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Home My WebLink About42578-Z p�guffOl,�co Town of Southold 7/6/2018 G P.O.Box 1179 0 v' 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39750 Date: 7/6/2018 THIS CERTIFIES that the building EXHAUST HOOD AND/OR FIRE SUPRESSION SYSTEM Location of Property: 4805 Depot Ln, Cutchogue SCTM#: 473889 Sec/Block/Lot: 96.-5-2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/28/2018 pursuant to which Building Permit No. 42578 dated 4/17/2018 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 existing restaurant as applied for. The certificate is issued to Trois Ange LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Authorized S gnature F04 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#: 42578 Date: 4/17/2018 Permission is hereby granted to: Trois Ange LLC 1 Minetta Ln New York, NY 10012 To: install new fire suppression system in existing restaurant as applied for. At premises located at: 4805 Depot Ln, Cutchogue SCTM # 473889 Sec/Block/Lot# 96.-5-2 Pursuant to application dated 3/28/2018 and approved by the Building Inspector. To expire on 10/17/2019. Fees: NEW COMMERCIAL, ALTERATION OR ADDITIONS $250.00 CO -COMMERCIAL $50.00 Total: $300.00 Buildi I ector 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 Date. 3 -Il -,2 r,18 New Construction: Old or Pre-existing Building: (check one) Location of Property: 060 E House No. Street Hamlet Owner Owner or Owners of Property: Ar 6eL A 'TeS�'- ,n`=L,,i z� ih.nerl A LXX Ie_ t,.a W^ l1 r e,12- Suffolk County Tax Map No 1000, Section b Block 0 Lot CD Z Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: l-Re_ Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ "a2 Applicant Signature 7 SOUIy� -/� 257 TOWN OF SOUTHOLD BUILDING DEP . "courm '' 765-1802 � vm2Ee— INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY KFIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: coo Lv ® ®�� DATE INSPECTOR FIELD INSPECTION REPORT7 DATE COMMENTS FOUNDATION (1ST) t�C� -------------------------------------- 'FOUNDATION (2ND) z ROUGH FRAMING& y PLUMBING INSULATION PER N.Y: H STATE ENERGY CODE FINAL ADDITIONAL COMMENTS O O z d 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 Q` Z Survey Southoldtownny.gov PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined ,201 Single&Separate Truss Identification Form Storm-Water Assessment Form (� Contact: Approved - L '20L Mail to: Disapproved a/c Phone: Expiration ,20 BuiWhNtispector APPLICATION FOR BUILDING PERMIT Date , 201��- 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 aj p4cable laws, ordinances,building code,housing code, and regulations, and to admit authori eD s[ECOM n I uilding for necessary inspections. MAR 2 8 2018 (Signature of applicant or name,if a corporation) BUILDING DEM. NY 11'J0&, TOWN OF SOUTHOLD (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises A N GLA T<Se- i`n.IN�Q (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1 1 3 C 1. Location of land on which proposed work will be done: 4805 V)epa—c House Number Street Hamlet ® County Tax Map No. 1000 Section 16 Block o5- Lot C 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 (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 lliifes. 