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Home My WebLink About41838-Z �o�g11FF0(,��pG�� Town of Southold 2/2/2018 0 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39490 Date: 2/2/2018 THIS CERTIFIES that the building HOOD FIRE SUPPRESSION SYSTEM Location of Property: 1025 Terry Ln, Southold SCTM#: 473889 Sec/Block/Lot: 65.-1-19.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/19/2017 pursuant to which Building Permit No. 41838 dated 7/26/2017 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: fire suppression system in an existing hood system as applied for. The certificate is issued to Southold Park Dist of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 4464 A- Auto ed Signature SVFFnt� TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE oy, • O� 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#: 41838 Date: 7/26/2017 Permission is hereby granted to: Southold Park Dist PO BOX 959 Southold, NY 119710930 To: install a fire suppression system as applied for. At premises located at: 1025 Terry Ln, Southold SCTM # 473889 Sec/Block/Lot# 65.-1-19.1 Pursuant to application dated 7/19/2017 and approved by the Building Inspector. To expire on 1/26/2019. Fees: COMMERCIAL ADDITION/ALTERATION $250.00 CO -COMMERCIAL $50.00 $300.00 Zuilding Inspe r 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: f 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 buildingsand 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 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-existirig'Building- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-'Residential$15.00,Commercial$15.00 Date. (,/7417 New Construction: Old or Pre-existing Building: (check one) Location of Property: :50U-7 0 f I House No. T Street Hamlet Owner or Owners of Property: Suffolk County Tax Map No )000,Section Block <g�5'j Lot Subdivision _ _ _w TM _ _ „y Filed Map. Lot: Permit No.- 41Date of Permit. _ _Applicant:, Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate _Final Certificate: L_- (check one) Fee Submitted:$ Ap lie t' ignature _ �^ pE SOUIyo N O i cou TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) RE RKS: h2r s OPP stf DATE INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS b FOUNDATION (IST) ------------------------------------ FOUNDATION(2ND) � tC5rJ z VA 0 U� ROUGH FRAMING& P y PLUMBING 04 r INSULATION PER N.Y. �, H STATE ENERGY CODE FINAL KA ADDITIONAL COMMENTS c6ll D5 �L, 2 - ° I I �T c:;p z °z d TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST c4 •� BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans TEL:(631)765-1802 Planning Board approval FAX:(631)765-9502 Survey SoutholdTown.NorthForLnet PERMIT NO. � 4 Check Septic Form N Y.S D.E C. Trustees Flood Permit Examined 20 Storm-Water Assessment Form Contact: Approved 20 Mail to (''�Urr��pp' Disapproved a/c C-f zzi¢-c ABZZ K Phone Dt ion _ 1 Building Inspector Ju�` 9 ��' APPLICATION FOR BUILDING PERMIT SUMDING DEPT. Date 120 TOWN OF SOUTHOLD INSTRUCTIONS a.This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans,accurate plot plan to scale.Fee according to schedule b.Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or areas,and waterways. c.The work covered by this application may not be commenced before issuance of Building Permit. d.Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant Such a permit shall be kept on the premises available for inspection throughout the work. e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f.Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date.If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an addition six months.Thereafter,a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold,Suffolk County,New York,and other applicable Laws,Ordinances or Regulations,for the construction of buildings,additions,or alterations or for removal or demolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code,housing code,and regulations,and to admit authorized inspectors on premises and in building for necessary inspections. (Signature oaf applicant or name,if a corporation) /ivy C/��1d s 111�0114flno ,UY/�%!%1 (Mailing address of applicant) State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder %C/At Name of owner of premisesS aZ�1� C5L—� (As on the tax roll or latest deed) If applicant' a corporation signature of duly authorized officer ieiin (Name and title o 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: House Number S eet y Hamlet County Tax Map No. 1000 Section ( Block G!!:� t— 1 Lot Subdivision Filed Map No. Lot 2., State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work -Co�SyST�.s'1 (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 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 Depth Height Number of Stories 9. Size of lot:Front Rear Depth 10.Date of Purchase Name of Former Owner 11.Zone or use district in which premises are situated 12.Does proposed construction violate any zoning law,ordinance or regulation?YES_NO 13. Will lot be re-graded?YES_NO Will excess fill be removed from premises?YES_NO 14.Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a.Is this property within 100 feet of a tidal wetland or a freshwater wetland?*YES NO IF YES,SOUTHOLD TOWN TRUSTEES&D.E.C.PERMITS MAY BE REQUIRED. b.Is this property within 300 feet of a tidal wetland?*YES NO IF YES,D.E.C.PERMITS MAY BE REQUIRED. 16.Provide survey,to scale,with accurate foundation plan and distances to property lines. 17.If elevation at any point on property is at 10 feet or below,must provide topographical data on survey. 18.Are there any covenants and restrictions with respect to this property?*YES NO *IF YES,PROVIDE A COPY. STATE OF NEW YORK) SS COUNTY OF t in duly sworn,deposes and says that(s)he is the applicant (Name of individual signin49GM&t'--�amed, (S)He is the (Co tractor,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. Swo eFore me this da o Q 20 LAURAN MARGARET UAGOSTIN Notary 'c Notary Public,State of New York r/Vom No.01 DA6057853 Qualified in Suffolk Count,,&, Commission Expires April 30, FRONT_VIEW NOTE: LEGEND SYSTEM DIAGRAM SYSTEM NEW EXISTING � P NO PIPE TAPE USED G=MECHANICAL GAS SHUT OFF VALVE RA�I G E GUARD GAS VALVE NEW�EXISTING SCALE'/4" DRAWN BY: ALEXANDER RAMIREZ 06/16/17 P=REMOTE MANUAL PULL STATION RG-1.25G X RG-2.5G RG-4GM I RG-6G MCH=MECHANICAL CONTROL HEAD PIPING MATERIAL' BLACK r, a APPROVED A S NOTE�®L MS=MICRO SWITCH SUPPLY PIPE SIZE 3/8" BRANCH PIPE SIZE 3�8 @ �g Pip „ ,. CNC DATE:-._Q B.P./t • � � � � p � L �� THIS INDICATES 1/2 GAS VALVE TYPE MECH SIZE 1,r BRAND ASCO a U FE �--n-w P-'Y ART ENT