONNECTIONS TO SYSTEM RISERS FLUSHED BEFORE CONNECTION MADE TO SPRINKLER PIPING VERIFIED BY COPY OF THE U FORM NO 85B © YES ® NO FLUSHED BY INSTALLER OF UNDERGROUND SPRINKLER PIPING Q YES 0 NO IF POWER-DRIVEN FASTENERS ARE USED IN CONCRETE,HAS REPRESENTATIVE SAMPLE TESTING BEEN SATISFACTORILY COMPLETED? C1 YES 0 NO BLANK TESTING NUMBER USED LOCATIONS NUMBER REMOVED GASKETS 0 WELDING PIPE ® YES El NO IF YES... DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES COMPLY WITH THE REQUIREMETNS OF THE LEAST AWS D10.9,LEVEL AR-3? [3 YES E3 NO WELDING DO YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS QUALIFIED IN COMPLIANCE WITH THE REQUIREMENTS OF THE LEAST AWS D10.9,LEVEL AR-3? © YES 13 NO DO YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COMPLIANCE WITH A DOCUMENTED QUALITY CONTROL PROCEDURE TO ENSURE THAT ALL DISCS ARE RETRIEVED,THAT OPENING IN PIPING ARE SMOOTH,THAT SLAG AND OTHER WELDING RESIDUE ARE REMOVED, AND THAT THE INTERNAL DIAMETERS OF PIPING ARE NOT PENETRATED? 13 YES Q NO CUTOUTS DO YOU CERTIFY THAT YOU HAVE A CONTROL FEATURE TO ENSURE THAT ALL DISCS CUTOUTS DISCS ARE RETRIEVED? 19 YES ® NO HYDRAULICDATA NAMEPLATE APPROVEDIF N0,EXPLAIN NAMEPLATE YES NO REMARKS DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN 4/13/16 TESTS WITNESSED BY F PR ER OIr E SIGNED) TITLE T SIGNATURESep)jw_� FORS RINK CO TRACTOR( IGNED) TITLE AT �t 7 C�� �r ADDITIONAL EXPLANATION AND NOTES: 600 Pike Street Septic System Calculations Flow Calculation-Suffolk County Health Department Standard Greek Store-Wet Store with Food <16 Seats 0.03 Gpd/Sf x 823.5 Sf= 24.7 Gpd Density Flow 0.12 Gpd/Sf x 823.5 Sf=98.8 Gpd Kitchen Flow Office- Non Medical 0.06 Gpd/Sf x 331.6 Sf= 19.9 Gpd Density Flow Residence 993.75 Sf-601-1200 Sf Unit =225 Gpd Density Flow G rnn -Spa/Fitness Center-No Food 0.1 Gpd/Sf x 1,710 Sf = 171 Gpd Density Flow Dens' Flow=440.6 Gpd Total Kitchen ow= Total Flow = 539.4 Gpd Septic System Requirements vemusInstalled Septic Tank-2 Day Flow=2 x 440.6 Gpd =881.2 G Existing Septic 10'(0 x 6' Depth x 500 G/Ft=3,000 G >881.2 G Existing Grease Trap-8'0 x 5' Depth = 1,500 G Kitchen Flow=98.8 G < 1,500 G Capacity Leaching Pool Sf Required-539.4 Gpd/ 1.5 G/Sf= 359.6 Sf Existing Leaching Pools 8'(0.-2 rr 4'=25.13 Ft/LF LF of Leaching Pool Required=359.6 Sf/25.13 Ft/LF= 14.3 LF Existing4-8'4)x10' LF=40LF > 14.3 LF io� NE A -FFSSICS PROFESSIC03 N j L ch . _ Z V ' d. U C } �p N } 01 N • � C 00 • O� W _0 N - � O M O U U .n t _rn LO Ln ,DTIC. L x •�°-,' z 0 0� 10 o • U x p ;p o Sr-+►oKe ter ui C'A OAS M P L LI G�-1 O { T r��U .N ; ij /w `r �� �L'o11 I'�'_ ( i ( - ct /O:O C3 Ar- Fl M_'5Pl?t U KLJl='I~ IN ACCMVsn p t I i r I-II210410 r. rr 2-TW 2104 10 r „ Z -TW 2lU r0 NorF_ : FLOOR JOtSFS rO VC-- LJ r;) PARTit"ioN W4LL-5 M il'.'-ellfSF L '�3 ' ��le A (!;PooP� d. r t- fiTi TRK- `f lop i _� �` �• �' fig-�___ � _-