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 ANO, * IF YES, PROVIDE A COPY. f STATE OF NEW YORK) SS: COUNTY OF ) being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, CONNIE D. BUNCH I Notary Public,Mate of New York (S)He is the No.01BU6185050 Qualified I,,Suffolk E)au,41, (Contractor,Agent, Corporate Officer, etc.) Commission Expires April 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 day of UA G� 20`/_ l Notary Public Signature of Applicant AND MOM' SYS1110 R, CERMWICATE OF dkw r o-e Equo.ml 9 OW011 Aveu�t�qp Ball Shcovd. Suffolk County Portable Fire Extinguisher and fs }sl Automatic Fire Extinguishing Systems Licensing Board -5l CiC011flue Patrick Turro, Suffolk Inc,(11MI-Atidersm I'M rquIpITIalit This certifies that this i 113D Individual Is duly licensed by ther County of Sufroll(. 0'1/19/2017 Josoph F. WiNains Commissioner 01/31/2019 Q//J �,!)&e�PI-tftAV` tV ® ' eoxplt'�Mli This is to certify that Patfock Turco an employee of ANDERSON ME EQUPMENT 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 Eqr� , � L M1 � Issue Date: 4/4/2017 MOSIER Pirjetta Ruokola Expiration Date: 4/4/2020 This certificate is nontransferable.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. SUFFO-3 OP ID:GC DATE(MMIODIYYYY) CERTIFICATE OF LIABILITY INSURANCE 05/0312017 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 lieu of such endorsements Co PRODUCER NFAX James F.Sutton Agency Ltd. E AIC No: 149 E.Main Street P.O.Box 76 ADDRESS: East Islip NY 11730 INSURER(S)AFFORDING COVERAGE NAIC! Ryan D.alilles INsuRERA:Admiral Insurance Co INSURED Suffolk Fire InC DBA INSURERS: Anderson Fire Equipment INSURERC: 9 O'Neill Avenue INSURER 0: Bay Shore,NY 11706 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Lo VENRA ADIX KIM LIMITS E OF INSURANCE POLICY NUMBER MMIDDI MMlDDNYYY 1,000,00 Nall LITY EACH OCCURRENCE $ CA000024162-02 04124/2017 04/2412018 PREMISES Ea occurrence) $ 50,00 IAL GENERAL UABILITY 5,000 S MIADE X�OCCURMED EXP(Any one person) $PERSONAL&ADV INJURY $ 1,000,000GENERAL AGGREGATE $ 2,000,000 j Agg$5MMPRODUCTS-COMPIOPAGG $ 2,000,00ATE LIMIT APPLIES PER BUPD Ded $ 5,000 PRO LOC COMBINED S GLE LIM T AUrOMOBILE LIABILITY Ea accident $ BODILY INJURY(Per person) $ ANY AUTO ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS NON-OWNED UTOS PRO—FE ER ACCIDENTT).. $ HIRED AUTOS AUTOS $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESSLJAS CLAIMS-MADE AGGREGATE $ DED RET ENTION$ WC STAT OTH- I ER- WORKERS COMPENSATION AND EMPLOYERS'LIABILITY E L.EACH ACCIDENT $ ANY PROPRIETORIPARTNERIEXECUTIVE YIN N I A OFRCERIMEMBER EXCLUDED? E L.DISEASE-EA EMPLOYEE $ (Mandatory In NH) It yes,descnbe under E L DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Proof of Insurance CERTIFICATE HOLDER CANCELLATION TOWN182 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Southold ACCORDANCE WITH THE POLICY PROVISIONS. 54375 Route 25 PO Box 1169 AUTHoRRED REPRESENTATIVE Southold,NY 11971 ®ate D a 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 (RENEWED) ^^^^^^ 113268460 SUFFOLK FIRE INC T/A ANDERSON FIRE EQUIPMENT CO 9 ONEIL AVE ❑ � f 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 915498 10/29/2017 TO 10/29/2018 10/25/2017 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:/MIWW.