A—- THIS 40 BLACK PIPE WITH �OT1802681A�I1NIT L)L,- IFOR THET DETECTOR TEMPERATURE RATING 360 DEGREE QTY 3 THIS INDICATES 3/8" ' 11 rr OF OCCUPANCY FOLLOWING INSPECTIONS: SCHEDULE 40 BLACK PIPE HOOD SIZE: 6 X 45 X 24 DUCT SIZE: 12 X 12 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE DUCT SIZE: DUCT SIZE: �— 2. ROUGH - FRAMING & PLUMBING THIS INDICATES - STAINLESS STEEL CABLE 3. INSULATION RUN IN'h"EMT CONDUIT 4. FINAL CONSTRUCTION MUST EQUIPMENT NOZZLE SURFACE NOZZLES FIRE INSPECTION BE COMPLETE 'FOR C.O._ FLOW POINTS 6 QTY AREA PART# HEIGHTS LOCATIONS EQUIRE® 60 y ALL CONSTRUCTION SHALL"MEET THE ®PEN[NC 4 �. u REQUIREMENTS OF THE CODES OF NEW '/2 1� YORK STATE. NOT RESPONSIBLE FOR SCALE ' DUCT 1 12"X 12" ADP 0-50 CENTERLINE DUCT DESIGN OR CONSTRUCTION ERRORS. SHELF PROTECTION PLENUM 1 6'X 45" ADP 10'X 4' 2"OFF FILTER UCH COPPER OPE ING TUBING 1z" 1z' --------- SHELF FRYER F 27"-45" � PERIMETER � A FRYER F 16"x27" PERIMETER A --- ----------; ADP CON/IpLY WITH :ALL CODES OF r- ----I----�, NEW yOP� STATE & TOWN CODES 6 BURNER RANGE 2 36"X 24" LPR 16"-20" CENTERLINE -- - --- 38 --- - 36 I OF B J ADP AS REQUIRED CENTERLINE BURNER RANGE R20"-42" ————'————J _ � l L I YYI CANDY STOVE R 20"-42" 'CENTERLINE ! GUNAR� 4 IV L \I.II ARD SHELF LARGE WOK GRW 35"-56" PERIMETER I ELS LPR LPR ADP A- MAXIMUM HAZARD AREA PERIMETER GRIDDLE 24^x 24" SMALL WOK GRW 35"-56" -� RG-25G I B120002 24"X 24" N. J�-�+ SMALL GRIDDLE 1 24"X 24" ADP 13"-48" PERIMETER PULL six B- NOZZLE BE BETWEEN 1HEIGsM S BURNER ADP LARGE GRIDDLE ADP 13"-48" PERIMETER I 36"X za" CHEESEMELT -----' 21"X2.2. ('- NOZZLE AIM MUST GAS/ELEC RAD GRW 24"-48" PERIMETER BE MIDPOINT OF HAZARD AREA ASCO GAS/ELEC RAD GRW 36"-48" LAVA ROCK F 24"-48" PERIMETER FLOOR NATURAL/MES ADP 24"-35" PERIMETER ENGINEER RG-2.5G MAXIMUM ALLOWABLE 3/8 PIPING VOLUME 95in ABOVE THE GRATE AT 3/8"PIPING DISCHARGE LINE VOLUME=85 7 CHEESEMELT 1 21"X22" ADP Wdhintop4" THEFRONTEDGE TOTAL DISCHARGE VOLUME=90.44in GYRO ADP X FRYER TO HAVE LIMIT CONTROL TO SHUT OFF FUEL AT 425 DEGREE FIRE MARSHAL x DETECTORS SHALL BE LOCATED OVER ALL EQUIPTMENT PARTS QUICK SEAL ri°=555655 x SYSTEM INSTALLED AS PER UL300,MANUFACTURERS&AHJ QUICK SEAL 318"=550857 S S WIRE=550035 • x MANUAL PULL LOCATED MAX 10'-20'FROM HOOD&48"FROM FLOOR RG-1.25G=B-120001 REMOTE PULL=60-120110-001 i OO x ALL FUEL SOURCES ARE GAS UNLESS OTHERWISE NOTED RG-25G=B120002 LINK KIT=120064 0 x THE FOLLOWING FUNCTIONS TO OPERATE UPON SYSTEM DISCHARGE RG6-GMB 20005 UNIVERSAL CONTROL H=B126 CORNER HEEAD=B1z0099 I *MAKE UP AIR SUPPLY SHUT DOWN*GAS FUEL SHUTS OFF IN KITCHEN 360 DEGREE LINK=8282664 m *EXHAUST FAN REMAINS ON*ELECTRIC FUEL SHUT OFF UNDER HOOD 360 DEGREE LINK--9196903 ; *FIRE ALARM SHALL ACTIVATE IF ONE IS INSTALLED 555 DEGREE-INK X81211 82666 I ' ADP NOZZLE 1211 d F NOZZLE=B120012 LOCATION: GRW NOZZEL=6120013 �Q 07 CONTRACTOR: R NOZZLE E B 20D1DM ,5 ABT DESIGN & FIRE PROTECTION LPFNOZZLE=8120022 LPR NOZZLE=B120024 1724 CHURCH STREET SOUTH PARK DISTRICT MECH GAS VALVE%"=B120071 HOLBROOk NY 11741 MECH GAS VALVE 1'=6120072 r TERRY LAND&HOBART ROAD MECH GAS VALVE 1'/. 6120573 631-878-4896 FAX#631-878-5727SOUTHHOLD NY 19971 MECH GAS VALVE 1'N=8,20074 75 SUFFOLK COUNTY LIC#111 MECH GAS VALVE 2''N MECH GAS VALVE ;20576 EMAIL:ABTFIRE@YAHOO.COM MECH GAS VALVE 3"=13120077