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 ONLYAND 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 D DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER:212703529 U-26.3 YORK Workers' CERTIFICATE OF INSURANCE COVERAGE STATE Compensation Board UNDER THE NYS DISABILITY BENEFITS LAW PART 1. To be completed by Disability Benefits Carrier or Licensed Insurance Agent of that Carrier 1 a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured (631)665-6862 SUFFOLK FIRE INC DBA ANDERSON FIRE EQUIPTMENT 1c.NYS Unemployment Insurance Employer Registration Number of 9 ONEILL AVE Insured BAY SHORE,NY 11706 Work Location of Insured(Only required if coverage is specifically limited to 1 d.Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e., a wrap-up Policy) Number 113-26-8460 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) New York State Insurance Fund(NYSIF) TOWN OF SOUTHOLD 3b.Policy Number of Entity Listed In Box"1a" 54375 ROUTE 25A DBL 5853 65-1 PO BOX 1169 SOUTHOLD,NY 11971 3c.Policy effective period 10/02/2009 to 10/02/2018 4.Policy covers: ® A.All of the employer's employees eligible under the New York Disability Benefits Law B.Only the following class or classes of employers employees: Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has NYS Disability Benefits insurance coverage as described above. Date Signed 10/25/2017 By Joseph J.Masi (Signature of insurance camer's authorized representative or NYS Licensed Insurance Agent of that insurance carrier) Telephone Number (866)697-4332 Title Director of NYSIF Disability Benefits Insurance IMPORTANT, If Box"4a"is checked,and this form is signed by the insurance carriers authorized representative or NYS Licensed Insurance Agent of that carrier,this certificate is COMPLETE.Mail it directly to the certificate holder. If Box"4b"is checked,this certificate is NOT COMPLETE for purposes of Section 220,Subd.8 of the Disability Benefits Law.It must be mailed for completion to the Workers'Compensation Board,DB Plans Acceptance Unit,328 State Street,Schenectady,NY 12305 PART 2.To be completed by the NYS Workers' Compensation Board(Only if Box"0"of Part 1 has been checked) State of New York Workers' Compensation Board According to information maintained by the NYS Workers'Compensation Board,the above-named employer has complied with the NYS Disability Benefits Law with respect to all of his/her employees. Date Signed By Signature of NYS Workers'Compensation Board Employee) Telephone Number Title Please Note:Only insurance carriers licensed to write NYS disability benefits insurance policies and NYS licensed insurance agents of those insurance carriers are authorized to issue Form DB-120.1. Insurance brokers are NOT authorized to issue this form. DB420.1 (9-15) Certificate Number 457989 Additional Instructions for Form D13-120.1 By signing this form,the insurance carrier identified in box"T'on this form is certifying that it is insuring the business referenced in box"1 a"for disability benefits under the New York State Disability Benefits Law.The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed as the certificate holder in box"2". Will the carrier notify the certificate holder within 10 days of a policy being cancelled for non-payment of premium or within 30 days if cancelled for any other reason or if the insured is otherwise eliminated from the coverage indicated on this certificate prior to the end of the policy effective period? []YES ®NO This certificate is issued as a matter of information only and confers no rights upon the certificate holder.This certificate does not amend, extend or alter the coverage afforded by the policy listed, nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Disability Benefits contract of insurance only while the underlying policy is in effect Please Note: Upon the cancellation of the disability benefits policy indicated on this form,if the business continues to be named on a permit,license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of NYS Disability Benefits Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Disability Benefits Law. DISABILITY BENEFITS LAW §220. Subd. 8 (a) The head of a state or municipal department, board, commission or office authorized or required by law to issue any permit for or in 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 permits,shall not issue such permit unless proof duly subscribed by an 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. Nothing herein, however,shall be construed as creating any liability on the part of such state or municipal department, board, commission or office to pay any disability benefits to any such employee if so employed. (b)The head of a state or municipal department, board, commission or office authorized or required by law to enter into any contract for or in connection with,any work involving the employment of employees in employment as defined in this article and notwithstanding any general or special statute requiring or authorizing any such contract,shall not enter into any such contract unless proof duly subscribed by an 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 (945)Reverse ' ELECTRICAL WITH ALL CGDE OF INSPECTI®N REQUIREDrA AS REQUIRED AND CONDITIONS OF s� SEAL TIGHTS (TYP.) TEE Z � 16" ROUND DUCT ADP ADP VENT PLUG W Z a w n APPROVED AS NOTED EXISTING) ? U m- Z � — �I—®- - -®- - - DATE: -7 B.P:;Y � � — f - - - � 0450' 450' 360' 360' L — I-1 m o —I- - - - - - - - - WaFfE: �b� BY: I ADP ADP_ _ _ _ _ _ _ _ _NOTIFY BUILDING DEPAR NT AT . — — — — — 765-1802 - 8 AM TO 4 PM FOR THE34"x18" I I I W ''FOLLOWING INSPECTIONS: : I I I I 1SALAMANDER I I I RG I I p" �` a7 : FOUNDATION = TWO -REQUIRED FOR ♦ � ,� � 4 0 I z POURED CONCRETE ADPJ GAL. I 2.,ROUGH= FRAMING PLUMBING F ADP R R I W 3. INSULATION FRYER 6" I a Q 4. FINAL - CONSTRUCTION MUST LPR LPR MIN. TO EE IiGUARD o ZBE COMPLETE FOR C.O. . OF HOODON PULL Z Y W Q Z ALL CONSTRUCTION SHALL MEET THE, `D BOTH SIDES I STATION w _, _� 'REQUIREMENTS OF THE CODES OF NEW ``' I y 9 r .^\ Of m 24"x24" 36"x28" o �``�� ,<TAcro YORK STATE. NOT RESPONSIBLE FOR 36'x28' FLAT 6 BURNER Ir DESIGN OR CONSTRUCTION ERRORS. 6 BURNER GRIDDLE RANGE 1 Yz" GAS I Q X � NO SHELF VALVE ®��®�� it1\i,i vim' (9 USE B UNLAWFUL - 8� 9 �� z ��I��• = FRONT VIEW ��.rF��-,7 7 QTUOUT CERTIFICATE REWIRED BEFORE SCALE: %"=1'-D" N �RGFESSi� (TOCCUMMANUFACTURER: COMPONENTS: NOTES: Z---� W oZ f RANGE GUARD: _RG 1.25 GAL _RG 2.5 GAL. ��RG 4 GAL. _RG 6 GAL. x Fryers to have High Limit Control to shut off fuel at 425'. 0� 00 oz, ==Za RANGE GUARD - RG 4.0 GALLON x Detectors shall be located over every piece of equipment. Z m 0 V1 ��U N Q Z J�J U Pi in Material BLACK SCH 40 Max. Rise 12' MAX FLOW POINTS = 12 (12 USED) o�w�3 NW92w Wa¢W P 9 x The System installed as per manufacturers specs and the AHJ �ww6w TOTAL PIPE VOLUME NOT TO EXCEED 400 CUBIC INCHES -w ��—c�� - Supply Pipe Size 1 2" Branch Pipe Size 3 8" DROPS 3/8" x The System has been installed as per UL300 Zm= � wo MAX. PIPE LENGHT 132 FT. Gas Valve Type: MECH Size 1 112" Manufacturer HEISER x The following functions to operate upon system discharge- 0044, �ZWO * * SOF OJOO ��ZQO3 43N0 Supply air damper closes Gas fuel shuts off in kitchen oZ ,�Z -Hui o oft Detector Temperature Rating: 360' 450' #60-120003-001 * * �a�wo �m��ws Nw�a —� RG-4.0 GAL. CYLINDER Exhaust fan remains on Electric fuel shut off under hood <owo5 }N?aow a�wZ Hood Size: 10'-4" (EXIST) Duct Size. 16" ROUND CONTROL HEAD #B120099 * All systems to activate simultaneously in some hazard area. D IIL �M<wm , 82ffi8 ADP NOZZLE #87-120011-001 * Fire Alarm shall activate. EQUIPMENT QTY TIP#/QTY. LOCATIONS NOZZLE #F SURFACE NOZZLE 87-120012-001 x Manual Pull Station shall be located a minimum of 10 ft. from TYPE AREA HEIGHTS LPR NOZZLE #87-120024-001 hood & a maximum of 20 ft. from hood and 4 ft from floor. LO (111, (0 t' DUCT 1 16" ROUND ADP 2 0"-6" 0"-6" IN OPENING x All fuel sources are GAS unless otherwise noted. rn o a R NOZZLE #87-120014-001 CD �I PLENUM 1 10'-4" ADP 2 0"-6" FROM END OF PLENUM 360' LINK #WK-282664-000 L } *"4 } m 6 BURNER RANGE 1 36"x28" LPR 2 16"-20" CENTER 450' LINK #WK-282663-000 z ^ z a FRYER 1 14"x23.5" F 1 27.5"-45" 45' TO 90' LINK HOUSING #804548 U) °' 0 v FLAT GRIDDLE 1 24"x24" ADP 1 13"-48" ON PERIMETER AIM WITHIN 3" CTR MANUAL RELEASE #6875572 0 0 6 BURNER RANGE 1 36"x28" R 2 20"-42" CENTER 1 %" GAS VALVE #13120074 0 0 T U m SALAMANDER 1 34"x18" ADP 1 - TOP 4" OF COMPARTMENT a ^�, 6 o W Qo ��/ a o aD ❑ 1�1 'a) c`i � 11�y z v A FIRE EXTINGUISHER WITH A MINIMUM RATING co OF CLASS K MUST BE INSTALLED WITHIN THE VICINITY OF THE COOKING AREA. System Design 3-6.1.1 DUCTS The ADP nozzle, P/N 87-120011-001, is used for protection of the exhaust ductwork. The duct cross section can be any'shape, not including obstructions (i.e., round, square, or rectangular) and the duct itself can be of unlimited length. In accordance with NFPA 96, the exhaust fan should be left running at the time of system discharge. This will help to remove smoke and other airborne materials and gases from the hazard area in the event of a fire. Check with the Authority Having Jurisdiction for local requirements. A damper, if present, should be left open at system discharge.However,if the damper is closed,the system designer must insure that additional nozzles are required. 3-6.1.1.1 Protection of Ducts O to 50 inches in Perimeter One ADP nozzle, P/N 87-120011-001, is required for protection of a duct with a perimeter up to 50- inches (refer to Figure 3-29). Length of duct is unlimited. The nozzle is located at the geometric center of the cross-sectional area that it is protecting, and is located in the duct within six inches of the entrance. Note: All Range Guard systems are listed by UL and ULC for use with the exhaust fan either on or off when the system is discharged. DUCT HOOD ] DUCT PERIMETER UP TO AND INCLUDING 50 in.(1270 mm) 11.78 in.(300 mm) I MAX.DIAGONAL (404 mm) If—..B„ MAX. 12.5 in. 11.78 in.(300 mm) (318 mm) I I ..A � MAX.DIAGONAL MAX. SQUARE DUCT I CTANGULAR DUCT OUND DUCT "A"+2"B"=65 in.(1651 mm) ¢ OF VERTICAL DUCT ADP NOZZLE VERTICALIHORIZONTAL DUCT �— AIM POINT 1 0-6in. (0-152 mm) ADP NOZZLE i DUCT ENTRANCE f ;�� 4 OF HORIZONTAL DUCT 2 to 4 In.(51 to 102 mm) ' NOZZLE TIP to DUCT HIP Figure 3-29. Duct Protection Using Single ADP Nozzle, P/N 87-120011-001 P/N 60-9127100-000 3-35 Aprll 2009 System Design 3-6 VENTILATION 3-6.1 Plenums Table 3-29. Plenum Protection Items Parameters ADP Nozzle No Filter 1 10 ft.x 4 ft. (3 m x 1.2 m)Max. I -located at one end of the plenum 'V"Filter 10 ft.x 4 ft. (3 m x 1.2 m) I -located at one end of the plenum 20 ft.x 4 ft. (6 m x 1.2 m) 2-located at end of plenum pointing inwards -'" '12 -�111 11 Ili Nmx-t-Kitt 1 -located at one end of the plenum 20ft.x4ft. (6mx 1.2m) 2-located at end of plenum pointing inwards When no filters are present,the nozzle protecting the plenum is used to discharge the wet chemical on the under- side of the hood.In this case,the hood may not exceed a length of 10 ft. (3 m)or a width of 4 ft. (1.2 m). Plenums larger than 10 ft. (3.0 m)x 4 ft. (1.2 m)may be protected by adding additional ADP nozzles for each additional 10 ft. (3.0 m) of plenum length and each additional 4ft. (1.2 m) of plenum width. Nozzles may be installed pointing in the same direction, and/or at the ends of the plenum pointing toward each other (see Figure 3-28).Each nozzle will provide coverage for a maximum of 10 ft. (3 m) of plenum length and 4 ft. (1.2 m) of plenum width. ADP nozzles must be centrally located in the plenum with their discharge directed along the length of the plenum and located in relation to the filters as shown in Figure 3-28.Refer to Figure 3-28 for filter height. P/N 60-9127100-000 3-33 April 2009 System Design 3-4.9 Four Burner Ranges Table 3-13. R Nozzle Coverage Area—Four Burner Range Items Parameters Maximum Hazard Area 28 in.x 28 in. (711 mm x 711 mm) Nozzle Aim Midpoint of Hazard Area Nozzle Location—Anywhere within the area of a circle 20 in. (508 mm)Min. generated by a 9 in. (229 mm)radius about the midpoint 42 in. (1067 mm)Max. Note: Shape of burner not important. 18in.(457 mm)DIA. I 1 421n.(1067 mm)MAX. 1 (FROM TOP OF RANGE) 1 I A'R'NOZZLE MAY BE LOCATED ANYWHERE WITHIN THE SHADED AREA 1 I _ 20 In.(508 mm)MIN. _ AIM POINT:MIDPOINT OF (FROM TOP OF HAZARD AREA RANGE) i 28 in.(711 mm) , 141n.(356 mm)MAX. MAX.HAZARD BURNER CENTERLINE AREA LENGTH i TO CENTERLINE i i 141n.(356 mm)MAX. BURNER CENTERLINE TO CENTERLINE ♦— 28 in.(711 mm)MAX. HAZARD AREA WIDTH Figure 3-10. R Nozzle Coverage for a 4-Burner Range P/N 60-9127100-000 3-15 April 2009 System Design 3-4.10 Two Burner Ranges Table 3-14. R Nozzle Coverage Area—Two Burner Range Items Parameters Maximum Hazard Length 28 in. (711 mm) Nozzle Aim Midpoint of hazard area Nozzle Location-Anywhere within the area of a circle 20 in.(508 mm)Min. generated by a 9 in. (229 mm)radius about the midpoint 42 in. (1067 mm)Max. Note:Shape of burner not important. ( 18 in.(457 mm)DIA. ! — 42 in.(1067 mm)MAX. ! (FROM TOP OF RANGE) ! A'R'NOZZLE MAY BE -,- LOCATED ANYWHERE WITHIN I . THE SHADED AREA .I 20 In.(508 mm)MIN. AIM POINT:MIDPOINT OF (FROM TOP .�. - HAZARD AREA OF RANGE) 281n.(711 mm)MAX. 14 in.(356 mm)MAX.BURNER HAZARD AREA LENGTH CENTERLINE TO CENTERLINE Figure 3-11. R Nozzle Coverage for a 2-Burner Range April 2009 3-16 P/N 60-9127100-000 System Design 3-4.20 Griddle—Flat Cooking Surface (With or without Raised Ribs) Table 3-26. ADP Nozzle Coverage Area Items Parameters Maximum Hazard Area 30 in.x 42 in. (762 mm x 1067 mm) Nozzle Aim At a point 3 in. (76 mm) from the midpoint of hazard area Nozzle Location—any point on the perimeter of 13 in. (330 mm)Min. appliance 48 in. (1219 mm)Max. Note:Positioning the nozzle directly over the appliance is not permitted. 48 In. (1218 mm) MAX. 1 30 in. t (762 mm) 131n. (330 mm) MIN. MAX. TOP OF APPLIANCE AIM POINT.3 in.(76 mm)RADIUS FROM 42 in. THE MIDPOINT OF HAZARD AREA (1067 mm) MAX. Figure 3-22. Griddle-Flat Cooking Surface P/N 60-9127100-000 3-27 April 2009 System Design 3-4.4 14 in. x 14 in. (356 mm x 356 mm) Deep Fat Fryer Table 3-5. F Nozzle Coverage Area Items Parameters Maximum Hazard Area 14 in.x 14 in. (356 mm x 356 mm) Maximum Appliance Area(with drip board) 14 in.x 24-1/2 in. (356 mm x 622 mm) Nozzle Aim Midpoint of hazard area Nozzle Location(from top of appliance at an angle of 450 or more 27-1/2 in. (686 mm)Min. from the horizontal) 45 in. (1143 mm)Max. AN F NOZZLE MAYBE LOCATED ANYWHERE WITHIN THE GRID AN F NOZZLE MAYBE LOCATED ANYWHERE WITHIN THE GRID 45 In.(1143 mm) DIAGONAL FROM MAX AIM POINT I I 45 in.(1143 mm) 45 In.(1143 mm) 1 MAX MAX z � NOZZLE LOCATION E 45°OR MORE FROM HORIZONTAL MIDPOINT OF 27-112 In. HAZARD AREA (699 mm)MIN AIM POINT. �I R DRIP BOARD MIDPOINT OF / \ HAZARD AREA 14 In.(356 mm) 24.112 In. HAZARD AREA MAX (622 mm)MAX DRIP BOARD 14 in.(356 mm)MAX. 24-1/2 in.(622 mm)MAX. APPLIANCE AREA �--- 14 In.(356 mm)MAX FRONT VIEW SIDE VIEW Figure 3-5. 14 in.x 14 in. (356 mm x 356 mm)Deep Fat Fryer P/N 60-9127100-000 3-9 April 2009 System Design 3-4.12 Four Burner Ranges (LPR), P/N B 120024 The low proximity range top coverage provides protection for a range top that has a back shelf or a broiler integral to the regular range. Table 3-16. LPR Nozzle Coverage Area—Four Burner Range Items Parameters Maximum Hazard Area 24 in.x 24 in. (610 mm x 610 mm) Nozzle Aim Midpoint of hazard area Nozzle Location—Dimension A in Figure 3-13 Refer to Table 3-17 Table 3-17. LPR Nozzle Parameters Burner Spacing Centerline to Centerline (Dimension B in Figure 3-13) Nozzle Height (Dimension A) Note:Shape of burner not important. (centrally over the range and under shelVbroiler) 14 in. (356 mm) 16 in. (406 mm)Min. 20 in. (508 mm)Max. Between 12 in. and 14 in.(305 mm and 432 mm) 16 in(406 mm)Min. 17 in(432 mm)Max. Between 10 in. and 12 in. (254 mm and 305 mm) 16 in. (406 mm) 1 1 1 I DIMENSION"A" (NOZZLE HEIGHT AN LPR NOZZLE MAY BE MEASURED TO I LOCATED OVER THE CENTER TOP OF BURNERS OF THE HAZARD AREA.SEE I TABLE FOR NOZZLE HEIGHTS. 1 AIM POINT.MIDPOINT OF HAZARD AREA 2 1 4 In.(6 0 mm) MAX.HAZARD DIMENSION"B" AREA LENGTH i i DIMENSION"B" t- 24 In.(610 mm)MAX. HAZARD AREA MIDTH Figure 3-13. LPR Nozzle Coverage for a 4-Burner Range (LPR) April 2009 3-18 P/N 60-9127100-000 System Design 34.13 Upright Broilers Table 3-19.ADP Nozzle Coverage Area Items Parameters Broiler Compartment With Maximum Internal Horizontal 30-1/4 in.x 34 in. (768 mm x 864 mm) Dimensions Nozzle Aim Through grill toward the center of the grease drain-off opening Nozzle Location Within the top 4 in. (102 mm)of space in the broiler compartment.Commonly mounted near the front opening and directed inside the broiler o � BROILER — EXHAUST JV M G DUCT COMPARTMENT EGRILL4 in. (102 mm) K430-114 =. 4:. - MAX. ,► 11n., .e,,-��.�.34 in.(864 mm)--�m GREASE C= A— GREASE DRAIN PAN DRAIN-OFF FRONT (BROILER DOOR REMOVED) RIGHT SIDE NOTE: DIMENSIONS SHOWN ARE INSIDE BROILER COMPARTMENT ADP NOZZLES SHOULD BE MOUNTED ON THE PERIMETER OF THE BROILER TOP(SHADED AREA). IT SHOULD BE DIRECTED THROUGH THE GRILL TOWARD THE CENTER OF THE GREASE DRAIN-OFF OPENING. NOZZLE DISCHARGE SHALL NOT BE OBSTRUCTED BY ANY STRUCTURAL PART OF THE BROILER. Figure 3-15. ADP Nozzle Placement for Upright Broilers April 2009 3-20 PIN 60-9127100-000